Increasing the number of care home residents in Lambeth supported by a Co-ordinate My Care plan

The Health Innovation Network (HIN), in partnership with the End of Life Clinical network for London, secured funding from the NHS England (NHSE) personalisation team to work with Marie Curie nurses to create CMC records for care home residents in three nursing homes in South East London over a five week period.

Care home residents are particularly vulnerable to Covid-19. Older age is also a significant mortality risk factor for people with Covid-19. A shared urgent care plan gives residents a voice on how and where they wish to be cared for and details ceilings of treatment. This allows care homes to manage their residents in line with their wishes and support other health care providers, including emergency services, when making key decisions about a person’s care and treatment.

Coordinate My Care (CMC) is an electronic urgent care coordination service that enables the creation of personalised individual urgent care plans that can be shared electronically with all the health and social care professionals who care for them, including NHS urgent care providers in an emergency.

200 new urgent care records were created and published on the CMC system. Using a simple audit tool we provided Marie Curie with timely feedback. The feedback informed further training and coaching support needs for the Marie Cure staff creating the records.

The HIN provided project management support, data collection and reporting for a pilot which involved Marie Curie nurses creating CMC records for care home residents in three nursing homes in South East London over a five week period.

The project demonstrated that voluntary sector staff, such as Marie Curie nurses have the skills and experience to create urgent personalised care records with care home residents which can support GPs and is likely to be a more cost effective approach.