Cheshire and Merseyside Personalised Care Planning  (Click link for Word.doc logo)

Effective care planning for our most vulnerable patients ensures patient wishes are made central to their care, reduces carer stress, facilitates tracking of care and averts urgent care crisis.

Cheshire and Merseyside ICB have launched a new comprehensive Personalised care planning package – I-CARE & Share.  This is Phase 1 of the launch directed at primary and community care settings at this time.  For secondary care services there will be a further consultation period later in 2024.

I-CARE & Share combines an EMIS template with a mergeable Personalised Care Plan (PCP) enabling clinicians to quickly code across multiple palliative care parameters. The care plan form should not be printed or used as a hard copy; the form has been specifically designed to be used as an electronic tool within EMIS (or equivalent) systems.

When used as recommended the I-CARE & Share package meets the requirements for:

• Gold standard End of Life care
• Palliative care
• Primary Care Network DES for care home residents
• Complex patients with long term conditions
• Use by GPs, nurses, pharmacists and care coordinators
• Business intelligence capture
• Data sharing via shared and summary care record
• Electronic Palliative Care Coordination System (EPaCCS)

The Personalised Care Plan should be shared with the patient, carers, GP-out-of-hours service and Ambulance Service.

The package has had input from a wide variety of stakeholders across Cheshire and Merseyside and been tested within multiple Places. Its precursor has a strong track record of ubiquitous use across Sefton Place General Practices.

The EMIS capture template and Personalised Care Plan require installation on respective GP EMIS systems. An equivalent package is being developed for practices on SystmOne

Please see below for further supportive documentation

Key Files

• C&M End of Life and Personalised Care Planning Template (EMIS template .html file) (zipped .html file) – Installation required
• C&M Personalised Care Plan (EMIS .ewdt file) (zipped .ewdt file) – Installation required
• C&M Personalised Care Plan (.pdf file) – this file is an example of the Personalised Care Plan and should not be printed for use. The care plan is designed as an electronic form.
• C&M ICB I-CARE & Share Personalised Care Plan position statement (.pdf file) (.pdf file)
• C&M PCP Support package presentation (PowerPoint file)
• Gold Standard Framework Patient Tracker (Excel file .xls)

How to install an EMIS Word Document (.ewdt): https://www.youtube.com/watch?v=NMYV_CuhqHo

How to install an EMIS template (.html): https://www.youtube.com/watch?v=QpCAME-ro7k

To register for support within your Place please contact your Clinical Lead for Palliative and End of Life Care (PEOLC)

Cheshire and Merseyside Lead:  peter.chamberlain@cheshireandmerseyside.nhs.uk

For signposting support from the PEoLC Network please contact Carmel Wiseman, Clinical Network Programme Manager:

m:   07702430812

e:  carmel.wiseman@nhs.net