ReSPECT (Recommended Summary Plan for Emergency Care and Treatment) is a process of creating a personalised plan of care for someone’s clinical needs in an emergency situations where they are not able to make decisions or express their own wishes.

Key objectives

To provide patients with a digital version of the ReSpect plan, give healthcare professionals access to their wishes, and ensure emergency teams know them at the point of care.

Outcome measures

Equip patients with the tools they need to document and share their wishes for treatment, support difficult conversations, and support self-management of complex health conditions. Provide the tools they need to interact digitally rather than rely on face-to-face consultations.

Current Baselines

Paperbase documents are accessible in emergency situations, meaning patients' wishes are followed.

Workflow

1. Patient: Record created and invited to register

2. Patient: Claims their PKB record

3. GP practice: Add carer to patient's record

4. Carer: Claims their patient PKB record. Ability to view the relatives/friends record as a carer

5. Patient: Attends appointment with GP

6. GP: Views patients PKB record

7. GP: Adds and completes care plan with patient wishes

8. Carer/Patient: Ability to change care plan

9. PKB: Displaces audit trail of any changes to the ReSpect care plan

10. Patient/carer: Uses care plan to view wishes and share in emergency situations

11. Emergency teams: Has the ability to view patients' care plan

ReSpect Care Plan Template

Open

Further information

• Access a patient record in an emergency (Break the glass access): How A&E staff can view a patient PKB record in an emergency.

• Access log: Within a patient PKB record, there is the ability to see who is viewing your PKB record.