Electronic shared care plans are ‘living documents’ which give multiple professionals across different services consistent and coordinated access to their patient’s documented healthcare plans.

The suite of shared care plans includes the Advance Care Plan, the Acute Plan and the newest plan – the Personalised Care Plan (PCP), all hosted in Health Connect South.

The PCP is a patient-centered plan which documents patient concerns, what they want to achieve with regard to their health or general wellbeing, and actions the patient and their care team are going to take to achieve these goals. The aim is to facilitate a collaborative partnership between the patient and their care teams; to coordinate rehabilitation around their needs and priorities, and to make the goals and activities visible to other clinical teams.

The long-term aim is to reduce duplication of information, release clinical care time and provide a seamless transfer of consistent information with a single point of access.

The PCP can be accessed via Health Connect South under the ‘Care Plans’ tab and can be created or updated by the clinician actively involved.

More than 1,500 people in Canterbury now have a PCP from the Community Rehabilitation Enablement and Support Team (CREST), General Practice, and Allied Health including Burwood Allied Health teams and Allied Health within the acute services who have been using it for discharges to CREST and transfers of care to Burwood. Over the coming months the plan will be rolled out across other services and teams.

For more information please visit health or hospital pathways or contact: Rebecca.Muir@ccn.health.nz or Rowena.woolgar@cdhb.health