Case coordination guide
Case roles and responsibilities
A practical guide to clarifying who coordinates a repatriation case, who makes each decision and how updates and handovers should be agreed. The people and responsibilities for your own case need individual confirmation.
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A repatriation case can involve several people who answer different questions. Knowing a name is useful, but knowing that person’s responsibility is what makes the next conversation productive. At the start, ask for a simple contact map showing the coordination contact, the person authorized to give instructions, the proposed service providers and the intended receiving contact. Add a case reference where one has been assigned.
The map should reflect the actual arrangement under discussion. A living patient’s journey and the return of a deceased person involve different professional decisions. This guide explains roles to clarify; the names, appointments and scope for your own case should be established before you rely on a proposed plan.
What to ask your coordination contact
The coordination contact can be the place where practical questions, documents requested and status updates are brought together. Ask which tasks that person is handling and which answers must come from another organization. For example, collecting a document request is different from issuing the document, and relaying a hospital update is different from making a clinical decision. Clear boundaries help the family direct a question to the right recipient.
Agree how to identify the latest plan and how changes will be communicated. Useful updates say what has been completed, what is awaiting a decision and who is responsible for the next action. Ask how a replacement contact will be introduced if the person coordinating the enquiry changes.
Clinical roles in a patient journey
For a living patient, distinguish the treating team, the professionals reviewing transport needs and the people who will receive the patient after arrival. Their assessments should relate to the actual journey being considered. Ask how current clinical information will pass between the appropriate professionals and who can explain the proposed support to the patient or authorized representative.
Scheduled-flight acceptance is another decision. The UK Civil Aviation Authority explains that an airline may request further medical information when reviewing a passenger’s circumstances. A coordinator or accompanying relative cannot replace that review. The fit-to-fly planning guide explains questions to raise about clinical advice, airline acceptance and practical readiness without attempting to assess an individual patient.
Professional roles after a death
For deceased repatriation, identify who currently has care of the deceased, who handles funeral arrangements, who coordinates transport and who is responsible for receiving the body or ashes. Ask which instructions each professional requires from the family or authorized representative. A person helping with calls may not be the person entitled to authorize preparation, cremation or other arrangements.
Official authorities have separate responsibilities. The British government’s Thailand guidance, for example, describes distinct local registration and British consular steps for British cases. Other nationalities need the appropriate consular guidance. Ask who can confirm the status of the relevant official process; an update from a service provider is not itself an official release or permission.
Family contacts and authority to decide
One family contact can gather questions and circulate agreed updates, particularly when relatives are in different countries. That practical role should be distinguished from authority to approve a service, receive confidential records or authorize payment. Ask what the relevant organizations need to establish each role. If instructions conflict, explain the disagreement before anyone treats a preferred arrangement as a settled decision.
A short decision record can show the proposal, the person giving the instruction, the date and any limits on the approval. For instance, asking for a quotation does not necessarily authorize a booking. Keep financial instructions separate from clinical information, and avoid forwarding a complete case file merely to keep every relative informed.
Checking qualifications and the proposed assignment
If a proposal names a clinician, funeral professional or specialist transport provider, ask for information relevant to the work they will perform. Establish the person’s professional role, the organization responsible for the assignment and how any stated qualifications can be checked with the appropriate issuing or regulatory body. A title alone does not explain the scope of work, and an organization’s credential should not automatically be attributed to every individual involved.
Use the same approach when an assignment changes. Ask whether the replacement has been reviewed for the intended role and who will introduce them to the sending and receiving contacts. The purpose is an understandable allocation of responsibility, supported by accurate information about the actual people appointed.
Handover, updates and questions after arrival
A contact plan should extend to the final agreed handover. For a patient, ask who receives the clinical handover and where transport responsibility ends. For a deceased case, ask who acknowledges receipt and who handles the next funeral or memorial arrangements. The hospital transfer and receiving funeral director guides describe the practical questions for these different situations.
Before the journey, establish how to report a change, correct a contact detail or raise an unresolved question. Keep the relevant references accessible without sharing confidential documents more widely than necessary. Takecare Medical Group’s WhatsApp assistance is available 24/7 at +66 95 073 5550 for an initial discussion about the coordination requested.
Questions you may have
Does one coordinator carry out every part of the service?
Do not assume that a single contact performs every professional or transport task. Ask for the proposed responsibilities and the organizations involved. A useful plan identifies who gives the answer, who approves the action and who carries it out at each stage.
Who should receive a medical update from the hospital?
Ask the responsible clinical team and coordination contact to identify the appropriate professional recipient and sharing route. Relatives may need a practical update, while a transport reviewer needs specific clinical information. Those needs should be handled separately and with the relevant authority established.
Information & sources
- UK Civil Aviation Authority: getting medical clearance to fly
- FCDO: when a British person dies in Thailand (British cases)
Last reviewed: 18 September 2026. General information from Takecare Medical Group. Requirements and availability must be checked for the individual case.