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Decisions about Cardiopulmonary Resuscitation - Integrated Adult Policy

Decisions about Cardiopulmonary Resuscitation - Integrated Adult Policy

Wednesday, August 31, 2016

ISBN: 9781786524386

This policy is specifically about cardiopulmonary resuscitation (CPR), meaning treatment given with the aim of restoring sustainable spontaneous circulation and breathing when both have stopped. It does not indicate an advance decision about any other emergency treatment and/or care, including procedures that are sometimes loosely referred to as “resuscitation” such as rehydration, blood transfusion, intravenous antibiotics etc.

Executive Summary

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)