For children / young people whether a CYPADM (Children and Young People Acute Deterioration Management) form is / is not in place. 5 : Palliative Care Palliative care register This field is used to add the patient to the practice’s palliative care register. It also prompts for a palliative care review date. OOH arrangements There are three sub headings in this field – ‘Have arrangements been discussed with patient / carer’, ‘GP sign death certificate in normal circumstances’ and ‘GP should be contacted OOH’ are tick box options and all have attached free text space. GP OOH Contact Number(s) There is a separate free text space for these details Patient’s / Carer’s Understanding Understanding of diagnosis and prognosis is also included in this section. This can be detailed for both the patient and their carers. The wording in the drop down options for prognosis remains a little strange! Knowing who knows what can be extremely helpful for practitioners seeing patients in the out of hours period. Palliative care and treatment An extensive drop down pick list of options around these two areas. KIS BENEFITS As with ePCS there are considerable benefits for patients, their carers, primary care (in and out of hours) and indeed the NHS. Patients A group that clearly matters – there is only one chance at caring for the dying Tend to have a lot of rapidly changing need Earlier identification of needs Earlier planning of care Information transfer is much better If seen OOH visiting GP will be better informed/prepared Reassurance and feeling of safety for patients / carers Primary care - In hours Makes information transfer very simple Much easier to update information More effective and less work Fits with both the GSF and the Palliative Care DES Primary care - OOH More information Legible information No more laborious transcription More pro-activity from in hours should lead to less OOH medical contacts NHS Clearly will lead to a better service for the reasons already mentioned Less inappropriate actions e.g. 999 ambulances
For children / young people whether a CYPADM (Children and Young People Acute Deterioration Management) form is / is not in place. 5 : Palliative Care Palliative care register This field is used to add the patient to the practice’s palliative care register. It also prompts for a palliative care review date. OOH arrangements There are three sub headings in this field – ‘Have arrangements been discussed with patient / carer’, ‘GP sign death certificate in normal circumstances’ and ‘GP should be contacted OOH’ are tick box options and all have attached free text space. GP OOH Contact Number(s) There is a separate free text space for these details Patient’s / Carer’s Understanding Understanding of diagnosis and prognosis is also included in this section. This can be detailed for both the patient and their carers. The wording in the drop down options for prognosis remains a little strange! Knowing who knows what can be extremely helpful for practitioners seeing patients in the out of hours period. Palliative care and treatment An extensive drop down pick list of options around these two areas. KIS BENEFITS As with ePCS there are considerable benefits for patients, their carers, primary care (in and out of hours) and indeed the NHS. Patients A group that clearly matters – there is only one chance at caring for the dying Tend to have a lot of rapidly changing need Earlier identification of needs Earlier planning of care Information transfer is much better If seen OOH visiting GP will be better informed/prepared Reassurance and feeling of safety for patients / carers Primary care - In hours Makes information transfer very simple Much easier to update information More effective and less work Fits with both the GSF and the Palliative Care DES Primary care - OOH More information Legible information No more laborious transcription More pro-activity from in hours should lead to less OOH medical contacts NHS Clearly will lead to a better service for the reasons already mentioned Less inappropriate actions e.g. 999 ambulances