Treatment Escalation Planning in hospital (REDMAP) masterclass toolkits

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REDMAP

Treatment escalation planning in hospital (REDMAP) masterclass toolkits

When a person with a serious illness has the potential for acute deterioration or may be coming towards the end of their life and dying, the team providing care need to consider how to minimise medical intervention that that may cause more suffering and distress.

What can be done and what should be done are not necessarily the same thing. Indeed, protocol driven or "one size fits all" medicine can lead to more suffering and distress, not less.

A treatment escalation plan (TEP) is a tool which records and communicates the personalised and realistic goals of treatment. It should reflect the values and preferences that are important to the person receiving care if their condition should deteriorate.

Many NHS Boards have developed resources to support the use of TEPs, taking a Realistic Medicine approach. NHS Greater Glasgow and Clyde have developed this TEP guidance toolkit to support staff to feel prepared to use TEP. 

 

REDMAP Tool
Red tool

This toolkit contains all the resources needed for experienced facilitators to run an interactive, online Treatment Escalation Planning conversation masterclass using the REDMAP framework. 

cogs

 

Tutor roles:

A minimum of 4 facilitators is required to run this masterclass.

  1. Chair 
  2. Lead Tutor (plus 1-2 additional tutors in training or for large groups) 
  3. A senior tutor in role as a healthcare professional (should be a role they are familiar with) 
  4. A simulated patient/relative or a professional in role as someone of the same gender and approximate age (trained volunteer, professional or tutor

 

Downloadable Toolkit Contains:

  1. REDMAP image
  2. REDMAP image slide
  3. REDMAP Framework
  4. Scenarios: Treatment escalation planning with REDMAP 
    Emergency admission with pneumonia (hospital setting)
    Emergency admission with cancer complications (hospital setting)
  5. Scenario writing template: Future care planning
  6. Webinar masterclass tutor roles
  7. Webinar masterclass structure
  8. Realistic conversations: Treatment Escalation Planning (REDMAP) handout for participants
  9. Future care planning prompt cards for staff
  10. Demonstration webinar of teaching method for facilitator training - NES conference 2022

 

This Treatment escalation planning in hospital (REDMAP) training resource was developed by senior clinicians and educators from NES, NHS Greater Glasgow and Clyde, and the University of Edinburgh.

 

Content updated July 2024