Living and Dying Well - Scottish Government

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LIVING AND DYING WELL a national action plan for palliative and end of life care in Scotland 29 ANNEX B ePCS Flow Chart GP/Nurse adds Palliative Care data System generates lists for review/ reminders Patient consents to share electronic Palliative Care Summary (PCS) ePCS sent to ECS Store Patient/Carer calls NHS24 NHS24 accesses ePCS Patient care improved in-hours Patient care improved OOH OOH centre accesses ePCS
30 LIVING AND DYING WELL a national action plan for palliative and end of life care in Scotland ePCS – Information extracted from GP systems Date – Updated when sent to ECS Date – Patient review Date Patient & Carer Details – Section 1 Patient’s Own GP and Nurse Review date Usual GP name Patient Surname Nurse Patient Forenames Practice details CHI Number Patient Address & Tel Number Carer Details Access Info/potential issues Next of kin details Section 2 Patient medical Condition Main diagnoses Other relevant issues Allergies/Drug reactions Current drugs and doses Additional drugs available at home Section 3 Current Care Arrangements Care arrangements Syringe driver at home Catheter continence prods at home Move & Hand equip at home Section 4 Patient’s and Carer’s Awareness of Condition Patient’s understanding of Diagnosis Patient’s understanding of Prognosis Carer’s understanding of Diagnosis Carer’s understanding of Prognosis Section 5 Advice for Out Of Hours Care Care Plan agreed Preferred place of care Should GP be contacted OOH? GP Home tel/mobile/pager Resuscitation status agreed Actual resuscitation status GP sign death cert in normal circ? Additional useful OOH information Gold Standards Framework Scotland – IT Steering Group, 2007.
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Living and Dying Well - Scottish Government

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