It is important to achieve good communication and coordination across health and social care teams and services - so patients get the care they want, when they need it, in their preferred place of care.
Good communication between healthcare team members, or between providers, is an essential component of continuity of care for patients. It supports the patient's journey through the system and ensures that information is shared in a timely way with the people who are best placed to meet the patient's needs.
Vulnerable patients in particular may rely on their doctors to identify and anticipate their needs and to share information to ensure they receive high quality care from all those involved in treating and supporting them.
There is always a judgement to be made about how to deal with a patient who is refusing help that you think they need. Doctors must be careful to respect a patient's autonomy if they, like Lesley, are refusing help.
But it might be that they are reacting to a previous negative experience, eg having information shared about them without their consent, or imagining the care will be more intrusive than it actually is likely to be.
It's important to protect vulnerable patients but doctors must make sure that they work with patients to come to decisions together about what care they need.
Patients who feel excluded from their care will be less likely to admit when they need help for fear of their independence being taken away from them.