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Decision Support Tool (DST) and Documents pt 1

For a Decision Support Tool (DST) meeting regarding NHS Continuing Healthcare, it’s important to gather comprehensive documentation to ensure a thorough assessment. Here’s a list of documents to be considered:

  • Consent Forms: Signed consent forms from the individual or their legal representative, allowing the sharing of personal and medical information.

  • Legal Documents: Copies of any legal documents such as Power of Attorney or Advance Directives.


  • Comprehensive Assessment of Needs: This includes recent assessments of the individual’s health and social care needs.


  • Medical Records: Detailed medical history, including diagnoses, treatments, and current medications.


  • Care Plans: Existing care plans from healthcare providers or social services. Include any reviews to show if things have changed or have remained the same.


  • Personal Statements: Detailed accounts of the individual’s daily needs, challenges, and the level of care required.


  • Specialist Assessments: Reports from specialists such as physiotherapists, occupational therapists, mental health professionals, tissue viability nurse, dietician, Speech and Language Therapist and the palliative care team including prognosis.


  • Risk Assessments: Any risk assessments that have been conducted, particularly those related to falls, pressure sores, or other health risks.


  • Daily Care Logs: Records of daily care activities, including personal care, mobility assistance, and nutritional support, including times and types of assistance provided.


  • Hospital Discharge Summaries: Summaries from recent hospital stays, including discharge plans and follow-up care instructions.


  • Social Care Assessments: Assessments conducted by social workers or care managers.


  • Advocacy Reports: If the individual has an advocate, any reports or statements from them.


  • Family and Carer Statements: Input from family members or carers who have direct knowledge of the individual’s needs and circumstances and also provide care and support.


  • Appointment Records: Dates and details of medical appointments, including outcomes and follow-up actions.


  • Incident Reports/safeguarding events: Documentation of any incidents such as falls, infections, or other health-related events.


  • Behavioural Observations: Notes on any behavioural changes or patterns, especially those related to mental health or cognitive function.


  • Medication Records: Information on medications administered at home, including dosages and schedules, and any changes to the medication.


  • Previous DSTs: If applicable, any previous DSTs or related documentation.


These documents will help the multidisciplinary team make a well-informed decision regarding eligibility for NHS Continuing Healthcare.

 

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