By Bethany Hemsley
The Care Quality Commission is to review how advance care plans, including Do Not Attempt Cardiopulmonary Resuscitation (DNACPR) decisions, were used during the coronavirus pandemic.
This builds on concerns raised earlier this year that elderly and vulnerable people may be being subjected to DNACPR decisions without their consent or with little information to allow them to make an informed decision.
In April, all providers were reminded that it is unacceptable for advance care plans, with or without DNAR, to be applied to groups of people of any description. These decisions must be made on an individual basis according to need.
Dr Rosie Benneyworth, chief inspector of primary medical services and integrated care at the CQC said: “We welcome this commission from Department of Health and Social Care. It is vital that we take this opportunity to learn from what has happened.
“Through this review we will look to identify and share best practice in this complex area, as well as identifying where decisions may not have been patient-centred and ensuring mistakes are not repeated.”
Interim findings of the CQC report are expected to be reported later this year with a final report in early 2021.
The Chief Executives of Care Inspectorate Wales and Healthcare Inspectorate Wales, Gillian Baranski and Alun Jones, have also jointly written to the chief executives of local authorities, health boards and NHS trusts across Wales to share some of the key issues that have arisen in their work over the past six months.
The letter highlights:
- The importance of easy and timely access to PPE and COVID testing
- Training in infection prevention and control
- People receiving health and social care, or their families or advocates, must be involved in decision-making about that person’s care
- Importance of staff speaking up