Personalised Care Planning
You can find the Personalised Care Planning including ARRS roles template by searching for NWL Care Planning and Additional Roles template. To do this, select run template within a consultation:
The following box will appear:
Type in NWL Care and hit enter and you will see the template as below. Double click on this to launch the template.
The OneTemplate Additional Roles template is designed for use by all additional roles team members. There are some sections of the template that can be used by everybody and some that are designed for particular clinicians. When you intially open the template it looks like this:
The first section of this looks the same for every patient opened and has some information about the colour coding used within the template as well as links to our support site and to add development requests for future versions of the template:
Colour guide
Dark blue information is national guidance
Red information means something needs doing
Light blue means work has been done for the current time period
Purple identifies a local target
This includes all of the elements of the template that are needed for pesonalised care planning in a singular page. It is a very long page, but is designed to put everything in one place so that if a single person is completing everything they can just work through the singular page.
This page allows users to record referrals to additional roles team members. This is important for recording activity and for reporting.
This page is useful for clinicians when undertaking a care home round. It can also be used to then populate the care home care plan when it has been completed.
If your team are making COVID welfare checks, this section of the template can act as a really helpful aid-memoir and ensure these are recorded in a structured way.
This page is useful to record any other people involved in the care of the patient. You can record the allocated named accountable GP, the case manager, psychologist, practice nurse or other services/organisations.
This page allows you to record information about carers that the patient may have, but also to undertake a carers needs assessment.
This page allows the recording of social information. All members of the team may wish to dip in and out of this page to record relevant information. It includes information on mobility/aids, vision, hearing, spoken language/interpreter, communication/speech problems, transport and any weakness. You can see all of the areas covered below:
This page includes all common tools and scores, which may be useful for all team members.
This page allows the user to record everything needed to create a comprehensive personalised care plan. The information entered cross populates into the holistic personalised care plan document.
This page should have everything that you need as a social prescriber. If you have any ideas about things you’d like to see on it, or have useful links or resources please let us know.
This page allows mental health team members to record relevant information and scores.
The dietician page has everything you need to enter information about the patients diet and/or food/fluid intake:
There are a number of pages within the template that pharrmacists may find useful. There is a medication review page which allows a technical and therapeutic review. There is a separate page for medicines reconcilliation. If the patient is on DMARDs a high risk drug page will show with all the information about monitoring requirements. If the patient has a high anticholinergic burden score, the ACB page will show to tell you the score. The frailty page will show for frail patients and tell you the evidence for taking the medications they are on in frailty.
You can see a useful video highlighting all the PCIT tools available for pharmacists below:
This page will allow physiotherapists to record useful information about their consultations.
