NSW Ambulance care plans – redesigning the way forward

We are currently working with NSW Ministry of Health as we review the Ambulance authorised care program. It is now ten years since it was introduced and many integrated and palliative care services have evolved to meet new and different community needs since then.  Paramedic training and protocols have expanded in the pre hospital environment to include a care focussed collaborative approach for patients with chronic and complex care and end of life needs in the community.

Our aim to guide and support paramedics in their decision making remains the same. This involves consideration of supporting patients with their decisions as to whether to stay at home according to their preferences or to be transported to hospital as required.

We are currently speaking with clinicians and patients on a daily basis about the changes and continue to provide updated information on our website.

Current delays

As we review and re-design the program, there may be delays in processing of the current forms. Currently, endorsing forms is taking  approximately four weeks.

Please call or email if you have an urgent request (contact details below).

Approved and endorsed NSW Ambulance care plans will be used to guide paramedics until June 2021, as we transition to a re-designed program.

New forms will be introduced in 2021.

Please call triple zero "000" in an emergency.

Please complete an NSW Health Advanced Care Directive for instructions about end of life interventions.  It needs to be available for NSW Ambulance paramedics when called. It does not need to be submitted to NSW Ambulance.

The way forward

In 2021, the revised NSW Ambulance care plans will be uploaded onto the NSW Ambulance website. This coincides with the release of new paramedic protocols, pharmacology and education.

1. Regarding care plans for children and adults with complex health care needs in emergency situations.

The revised Ambulance Care Plans are a summary of patient information for quick access for paramedics in emergency and life-threatening situations requiring very specific interventions.

They will need to be submitted for endorsement by NSW Ambulance.

They should be made available in the home for paramedics when you call triple zero “000” in an emergency.

Paramedics will speak with patients/carers, refer to the form and consider contact with key health providers to inform their emergency response.

You may also make available for paramedics the NSW Advanced Care Directives and a summary of important health information from a recent GP, specialist or hospital visit.

2. Regarding care plans for children and adults and end of life care

NSW Ambulance places a significant focus on supporting people to remain at home where possible and collaborating with local health services, GPs, Local Health District (LHD) services including palliative care, hospital in the home, and other services provided by community organisations.

These revised Ambulance Care Plans are a summary of patient information for quick access for paramedics when called.

They are best supported by the NSW Advanced Care Directives and a summary of important health information from a recent GP, specialist or hospital visit.

They should be made available in the home for paramedics if the patient needs to call triple zero “000”.Paramedics will speak with patients/carers, refer to the form and make contact with key health providers (eg palliative care team, GP) as listed on the form, to inform their clinical decision making.

Resources

NSW Health Advance Care Directive booklet is available foe download on the NSW Health website.

Authorised General Care Plans

Authorised Palliative Care Plans


Should you have any further queries please contact NSW Ambulance via:

Email: Ambulance-AuthorisedCarePlans@health.nsw.gov.au or Phone: (02) 9779 3801