Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, what steps he plans to take in response to a reported increase in Do not attempt cardiopulmonary resuscitation orders being used on patients with learning difficulties during the covid-19 outbreak.

We have been clear that learning disability should never be a reason for a Do Not Attempt Cardio-Pulmonary Resuscitation (DNACPR) decision and that blanket DNACPR decisions are completely inappropriate. NHS England and NHS Improvement have issued a number of joint statements to health and care providers reiterating this.

We have asked the Care Quality Commission to undertake a review of DNACPR decisions during the COVID-19 pandemic. This is underway and will report on later this year. The 2020/21 General Medical Services Contract Quality and Outcomes Framework now includes a requirement for all DNACPR decisions for people with a learning disability to be reviewed. We continue to monitor the situation and have asked representative organisations to inform us where cases of inappropriate DNACPR practice are identified.