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Examples: Patient scenarios

Find out how the Lincolnshire Care Record can help and the impact it can make.

  • Reducing medication errors in primary and secondary care

    medicine_pills

    Primary Care

    Scenario: 

    A patient is discharged from the hospital with a new prescription for heart failure medication. Their GP accidentally prescribes a conflicting drug, causing a dangerous interaction. 

    How the Lincolnshire Care Record helps: 

    • The GP sees real-time hospital discharge summaries before prescribing.
    • Community pharmacists can review changes and flag interactions.
    • The risk of polypharmacy-related errors is reduced, improving patient safety.

    Impact: 

    • Reduced medication errors and hospital readmissions
    • Improved communication between hospital and primary care
    • Safer prescribing practices
  • End-of-Life & Palliative Care Coordination

    Man holding a small red shaped heart object in his hand on one side and another had holding the other

    Community Care

    Scenario: 

    A terminally ill cancer patient receives palliative care at home, but out-of-hours doctors are unaware of their care preferences. The patient is taken to A&E, despite their wish to stay at home. 

    How the Lincolnshire Care Record helps:

    • The palliative care team logs the patient’s advance care plan, DNACPR order, and preferred place of death.
    • Out-of-hours teams access this in an emergency, avoiding unnecessary hospital admissions.
    • The GP, hospice, and district nurses collaborate seamlessly, ensuring compassionate care.

    Impact: 

    • Respect for patient preferences
    • Reduced inappropriate hospital admissions
    • Better end-of-life care coordination
  • Child protection and safeguarding

    a female ward nurse sister is chatting to a young nurse who is drawing on the wards occupancy chart on a busy hospital ward . In the background beds and cubicles can be seen and a male nurse is attending to one of the hospital beds . The nurse sister is holding a digital tablet and explains to the nurse the situation on the ward .They are all wearing nurse uniforms consistent with the uk and the NHS .

    A&E Care

    Scenario: 

    A 6-year-old child is seen at A&E for multiple bruises and fractures. The doctor suspects non-accidental injury (NAI) but has no access to previous records across GP, social services, and community teams. 

    How the Lincolnshire Care Record helps: 

    • The clinician sees a pattern of previous injuries, school nurse reports, and social worker concerns, raising an immediate safeguarding alert.
    • Multi-agency collaboration enables rapid intervention to protect the child.
    • The GP, social worker, and hospital team share relevant information in real time, improving safeguarding measures.

    Impact: 

    • Faster identification of at-risk children
    • Improved child protection responses
    • Secure, appropriate information sharing between agencies
  • Maternity and Postnatal care

    Image of pregnant women

    Community Care

    Scenario: 

    A pregnant woman moves to a different city at 32 weeks gestation. Her new maternity team lacks access to her previous ultrasound scans, blood test results, and consultant notes. 

    How the Lincolnshire Care Record helps: 

    • The maternity team instantly retrieves her pregnancy history, including gestational diabetes risk and previous complications.
    • Midwives, obstetricians, and GPs coordinate care without needing to request paper records.
    • Postnatally, the baby’s neonatal and immunization history is accessible across primary and secondary care.

    Impact: 

    • Seamless continuity of maternity care
    • Reduced duplication of tests and unnecessary referrals
    • Better pregnancy outcomes
  • Emergency care: rapid access to critical patient information

    Person typing on laptop

    A&E Care

    Scenario: 

    A patient is admitted to the Emergency Department (ED) unconscious after a car accident. The ED team needs immediate access to the patient’s medical history to avoid harmful treatments.

    How the Lincolnshire Care Record helps:   

    • Clinicians access the Shared Care Record to check for allergies, medications, and existing conditions (e.g., epilepsy, diabetes, anticoagulation therapy).
    • Real-time data sharing prevents the administration of a medication that could cause an adverse reaction.
    • The system alerts ED staff that the patient is under the care of a mental health team, ensuring a holistic approach to care.

    Impact: 

    • Faster, safer clinical decisions
    • Reduced risk of adverse drug interactions
    • Improved patient safety and outcomes
  • Mental health and crisis intervention

    Young man walking

    Mental Health

    Scenario: 

    A patient with bipolar disorder experiences a crisis and is detained under the Mental Health Act by paramedics and police. They are transferred to a crisis intervention unit, but clinicians lack access to their full medical history. 

    How the Lincolnshire Care Record helps: 

    • The crisis team accesses recent psychiatric evaluations, medication history, and care plans in real time.
    • Primary care and community mental health teams are automatically alerted to ensure continuity of care.
    • Any known triggers or de-escalation strategies from the SCR inform clinicians to manage the situation effectively.

    Impact: 

    • Better coordination between emergency services and mental health teams
    • Faster stabilization of the patient, reducing distress
    • Prevention of unnecessary hospital admissions
  • Long-term condition management: diabetes and multi-disciplinary care

    Image of an older woman with illustrated puzzle pieces with outlines of people forming a circle around her

    ICS Care

    Scenario: 

    A patient with Type 2 Diabetes is under the care of a GP, a community diabetic nurse, and a hospital endocrinologist. Each provider has separate records, leading to gaps in care. 

    How the Lincolnshire Care Record helps: 

    • The GP, hospital, and community team share blood test results, prescriptions, and foot screening records.
    • The SCR enables seamless monitoring of HbA1c trends, preventing duplicate tests.
    • The patient avoids unnecessary referrals because clinicians can see the latest specialist recommendations.

    Impact: 

    • Improved coordination between primary, secondary, and community care
    • Reduced administrative burden for clinicians
    • Proactive intervention before complications arise
  • Social Care: safeguarding and co-ordinated support for vulnerable patients

    Senior woman in a wheelchair with her caregiver at home

    ICS Care

    Scenario: 

    An elderly patient with dementia and mobility issues receives home care visits, attends a day centre, and is supported by their GP. They are frequently admitted to A&E due to falls, but clinicians lack visibility into their home care plan. 

    How the Lincolnshire Care Record helps:   

    • The GP, social care providers, and district nurses access a shared record of fall incidents, care visits, and medication adherence.
    • The social worker and healthcare team collaborate on a falls prevention plan, reducing hospital admissions.
    • Family caregivers are engaged with relevant updates, ensuring a holistic approach to care.

    Impact: 

    • Better integration of health and social care services
    • Reduced emergency admissions through preventative care
    • Enhanced patient safety and independence

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