Anticipatory Care Planning: Frequently Asked Questions

To provide practical support and guidance on long term condition anticipatory care plans.


Appendix 2: Additional resources

  • LTCC Community of Practice
  • LTCC Shared Space
  • Improvement and Support Team, Scottish Government
  • LTCC/ JIT - Improving Complex Care
  • SPARRA Made Easy
  • Proactive, Planned & Coordinated: Care Management in Scotland
  • National Minimum Information Standards
  • Talking Points Personalised Outcomes approach
  • Community Care Outcomes Framework
  • Living and Dying Well
  • Developments from Living and Dying Well Short Life Working Group 3
  • CARE Measure
  • GMC - Withholding and withdrawal of life-prolonging treatments ; Good practice in decision making
  • Mental Welfare Commission - Legal and practical guidance on Covert Medication

A range of useful competencies can be found within existing frameworks:

National Training Framework for Care Management (Circular CCD2/2006):
http://www.scotland.gov.uk/Topics/Health/care/JointFuture/Publications/CCD0206

Capable, Integrated and Fit for the Future
A Multiagency Capability Framework for Intermediate Care
www.nes.scot.nhs.uk

www.skillsforhealth.org.uk

  • Spread and Sustainability
  • Spreading Improvement Across Your Health Care Organization Authors: Schall MW & Nolan KM (eds.) - Pub: Oakbrook Terrace, Illinois: Joint Commission Resources and the Institute for Healthcare Improvement; 2007
  • A Framework for Spread: From Local Improvements to System-Wide Change Pub: IHI, 2006
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