This is a secondary driver from a people-led approach to the planning and delivery of safe care within the Deteriorating Patient driver diagram
Change ideas
The examples below show how this secondary driver can be implemented in practice. Additional change ideas can be found in the Deteriorating Patient driver diagram
- Practitioner: Implement structured, person-centred approaches to Treatment Escalation Planning discussions
- Team: Establish consistent local standards and processes for Treatment Escalation Planning documentation
- Organisation: Improve access to and sharing of Future Care Planning documentation across care settings
Evidence and resources
- Islam Z, Pollock K, Patterson A, Hanjari M, Wallace L, Mururajani I, et al. Thinking ahead about medical treatments in advanced illness: a qualitative study of barriers and enablers in end-of-life care planning with patients and families from ethnically diverse backgrounds. Health Social Care Delivery Research. 2023;11(7):1-135.
- Scottish Intercollegiate Guidelines Network. SIGN 167: Care of deteriorating patients. A national clinical guideline [online]. 2023
- REDMAP framework Turas Learn [online]. 2023
- Supportive and Palliative Care Indicators Tool (SPICT). Supportive and Palliative Care Indicators Tool (SPICT) [online].
- Warner BE, Lound A, Grailey K, Vindrola-Padros C, Wells M, Brett SJ. Perspectives of healthcare professionals and older patients on shared decision-making for treatment escalation planning in the acute hospital setting: a systematic review and qualitative thematic synthesis. EClinicalMedicine. 2023;62:102144.