Coordinate My Care (CMC) has been developed to give people an opportunity to create a personalised urgent care plan where they can express their wishes and preferences for how and where they are treated and cared for.
This care plan can be shared electronically with all legitimate providers of urgent care, especially in an emergency situation.
All the organisations involved have signed formal agreements that govern how care plan information is used and protected, and they undertake to provide CMC with updated lists of staff that are trained and authorised to access the system.
At the heart of CMC is an urgent care plan that is developed with a patient by their nurse or doctor. The care plan contains information about the patient and their diagnosis, key contact details of their regular carers and clinicians, and their wishes and preferences across a range of possible circumstances.
The health and care practitioners reviewing an urgent care plan will use its content to help guide their response to a patient’s needs. But it is important to emphasise that the care plan is not a legally binding document. A clinician choosing a different direction in care will be able to support their decision making with sound clinical reasoning. An Advance Decision to Refuse Treatment (ADRT) may be attached to the CMC plan and if the ADRT is valid and applicable, it has legally binding status whether it sits within CMC or not.
The care plan is uploaded to the CMC system to which only trained legitimate professionals have access. These include ambulance control staff, NHS 111 operators, GPs, out of hours GP services, hospitals, nursing and care homes, hospices and community nursing teams.
CMC gives a great opportunity for better communication, bridging the gap between hospital and community services. Not only the record itself but the process of trying to ‘get it right’… as we know communication is key to good quality end of life care. I also like the fact that it offers choice and a means for the patient’s wishes to be heard… which is about individualised care, respect and dignity.
End of life care facilitator | Kingston Hospital
A doctor’s perspective
North London GP Dr Shahid Dadabhoy started creating CMC plans with his patients
early in 2018. In these short videos, he describes his experience of the service – and the benefits it has brought both to his patients, and to his practice.