Care Programme ApproachCare planning is central to the service we provide patients and referrers from assessment prior to admission to discharge. The pre-admission assessment report includes a proposed care plan including the outcome measures we will use to plan towards discharge.On admission the patient is allocated a named nurse who is the first point of contact for the patient. The patient will also have a named Key Worker. We have a CPA Coordinator who assists with the scheduling of 3 monthly CPA review meetings and collating the reports and addendums from the in-house Multi-Disciplinary Team. These reports are available for the patient, Advocacy Service if appropriate and the Care coordinator before the meeting. We encourage the use of the CPA program by all involved in the patient care to plan for discharge in order to equip and skill the patient in an informed planned manner. We provide fortnightly MDT progress reports for Care Coordinators to facilitate information sharing and provide an update of the nuances in patient progress. |
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