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. Locally approved documents on the common care agreement, which contain details on common care, can be developed for complex treatments that are used regularly in a specialized environment. These documents are known in NHS Lothian as Shared Care Agreements (SCA). These documents provide additional guidance for family physicians for complex treatments that are commonly used in a specialized environment and may be permitted to be used in primary care. However, it is not necessary to have a locally authorized document to share care. Presentation materials for local shared care facilities are available on the NHS Lothian intranet via this link. All approved Shared Care Agreements (SCAs) are listed on this page. These will be developed as part of the implementation of the new policy. 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 should: ketamine for complex pain in palliative care patients Specialists can advise the patient`s family doctor what medication to prescribe. If you recommend a new or rarely prescribed medication, you should specify the dosage and means of administration and agree on a protocol for treatment. You should explain the use of unauthed drugs and deviations from recommended guidelines or treatments and provide family physicians and the patient with sufficient information to enable safe treatment of the patient`s condition.14 A Joint Care Agreement (SAC) outlines suggestions on how to allocate responsibilities in managing the prescribing of a drug between the specialist and the family physician.