Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, whether physician (a) associates and (b) assistants are permitted to (i) discuss (A) Do Not Resuscitate and (B) Respect forms with patients at (1) NHS trusts and (2) GP surgeries and (ii) initiate conversations on end of life.

We want a society where every person receives high-quality, compassionate care from diagnosis through to the end of life. With regard to palliative care and end of life care, this must include the opportunity for individuals to discuss their wishes and preferences so that these can be taken fully into account in the provision of their future care. This is also known as advance care planning (ACP). ACP is a voluntary process of person-centred discussion between an individual and their care providers about their preferences and priorities for their future care. ReSPECT is one tool that can be used to support wider ACP conversations. NHS England has published Universal Principles for ACP, which facilitate a consistent national approach to ACP in England. Further information on the Universal Principles for ACP is available at the following link:

https://www.england.nhs.uk/publication/universal-principles-for-advance-care-planning/

Cardiopulmonary resuscitation (CPR) decision policies are determined locally by organisations providing National Health Service care. The Resuscitation Council UK, British Medical Association, and the Royal College of Nursing have jointly produced guidance on decisions about CPR. It states that the overall clinical responsibility for decisions about CPR, including Do Not Attempt Cardiopulmonary Resuscitation decisions, rests with the most senior clinician responsible for the person’s care, as defined explicitly by local policy.

The Government commissioned Professor Gillian Leng CBE to lead an independent review of the physician and anaesthesia associate professions. The review considered the safety of the roles and their contribution to multidisciplinary healthcare teams.

The review has now concluded and will be published shortly. The conclusions of the review will inform the workforce plan to deliver the 10-Year Health Plan, as well as future Government policy.