There was an element of diffused responsibility amongst providers of care for those with advanced dementia. Each expert is expected to provide care when their specialist advice is sought but a single health-care provider rarely takes overall responsibility for the health and well-being of those living in care homes.We’ve got a single point of contact in this area so we’d refer via the single point of contact. For dieticians, and speech and language therapy we’ve got a form we fax off to the department. For palliative care we have to go through the GP and for podiatry we have to go through the GP (Care Home Manager).