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

2. Further information Palliative Care Website Louise McTaggart
‘What’s new’
Louise McTaggart
Euan Paterson

3. ePCS – functions Information transfer Prompts for proactive care
‘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 Data transfer – currently
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 Data transfer Data access
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!
No transcription
Less patient contacts (?)

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

14. Questions?