Care team
1 in the teamWho needs to be involved, and why
Every participant carries a reason and the record entry behind it, so the list can be checked rather than trusted. Colleagues other than the signed-in clinician are simulated for this demonstration.
- Dr Maya Shah
Usual GP · Riverside Practice
Registered GP; holds the record.
EvidenceRegistered GP on the patient record
Suggested by the record review
2 suggestedA read-only reading of the whole record, checked by a second pass. Each suggestion carries its reason and the record entries behind it. Nobody joins the team unless you add them.
- Stroke medical team clinicianCore to the meeting
Lead immediate clinical assessment; determine stability, capacity and communication needs; decide when and how a priorities conversation can safely occur.
The stroke medical team is the only explicitly identified current treating team at the acute attendance.
- Eligible20 Aug 2026
The emergency-department attendance identifies the clinician as the stroke medical team.
- Primary care clinicianCore to the meeting
Provide recent baseline and symptom trajectory, reconcile medicines and known conditions, and check primary-care-held preferences, planning documents and family or carer contacts.
Primary care documented the recent change in walking, light-headedness, headache, raised readings and contact preference.
- Eligible
GP-owned resources contain the recent symptom encounters and administrative telephone contact preference.
Add a participant
Personal details
Auto-filled from the patient record. SIM-000416
What matters to the patient
Their words come first. Set in the voice face, quoted, never paraphrased.
Capacity for this decision
requiredWhether the person had capacity for this decision when it was made.
Patient's expressed wishes
requiredIn their own words, from the conversation.
Patient's expressed fears and concerns
What they are worried about, in their words.
What is most important to the patient about how they are treated
requiredWhere their priority sits between comfort and life-sustaining treatment.
Clinical context
The picture a colleague needs before reading the recommendations.
Diagnosis summary
requiredThe relevant conditions and recent events, as recorded.
Likely clinical trajectory
How things have been changing for this person, from the record.
Relevant active medications
Medicines that matter in an emergency, as the record lists them.
Recommendations for emergency care
Recommendations, not legally binding. Clinical judgement applies. This is not a DNACPR form.
CPR recommendation
requiredA clinical recommendation agreed with the person; not legally binding and not a DNACPR form.
Rationale
Why, and who it was discussed with.
Escalation ceiling
requiredThe level of treatment the team recommends if the person becomes unwell.
Rationale
Why this ceiling, in a sentence a colleague can check.
Clinical priorities if the patient deteriorates
requiredWhat should happen first, and who should be involved.
Signatures and review
0 of 7 required fields recorded.
Still needed: Capacity for this decision, Patient's expressed wishes, What is most important to the patient about how they are treated, Diagnosis summary, CPR recommendation, Escalation ceiling, Clinical priorities if the patient deteriorates.