There are a growing number of people in Scotland living with multiple, complex and fluctuating health conditions for whom personalised, careful and kind care is vital. All elements of an emergency admission cannot be planned for, and although many people may have an Anticipatory Care Plan, it may not help when faced with decisions about interventions in hospital. That is why many of our NHS Boards have implemented Treatment Escalation Plans (TEP) or Recommended Summary Plans for Emergency Care and Treatment (ReSPECT) during this pandemic.
The development and roll out of TEPs across NHS Boards is Realistic Medicine in action. TEPs have come about through determined local clinician-led action. This involved learning from good practice elsewhere and adapting it to suit local contexts. It’s precisely the kind of clinical leadership required to deliver the personalised care we want to see.
Dr Calvin Lightbody from NHS Lanarkshire has produced a very useful presentation, covering the key decisions and planning required by clinicians when developing TEPs, here:
NHS Lanarkshire have also provided a number of TEP guidance documents. Further information about TEPs is available in our CMO Annual Report: 2020 to 2021.