Cardiopulmonary Resuscitation in the Pandemic

Opened the debate

The MP raised concerns about the use of 'Do not attempt cardiopulmonary resuscitation' notices during the pandemic, highlighting instances where blanket policies were applied without proper consultation with patients or their families. He emphasised that DNACPR orders should be used appropriately and on an individual basis, in accordance with best interests considerations set out in the Mental Capacity Act 2005. The CQC reviewed these reports and found some serious failings, including a lack of best interest assessments for many care records. Kruger called for a consistent national approach to DNACPR decisions, training for staff, and proper oversight to ensure that all patients receive the care they need right up until the moment of death.

Government Response

The Minister acknowledged the concerns raised by Danny Kruger about inappropriate DNACPR decisions during the pandemic. She confirmed that there was never an instruction or directive issued to put in place blanket DNACPR orders and emphasised that every end-of-life scenario is different, requiring individualised care plans. The CQC conducted a review which identified three key areas for improvement: information, training and support for health and care professionals; a consistent national approach to advanced care planning; and better processes to ensure personalised care in relation to DNACPR decisions. Dorries committed to driving forward the recommendations of the review through a ministerial oversight group that will bring together partners from across the health and social care system. She also highlighted that nhs.uk has now put up a public facing message explaining the process of DNACPRs, how those decisions should be taken and how those conversations should happen.