Evidence and Outcomes

The Problem

Exposing the Blind Spot: A Real-Time Clinical Audit Benchmarking Emergency Care Plans in Vulnerable Patients Against an Expert-Informed Model - Click the title for the full PDF: Published 09/06/2025

Key Audit Findings:

A live clinical audit was conducted over six urgent care shifts, totalling 72 clinical hours across >30 GP practices and >25 care homes:

• 96% = Not useful for clinical practice

  • 68 out of 71 had no emergency plan, a vague plan, or blanket statement

  • 0% of patients had a robust expert-led plan similar to My Emergency Plan

• Dementia Subgroup of 38 patients:

  • 84% of plans raised legal and ethical concerns

  • 34% of patients (13 out of 38) had no emergency plan/no voice in their care

The Solution

Before the Next Crisis: A New, Scalable, Expert-Led Solution Shown to Reduce Emergency Admissions by Over 70% - Click the title for the full PDF: Published 09/06/2025

Foreword:

“Dr. Matthew Gloudeman has taken a personally developed approach empowered by rigor and respect for the importance of the process of ACP… He is to be commended for not giving into the pervasive cynicism… and his absolute conviction and vision to make this vital aspect of modern health care better… For all our sakes let us hope he is onto something.”
— Professor Max Watson MBE award winning Palliative Care Consultant

Key Audit Findings:

• 100% Trusted by families, staff & clinicians personalised, specialist-guided plans

• 100% Dignified End-of-Life Care – Every patient who passed away, died in a familiar place or the hospice

  • 40–50% of patients in this group often die in the hospital

• Over 70% reduction in hospital admissions aligned with patient and family wishes