ePCS electronic Palliative Care Summary

1. ePCSelectronic Palliative Care Summary Euan Paterson Macmillan GP Facilitator (GG) Clinical Lead GGC Palliative Care MCN

2. Further information • Palliative Care Website • http://www.palliativecareggc.org.uk/ • ‘What’s new’ • Louise McTaggart • Louise.McTaggart2@ggc.scot.nhs.uk • 0141 232 2048 • Euan Paterson • euan.paterson@ntlworld.com • 07792120108

3. ePCS – functions • Information transfer • ‘In Hours’ GP > OOH • Primary Care > A&E / Acute Receiving Units • Primary Care > Scottish Ambulance Service • Prompts for proactive care • All data stored in one place • Structure for lists / meetings / etc • Advance Care Plan – Palliative care DES?

4. ePCS – data set • Consent to transfer information • ePCS review date • Current situation • Diagnoses • Key personnel involved • Carer details • Current treatment • Repeat • Last 30 day acute • Patient / Carer understanding • Diagnosis • Prognosis

5. ePCS – data set • Advance care plan • Patient wishes • Preferred Place of Care • Resuscitation status • ‘Just in Case’ prescribing • Liverpool Care Pathway • Advice for OOH GP e.g. • Contact own GP • Death expected

6. ePCS – next steps • Data entry • Find the template!

9. ePCS – next steps • Data entry • Find the template! • Start adding data via ePCS template • Obtain consent to share information • Data transfer – currently • Print off template • Fax to GGC OOH service • Data transfer (July) • e-connection – do NOTHING! • Data transfers if consent box checked

10. ePCS – concerns • Data entry • Possible duplication • Visiting – particularly ‘on the way home’ • OOH data entry • Data entry by AN Other… • Data transfer • Remembering to obtain consent • Data access • OOH DNs do not have access to information

11. ePCS – patient & carer benefits • Targets a very vulnerable and needy group • Encourages earlier identification • Encourages advance care planning • All professionals have better information • Fewer inappropriate actions • Transfer • Admission • Futile attempt at CPR • Reassurance and ‘security’ • Better and safer care

12. ePCS – General Practice benefits • In hours • Natural extension of GSFS • Fits in with palliative care DES • Simple information transfer • More effective • Less work • Easy to update • Out of hours • Information – more & legible! • Less work • No transcription • Less patient contacts (?)

13. ePCS – NHS benefits • Better service • Information transfer • Increased pro-activity • Fewer inappropriate actions • Admissions • 999 ambulances • Futile CPR • Decreased OOH contacts • Save money

14. Questions?