In 2010, in response to a specific recommendation from the Public Audit Committee (following the Audit Scotland publication “Review of Palliative Care Services in Scotland”), the Scottish Government developed and implemented a national integrated policy “Do Not Attempt Cardiopulmonary Resuscitation (DNACPR) Decision Making and Communication”.
In 2016, this policy was reviewed to reflect feedback and changes in the national good practice guidance (Decisions Relating to Cardiopulmonary Resuscitation – guidance from the British Medical Association, Royal College of Nursing and the Resuscitation Council (UK) – 2016). The policy also confirms the guidance within “Treatment and care towards the end of life: Good practice in decision-making” from the General Medical Council (2010). This policy takes into account relevant legal changes resulting from recent case law including; Montgomery vs Lanarkshire Health Board Scotland 2013 (https://www.supremecourt.uk/cases/uksc-2013-0136.html); Tracey v Cambridge University NHS Trust and the Secretary of State for Health. (https://www.judiciary.gov.uk/wp-content/uploads/2014/06/tracey-approved.pdf); and Winspear vs City Hospitals Sunderland NHS Trust (http://www.bailii.org/ew/cases/EWHC/QB/2015/3250.htm)