Having a plan – a short guide for patients

Following on from my blog on making the most of remote consultations, I realised would be helpful to talk about the outcome patients should expect from a remote consultation. This blog is based on my clinical experience, on feedback from patients, carers and relatives, and on my ongoing experience of helping look after my mother who is at the end of her life.

There are some simple things that that everyone should come away with at the end of a consultation. If these areas have not been covered the consultation is incomplete. Don’t accept this.

Consultation information:

At the end of the consultation you must:

  1. Have agreed a plan (even if this is ‘watch and wait’, or a referral on)
  2. Have written information on what has been discussed
  3. Know the signs of improvement or the signs of deterioration to look for
  4. Know when & who to contact if things change
  5. Know who to contact in an emergency

At the end of the consultation:

At the end of the consultation you should know:

  1. That your concerns have been listened to
  2. That the agreed actions will be taken
  3. That you can seek a second opinion if needed
  4. That the consultation will be communicated to all involved in the patient’s care

You should also receive:

Written information on the consultation. This may be in the form of notes, a care plan or visit summary & copies of ALL communication between clinicians.

‘No decision about me without me.’

‘If you’re not provided your records (as you should be) , you may wish to keep a record of your consultations yourself and / or record them. As a clinician I encourage this.’ – Steve Turner RGN; RMN; Ba(Hons); P.G. Dip. Ed

In my next blog I’ll look at communication and documentation. What form should this take? Covering all options including: online access to records, patient held notes, visit summaries, asessment letters, patient notebooks. How can we ensure patients & all involved have this information in real time?

Previous blogs in this series:

A guide for patients on remote clinical consultations

Giving a history – guide for patients


Steve Turner is a nurse prescriber and clinical educator & Associate Lecturer at Plymouth University. Steve shares health information from the Twitter account @MedicineGovSte using hashtags: #TeamPatient #TeamNHS #TeamSocialCare #TeamCOVID19  and on the web site www.patientled.education

Click here for the Care Right Now CIC web site

If you have any questions about coordinating care for a loved one, you can contact Steve by email: steve@carerightnow.co.uk

Author: Steve Turner

Date: 11.06.2020

Version: Draft 1e. Changes – typos corrected, added subject of next blog.

Leave a Reply

Fill in your details below or click an icon to log in:

WordPress.com Logo

You are commenting using your WordPress.com account. Log Out /  Change )

Google photo

You are commenting using your Google account. Log Out /  Change )

Twitter picture

You are commenting using your Twitter account. Log Out /  Change )

Facebook photo

You are commenting using your Facebook account. Log Out /  Change )

Connecting to %s