Advance Care Plan Sharing Programme

The leadership and senior clinicians from the three STPs in Kent, Surrey and Sussex have agreed a region-wide strategy to improve the volume, quality and accessibility of advance care plans.

It forms part of the urgent and emergency care transformation programme in Sussex and East Surrey, working closely with the digital workstream. The aim is to align and enhance the many initiatives already underway across the region, reducing duplication and supporting standardisation.

Current priorities include:

ReSPECT roll out to improve volume and quality of care plans

Supporting the rollout of the ReSPECT (Recommended Summary Plan for Emergency Care and Treatment) process developed by the UK Resuscitation Council, with pilots underway at Surrey and Sussex Healthcare NHS Trust and East Sussex Healthcare NHS Trust. The process focuses on supporting healthcare staff to have conversations with patients and those close to them in order to explore and record their wishes for future care, including resuscitation.

Streamlining information governance arrangements

The STP has purchased a licence for all partners to use the Information Sharing Gateway (ISG), a web-based tool to simplify the management and documentation of Information Governance agreements between providers.

It is being piloted with the East Sussex Better Together Integrated Care Record as an exemplar to inform wider rollout across the STP.

Integrating patient record systems

Work is underway to make patient data available across different GP, provider Trust, out-of-hours and social care systems within the STP. The ‘orchestration layer’ will provide a platform to make information accessible through the Care Connect interface. The first phase will focus on GP records within EMIS and SystmOne, with information governance managed through the ISG.

A communications and engagement workstream has also been established to support the changes in practice that will be required and clinical champions are currently being recruited.