Asked by: Lord Balfe (Conservative - Life peer)
Question to the Department of Health and Social Care:
To ask Her Majesty's Government whether they have given advice and direction to GPs on their mandatory working hours; and what assessment they have made of whether GPs working their mandatory hours would lead to a reduction in the number of patients referred to Accident and Emergency departments without first being seen by their GP.
Answered by Lord Kamall
We have provided no such advice or direction as general practitioners are independent contractors with no mandatory working hours Therefore, no specific assessment has been made.
Asked by: Lord Balfe (Conservative - Life peer)
Question to the Department of Health and Social Care:
To ask Her Majesty's Government, further to the reported increase in the use of Do Not Attempt Cardiopulmonary Resuscitation orders during the COVID-19 pandemic, what additional guidance they have provided to hospitals regarding consulting patients and their families prior to such orders being issued; and when this guidance was distributed.
Answered by Lord Bethell
Failure to consult people and their families on decisions around CPR causes significant distress and we have taken decisive action to prevent this from happening. NHS England and NHS Improvement clinical leaders issued a number of letters to the health and social care system throughout April and May 2020, and in March 2021, to clarify best practice around do not attempt cardiopulmonary resuscitation (DNACPR) decisions.
Joint guidance for clinicians from the British Medical Association, the Resuscitation Council UK and Royal College of Nursing reflects that agreement to a DNACPR is an individual decision and should involve the person concerned or, where the person lacks capacity, their families, carers, guardians or other legally recognised advocates. The Department reiterated this message in the Adult Social Care Winter Plan in 2020.
The DNACPR Ministerial Oversight Group continues to review the resources available to ensure adherence to DNACPR guidance across the system. Sensitive and well communicated DNACPRs can and should be an important part of patient care and end of life experience. We are committed to taking continued action to ensure those decisions are managed and communicated well in all settings.