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Recommendation
Follow-up care plan – Development
A patient’s follow-up care plan should be developed in consultation with the patient, the GP, and the multidisciplinary team following completion of active treatment. To support coordination of care, the care plan should be provided to the multidisciplinary team, including the GP, and indicate the health professional(s) designated to provide follow-up care and the patient’s individual follow-up schedule.
The multidisciplinary team, including the GP and the woman should be informed of the health professional(s) designated to provide follow-up care, and the schedule for follow-up
How this guidance was developed
This recommendation was adapted from the CA 2010 guidelines (Australia). The source recommendation was based on a systematic review of the evidence conducted to January 2008 and was not graded by the source guideline authors. The source recommendation was adapted by making it gender neutral and including consultative development of the plan.
Follow-up care plan – Development
Recommendation
A patient’s follow-up care plan should be developed in consultation with the patient, the GP, and the multidisciplinary team following completion of active treatment. To support coordination of care, the care plan should be provided to the multidisciplinary team, including the GP, and indicate the health professional(s) designated to provide follow-up care and the patient’s individual follow-up schedule.
Principles in action
Patient-centred care
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Multidisciplinary care
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Supportive care
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Care coordination
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Communication
This recommendation was adapted from the CA 2010 guidelines (Australia). The source recommendation was based on a systematic review of the evidence conducted to January 2008 and was not graded by the source guideline authors. The source recommendation was adapted by making it gender neutral and including consultative development of the plan.