Getting Ready: Setting the Vision
The PCSP standard offers potential for almost revolutionising the way we share information, which is person-centred between different settings of care. It allows the transfer of information, which the patient may have difficulty in articulating multiple times, which then allows the entire system to provide better more personalised care for them. Not having to repeat quite sensitive topics to multiple people then means that the system is able to provide much more tailored bespoke care for that patient. I think the standard itself is also designed in a way that enables multi-agency working, so it actually supports it and enables it.
Introduction
Transformational change is often complex, requires radical thinking, extensive planning, and strength of mind in decision-making. Understanding the barriers and challenges to the implementation of the PCSP Standard is key for transformational change. The following sections will help you in setting a realistic and achievable vision with your key stakeholders.
The first step in designing roadmap for change is to build it on a series of secure foundations.
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Creating a local vision
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Build a guiding coalition
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Learning from early implementers
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Understanding challenges to care planning
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Working with vendors
- Introduction
- Planning the change and transformation process
- What does successful transformation look like?
- Start with the end in mind
- Apply the ‘convoy’ approach to PCSP implementation planning
- Agreeing how to assess progress and outcomes
- Working with vendors for digital transformation
- Example Project Elements – Digitally supported information sharing
Learning from early implementers - Our findings
We have identified a number of themes to help you think about the enablers, barriers, and benefits of implementing the PCSP standard.
During our conversations with colleagues from ICSs we heard comments about disengagement, inadequate training, and frustratingly ineffective workshops, so we have provided some resources about developing people and creating learning opportunities. It is not entirely specific to the PCSP standard but is heavily informed by our experience working with those already working towards implementing information standards.
Above all, it is essential that project teams look beyond strategic assumptions and aspirations and base their project plans on a realistic evaluation of how things really are on the ground. Being aware of the challenges listed below will help in implementing care plans successfully.
Challenges to digitised care planning
Some care planning with digital support is already happening, although there are some challenges which come with it;
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Care record planning is not documented with consideration of the PCSP standard
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Use of available system(s) varies between professionals (clinical discipline, role, organisation etc)
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System access does not allow, or has limited access, to sharing of care plans
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The record of plans and their format is not understood by service users, or professionals
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The record of plans is not dynamic therefore doesn't reflect a patient centred approach
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The system does not readily support real time patient centred care planning
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Care plans exist on more than one system, which do not interoperate
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Individual health professionals hold multiple log-in credentials to access the multiple systems for them to do their work
Click here to view the full table of challenges (opens in new window)
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Getting Ready - The Key Steps
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Enable information sharing
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Develop people and create learning opportunities
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Consider the challenges