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Over its lifespan, C2H provided 3521 appointments, nearly 50% more than its original target, and received positive feedback from service users. Its implementation demonstrated how nurse-led innovation, hybrid leadership and cross-sector collaboration can support accessible, person-centred care, while also highlighting the challenges faced by clinical leaders undertaking complex service transformation without formal project management training. The project's legacy includes a sustained virtual clinic, new pop-up services and a bespoke booking system subsequently adopted across multiple services. C2H offers a potentially transferable model for widening access to specialist care and demonstrates the contribution nurses can make to leading and sustaining service innovation.<\/jats:p>","DOI":"10.12968\/bjon.2025.0353","type":"journal-article","created":{"date-parts":[[2026,10,23]],"date-time":"2026-10-23T16:14:03Z","timestamp":1792772043000},"page":"952-958","source":"Crossref","is-referenced-by-count":0,"title":["Nurse-led implementation of the Closer to Home project to increase access to specialist dementia care"],"prefix":"10.12968","volume":"35","author":[{"given":"Helen","family":"Green","sequence":"first","affiliation":[{"name":"Admiral Nurse, Dementia UK, London"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Donna","family":"Bloy","sequence":"additional","affiliation":[{"name":"Clinical Effectiveness Manager, Dementia UK, London"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8210-6508","authenticated-orcid":false,"given":"Phil","family":"Joddrell","sequence":"additional","affiliation":[{"name":"Research Fellow, Dementia UK, London, and Sheffield Centre for Health and Related Research, University of Sheffield"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"5130","reference":[{"key":"e_1_3_3_1_1","unstructured":"Age UK Norfolk. 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