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Care planning: the law, accountability and the patient. Care planning: the law, accountability and the patient.

Care planning: the law, accountability and the patient. - PowerPoint Presentation

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Uploaded On 2020-01-27

Care planning: the law, accountability and the patient. - PPT Presentation

Care planning the law accountability and the patient Richard Pitt and Nigel Plant November 2013 Service user involvement Expert patients Partnership working Interprofessional working Compassionate care ID: 773975

accountability care patients professional care accountability professional patients patient practice 2013 actions quality poor standards evidence duty accountable service

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Care planning: the law, accountability and the patient. Richard Pitt and Nigel PlantNovember 2013

Service user involvementExpert patientsPartnership workingInterprofessional working Compassionate careAccountable practice Agenda’s of care

Reflect the needs of the patientCommunicate nursing actions Demonstrate our philosophy and values of carePatient centredIndividualisedRecovery focussed- personalised and negotiatedReflect the context of care , the patients support etc The purpose of care plans

‘Production line mentality’ (Crawford & Brown, 2010)

Defensive accountsRecords for the coronerNot an audit tool A check list of tasks completed Care plans aren’t -

Poor communication FatalitiesPoor compliance Patient dissatisfaction Poor outcomes Litigation Patient disempowerment © Nelson Thornes 2006 Francis Report 2013, Berwick Report 2013

What is it to be accountable? Common themes:Accountability v responsibility Answerability Blame To give account of ones actions Accountable practice

Professional practice/professional standing Best evidence The patients experience Improving service delivery Quality of care (Care Quality Commission) But also:

Duty of care Confidentiality/ sharing of information Data protection Safeguarding (MHA 1983; MCA 2005; Accountability and the Law:

Professional standards Duty of care Standards for record keeping Local policy Patients preferences Evidence based intervention/care NMC; GMC; HCPC; GPC Professional accountability

Autonomy Beneficence Non maleficence Justice ( Beuchamp and Childress 1981) Truth telling and honesty Over to you…… Accountability and Ethics

Personal ValuesBeliefsAttitudes ResponsibilityStandards The self: expectations

Discussion AndQuestions