1. ‘If you are completing a KIS – make sure it’s a good KIS’ Paul Baughan, GP, Dollar Health Centre, Clackmannanshire Steven Ebsworth, Practice Manager, Dollar HC, Clackmannanshire

2. - Share findings from audit about quality of KIS - Explore what components of a KIS make it good or bad - Suggest ways that you could improve the quality of KISs within your practice Overview of session

3. Background -57 GP practices in NHS Forth Valley -All use EMIS -Started using KIS in June 2012, with all GP practices using it by December 2012 - now have 5800 patients (1.9% of FV population) with a KIS

4. Population 31000, therefore 1.9% now have a KIS

5. -In June 2013 we audited the quality of 174 KISs - 2 GPs, 1 DN and 1 Hospital specialist nurse assessed quality and usefulness of each of these KISs Audit – How good are our KISs

6. Results of audit of 174 KISs

7. 35%

8. ‘If you are completing a KIS – make sure it’s a good KIS’

9. What makes a good KIS?

10. 1. Look at the 6 KISs 2. Rate them from most useful to least useful. 3. What makes the useful ones useful?

11. What makes a good KIS?

12. Results of audit of 174 KISs

20. KEY INFORMATION SUMMARY (KIS) Dr Paul Baughan September 2013

21. Results of audit of 174 KISs

28. But – big improvement on ePCS

29. A suggested approach to improving the quality of a KIS

31. At this time in your life what is it that makes you happy or unhappy? Do you have any special requests or preferences regarding your future care? If your condition gets worse, where would you most like to be cared for eg hospital, hospice, home, nursing home? What thing (s) would you like to avoid happening to you? What are your wishes regarding resuscitation ie CPR? Do you have any comments, wishes or concerns, about any thing or any one, that you would like others to know about? Is there anything that you would like to know more about? eg benefit advice Have we missed anything? I consent to sharing a summary of the information in this document with my GP practice and for it to be made available to key medical professionals who may need to care for me in an emergency (e.g. GP out of hours service, NHS 24, Scottish Ambulance Service) Questions in Thinking Ahead Document

32. Summary: -Not difficult to create KIS for patients -Important to spend a little time thinking about quality