03 March 2017


Crisis care summary standard

The PRSB have developed new standards for information needed for call handlers and health professionals in crisis care. The project examined the record standards needed for crisis care summaries, to ensure that people are dealt with properly and offered the appropriate care when they have a health crisis.


Overview

This new set of standards will ensure that people are dealt with properly and offered the appropriate care when they have a health crisis

Scope of the project

The scope of the project was set out to include:

• Crisis care summary: information which needs to be shared to enable triage of patients in a crisis. This information will be used primarily to inform decisions about resource allocation in crisis.

• End of life care plan: to support the coordination of end of life care between primary care, acute care, community care, UEC, Electronic Palliative Care Coordination Systems, hospices, care homes, social care services and the patient and his or her carers.

• Crisis care encounter and transfer of care information. This would currently include NHS 111 or ambulance dispatch to ambulance paramedics, NHS 111 to GP out of hours and ambulance paramedics to Emergency departments.

• Create standard headings and content definitions (as set out in PRSB editorial principles).

• Supporting information models, comprising mind maps and spreadsheets.

Final report


Endorsements

This standards has been endorsed by the following organisations;

  • Allied Health Professionals Federation
  • College of Paramedics
  • RCN
  • Resuscitation Council
  • Royal College of Emergency Medicine
  • Royal College of Paediatrics and Child Health
  • Royal College of Physicians
  • Royal College of Psychiatrists
  • Association of Palliative Medicine
  • Association of Directors of Adult Social Services
  • National Council of Palliative Care
  • RCGP
  • Royal Pharmaceutical Society

Supporting documents

The table below contains detailed mind maps and spreadsheets .

Title Crisis care model Mind map Mind map
Allergies and adverse reaction Care model (xls) mm file pdf file
Crisis care plan Care model (xls) mm file pdf file
Diagnoses Care model (xls) mm file pdf file
End of life Care model (xls) mm file pdf file
GP Practice Care model (xls) mm file pdf file
Individual requirements Care model (xls) mm file pdf file
Legal information Care model (xls) mm file pdf file
Medications and medical devices Care model (xls) mm file pdf file
Person/carer concerns, expectations, wishes Care model (xls) mm file pdf file
Person completing records Care model (xls) mm file pdf file
Person demographics Care model (xls) mm file pdf file
Problems and issues Care model (xls) mm file pdf file
Medical surgical and mental health history Care model (xls) mm file pdf file
Safety alerts Care model (xls) mm file pdf file
Social context Care model (xls) mm file pdf file


Technical messaging specifications have been created by NHS Digital for this standard and can be found here.
http://developer.nhs.uk/downloads-data/structured-headings-hl7v3-cda/

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