About CMC

Coordinate My Care (CMC) was established in May 2012 to address the need for patients to have integrated, coordinated and quality care.

We are an NHS clinical service currently available across London and funded by the 32 Clinical Commissioning Groups (CCGs) that represent London. We hope to broaden out to further regions over the next few years so as many people as possible can benefit from our service.


See the area we serve.


Check which CCG you’re in.


We work to empower patients to have choices about the care they receive and to make those choices known to those who care for them. We look to continually link up the organisations and individuals that provide care for a patient, such as doctors, nurses, social care providers and emergency services including the ambulance service, NHS 111 and the out of hours GP service.

We work with GPs to support the needs and wishes of patients. GPs work together with their patients to create a personalised urgent care plan that is prepared and recorded on CMC to ensure all care providers can access this information all day, every day. We work closely with London Ambulance Service, the South East Coast Ambulance Service and NHS 111 to ensure patients receive the most appropriate care. We are developing partnerships across all of the NHS and the private sectors.

We know that Clinical Commissioning Groups, NHS Trusts, nursing homes, hospices, community providers, patients and their families all play an integral role in the successful coordination of care. As a team, we bring extensive clinical experience to drive the cultural and operational change required to deliver integrated, coordinated and quality care for patients.

Meet the team

Professor Julia Riley MRCGP, FRCP, MD

Clinical Lead Coordinate My Care & Palliative Care Consultant

Professor Riley is a consultant in Palliative Medicine at the Royal Marsden and Royal Brompton NHS Trusts and the Clinical Lead for Coordinate My Care which she established in 2012.

She is a Visiting Professor at Imperial College London; Editor of the European Journal of Palliative Care (the journal for the European Association of Palliative Care), and the Clinical Lead for Coordinate My Care, the clinical service that coordinates and allows patients to have choices and improved quality of urgent care.

Professor Riley has two main research interests. The first is in the inter-individual variation in patient's response to opioids. The second is the development of models of end of life care that include the seamless transition between the acute and the community sector, improving quality of life, decreasing the number of unnecessary hospital admissions and increasing the number of patients being cared for, and dying in their preferred place.

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Diana Howard

Nurse Director

Diana has been with the CMC team since April 2014. She is a highly experienced nurse, with over 30 years of service in London hospitals. She is regarded as an expert in palliative care nursing.

Prior to joining CMC, Diana worked in clinical practice as the senior nurse in the Palliative Care Team at Imperial College Healthcare NHS Trust - comprising St Mary's, Charing Cross and Hammersmith Hospitals in West London.

Diana's route into palliative care was through general medicine, care of the elderly, and mental health, and she has loved working in busy general hospitals. She is particularly interested in the CMC service helping to improve the care of patients who do not always access specialist palliative care services, for example those with cognitive impairment, or general frailty, or those who are homeless.

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Gerard Bowden

Clinical Quality Manager

Gerard came to the CMC team as a Clinical Facilitator in September 2012, with some 20 years of experience in Specialist Palliative Care in London and overseas, and has since moved into the role of Clinical Quality Manager.

From managing hospice wards to Clinical Nurse Specialist roles, Gerard brings his passion for clarity, simplicity and efficacy to bear on his work within the CMC team – to the benefit of patients, families and the professionals caring for them. Gerard has a keen interest in the use of information technology to support and improve care delivery. He has published on palliative care related issues – the meaning of 'home' and impact on intimacy expression and issues related to spiritual complexity and denial.

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Julius Wavammuno

Helpdesk/System Administrator

Julius joined Coordinate My Care in June 2013 as the System Administrator responsible for the CMC Helpdesk and Mailbox.

Julius is highly experienced as an Application Support Professional and has extensive expertise across a wide range of technical environments. He is able to offer significant analytical support experience, strong troubleshooting skills and a proven ability to optimise resources. This experience is further enhanced by exceptional communication skills and a dynamic self-starter approach to all projects.

Julius has expertise in 1st & 2nd line system support, analysis, ascertaining client requirements, application development, troubleshooting issues and ongoing user support - all with minimal impact on application downtime.

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Fiona Case

Fiona Case

Training and Engagement

Fiona has been with the CMC team since January 2016 working on training of users to the CMC system and engagement with CCG teams to help promote and encourage uptake.

This has seen Fiona travel to every corner of London to work with teams on how to use the system and create care plans, hold educational events, resolve any local blockers to uptake as well as support the reporting of local outcomes for further evidence base and buy in.

She previously trained as a nurse in a London hospital, specialising in gynaecology and infertility. Prior to joining CMC, Fiona worked in the fitness industry for fifteen years as a Health and Fitness Education Manager in a community sports centre and was instrumental in establishing GP referral schemes, cardiac rehabilitation and steps to fitness for mental wellbeing to name a few projects.

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Nick Tigere

Nick Tigere

Service Manager

Nick joined the CMC team in January 2017 as Service Manager, and is responsible for the day-to-day running of CMC.

His journey in healthcare started at Guy’s and St Thomas’ NHS Foundation Trust, where he worked clinically as a registered paediatric nurse. Whilst there, Nick took on a lead safeguarding position, setting the trust training and leading the trust’s collaboration with local and external safeguarding boards.

Nick then moved into healthcare management, working at Lewisham Hospital as deputy service manager. Following a successful spell at Lewisham, he worked in the private sector as operations manager of a newly commissioned service, setting the foundations and building of a successful service.

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Samina Qutub

Marketing and Communications Manager

Samina joined the CMC team in August 2015 following a successful career in healthcare Public Relations.

Samina has over 15 years of communications experience in the healthcare and pharmaceutical PR sector. She has worked in areas as diverse as oncology, obesity, glaucoma, epilepsy and prematurity, to name a few. Her clients have included Pfizer, Merck Serono, AbbVie, Novartis, the mental health charity SANE and the Men’s Health Forum. Her passion is public health awareness and campaigning. Coordinate My Care is her first communications role in the NHS and Samina is charged with ensuring effective communications to all CMC stakeholders and users of the service as well as producing resources for patients and healthcare professionals to maximise understanding of CMC and the area of advance care planning.

Samina graduated from the University of London with a degree in Medical Biochemistry.

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