QIPP: EOLC,LTC and digital alignment

Rob

Support needs

• Coordinate care needs between LTC and EOLC

• … by coordinating data and activities• Combine broad patient process

• Agree supporting dataset

• Establish interoperability standards

Process outlineLTC and EOLC and RCGP

LTC diagnosis

Ongoing support

Last 12 months

Ongoing support

Death and post-death

DemographicsMedication

GP

Common data

PPC/DNACPRTrigger questions

ACPDiagnosis

Specific data

Activity outlineLTC and EOLC and RCGP

LTC diagnosis

Ongoing support

Last 12 months

Ongoing support

Death and post-death

Coordinate care

Common activity

Text

MDT meeting

Planning

GSF register

Trigger questions

ConversationPlanning

Diagnosis

Medication

Specific activity

Stakeholder outlineLTC and EOLC and RCGP and NCPC

LTC diagnosis

Ongoing support

Last 12 months

Ongoing support

Death and post-death

Patient/familyGP

AmbulanceOut of hours

Common group

TextTextTextTextText

Specific group

System outline QIPP Digital: LTC and EOLC and RCGP

LTC diagnosis

Ongoing support

Last 12 months

Ongoing support

Death and post-death

Local/common systemInteroperability standards

Common systems

TextTextGSF?TextText

Specific systems