Meaningful conversations with an individual, their families and / or legal proxy about their goals and preferences, are central to person-centred high quality future care planning.
Good outcomes depend on professionals using sensitive and effective communication behaviours and clear language within a robust overall conversation framework. Wherever possible they should take place face-to-face. However the COVID-19 pandemic has shown that it is also possible to use video (NHS Near Me) or phone. This is more likely to be acceptable if an established relationship exists between the person and the health or care professional.
The 6-step REDMAP framework offers a helpful model to guide health and care professionals having care planning conversations. REDMAP includes optional prompts for each step. These should be adapted to the individual and their situation.
|1. Ready: Introduce future care planning and outline why it helps people get better care||
These prompts may help you open a conversation with the person and those close to them:
|2. Expect: Find out what the person knows, and thinks might happen||
Once the conversation has started, we explore understanding and concerns:
|3. Diagnosis: Share health information tailored to the person||
It is important for people to have information about their health conditions or diagnoses so they can think about what is important to them before making plans for the future. Acknowledge and share uncertainty.
|4. Matters: Talk about what is important to the person and their family||
This step is essential and explores what is important to the person:
|5. Actions: Discuss realistic options for this person||
These depend on the person’s goals and preferences, place of care and clinical outcomes for them.
|6. Plan: Agree a plan that is right for this person||
Summarise the discussion, agree an future care plan, address current problems, and check for any questions or concerns.
There are a range of materials that you can access.
- Downloadable version of the REDMAP framework.
- Video recording: Using REDMAP in care planning by Dr Kirsty Boyd. Produced by the Royal College of Physicians and Surgeons of Glasgow, June 2023.
- NHS Education for Scotland's training materials support Realistic Medicine which puts the person at the centre of decisions made about their care and care planning.
- REDMAP framework for care planning conversations used with permission from Dr Kirsty Boyd, Reader in Palliative Care, The University of Edinburgh.
- REDMAP graphic developed by Openchange.