Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, what steps he has taken to ensure that Do Not Resuscitate instructions are not imposed on care homes in winter 2020-21.

The Department remains clear that the blanket application of do not attempt cardiopulmonary resuscitation decisions (DNACPRs) is unacceptable and that standards and quality of care should be maintained even in pressurised circumstances. The Adult Social Care Winter Plan published on 18 September 2020 reiterates this.

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. We have been working with NHS England and NHS Improvement to take national action across a number of fronts and continue to work with stakeholders to understand what more we can do nationally, to stop inappropriate DNACPR decisions being made for individuals.