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ID

C36

Version

1.0.2

Type

Capability

Category

Patient care management

Status

Effective

Effective Date

Contracting Vehicle(s)

Description

Enables Health or Care Professionals to manage a single Care Plan for a Patient/Service User which is shared with other Health or Care Professionals.

Outcomes

For a Patient/Service User:

Provides greater continuity, improved experience and less repetition of information as a result of their health or care information being shared with multiple Health or Care Professionals.

For a Health or Care Professional:

Enables the ability to work more collaboratively by sharing information with other Health or Care Professionals. This results in more informed decisions based on shared information and an increased ability to deliver more Patient/Service User-based care.

MUST Epics - Describes the minimum functionality required to deliver a Capability. Solutions MUST be successfully evaluated against each Epic and Acceptance Criteria via Capability Assessment in order to be associated with this Capability

E00485 - manage Shared Care Plans

As a Health or Care Professional

I want to manage Shared Care Plans for Patients/Service Users

So that Shared Care Plans are managed

Acceptance criterion 1: create a Shared Care Plan

Given the Health or Care Professional is permitted to manage Shared Care Plans for Patients/Service Users

When the Health or Care Professional selects to create a Shared Care Plan for a Patient/Service User

Then the Shared Care Plan is created for the Patient/Service User

Acceptance criterion 2: view a Shared Care Plan

Given the Health or Care Professional is permitted to manage Shared Care Plans for Patients/Service Users

When the Health or Care Professional selects to view a Shared Care Plan

Then the Shared Care Plan for the Patient/Service User is displayed

Acceptance criterion 3: amend a Shared Care Plan

Given the Health or Care Professional is permitted to manage Shared Care Plans for Patients/Service Users

When the Health or Care Professional selects to amend a Shared Care Plan for a Patient/Service User

Then the Shared Care Plan is amended for the Patient/Service User

Acceptance criterion 4: close a Shared Care Plan

Given the Health or Care Professional is permitted to manage Shared Care Plans for Patients/Service Users

When the Health or Care Professional selects to close a Shared Care Plan for a Patient/Service User

Then the Shared Care Plan is recorded as closed for the Patient/Service User

E00485 - Supporting Information

  • Examples of Shared Care Plans MAY include, but are not limited to:

    • End of Life Care Plan - contains a Patient/Service User's preferences and wishes for their end of life care

    • Urgent Care Plan - contains a Patient/Service User's preferences and wishes in an urgent care setting

    • Transitional Care Plan - contains anticipated changes in a Patient/Service User's health status, helping them to manage key transition periods in their life and their care trajectory

    • Advanced Care Plan - contains a Patient/Service User’s preferences and wishes regarding their care, to be enacted if they are unable to express a preference in the future

    • Escalation Plan - contains the support the Patient/Service User would receive when managing potential future events relating to their condition(s). It may cover what to do when a Patient/Service User's condition deteriorates and may include instructions for emergency care professionals (e.g. paramedics)

E00486 - grant access to Shared Care Plans

As a Health or Care Professional

I want to grant access to Shared Care Plans to other Health or Care Professionals

So that other Health or Care Professionals can access Shared Care Plans

Acceptance criterion 1: grant access to Shared Care Plans

Given the Health or Care Professional is permitted to manage Shared Care Plans for Patients/Service Users

When the Health or Care Professional selects to grant access to a Patient/Service User’s Shared Care Plan to another Health or Care Professional

Then the other Health or Care Professional can view the Patient/Service User’s Shared Care Plan

MAY Epics - Describes additional functionality associated with the Capability. Suppliers should consider all MAY Epics as part of their User Research. Suppliers can choose to map their Solutions to these Epics and they will be evaluated via Capability Assessment. Contracting Authorities or purchasing organisations may require these Epics as product qualification or requirements criteria

E00487 - search for Shared Care Plans

As a Health or Care Professional

I want to search for Shared Care Plans for Patients/Service Users using defined criteria

So that I can access the relevant Shared Care Plan details

Acceptance criterion 1: search for Shared Care Plans

Given the Health or Care Professional is permitted to search for Shared Care Plans

When the Health or Care Professional selects to search for Shared Care Plans using defined criteria

Then the search results are displayed

E00488 - manage Shared Care Plan templates

As a Health or Care Professional

I want to manage Shared Care Plan templates

So that I can improve efficiency by using locally defined templates to create Shared Care Plans

Acceptance criterion 1: create a Shared Care Plan template

Given the Health or Care Professional is permitted to manage Shared Care Plan templates

When the Health or Care Professional selects to create a Shared Care Plan template

Then the Shared Care Plan template is created

Acceptance criterion 2: view a Shared Care Plan template

Given the Health or Care Professional is permitted to manage Shared Care Plan templates

When the Health or Care Professional selects to view a Shared Care Plan template

Then the Shared Care Plan template is displayed

Acceptance criterion 3: amend a Shared Care Plan template

Given the Health or Care Professional is permitted to manage Shared Care Plan templates

When the Health or Care Professional selects to amend a Shared Care Plan template

Then the Shared Care Plan template is amended

Acceptance criterion 4: delete a Shared Care Plan template

Given the Health or Care Professional is permitted to manage Shared Care Plan templates

When the Health or Care Professional selects to delete a Shared Care Plan template

Then the Shared Care Plan template is deleted

E00489 - use Supplier implemented Shared Care Plan templates

As a Health or Care Professional

I want to create Shared Care Plans for a Patient/Service User using a Shared Care Plan template created by the Supplier 

So that I can improve efficiency by using Supplier defined templates to create Shared Care Plans

Acceptance criterion 1: use Supplier implemented Shared Care Plan templates

Given the Health or Care Professional is permitted to manage Shared Care Plans for Patients/Service Users

When the Health or Care Professional selects to create a Shared Care Plan for a Patient/Service User

Then they can select to use a Shared Care Plan template provided by the Supplier

And the Shared Care Plan is created for the Patient/Service User

E00490 - view Shared Care Plan reports

As a Health or Care Professional

I want to view Shared Care Plan reports

So that reports relating to Shared Care Plans for Patients/Service Users can be viewed

Acceptance criterion 1: view Shared Care Plan reports

Given the Health or Care Professional is permitted to view Shared Care Plan reports

When the Health or Care Professional selects to view a Shared Care Plan report

Then the report results are displayed

Items on the Roadmap which impact or relate to this Capability

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