“To think about patients as a whole...
...a whole geography level"
Julie Barker GP in Newark & Macmillan GP Nottingham ICS
Population - Based Integrated Cross Boundary Care
GSF can be used in 2 main ways
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Either as a whole system response, introducing GSF to all sectors, as in the Integrated Cross Boundary care sites
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Or as training for those in one particular setting eg primary care, hospitals, domiciliary care, care homes or other settings.
In the 10 GSF integrated cross boundary care sites GSF is used to enhance a 'common vocabulary’ improving communication between GPs, hospitals, care homes and others with better use of digital records / EPaCCS, reducing hospital admissions and enabling more to live and die well at home.
Key EOLC metrics have been developed. Many areas have developed GSF registered ‘Gold’ patients, providing additional benefits for them, such as Airedale’s Gold Line​.
Population-based, Person-centred End of Life Care ' Thomas K Gray M
We developed some key metrics to assess progress of population- based end of life care, as piloted in several of our GSF Cross Boundary Care Sites.
Hear what people say about using GSF principles across boundaries.
Integrated whole island care in Jersey
A great example of use of GSF across all systems to develop integrated care was demonstrated in the GSF Jersey work– see right and download the EAPC 2019 Jersey poster here .
Further details and full evaluation are available
Benefits of being Gold or GSF patients
To see more information about the benefits of being a Gold Patient, click here
Further details are available
GSF helped increase identification of patients in last year of life to 30%.
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“The GSF and Gold Line provides me with the added reassurance that my patients and their family have a plan, and the added resources in place as they move from secondary care to the community.”
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Dr RM, Consultant Geriatrician at Airedale