Palliative and end of life care
Palliative and end of life care are integral aspects of the care provided by health or social care professionals to people living with and dying from any advanced, progressive and incurable condition. Palliative care is not just about care in the last days and hour of life, but about ensuring quality of life for both the person and their family at every stage of the life-limiting disease process from diagnosis onwards.
We published a palliative and end of life care strategic framework for action in December 2015 and are working with stakeholders to implement it.
We have subsequently provided advice on the commissioning of palliative and end of life care for integration authorities in May 2018.
We formed the Palliative and End of Life Care National Implementation Advisory Group in 2016 to support and advise on implementation of the 10 commitments for palliative and end of life care
Cardiopulmonary resuscitation (CPR)
Cardiopulmonary resuscitation (CPR) is a treatment that could be attempted on any individual in whom cardiac or respiratory function stops.
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"), we developed and implemented a national integrated policy "Do Not Attempt Cardiopulmonary Resuscitation ( DNACPR) decision making and communication".
In 2016, we reviewed this policy 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 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.
We have provided the following guidance on CPR:
- communication about cardiopulmonary resuscitation: information for patients, their relatives and carers
- decisions about cardiopulmonary resuscitation: integrated adult policy
- DNACPR key points
- Chief Medical Officer/Chief Nursing Officer letter regarding updated DNACPR Integrated Adult Policy, 2016
Cardiopulmonary Resuscitation (CPR) decisions: framework, forms and teaching tools are available from the Healthcare Improvement Scotland website.