ReSPECT

ReSPECT

Dr Gill Pottinger

Clinical Lead for End of Life Care, Leeds CCG

Recommended

Summary

Plan for

Emergency

Care and

Treatment

ReSPECT

ReSPECT

Recommended Summary Plan for Emergency Care and Treatment

What is ReSPECT

is a process that creates personalised recommendations for a

persons clinical care in the emergency setting when they are unable

to make or express their choices.

National Form, recognised across the UK

ReSPECT

Why is ReSPECT important?

ReSPECT

Anyone any age can have a form with increasing relevance

for those with:

• a terminal diagnosis • life limiting illness • nearing the end of their life • at risk of deterioration • would like to document their preferences

You can start the conversation with your patients/their

responsible person at anytime.

ReSPECT

Mental Capacity

assess capacity before having a ReSPECT

conversation.

ReSPECT

The discussion and form may cover a range of interventions

including:

• Escalation of care in the community • Admission to other care settings e.g. hospice • Admission to hospital • Escalation and ceiling of care* • Admission to critical care settings • CPR Discus the areas your expertise cover and you are comfortable with

ReSPECT

Initiating the Conversation “please tell me what you understand about your medical condition?” “can you tell me about any support you need or help you are receiving?”

Digital form

ReSPECT

ReSPECT

What Matters to Me?

“please tell me what is important to you”

“can you tell me about any concerns you have?”

“have you had any thoughts about treatments you would

want?”

“Are there any treatments or care you would not want?”

ReSPECT

does not change our legal duties

• Patients must be offered the opportunity to discuss DNACPR before the decision is applied, unless it would cause harm

• ReSPECT is NOT legally binding

• Decisions are not based on assumptions about any of our patients including those with a disability or other protected characteristics

ReSPECT

A form does not automatically mean the patient is

not for resuscitation

It is good practice to review the decisions if you are aware there

has been a change in the patients condition, they would like to

update their preferences, or with your clinical judgement

ReSPECT

ReSPECT

KEY POINTS • Having a ReSPECT form does NOT mean DNACPR

• ReSPECT is about having a conversation, this best done in

the community setting when the patient is well.

• Always assess capacity

• ReSPECT is not legally binding

• There should be regular reviews of the ReSPECT conversation when a patients condition or care setting changes.

ReSPECT

Thank you.