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The electronic Palliative Care Summary (ePCS) developed by Euan Paterson and Macmillan aims to improve care for vulnerable patients by promoting early identification and anticipatory planning. It enhances information sharing among professionals, reducing inappropriate actions and unnecessary admissions. Key benefits include more effective communication, reduced workload, and proactive care planning. Stakeholders can access consolidated data for better decision-making and response, ultimately leading to improved patient experiences and safety.
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ePCSelectronic Palliative Care Summary Euan Paterson Macmillan GP Facilitator (GG) Clinical Lead GGC Palliative Care MCN
ePCS – patient & carer benefits • Targets a very vulnerable and needy group • Encourages earlier identification • Encourages anticipatory care planning • All professionals have better information • Fewer inappropriate actions • Transfer • Admission • Futile attempt at CPR • Reassurance and ‘security’ • Better and safer care
ePCS – General Practice benefits • In hours • Natural extension of GSFS • Fits in with palliative care DES • Simple information transfer • More effective • Less work • Out of hours • Information – more / legible / no transcription • Less patient contacts(?)
ePCS – NHS benefits • Better service • Information transfer • Increased pro-activity • Fewer inappropriate actions • Admissions • 999 ambulances • Futile CPR • Decreased OOH contacts • Save money
ePCS – functions • Information transfer • ‘In Hours’ GP > OOH • Primary Care > A&E / Acute Receiving Units • Primary Care > Scottish Ambulance Service • Prompts for proactive care • Anticipatory Care Plan • All data stored in one place • Structure for lists / meetings / etc • Palliative care DES
ePCS – data set • Consent to transfer information • ePCS review date
ePCS – data set • Current situation • Diagnoses • Key personnel involved • Carer details • Current treatment • Repeat • Last 30 day acute • Patient / Carer understanding • Diagnosis • Prognosis
ePCS – data set • Anticipatory Care Plan • Patient wishes • Preferred Place of Care • Resuscitation status • ‘Just in Case’ prescribing • Advice for OOH GP e.g. • Contact own GP • Death expected • Additional OOH advice e.g. • On Liverpool Care Pathway • Medication suggestions
ePCS – next steps • Data entry • Find the template! • Start adding data via ePCS template • Obtain consent to share information • Data transfer • Tick consent box • Insert review date • Data update • Add or overwrite data
ePCS – concerns • Data entry • Possible duplication • Visiting – particularly ‘on the way home’ • OOH data entry • Data entry by AN Other… • Different systems • INPS is having some problems • The GPASS migration...
ePCS – concerns • Data transfer • Remembering to obtain consent • Data access • OOH DNs do not have access to information • Contract • Same codes used by ePCS and PC DES