The Epilepsy Action 'My epilepsy care plan'
The NICE clinical guidelines recognise that people with epilepsy and their families and/or carers should be empowered to manage their condition. The Department of Health describes care and support planning as a process which can help decide the best way to meet the person’s needs. It ‘considers a number of different things, such as what needs the person has, what they want to achieve, what they can do by themselves or with the support they already have, and what types of care and support might be available to help them in the local area’.
Healthcare professionals should adopt a shared decision making style that enables the individual with epilepsy, and their family and/or carers as appropriate, to participate as partners in all decisions about their healthcare as a collaborative partnership.
Care planning is a process of goal setting and action planning which helps the person with epilepsy to be confident to say what they need and get the support they choose.
The epilepsy action care plan includes space for healthcare professionals and patients to collate information about their condition.
An example of a shared care planning conversation
The annual review should include issues such as seizures, medication, concordance, side-effects, driving, employment, contraception, conception and pregnancy. A.10 Review checklist
Annual review checklist
There are several methods of recording the details of the annual review. Easily the best and simplest method is to use your computer supplier's preset software. All major suppliers have built in templates for an annual epilepsy review which ensure that the correct Read codes are used. However, these templates are set at minimal level. They can be supplemented by using the free text boxes incorporated in them, or by making additional records, or by using templates that have been developed in house.
Some practices are still mainly paper based, and may wish to use the paper recording sheet. Alternatively, you may wish to make all your notes on this paper version, which can be kept in the notes, or used as a checklist for writing the information into the notes. It can then be attached to the letter of referral, if referring the patient to a specialist.
Each individual within the practice can use the interactive action planner to create a personal task list. It is quick and simple.
SystmOne patient care planning template
Epilepsy Action has been working closely with NHS Yorkshire and the Humber to develop a patient care planning template within SystmOne.
The template guides clinicians through the annual review with an aim of improving the health and healthcare of a patient with epilepsy.
The planning template is contained within the Primary care resource pack Page 118
You can also order the full printed version of the Primary care resource pack by contacting firstname.lastname@example.org
For information about issues with anti-epileptic drugs please visit our Drugwatch page