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Coordinator

koordinator kommune barn og unge sykdom funksjonsvariasjon

When children and young people need long-term and complex services in health and care, they have the right to a coordinator. A coordinator is responsible for follow-up, coordination between different agencies, ensuring a comprehensive and individually adapted offer, as well as coordinating the service offer in the municipality and across the agencies involved. To coordinate means "to make work together".

The purpose of the coordinator

  • ensure that children/young people receive a holistic, coordinated and individually adapted service offer
  • ensure children/young people's participation and influence
  • strengthen the interaction between service providers and children/young people and their families, possibly other relatives
  • strengthen interaction between those who provide/offer services across subjects, levels and sectors

A distinction is usually made between a coordinator appointed in the municipality and a coordinator appointed in the specialist health service. The coordinators have slightly different roles. The coordinator in the specialist health service is responsible for coordinating internally during the stay, and externally with those who will follow up after discharge. The coordinator in the specialist health service must be a health professional. The municipality has an obligation to offer a coordinator if the child/young person receives, or is to receive, services in accordance with the Health and Care Services Act. 

Examples of coordinator's tasks in the specialist health service

  • follow up the patient and ensure coordination of the offer during the institutional stay
  • interact with the contact doctor about patients who have been appointed this
  • interact with service providers outside the institution
  • report the need for an individual plan to the coordinating unit in the municipality
  • ensure progress in the work with the individual plan in collaboration with the coordinator in the municipality
  • initiate collaboration meetings with the municipality or others who will follow up after discharge

Examples of the coordinator's duties in the municipality

  • ensure informed consent from the person to the start of the planning process and information exchange
  • make arrangements for the person to participate in the work
  • clarify responsibilities and expectations
  • ensure good information and dialogue with the person and next of kin, throughout the entire process
  • ensure comprehensive mapping based on the person's goals, resources and needs
  • ensure good interaction between the actors in the health service, including with the GP who has medical coordination responsibility, as well as with relevant service providers in other sectors
  • ensure coordination of the service offer and good progress in the work with the individual plan
  • ensure common understanding of the goals in the planning process
  • initiate, convene and possibly lead meetings related to individual plans and coordination
  • follow up, evaluate and update the planning document
  • follow up and evaluate the work process

How to get a coordinator?

This must be applied for at the municipality you live in. The municipality's administrative unit/ordering office/allocation office (Dear child has many names!) is the right place to turn when you need a coordinator. Many municipalities also have electronic application solutions on their website.

It is important to remember documentation from the child's doctor, possibly other professional environment/agency that follows the child, and an overview of all agencies that are involved in connection with the child's follow-up and support needs.

You do not have to have an individual plan to be entitled to a coordinator.

Legislation and guidelines worth noting

National supervisor

Health and Care Services Act Section 7-2 – Coordinator

Specialist Health Services Act § 2-5a. Coordinator

Regulations on habilitation and rehabilitation, individual plan and coordinator.

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