For project information, template updates and additional resources.
Introduction &
Patient Consent
VERSION 3 of the Future Planning Template - October 2018
Project supported as part of an NHS and Hospice partnership:
The main purpose of this template set is to provide a summary of the patient's clinical information to the Summary Care Record (SCR) for teams providing their care during Emergency / Acute Care episodes.
Please keep freetext succinct, understandable and relevant to the question asked / box title.
By accessing the Summary Care Record;
- Ambulance Triage (999/111) and paramedic crews,
- GP OOH services,
- MAU, ED and any other hospital staff,
with an NHS smartcard, will be able to access this summary information to guide their clinical responses.
THIS IS THE MOST IMPORTANT CODE IN THE WHOLE TEMPLATE, bar none.
The "Consent to Share" tick box above will enable all information from this set of templates to show in the patient's national Summary Care Record.
In addition, some other coded information from the GP record, such as diagnoses and involved teams, will also be shared to the SCR.
Verbal or written consent is acceptable. Consent may also be gained by other clinical teams who should pass this info to the practice as, currently, only GP practices can record this code in the patient record.
If a patient has a persistent lack of capacity for giving this consent, then their legal representative (LPoA for H&W, court appointed guardian) or an appropriate clinician (ideally with MDT backing) should, acting in the patients best interests, add this consent code to the patient record.
VERSION 3 of the Future Planning Template - October 2018
VERSION 3 of the Future Planning Template - October 2018
To calculate the eFI scores for patients in your practice please see the SystmONE electronic Frailty Report in "Reporting > Miscellaneous Reports".
Enter "0" if no falls.
VERSION 3 of the Future Planning Template - October 2018
MOST IMPORTANT CODE FOR THE PRACTICE
- adds patient to the GSF/ Frailty register
NOT commissioned in all areas, though SPC/Hospice advice available for clinicians 24/7 all areas.
Please record additional information in the Treatment Escalation and Future Planning TABS as appropriate.
( Particularly important if co-habiting)
(Allows a competent clinician to diagnose { verify } an expected death)
Where is the original stored?
Add a summary of relevant details:
Treatment Escalation Planning (TEP) Levels
Intensive: Transfer to hospital for treatment if appropriate. Critical care, intubation and ventilation should be considered.
Hospital: Transfer to hospital if appropriate, but not for critical care, intubation or ventilation.
Home: Treat with normal and rescue medications (mostly oral, nebs, SC &/or syringe driver) at home with support from GP. Admission to hospital to be avoided unless measures fail and following discussion with Palliative Care or other involved Specialist Team and GP.
Comfort: Palliative Meds via SC, oral or per rectal route, positioning, wound care and other measures to relieve symptoms. Admission to hospital to be avoided unless comfort measures fail and following discussion with Palliative Care Team.
Please tick this box if entering information that a patient, or other person with permission to do so, has submitted to the practice using the Future Planning: My Wishes form.
This record does NOT replace the need for a uDNACPR or ReSPECT form
Discussion
or Decisions
CARDIOPULMONARY RESUSCITATION DECISIONS
PAGE IN DEVELOPMENT
Will be released in Future Planning Version 3.2 as soon as possible
A Hampshire and Isle of Wight STP supported work group is being established, which aims to use the Future Planning template to replace the lilac uDNACPR form. This will allow digital recording of CPR decisions, automatic transfer of this info to both the Summary Care Record and CHIE and, for the next year or so, printing of adapted ReSPECT forms populated with CPR and other information from the Future Planning template.
Communication via the LMC and CCG newsletters will take place when the new TAB and linked resources are ready for publication.
PAGE IN DEVELOPMENT
Will be released in Future Planning Version 3.1. Hopefully in later October 2018.
Please do not wait for version 3.1 before starting to usw the Future Planning template. We are aware some practices have been doing just that while waiting for Version 3. There will always be a new version sometime in the Future!
In response to the Report of the Gosport War Memorial Independant Panel Jan 2018, Hampshire & Isle of Wight Palliative Care Physicians, working with pharmacy and GP colleagues, are aiming to develop a standard simple Anticipatory Prescribing template. This page will link to the new template and will also aid with the consistent printing or NHSmailing of the Community Syringe Driver and PRN Administration Orders used by both Solent and Southern Health community teams.
Communication direct to practice managers/IT managers will take place when the new TAB and linked resources are ready for publication.
Future Planning GP Version 3End of life, frailty, prognosis/GSF, TEP & future planning templateFuture Care PlanningCHDRiskUnknown-1-1j-36d1d-3k113s-21b3t19292n-t-3p-3a3h1o3g1735f-1o3u-31-1p3e2d-2s3m1d3a