PRSB Care Plan Template

Key Objectives

To provide patients with a digital care plan they can share with anyone involved in their care and edit when anything about their health changes. The care plan is created in the patient's personal health record - Patients Know Best (PKB).

Outcome measures

To equip patients with a tool to support self-management of their health and wellbeing, as well as providing a facility to interact digitally rather than relying on a face to face consultation.

Current Baselines

All activity is face to face, no central place for key information and wishes, making follow-ups inefficient, or not effectively managed.

Workflow:

Patient: Record created and invited to register
Patient: Claims their PKB record
Patient: Adds PRSB care plan to their record
Patient: Views and adds information to the care plan
Patient: Attends appointment with GP/specialist
GP/Specialist: Views and updates the PRSB care plan
Patient: Leaves appointment with up to date care plan
Patient: Shares and edits PRSB care plan

PRSB Care Plan Template

Example of the PRSB care plan template code for HTML

.form-group {width: 100%; !important}

.cp_banner {background-color:#00576d; color:#ffffff; font-size: 120%; font-weight: bold; width:100%; padding: 10px; margin-bottom: 5px; margin-top: 5px;}

.cp_whiteBox {background-color:#ffffff; padding:15px; margin-bottom:10px; margin-top:10px; -moz-border-radius: 10px; -webkit-border-radius: 10px; -khtml-border-radius: 10px; border-radius: 10px;}

</style>

<li style="list-style:inherit; margin-left: 15px;"><a href="#aboutMe">About Me</a></li>

<li style="list-style:inherit; margin-left: 15px;"><a href="#carePlan">Care and Support Plan</a></li>

<li style="list-style:inherit; margin-left: 15px;"><a href="#addSupportPlan">Additional supporting plan</a></li>

<li style="list-style:inherit; margin-left: 15px;"><a href="#relevantContacts">Relevant Contacts</a></li>

<li style="list-style:inherit; margin-left: 15px;"><a href="#GPPractice">GPPractice</a></li>

<li style="list-style:inherit; margin-left: 15px;"><a href="#IndividualRequirement">Individual Requirement</a></li>

<li style="list-style:inherit; margin-left: 15px;"><a href="#LegalInformation">Legal Information</a></li>

<li style="list-style:inherit; margin-left: 15px;"><a href="#SafetyAlerts">Safety Alerts</a></li>

<li style="list-style:inherit; margin-left: 15px;"><a href="#SocialContext">Social Context</a></li>

<li style="list-style:inherit; margin-left: 15px;"><a href="#ProblemsIssues">Problems and Issues</a></li>

</ul>

<p style="color:#ffffff;">About Me</p>

</div>

<p>Please use this section to record anything that you feel is important to you. This can include your needs, strengths, values and preferences that you want to communicate to others providing support and care</p>

<h2>Supported to write this by:</h2>

</div>

</div>

<label for="cp_supportRelationship"><h3>Relationship/role</h3></label>

</div>

<label for="cp_supportContact"><h3>Contact details</h3></label>

</div>

</div>

<h2>Personal demographics</h2>

<label for="cp_demoGender"><h3>Gender</h3></label>

</div>

</div>

<label for="cp_demoEthnicity"><h3>Ethnicity</h3></label>

</div>

</div>

<label for="cp_demoReligion"><h3>Religion</h3></label>

</div>

</div>

<p style="color:#ffffff;">Care and support plan</p>

</div>

<label for="cp_supportStrengths"><h3>Strengths</h3></label>

</div>

</div>

<label for="cp_supportNeeds"><h3>Needs, concerns or health problems</h3></label>

</div>

</div>

<label for="cp_supportGoals"><h3>Goals and hopes</h3></label>

</div>

</div>

<label for="cp_supportActions"><h3>Actions and activities: <i>For each action the following may be identified: Stage goal, What, Who, When, Suggested strategies for potential problems, Status, Confidence, Outcome</i></h3></label>

</div>

</div>

<label for="cp_supportOutcomes"><h3>Outcomes</h3></label>

</div>

</div>

<label for="cp_supportAgreed"><h3>Agreed with person or legitimate representative </h3></label>

</div>

</div>

<label for="cp_supportReviewResponsibility"><h3>Responsibility for review</h3></label>

</div>

</div>

<label for="cp_supportCareFunding"><h3>Care funding source </h3></label>

</div>

<label for="cp_supportOtherDocs"><h3>Other care planning documents</h3></label>

</div>

<label for="cp_supportPersonCompleting"><h3>Person completing record heading: <i>This should include your name, role, grade, specialty, organisation, professional identifier, date and time completed, contact details.</i></h3></label>

</div>

</div>

<p style="color:#ffffff;">Additional supporting plan</p>

</div>

<label for="cp_additionalPlanName"><h3>Additional supporting plan name</h3></label>

</div>

<label for="cp_additionalPlanContent"><h3>Additional supporting plan content</h3></label>

</div>

<label for="cp_additionalPersonCompleting"><h3>Person completing record </h3></label>

</div>

</div>

<label for="cp_additionalReview"><h3>Planned review date/interval</h3></label>

</div>

</div>

<label for="cp_additionalReviewResponsibility"><h3>Responsibility for review</h3></label>

</div>

<label for="cp_additionalUpdateDate"><h3>Date this plan was last updated</h3></label>

</div>

</div>

<p style="color:#ffffff;">Relevant contacts</p>

</div>

<label for="cp_relevantContacts"><h3>Please include names, relationship/role and contact details</h3></label>

</div>

<p style="color:#ffffff;">GP Practice</p>

</div>

<label for="cp_gpPractice"><h3>Please include name of practice, address, GP name</h3></label>

</div>

<p style="color:#ffffff;">Individual requirement</p>

</div>

<label for="cp_individualRequirement"><h3>These may be communication, cultural, cognitive or mobility needs e.g., level of language (literacy); preferred language (interpreter required); bariatric ambulance required; support for any disability or impairment etc</h3></label>

</div>

<p style="color:#ffffff;">Legal Information</p>

</div>

<label for="cp_legalSharingConsent"><h3>Consent for information sharing</h3></label>

</div>

<label for="cp_legalPowerAttorney"><h3>Lasting power of attorney for personal welfare or courtappointed deputy (or equivalent)</h3></label>

</div>

<label for="cp_legalLibertyDeprivation"><h3>Deprivation of Liberty Safeguards or equivalent</h3></label>

</div>

<label for="cp_legalmha"><h3>Mental Health Act or equivalent status </h3></label>

</div>

<label for="cp_legalADRT"><h3>Advance decision to refuse treatment (ADRT)</h3></label>

</div>

<label for="cp_legalOrganDonation"><h3>Organ and tissue donation</h3></label>

</div>

<label for="cp_legalSafeguardingIssues "><h3>Safeguarding issues </h3></label>

</div>

<p style="color:#ffffff;">Safety alerts</p>

</div>

<label for="cp_safetyRiskToSelf"><h3>Risks to self</h3></label>

</div>

<label for="cp_safetyRiskToOthers"><h3>Risks to others </h3></label>

</div>

<label for="cp_safetyRiskFromOthers"><h3>Risk from others </h3></label>

</div>

<p style="color:#ffffff;">Social context</p>

</div>

<label for="cp_socialHouseholdComposition "><h3>Household composition</h3></label>

</div>

<label for="cp_socialAccess"><h3>Access</h3></label>

</div>

<label for="cp_socialLifestyle"><h3>Lifestyle</h3></label>

</div>

<label for="cp_socialSmoking"><h3>Smoking</h3></label>

</div>

<label for="cp_socialAlcoholIntake"><h3>Alcohol intake</h3></label>

</div>

<label for="cp_socialDrugs"><h3>Drug/substance use</h3></label>

</div>

<label for="cp_socialCircumstances"><h3>Social circumstances </h3></label>

</div>

<label for="cp_socialServices"><h3>Services and care</h3></label>

</div>

<p style="color:#ffffff;">Problems and Issues</p>

</div>

</div>