Asked by: Lord Balfe (Conservative - Life peer)
Question to the Department of Health and Social Care:
To ask Her Majesty's Government, further to the reported increase in the use of Do Not Attempt Cardiopulmonary Resuscitation orders during the COVID-19 pandemic, what additional guidance they have provided to hospitals regarding consulting patients and their families prior to such orders being issued; and when this guidance was distributed.
Answered by Lord Bethell
Failure to consult people and their families on decisions around CPR causes significant distress and we have taken decisive action to prevent this from happening. NHS England and NHS Improvement clinical leaders issued a number of letters to the health and social care system throughout April and May 2020, and in March 2021, to clarify best practice around do not attempt cardiopulmonary resuscitation (DNACPR) decisions.
Joint guidance for clinicians from the British Medical Association, the Resuscitation Council UK and Royal College of Nursing reflects that agreement to a DNACPR is an individual decision and should involve the person concerned or, where the person lacks capacity, their families, carers, guardians or other legally recognised advocates. The Department reiterated this message in the Adult Social Care Winter Plan in 2020.
The DNACPR Ministerial Oversight Group continues to review the resources available to ensure adherence to DNACPR guidance across the system. Sensitive and well communicated DNACPRs can and should be an important part of patient care and end of life experience. We are committed to taking continued action to ensure those decisions are managed and communicated well in all settings.
Asked by: Lord Balfe (Conservative - Life peer)
Question to the Department of Health and Social Care:
To ask Her Majesty's Government, further to the Written Answer by Lord Bethell on 13 July 2021 (HL1668), what progress they have made on the misapplication of Do Not Attempt Cardiopulmonary Resuscitation (DNACPR) orders; and what is their timetable for publishing more details on the Ministerial Oversight Group's (1) membership, (2) workings, and (3) decisions.
Answered by Lord Bethell
The first meeting of the Ministerial Oversight Group has now taken place and the Group has set out their commitment to driving forward improvements. A summary of the meeting has been shared with interested stakeholders. The membership, workings and decisions of the Ministerial Oversight Group were published on 23 July.
Asked by: Lord Balfe (Conservative - Life peer)
Question to the Department of Health and Social Care:
To ask Her Majesty's Government whether they will report on (1) the membership, (2) the workings, and (3) the decisions, of the Ministerial Oversight Group tasked with overseeing the use of Do Not Attempt Cardiopulmonary Resuscitation (DNACPR) orders; and what assessment they have made of the circumstances in which these orders are now being issued.
Answered by Lord Bethell
The Ministerial Oversight Group was created in response to a key recommendation of the Care Quality Commission’s (CQC) review of how Do Not Attempt Cardiopulmonary Resuscitation (DNACPR) decisions were made during the early phases of the pandemic. Further details of the Group’s membership, workings and key decisions will be published in due course.
The Department does not record or assess the circumstances of DNACPRs orders in place. However, the Ministerial Oversight Group will be responsible for the delivery and required changes of the CQC’s recommendations, to ensure adherence to guidance across the system about how DNACPRs are used.