Key elements in planning include:
- discussing and planning personal needs, preferences and wishes of patients with an advance care planning discussion - see ACP section
- as a clinical care team, planning patient's clinical care and discussion of management options. Use of the GSF 7 Cs helps primary care teams plan ahead. This includes:
- This is often undertaken at a multi disciplinary team meeting.
- It also includes planning for out of hours care by sending a handover form to the OOH's provider (SCR 2 or local alternative)
- anticipatory prescribing especially over a bank holiday weekend (see guidance for just in case boxes).
- Other planning tools include the use of cross boundary communication such as passport information
- Use of the Needs Support Matrix
