Current understanding and implementation of ‘care navigation’ across England: a cross-sectional study of NHS clinical commissioning groups

Stephanie Tierney; Geoff Wong; Kamal R Mahtani

doi:10.3399/bjgp19X705569

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Figure 1.
Responses to the questionnaire.
CCG = clinical commissioning group.
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Figure 2.
Types of people delivering care navigation for 147 clinical commissioning groups.
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Figure 3.
Word cloud illustrating range of terms used across 147 clinical commissioning groups for care navigator roles.
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Figure 4.
Type of people for whom the care navigator service is available. CCGs often provide more than one care navigation service, so in the same area one service may be open to all (often when delivered by receptionists), whereas another is more targeted.
CCG = clinical commissioning group.
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Figure 5.
Method of referral, or contact, with the care navigator service. A&E = accident and emergency. CCG = care commissioning group.

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How this fits in

Social prescribing is a high priority for the NHS, as reflected in its 2019 Long Term Plan and its commitment to funding ‘link workers’ (or ‘care navigators’) to facilitate its operation. However, there are several knowledge gaps in the understanding of this role, including how care navigation is interpreted and implemented by clinical commissioning groups (CCGs). This study’s survey of all CCGs in England highlights the heterogeneous manner in which care navigation is currently being rolled out across the country. Findings can inform policymaking and delivery of care navigation by advancing an understanding of differing provisions across England.

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Box 1.

Introduction to the questionnaire

‘We are seeking to understand how care navigators (or equivalents) are being implemented across CCGs. “Care navigators” have been loosely described as someone who helps identify non-medical needs of patients, and supports and signposts them to available services in the community. Other terms may be used for this role, including social prescriber, link worker, or community connector. We would be extremely grateful if you could advise us on such services in your CCG by answering these very brief questions.’