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Clinical Innovation & Audit: Poster Numbers 111 – 141 – Planning care: Poster No: 111
End of life template, summary care record, Vertical Integration – sorted!
  1. Stephen Plenderleith1,
  2. Sam Clack2 and
  3. Tracy Nightingale3
  1. 1Birmingham St Mary's Hospice, Birmingham, UK
  2. 2NHS South Birmingham, Birmingham, UK
  3. 3University Hospitals Birmingham, Birmingham, UK


Following presentation, at the HtH Bournemouth Conference 2011, of the project scope and technical solutions used to deliver the Summary Care Record End of Life Template, this poster looks at the project evaluation. Results of the staff and patient/carer evaluation will be presented along with lessons learnt and suggestions for future developments. This project, supported by a grant from West Midlands Workforce Deanery, is working across South Birmingham EoL care services to pilot an end of life ‘significant conversations’ template. The information from this is then made available via the Summary Care Record to acute services; West Midlands ambulance, Primecare OH services, PCT drop in centres and the Accident and Emergency department. Patients do not want to have to give the same information over and over again and yet the Gold Standards Framework, Holistic Needs Assessment, Preferred Priorities of Care and Liverpool Care Pathway documents all cover similar ground again and again. No pilot of any nationally recommended ‘pathway’ document, has so far seriously addressed the need for information to travel with the patient. Patient held records, though trialled in some areas, have the ever present problem of being forgotten or lost and so often lead to clinical staff having to duplicate their clinical entries. The template is being trialled in seven GP practices on four different GP systems (potentially covering over 95% of patients nationally). ‘Significant conversations’ data will be collected in primary care, hospital and hospice settings. Daily automatic transfer of data back to the patients' primary care record will ensure the GP is kept up to date and that the SCR record remains current for use by any service providing on-going or acute care to patients.

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