Platform 7: coordinating care
10 marks of the 100 in Part B, which runs for 150 minutes.
Platform 7 is what happens between services. Discharge, referral, transition from children’s services to adult ones, and the carer at home who is holding it together. The questions ask who else needs to be involved and what has to happen before somebody leaves.
What this section asks about
- Planning and facilitating a safe discharge or transfer
- Multidisciplinary and interagency working, and who does what
- Referral: to whom, when, and with what information
- Medicines reconciliation and discharge medicines information
- Carers, including their right to an assessment of their own needs
- Equitable access for people who are vulnerable or have a disability
Where the marks go
10 marks of the 100 in Part B, which runs for 150 minutes. The NMC splits this section across the levels of Bloom's taxonomy:
- Remember and understand: 4
- Apply and analyse: 3
- Evaluate and create: 3
Where candidates lose marks
- Discharging on clinical readiness alone. The question is usually whether the arrangements at home are in place.
- Naming a profession without a reason. Referrals in these questions carry information and a specific question.
- Forgetting the carer is a person with their own needs, not a resource.
Questions people ask
- When should discharge planning start?
- At or before admission for a planned procedure, and within the first day of an emergency admission. Questions often turn on the fact that it starts far earlier than people expect.
- What is a carer entitled to?
- Under the Care Act 2014 an adult carer can have an assessment of their own needs, whatever the needs of the person they care for.
Practise this section
Practice is filtered by section, so you can work on this one on its own. Every account gets 10 new questions a day without a card.