The project, running for five years, has developed;
Many community clinical teams and all General Practitioners have held patient records on computer for years. Most use different systems and as a result GPs cannot see community notes, district nurses cannot see GP records and, more worryingly, emergency teams do not always have access to up to date information about the patients they are treating.
The Future Planning Template has been designed by GPs, Palliative Medicine clinicians and CCG staff to collect vital patient information in one place within SystmONE and EMIS Web.
- a tool to assist patients to record their wishes for their care. The My Wishes leaflet. Ideally used alongside AgeUK's "Let's talk about death and dying" resources.
- tools to assist GPs and their teams;
- to record patient wishes, Treatment Escalation & Frailty Plans and End of Life preferences for care. The Future Planning template (for EMISweb and SystmONE).
- awareness raising posters for staff education and an introductory video.
- posters for patient waiting areas.
- to safely transfer End of Life patients from oral to subcutaneous medications. The EoL Medication Worksheet (for EMIS Web & SystmONE)
- a tool to help General Practices run GSF meetings. The Future Planning MiQuest report.
- the Future Care Plan. A self populating word file (again for EMIS Web and SystmONE) that takes patient medications, diagnoses and information from the wider patient GP record and Future Planning template and provides a paper clinical summary that can be used by patients as they wish. Or in those increasingly rare cases where ambulance crews are unable to maintain their IT systems online connection, then the Future Care Plan provides a summary for use in emergencies.
- teaching materials for all Solent NHS Staff who can also access these resources listed above in SystmONE
- 2 conference posters
Many community clinical teams and all General Practitioners have held patient records on computer for years. Most use different systems and as a result GPs cannot see community notes, district nurses cannot see GP records and, more worryingly, emergency teams do not always have access to up to date information about the patients they are treating.
The Future Planning Template has been designed by GPs, Palliative Medicine clinicians and CCG staff to collect vital patient information in one place within SystmONE and EMIS Web.
What does the template achieve?
- All template information, with patient consent, is automatically uploaded to the Summary Care Record - accessible by Acute Care Teams across England.
- Hampshire - All information automatically uploaded to the Care and Health Information Exchange (CHIE). Where, in 2021, they will be visible in care plans using the Orion upgraded CHIE portal.
- A standard way of documenting patient preferences for Future Care Planning or End of Life Care Plans
- Ability to printout a care record for patients
- Supports general practice Gold Standard Framework meetings
- Supports achievement of at least 2 RCGP Daffodil Standards
- MiQuest report writer produces a practice GSF patient list, in prognosis order.
- Tick box "GSF template" speeds completion during meetings
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Future Planning Template project summary document
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