Skip to main content

Care navigators decision-making in prescribing Telecare for older people

MacInnes, Julie (2020) Care navigators decision-making in prescribing Telecare for older people. Health and Social Care in the Community, . ISSN 0966-0410. (doi:10.1111/hsc.13066) (KAR id:81377)

PDF Author's Accepted Manuscript
Language: English
Download (757kB) Preview
[thumbnail of Telecare - accepted manuscript.pdf]
This file may not be suitable for users of assistive technology.
Request an accessible format
XML Word Processing Document (DOCX) Author's Accepted Manuscript
Language: English

Restricted to Repository staff only
Contact us about this Publication
[thumbnail of Telecare - accepted manuscript.docx]
Official URL


This aim of this study was to explore the decision-making process of Care Navigators in prescribing Telecare for older people living at home. The study took place in the South of England. A structured model of decision-making was used as the theoretical framework and a qualitative approach was employed. Care Navigators (n=7), acting on behalf of the Local Authority as ‘external trusted assessors’ were interviewed according to a semi-structured interview schedule. Documentary evidence of decision-making (Telecare Reasoning Forms) (n=10), were also analysed and added to the interview data. The main themes identified were the process of decision-making, training needs, and the support of Care Navigators and partnership working. Care Navigators adopted a complex decision-making process involving information gathering, information synthesis, consideration of alternatives to Telecare and implementation. Decision-making has a strong ethical dimension, especially around funding. Training focused on the functioning and technical aspects of equipment. However, other training needs were identified in order to support decision-making, for example, assessing mental capacity. Peer support networks were valuable to Care Navigators and they developed good relationships with social care and Telecare provider staff. However, professionals making referrals to the Care Navigators for Telecare often did not understand their role or funding eligibility. In conclusion, Care Navigators are well-placed to prescribe Telecare in terms of knowledge and decision-making skills. Comprehensive training is necessary in order to support decision-making. Peer support and education of professionals referring for Telecare is also advocated.

Item Type: Article
DOI/Identification number: 10.1111/hsc.13066
Uncontrolled keywords: Care Navigators, Telecare, Decision-making, Older People
Subjects: H Social Sciences
Divisions: Divisions > Division for the Study of Law, Society and Social Justice > School of Social Policy, Sociology and Social Research > Centre for Health Services Studies
Depositing User: Meg Dampier
Date Deposited: 26 May 2020 15:05 UTC
Last Modified: 29 Oct 2021 14:33 UTC
Resource URI: (The current URI for this page, for reference purposes)
MacInnes, Julie:
  • Depositors only (login required):