For project information, template updates and additional resources.
Introduction &
Patient Consent
VERSION 3.1 of the Future Planning Template - November 2019
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)
.
Please keep freetext succinct, understandable and relevant to the question asked / box title
By accessing the Summary Care Record during Emergency / Acute Care episodes;
- 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 "Enhanced Consent" tick box above will enable 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, including 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.
May be used in some practices.
Add patient to a Practice Register ?
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 information has passed to the practice using the Future Planning: My Wishes form.
Face mask, nasal specs,
any special equipment needs.
Patient's usual heart rate & rhythm or any other abnormalities.
CARDIOPULMONARY RESUSCITATION DECISIONS
This record does NOT replace the need for a uDNACPR or ReSPECT form
Discussions or Decisions
VERSION 3.1 of the Future Planning Template - November 2019
THIS PAGE WILL BE DEVELOPED FURTHER...
In the meantime........
VERSION 3.1 of the Future Planning Template - November 2019
Please use the Future Planning: My Wishes leaflet to help patients/families take forward conversations between your visits.
Directing appropriate patients and families towards the Age UK Let's talk about death and dying booklet
and video
may also be helpful.
VERSION 3.1 of the Future Planning Template - November 2019
To calculate the eFI scores for patients in your practice please see the SystmONE electronic Frailty Report in "Reporting > Miscellaneous Reports".
NICE 2013 - Multifactorial Falls Risk Assessment
Enter "0" if no falls.
Most items in this list do not upload to the SCR
This item does not upload to the SCR
NHS Scotland
MOST IMPORTANT CODE FOR THE PRACTICE
- adds patient to the GSF/ End of Life register
NOT commissioned in all areas, though SPC/Hospice advice available for clinicians 24/7 all areas.
( Particularly important if co-habiting)
(Allows a competent clinician to diagnose { verify } an expected death)
VERSION 3.1 of the Future Planning Template - November 2019
Please record additional information in the Treatment Escalation and Future Planning TABS as appropriate.
VERSION 3.1 of the Future Planning Template - November 2019
PAGE IN DEVELOPMENT
Will be released as a separate template with links from Future Planning Version 3.2. Hopefully before Christmas 2019.
Please do not wait for version 3.2 before starting to use the Future Planning template. There will always be a new version sometime in the Future! Data collected in previous versions will all pull through to any new version.
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.
VERSION 3.1 of the Future Planning Template - November 2019
Future Planning GP Version 3.1End of life, frailty, prognosis/GSF, TEP & future planning templateFuture Care PlanningtransportAmbulance-1-1j-36d1d-3k113s-21b3t19292n-t-3p-3a3h1o3g1735f-1o3u-31-1p3e2d-2s3m1d3a