Abstract

Coordinate My Care (CMC) is a clinical approach underpinned by an electronic solution. It puts the patient at the centre. All clinical care plans, advance care plans and patients wishes are central to a CMC record. The record can be accessed 24/7 by all legitimate health and social professionals caring for an individual patient, including the out of hours general practitioner (GP) services, 111 and the London Ambulance Service. Two-thirds of each week is out of hours; CMC provides an up-to-date record for patients at all times. The key to CMC is planning. Planning care avoids crises; avoiding crises results in fewer unnecessary hospital admissions. CMC enables more patients (82.4%) to die in their preferred place (home, care home, hospice) and fewer patients to die in hospital. CMC improves access of care to patients care homes and to patients with non-malignant diseases (55%).

Full Text
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