Care Planning on the GM Care Record

Integrated care planning in the GM Care Record is creating a more connected approach that places patients at the centre of their care journey.

Sharing care plans with everyone involved in a person’s care ensures better coordination, improved outcomes, and a more streamlined experience for both patients and care providers.

Scroll down for information on care plans for End of Life, Dementia Wellbeing, and Integrated Care and Support Plan.

Electronic Palliative Care Coordination System (EPaCCS) Care Plan

End of life EPaCCS care plan

GMCR EPaCCS end-of-life care planning ensures patients’ wishes are respected and shared with everyone involved in their care.

Benefits include:

  • Recording and sharing vital end-of-life information
  • Respecting patient wishes such as preferred place of care
  • Clear communication between health and care providers, carers and family
  • Available 24/7 – improving co-ordination of care
  • Reducing unnecessary medical intervention

Dementia Wellbeing Care Plan

Created with Dementia United and the Alzheimer’s Society, this digital plan ensures personalised care and support planning is available for everyone involved in each patient’s care.

Benefits include:

  • Standardised care planning accessible via EPR or web browser
  • Continuity of care and communication
  • Better quality, more proactive care

Integrated Care and Support Plan (ICSP)

Integrated Care planning & Support care plan captures crucial information for personalised care planning:

About: faith, beliefs, ‘what matters to me’

Lifestyle & environment: hearing, vision smoking, alcohol, language, mobility, key safe, and carer info

Care & support: goals and hopes – supporting long term condition management

Contingency plan: what to do in an emergency situation, including anticipatory medication

Dr Saif Ahmed explains how the triple integration between primary care, secondary care and patients makes sure people don't end up in hospital when they don't need to

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