The submission form must be completed and approved prior to the writing of a new Joint Care Agreement (ACS). AMBER with drugs FOR SHARED SOINS requires full monitoring and must be appointed by the Eastern Lancashire Medicines and Therapeutics Committee. Medically prescribed primary care is advised not to prescribe these drugs unless they have been properly informed of their responsibilities for monitoring, adverse events and letter interactions and are happy to assume responsibility for the prescription. This letter, which sets out these responsibilities, should be accompanied by a copy of the locally approved joint care document, if any. First-time prescribers should then inform secondary care of their intentions as soon as possible by letter and then proceed with the transmission of care when needed. . This will ensure absolute clarity as to who will take over the prescription and all of the supervisory tasks associated with it. Decisions about who should take responsibility for subsequent care or care after the first diagnosis or assessment should be based on the patient`s well-being and not on your comfort or the cost of the medication and on the monitoring or follow-up associated with it. Shared care requires the agreement of all parties, including the patient. Effective communication and a permanent link between all parties to a joint care agreement are essential. The common use of care involves communication between the specialist, the family physician and the patient (and/or the caregiver). The intention to share care must be explained to the patient by the doctor who introduces the treatment.
It is important that patients are consulted on treatment and agree. Patients receiving the given medication should be followed regularly, which provides opportunities to discuss drug therapy. A common health care directive describes how drug prescribing responsibilities can be shared between the specialist physician and a primary care prescriber. First-time care prescribers are invited to participate. If they are not able to perform these tasks, they are not obliged to do so. In this case, all clinical responsibility of the patient for this diagnosed condition remains with the specialist. If you share responsibility for caring for a patient with a co-worker, you must be competent to exercise your share of clinical responsibility. You must consider a patient`s wishes if they want another person, such as a parent, partner, friend, caregiver or lawyer, to be involved in discussions or help them make decisions.
In these circumstances, you must follow the guidelines set out in paragraphs 7 to 21. Sometimes it is difficult to give patients as much information or decision-making assistance as you like, due to time constraints or limited resources available. To help you, you need to consider the role that other members of the health team could play and other sources of information and assistance available. These may include, for example, patient information brochures, advocacy services, expert programs for patients, or support groups for people with certain diseases.
