A shortcut to the Personalised Care and Support Plan template can be found in many templates including the care home residents, Social Prescribing and Care Co-Ordinator templates.
Within this template you will be able to complete both the PCSP Assessment and Plan.
Assessment Tab
The Assessment section allows you to record any Delirium, Falls Risk and a Psychosocial assessment again highlighted with a blue star. To the right of these codes are the relevant scored assessments, templates and documents if required.
Use other coding & links as appropriate for Frailty Status, Memory, Mobility, Nutrition etc.
There are also some numeric fields for you to capture any vitals taken at the time - including BP, Pulse, Weight, Height etc. You can also click in to these boxes to view historical data in the yellow pane at the right side of the template.
Plan Tab
The Plan tab allows you to record both the Treatment Escalation & Special Note at the top of the template if required. Please note - a list of presets dedicated to each of the codes are accessible by clicking on the preset shortcut button as highlighted in red on the template. You can hold down the 'Ctrl' button on your keyboard to select multiple lines of text from the presets if required.
Advanced Care Plan information can be added including the advanced directive codes, capacity to give consent, preferred place of care and death and any EoL QOF codes. Coding the resus status and printing an auto populated DNACPR Form and ReSPECT form can also be completed from here.
The About Me section will allow you to record additional details on the patient and can be accessed by clicking on the About Me icon on the right of the free text box.
The template contains a list of questions following the latest guidance released by PRSB. The About Me questions are now included in the Care Plan that will auto-populate in Word. This can be accessed at the bottom of the Plan tab on the PCSP template.