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GSF Needs Assessment Coding — SCE Palliative Medicine MCQ

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EasyEnd of Life CareGSF Needs Assessment CodingSCE Palliative Medicine

A 68-year-old man with advanced COPD is on the palliative care register. His GP practice uses the GSF Needs Assessment coding to categorise patients. He is coded as having 'Amber needs' (moderate complexity). What does this coding trigger in terms of care planning?

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Correct answer: CMDT review at the next practice palliative care meeting

Amber needs (moderate complexity) in GSF coding indicate patients who are at risk of deteriorating and dying, warranting an anticipatory, proactive care approach. Current UK GSF guidance requires that these patients undergo systematic review at MDT meetings, have advance care planning (ACP) discussions, regular medication reviews, review of crisis management plans, and consideration of referral to specialist palliative care services where appropriate. Option C best describes this structured response and is directly supported by both official GSF guidance and UK NHS implementation. Other options are incorrect: A (discharge) and D (immediate hospice) are not appropriate for Amber status; B (mandatory emergency attendance) is neither routine nor triggered by Amber coding; C ignores required care planning. The relevant action bundle is multidisciplinary, ongoing and anticipatory, matching the expectations for Amber-coded patients within GSF.

Reference: https://www.nice.org.uk/guidance/conditions-and-diseases/cancer/palliative-care