Treatment Escalation Planning in hospital (REDMAP) communication toolkit

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REDMAP

Treatment escalation planning in hospital (REDMAP) communication education toolkits
REDMAP Tool

When a person in hospital is at risk of acute deterioration, the clinical team  need to ensure that any treatments of benefit are given while minimising interventions that may not provide ‘kind and careful care’.

A treatment escalation plan (TEP) is a tool which records and communicates personalised and realistic goals of treatment. It should reflect what matters to the person receiving care if their condition deteriorates. Like other types of future care plan, a TEP is not legally binding but can improve coordination of care and support shared decision making.

Many NHS Boards have developed resources to support the use of TEPs and there is a national TEP in development.

Red tool

 

 

This toolkit contains all the resources needed for experienced facilitators/tutors to run an interactive Treatment Escalation Planning workshops. It includes:

cogs

 

Tutor roles:

To run an interactive communication workshop requires a minimum of two experienced tutors. A third tutor is helpful if available. Simulated patients, relatives or staff members act as interviewees and can be tutors, trained volunteers or other staff.

Downloadable Toolkit Contains:

  1. Tutor training presentation
  2. REDMAP image
  3. REDMAP image slide
  4. REDMAP Framework 2026
  5. Tutor prompt sheet – interactive demonstration
  6. Scenario template (REDMAP) – interactive demonstration
  7. Scenario examples: Treatment escalation planning with REDMAP 
    Emergency admission with pneumonia (hospital setting)
    Emergency admission with cancer complications (hospital setting)
  8. Realistic conversations: Future care planning (REDMAP) handout
  9. Future care planning guide for staff

This future care planning (REDMAP) training resource was developed by senior clinicians and educators from Public Services Delivery (PSD) Scotland, NHS Greater Glasgow and Clyde, and the University of St Andrews.

Content updated July 2026