Requirements for delivery

Now fully embedded in care, the 2023/24 Network Contract Directed Enhanced Service sets out the requirements for the delivery of EHCH² by primary care networks (PCNs). It states that every care home should:

• Be aligned to a PCN
• Have a named clinical lead (who is responsible for overseeing implementation of the framework)
• Have a weekly ‘home round’ supported by the care home multidisciplinary team (MDT)
• Have established protocols between the PCN, care home and system partners for information sharing, shared-care planning, use of shared care records and clear clinical governance.

Every person living in a care home, within seven working days of admission or re-admission, should:

• Have participated in a comprehensive personalised assessment of need undertaken by the MDT
• Have participated in the development of their personalised care and support plan (PCSP) with a member of the MDT
• Be identified and prioritised in their PCN as people who would benefit from a structured medication review (SMR). The best medicines outcomes for people who live in care homes can only be achieved if the MDT works together. Building positive relationships and communicating well with everyone involved in supporting people who live in care homes will help achieve this.