In 2010 an Integrated Adult Do Not Attempt Cardiopulmonary Resuscitation (DNACPR) and associated Children and Young Persons Acute Deterioration Management (CYPADM) policies were published in Scotland. In 2016, the DNACPR 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). The policy takes into account relevant legal changes resulting from recent case law including; Montgomery vs Lanarkshire Health Board Scotland 2013; Tracey v Cambridge University NHS Trust and the Secretary of State for Health; and Winspear vs City Hospitals Sunderland NHS Trust.
The Children and Young Persons Acute Deterioration Management policy includes decisions about wider resuscitative measures while the Adult Do Not Attempt Cardiopulmonary Resuscitation policy is specific to cardiopulmonary resuscitation treatment.
The Scottish Government does not print these forms or hold stocks.
The relevant information to organise printing of DNACPR forms, along with DNACPR framework and training materials, is located on Healthcare Improvement Scotland's website, including all graphics and instructions for printing.
NHS Board DNACPR leads have all been made aware that they are responsible for the ongoing printing of these forms and accompanying information: