Putting Patients at

Appendix 1 Putting Patients at

the Centre of Care

Example Patient Journey: GP Surgery – AHPs – Outpatients – Ward – Theatre and Post Op Ward – Community Services – Residential Care

Patient/Carer Clinical Risk

Clinical Audit Clinical Experience

Research and

Staffing and

Effectiveness Management

Continued Professional Development

All ICPs to be Information to involvement in

Patient/Carer Identified risks

Evidence Based

Involving staff in

Keep staff up to

audited and inform service service

incorporated in

Practice.

service

date with best

reviewed to development and development and

ICP e.g. falls risk

development.

practice

ensure meeting thus ICP ICP design.

assessment and

Research of

guidelines.

falls ICP.

current best

Support staff to

required

development.

standardised best Patient held ICPs

practice to

research areas of

Deliver evidence

Support audit can be

Monitoring of

incorporate into

best practice.

based practice

practice.

and changes in developed;

ICPs to highlight

patient journey.

guidelines at the

Learning from practice. ensuring patient

potential risks to

ICPs encourage

point of care.

practice and involvement,

teams.

Encourages areas

shared

ensuring service Supports staff to improved

of new research.

knowledge and

Involve multi-

developments as monitor practice, communication,

multi-disciplinary

disciplinary and

a result of identify changes understanding

/ cross boundary

cross boundary

recommendations. in work flow, etc. and expectations

working.

teams in service

development.

of standard

Staff

patient journey, Involvement, etc.

e.g. multi- disciplinary audits encouraged to span patient journey.

Appendix 1

44 Appendix 1

Requirement/Recommendation

The ICP should be in an A4 format and remain in the main case notes

The ICP should be laid out in a table format. Where the lines of the table are not required they may be hidden

Tabs should not be used. Where a tab may have been selected, cells of the table should be split or an indent or bullet may be used

Font should be Arial preferably point 12 but not smaller than point 10

Page numbers should be inserted at the bottom right hand corner of each page. They should be formatted as ‘page X of Y’

The cover page should conform to the design and layout demonstrated in the document template. It should include:

■ The Trust name ■ Patient demographic details, including name,

hospital number and date of birth. The space for these details should be designed to allow the use of an addressograph label. The addressograph label should be on every page.

■ Allergies must be recorded on the specific alert sheets at the front of the case notes. If necessary allergies may also be recorded on medication sheets within the ICPs

■ The title of the ICP together with inclusion criteria

■ Guidance notes on how to use the ICP. These should be kept to a minimum as the document must be intuitive to use

■ The name, designation and location of the lead developer of the ICP as a footer

■ The version number and date of the last update.

■ Document status, i.e. draft, pilot, operational etc. ■ The C and D ICP reference number, allocated by

the ICPs facilitator

Rationale

This reduces the risk of two documents being available, allows for easier tracking and saves re-filing.

Tables facilitate easier formatting and are recognised by web-based programs. The also offer a wide range of possible layouts, within a single document.

Web-based programs do not recognise tabs.

Arial lends itself to documents of this kind. Print any smaller than this would be difficult to read.

Page numbers facilitate the use of a contents page, directing multi-disciplinary users straight to the appropriate section and allowing them to identify if any pages are missing.

A common format for the outer appearance of the document enables staff from other departments to use and instantly recognise it as an ICP.

To conform to the Trust standard for documents. To identify the patient and facilitate filing in the

health record. Addressograph labels are instantly recognisable, readable and represent a time-saving method for entering the required information.

To ensure the patient’s safety and avoid unnecessary duplication

To enable staff to use the ICP for the correct patient group, especially if a section of a larger patient journey.

To provide new users with some simple instruction on the use of the ICP. They should be brief so as not to make them too complex and overwhelming.

To enable users to return comments on the ICP and its use in practice

So that users will know when the document is updated and provide an accurate record if care delivery is challenged.

So that users can see how established the document is. For inclusion in a central databases

Appendix 2

45