Improving patient experience and expectations regarding Do Not Attempt Cardio Pulmonary Resuscitation (DNACPR) decisions
What:
The DNACPR project is a regional approach aimed at improving end of life care. An agreed protocol and standardised form for the communication of DNACPR decisions is being developed and implemented across Yorkshire and the Humber, engaging all PCTs, acute hospitals, community services and the Yorkshire Ambulance Service.
Why:
Prolonging a patient’s life through CPR is not always in the best interest of the patient or their family. In cases where there is an identifiable risk of cardiac or respiratory arrest, due to an underlying incurable condition, it is desirable to support patients and their families in making decisions about whether they would want to be resuscitated in the event of cardiac or respiratory arrest. The aim is to increase the number of people experiencing a good death in their place of choice by preventing inappropriate attempts at CPR and other invasive treatments in the end stages of a patient’s life. This systematic approach also aims to improve patient and carer experience and increasing the number of people ending their lives in their place of choice.
Impact:
This project has enhanced the profile of DNACPR decision making resulting in an improvement in the information provided to and communications with patients and their families. Feedback from staff groups and individuals has evidenced a confidence in the process and the form and the resulting appreciation of patients and families when the DNACPR decision is facilitated and a peaceful death occurs. Please click here to view the DNACPR form.
Lead Contact: Justine Paul, DNACPR Project Manager, NHS Bradford and Airedale
01274 237 411 or Justine.paul@bradford.nhs.uk
