You may like to try one or more of the following:
- Ensure Primary care teams know if you think patients should be on the GSF / palliative care register and their stage
- Consider using the needs based coding (ABCD as below) and update this as needed
- Have a system in place to update out of hours services about changes on discharge
- Ensure carers know how to access help and support locally, to avoid crises and unnecessary hospital admissions
- Advise the GP when you feel anticipatory prescribing may be appropriate and if particular medication is recommend
- Information about all aspects of care is useful to primary care, including carer needs, end of life discussions, benefits etc
Please contact the team if you have anything to share or to discuss your challenges.
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