ReSPECT and The Role of PKB

The ReSPECT (Recommended Summary Plan for Emergency Care and Treatment) process helps create a personalised emergency care plan for individuals who may not be able to make decisions or express their wishes during a health crisis. It supports shared decision-making, allowing patients to record their preferences for future care and treatment.

In England, PKB integrates with GP systems and automatically pulls in medical records for registered patients. It provides a secure, digital platform where patients, carers, and clinicians can access and share crucial care information.

Why PKB is the Solution for ReSPECT

• PKB offers a single health record for the ReSPECT plans, ensuring healthcare professionals can access the most up-to-date version during emergencies, whether in primary, secondary, or urgent care settings.

• PKB empowers individuals to view, edit, and share their ReSPECT plan directly, promoting autonomy and better engagement in care planning.

• By linking GP, hospital, and community records, PKB ensures that all relevant professionals are aware of a patient's wishes, removing the delays and risks associated with paper documents.

• PKB aligns with the NHS’s long-term digital transformation strategy, reducing reliance on face-to-face consultations and paper-based care plans.

Key Objectives of The PKB ReSPECT Plan

• Provide patients with a digital version of their ReSPECT plan.

• Enable healthcare professionals across services to access and honour patients' treatment preferences.

• Ensure emergency teams have real-time access to care wishes at the point of care.

Current Baselines

Currently, ReSPECT plans are typically paper-based, which limits access during emergencies and may result in decisions that do not accurately reflect the patient’s wishes. PKB transforms this by making the ReSPECT plan securely and digitally available whenever and wherever it is needed.

Workflow

1. Patient: Claims their PKB record via NHS Login

2. GP practice: Add carer to patient's record

3. Carer: Claims their patient's PKB record. Ability to view the relatives/friends record as a carer.

4. Patient: Attends appointment with GP

5. GP: Adds the ReSPECT care plan to the patient's record

6. GP: Adds and completes ReSPECT care plan with patient wishes

7. Carer/Patient: Ability to view and add information to the ReSPECT care plan

8. PKB: Displaces audit trail of any changes to the ReSpect care plan

9. Patient/carer: Uses care plan to view wishes and share in emergency situations

10. Emergency teams: Have the ability to view patients' ReSPECT care plan and GP and hospital data in the patients record.

ReSPECT Care Plan Template

Open

Further Information

• Access a patient record in an emergency (Break the glass access): How A&E staff can view a patient PKB record in an emergency.

• Access log: Within a patient PKB record, there is the ability to see who is viewing your PKB record.