Stockport EPAC (End of life care Portal for Anticipatory Care)
- EOLC Stockport Strategic Vision Final version ratified 080212
What is the Stockport EPAC?
The Stockport EPAC is an electronic end of life care (EoLC) co-ordination system. All providers of care will be able to input and/or view information about a patient once they have given their consent. EPAC will be populated, as much as is possible, straight from the Stockport Health Record to minimise input time.
How will the Stockport EPAC benefit patients/clinicians?
- Enabling patients to record their preferences in EoLC
- Aid the health care provider in making decisions re further care.
- Reduction in unscheduled care with better communication between providers
- Dates of Palliative Care meetings held within GP practices can be recorded.
- More patients cared for in their Preferred Place of Care.
How will the system be accessed?
As a GP, access will be granted, where possible, via single sign on from your GP clinical system.
Who can access the Stockport EPAC?
GPs, OOH, District Nurses, MacMillan Nurses, Hospital staff. Ambulance service etc. The system is fully auditable and will have role based access.
Jane Owens Stockport EPAC Project Manager
Mobile
- Stockport EPAC Patient Leaflet
Liverpool Care Pathway
The Liverpool care Pathway has ceased from use in England since July 2014.
In line with the Neuberger, ‘More Care, Less Pathway’ report (2013) and the NHS England Leadership Alliance for the Care of Dying People (LACDP/ Alliance), care in the last hours and days of life should focus on the delivery of care rather than on protocols or processes.
The LACDP/Alliance have detailed the following five priority areas of care which should enable all individuals approaching the last few days and hours of their life to receive high quality care that is right for them as an individual.
The priorities are equally important:-
1).The possibility that a person may die within the next few days or hours is recognised and communicated clearly, decisions made and actions taken in accordance with the person’s needs and wishes, and these are regularly reviewed and decisions revised accordingly.
2).Sensitive communication takes place between staff and the dying person, and those identified as important to them.
3).The dying person, and those identified as important to them, are involved in decisions about treatment and care to the extent that the dying person wants.
4).The needs of families and others identified as important to the dying person are actively explored, respected and met as far as possible.
5).An individual plan of care, which includes food and drink, symptom control and psychological, social and spiritual support, is agreed, co-ordinated and delivered with compassion.
The Strategic Clinical Network has also produced additional guidance to support clinical staff in producing individualised care plans: Principles of care and support for the Dying Patient July2014
The following are links to documents relating to end of life care:
- Care of the Dying Pathway pharmacies
- Five Priorities of Care in the Last Hours and Days of Life
- ICP-C – Drugs Recommended Dec 10
- Last Days of Life Community Prescription Sheet – July 14
- Last Days of Life Algorithms – Final – July 2014 Community with front sheet
- Network Principles of Care Support for the Dying Patient – Word Version – FINAL Sept 2013 (5) (2)
- Stockport Pain Symptom Control Guidance Approved by STAMP July 2015
- NWAS Unified DNACPR form
