Asked by: Lord Austin of Dudley (Non-affiliated - Life peer)
Question to the Department of Health and Social Care:
To ask Her Majesty's Government, further to the Written Answer by Lord Kamall on 31 January (HL5607), whether they collect comparative data showing the proportion of do not resuscitate notices that have been issued when a patient and their family have said they do not agree to such an order in comparison to the number of patients the hospital has admitted
Answered by Lord Kamall
The Department established a Ministerial Oversight Group to ensure consistent adherence to guidance on how Do Not Attempt Cardiopulmonary Resuscitation (DNACPRs) are used. The National Health Service provides online guidance and information for the public on DNACPR decisions, including information on asking for a second opinion or a review and if there are concerns about, or disagreement with, a DNACPR form in a patient’s or family member’s medical records. The Care Quality Commission continues to ensure providers understand their responsibilities if allegations of inappropriate application of DNACPR decisions are brought to their attention, as well as raising cases with the relevant bodies including the General Medical Council as appropriate.
The Department does not record how many DNACPR decisions are in place or whether there is agreement with those decisions, nor do we collect comparative data showing the proportion of DNACPR decisions in comparison to hospital admissions.
Asked by: Lord Austin of Dudley (Non-affiliated - Life peer)
Question to the Department of Health and Social Care:
To ask Her Majesty's Government, further to the Written Answer by Lord Kamall on 31 January (HL5607), how many do not resuscitate notices proposed by clinicians have not been subsequently imposed as a result of consulting a patient or their family who said they do not agree to such an order.
Answered by Lord Kamall
The Department established a Ministerial Oversight Group to ensure consistent adherence to guidance on how Do Not Attempt Cardiopulmonary Resuscitation (DNACPRs) are used. The National Health Service provides online guidance and information for the public on DNACPR decisions, including information on asking for a second opinion or a review and if there are concerns about, or disagreement with, a DNACPR form in a patient’s or family member’s medical records. The Care Quality Commission continues to ensure providers understand their responsibilities if allegations of inappropriate application of DNACPR decisions are brought to their attention, as well as raising cases with the relevant bodies including the General Medical Council as appropriate.
The Department does not record how many DNACPR decisions are in place or whether there is agreement with those decisions, nor do we collect comparative data showing the proportion of DNACPR decisions in comparison to hospital admissions.
Asked by: Lord Austin of Dudley (Non-affiliated - Life peer)
Question to the Department of Health and Social Care:
To ask Her Majesty's Government, further to the Written Answer by Lord Kamall on 31 January (HL5607), how many do not resuscitate notices have been issued at each hospital when a patient and their family have said they do not agree to such an order
Answered by Lord Kamall
The Department established a Ministerial Oversight Group to ensure consistent adherence to guidance on how Do Not Attempt Cardiopulmonary Resuscitation (DNACPRs) are used. The National Health Service provides online guidance and information for the public on DNACPR decisions, including information on asking for a second opinion or a review and if there are concerns about, or disagreement with, a DNACPR form in a patient’s or family member’s medical records. The Care Quality Commission continues to ensure providers understand their responsibilities if allegations of inappropriate application of DNACPR decisions are brought to their attention, as well as raising cases with the relevant bodies including the General Medical Council as appropriate.
The Department does not record how many DNACPR decisions are in place or whether there is agreement with those decisions, nor do we collect comparative data showing the proportion of DNACPR decisions in comparison to hospital admissions.
Asked by: Lord Austin of Dudley (Non-affiliated - Life peer)
Question to the Department of Health and Social Care:
To ask Her Majesty's Government, further to the Written Answer by Lord Kamall on 31 January (HL5607), how many do not resuscitate notices have been issued when a patient and their family have said they do not agree to such an order.
Answered by Lord Kamall
The Department established a Ministerial Oversight Group to ensure consistent adherence to guidance on how Do Not Attempt Cardiopulmonary Resuscitation (DNACPRs) are used. The National Health Service provides online guidance and information for the public on DNACPR decisions, including information on asking for a second opinion or a review and if there are concerns about, or disagreement with, a DNACPR form in a patient’s or family member’s medical records. The Care Quality Commission continues to ensure providers understand their responsibilities if allegations of inappropriate application of DNACPR decisions are brought to their attention, as well as raising cases with the relevant bodies including the General Medical Council as appropriate.
The Department does not record how many DNACPR decisions are in place or whether there is agreement with those decisions, nor do we collect comparative data showing the proportion of DNACPR decisions in comparison to hospital admissions.
Asked by: Lord Austin of Dudley (Non-affiliated - Life peer)
Question to the Department of Health and Social Care:
To ask Her Majesty's Government, further to the Written Answer by Lord Kamall on 31 January (HL5607), what measures are in place to ensure patients and their families are informed of their right to ask for a second opinion and a review of decisions to impose do not resuscitate notices with which they do not agree
Answered by Lord Kamall
The Department established a Ministerial Oversight Group to ensure consistent adherence to guidance on how Do Not Attempt Cardiopulmonary Resuscitation (DNACPRs) are used. The National Health Service provides online guidance and information for the public on DNACPR decisions, including information on asking for a second opinion or a review and if there are concerns about, or disagreement with, a DNACPR form in a patient’s or family member’s medical records. The Care Quality Commission continues to ensure providers understand their responsibilities if allegations of inappropriate application of DNACPR decisions are brought to their attention, as well as raising cases with the relevant bodies including the General Medical Council as appropriate.
The Department does not record how many DNACPR decisions are in place or whether there is agreement with those decisions, nor do we collect comparative data showing the proportion of DNACPR decisions in comparison to hospital admissions.
Asked by: Lord Austin of Dudley (Non-affiliated - Life peer)
Question to the Department of Health and Social Care:
To ask Her Majesty's Government, further to the Written Answer by Lord Kamall on 31 January (HL5607), how they ensure that there is a consistent approach at different hospitals and by different clinicians in cases where do not resuscitate notices are issued when a patient and their family have said they do not agree to such an order.
Answered by Lord Kamall
The Department established a Ministerial Oversight Group to ensure consistent adherence to guidance on how Do Not Attempt Cardiopulmonary Resuscitation (DNACPRs) are used. The National Health Service provides online guidance and information for the public on DNACPR decisions, including information on asking for a second opinion or a review and if there are concerns about, or disagreement with, a DNACPR form in a patient’s or family member’s medical records. The Care Quality Commission continues to ensure providers understand their responsibilities if allegations of inappropriate application of DNACPR decisions are brought to their attention, as well as raising cases with the relevant bodies including the General Medical Council as appropriate.
The Department does not record how many DNACPR decisions are in place or whether there is agreement with those decisions, nor do we collect comparative data showing the proportion of DNACPR decisions in comparison to hospital admissions.
Asked by: Lord Austin of Dudley (Non-affiliated - Life peer)
Question to the Department of Health and Social Care:
To ask Her Majesty's Government whether (1) doctors, or (2) other hospital staff, are able to impose a do not resuscitate notice when a patient and their family have said they do not agree to such an order.
Answered by Lord Kamall
A patient or their family or advocate should be consulted before a Do Not Attempt Cardiopulmonary Resuscitation (DNACPR) form is completed for them. The patient’s wishes and preferences should be considered but a doctor or senior responsible clinician does not need the consent of the patient or their family to complete a form if they think CPR is not in the patient’s best interests. CPR is a medical treatment and clinicians do not have to provide a treatment if they think it will be unsuccessful or would cause greater harm, even if the patient or their family do not agree with the decision.
The patient and their family should always be given the chance to understand what a DNACPR is, how the decision is made and why the doctor or medical staff in charge think CPR would not be a suitable treatment in their circumstance. If the patient, their family or advocate disagree with a DNACPR decision they can ask for a second opinion and a review.
Asked by: Lord Austin of Dudley (Non-affiliated - Life peer)
Question to the Department of Health and Social Care:
To ask Her Majesty's Government whether (1) doctors, or (2) other medical staff, are able to impose a do not resuscitate notice without the consent of (1) a patient, or (2) the patient's family.
Answered by Lord Kamall
A patient or their family or advocate should be consulted before a Do Not Attempt Cardiopulmonary Resuscitation (DNACPR) form is completed for them. The patient’s wishes and preferences should be considered but a doctor or senior responsible clinician does not need the consent of the patient or their family to complete a form if they think CPR is not in the patient’s best interests. CPR is a medical treatment and clinicians do not have to provide a treatment if they think it will be unsuccessful or would cause greater harm, even if the patient or their family do not agree with the decision.
The patient and their family should always be given the chance to understand what a DNACPR is, how the decision is made and why the doctor or medical staff in charge think CPR would not be a suitable treatment in their circumstance. If the patient, their family or advocate disagree with a DNACPR decision they can ask for a second opinion and a review.
Asked by: Lord Austin of Dudley (Non-affiliated - Life peer)
Question to the Home Office:
To ask Her Majesty's Government whether they intend to proscribe Hamas's political wing as a terrorist group following the UK's withdrawal from EU.
Answered by Baroness Williams of Trafford - Captain of the Honourable Corps of Gentlemen-at-Arms (HM Household) (Chief Whip, House of Lords)
The Government does not routinely comment on whether groups are, or are not, being considered for proscription. The Government keeps the list of proscribed organisations under review.
Asked by: Lord Austin of Dudley (Non-affiliated - Life peer)
Question to the Foreign, Commonwealth & Development Office:
To ask Her Majesty's Government what steps they have taken to ensure their support for the Universal Rights Group non-governmental organisation based in Geneva, Switzerland is contingent on that organisation's support for the UK’s policy priorities in the Middle East region; and in particular, the UK's priorities in respect of the conflict between Israel and Palestine.
Answered by Lord Goldsmith of Richmond Park
HM Government respects the independence of civil society organisations. While HMG ensures objectives of projects it funds are clear and value for money, it is not contingent on support for other UK policy priorities.