You should consider a patient`s wishes if they want another person, such as a parent, partner, friend, caregiver, or lawyer, to be involved in discussions or help them make decisions. Under these conditions, you must follow the instructions set out in paragraphs 7 to 21. The submission form must be completed and approved before writing a new Shared Care Agreement (ACS). As part of the proposed joint care agreement, specialists can advise the patient`s family doctor on the drug to be prescribed. If you recommend a new or rarely prescribed drug, you should indicate the dosage and method of administration and agree on a treatment protocol. You must explain the use of unauthorized drugs and deviations from relevant recommended guidelines or treatments and provide the family physician and patient with sufficient information to allow safe treatment of the patient`s condition.14 Decide who should take responsibility for continuing care or treatment after the initial diagnosis or assessment; should be based on the best interests of the patient. instead of your convenience or the cost of the associated medication and monitoring or follow-up. Ketamine for complex pain in palliative care patients Common care requires communication between the medical specialist, the family doctor and the patient (and/or caregiver). The intention to share care should be explained to the patient by the doctor starting treatment.
It is important that patients are consulted about the treatment and that they agree with this. Patients receiving the given drug should be followed regularly, which provides the opportunity to discuss drug therapy. Locally approved common care agreement documents, which contain common care details, can be developed for complex treatments used routinely in a specialized environment. These documents are known in NHS Lothian as Shared Care Agreements (SCAs). These documents provide additional instructions for family physicians for complex treatments, which are commonly used in a specialized environment and are authorized for use in primary care. However, it is not necessary to have a locally approved document to share care. Standard documents relating to local shared care arrangements are available on the NHS Lothian intranet via this link. All Approved Shared Care Agreements (AAAS) are listed on this page.
These will be developed accordingly when the new policy is implemented. If you are not sure whether you are able to take responsibility for the ongoing care of the patient, you should seek more information or advice from the doctor with whom care is shared with the patient or from another experienced colleague. . . .