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Digital care and support plan standards

What we are doing

The integrated digital care and support plan standards developed by this project will be used to create a technical specification by NHS Digital, which will in turn be implemented in north-west London as a national accelerator site supported by system vendors.

The purpose of the digital care and support plan standards project is to develop an integrated care and support plan that:

  • delivers national standards for a generic integrated digital care and support plan that is suitable for use in all care settings (primary, acute, community, mental health and social care) and endorsed by patient and professional bodies, for use in integrated care and support planning across the four nations. This is needed to enable integrated person-centred care delivery and also required for patients with long-term conditions or complex needs requiring multidisciplinary support
  • produces information models that provide a suitable basis for the development of specifications for electronic communications between health and social care organisations by NHS Digital, which are implementable in the NHS
  • supports the integrated digital care and support planning initiative in north-west London, which plans to implement the standard as an accelerator project for the Healthy London Partnership (HLP).

About care and support plans

Care and support plans cover what is most important to the person, including personal and health-related goals, and activities or actions linked to achieving the goals. Using standards in electronic healthcare records allows information to be recorded, exchanged and accessed consistently across care settings, to deliver high-quality care to individuals.

Both this standard and the NHS Digital technical specification will be published so that they can be used by other organisations and communities to implement interoperable digital care and support plans.

Who's involved


This project was commissioned by the North West London Collaboration of Clinical Commissioning Groups (NWL CCGs) and has been a collaborative effort between the Professional Records Standards Body (PRSB) project team, NWL CCGs, NHS Digital and the Healthy London Partnership (HLP)

The PRSB was commissioned to consult with individuals, health and social care professionals, suppliers and commissioners to ensure that the standard meets their needs.

The work was conducted in partnership with the Royal College of Physicians (RCP) Health Informatics Unit (HIU).

Leadership was provided by members of:

A broader multidisciplinary team was brought together through the project board and included members of the RCGP collaborative care and support planning champions network, NHS Digital, NWL CCGs, the RCN, the Registered Nursing Home Association, the Royal College of Occupational Therapists and the Association of Directors of Adult Social Services.