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