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EPaCCS Coordination System — SCE Palliative Medicine MCQ

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ModerateEnd of Life CareEPaCCS Coordination SystemSCE Palliative Medicine

A 70‑year‑old man with advanced cancer has been identified as approaching end of life. His GP wants to coordinate his care using the Electronic Palliative Care Co‑ordination System (EPaCCS). What does EPaCCS provide?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: D — A shared electronic record of the patient’s care preferences (advance care planning, DNAR/ReSPECT), medications, and personalised care plan — accessible to all relevant healthcare providers across settings

EPaCCS is a shared electronic coordination system used in the NHS to record and communicate a patient’s advance care planning information, resuscitation status (e.g. DNAR or ReSPECT), care preferences, current medications and care plan across multiple care settings. It is held in the GP system but accessible to ambulance services, out‑of‑hours GPs, hospitals, community and hospice teams. None of the other options match the true function of EPaCCS within UK end‑of‑life care.

Reference: NHS England (Electronic Palliative Care Coordinating Systems (EPaCCS) guidance, recent); Northern Lincolnshire and Goole NHS FT (‘What is EPaCCS?’ updated 2024), https://www.england.nhs.uk/north-west/north-west-coast-strategic-clinical-networks/our-networks/palliative-and-end-of-life-care/for-professionals/electronic-palliative-care-coordinating-systems-epaccs/