Asked by: Daisy Cooper (Liberal Democrat - St Albans)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, with reference to the report by the Parliamentary and Health Service Ombudsman entitled End-of-life care: improving 'do not attempt CPR' conversations for everyone, published on 14 March 2024, what assessment she has made of the implications for her policies of the recommendation that CPR training for all doctors and nurses should include scenario-based training on Do Not Attempt Cardiopulmonary Resuscitation conversations.
Answered by Helen Whately - Minister of State (Department of Health and Social Care)
The Department will respond to the report by the Parliamentary and Health Service Ombudsman entitled End-of-life care: improving 'do not attempt CPR' conversations for everyone, in due course.
Asked by: Daisy Cooper (Liberal Democrat - St Albans)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, with reference to the report by the Parliamentary and Health Service Ombudsman entitled End-of-life care: improving 'do not attempt CPR' conversations for everyone, what assessment she has made of the implications for her policies of the recommendation that NHS England should expand the number and type of staff who can formally support Do Not Attempt Cardiopulmonary Resuscitation conversations in multiple settings.
Answered by Helen Whately - Minister of State (Department of Health and Social Care)
The Department will respond to the report by the Parliamentary and Health Service Ombudsman entitled End-of-life care: improving 'do not attempt CPR' conversations for everyone, in due course.
Asked by: Daisy Cooper (Liberal Democrat - St Albans)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, with reference to the report by the Parliamentary and Health Service Ombudsman entitled End-of-life care: improving 'do not attempt CPR' conversations for everyone, what assessment she has made of the implications for her policies of the recommendation that accessible communication materials should be accessible in health settings to support staff and patients with end-of-life conversations.
Answered by Helen Whately - Minister of State (Department of Health and Social Care)
The Department will respond to the report by the Parliamentary and Health Service Ombudsman entitled End-of-life care: improving 'do not attempt CPR' conversations for everyone, in due course.
Asked by: Daisy Cooper (Liberal Democrat - St Albans)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, with reference to the report by the Parliamentary and Health Service Ombudsman entitled End-of-life care: improving 'do not attempt CPR' conversations for everyone, what assessment she has made of the implications for her policies of the recommendation that for advance care planning conversations the primary care electronic patient record needs to be (a) the single place for holding (i) end-of-life care plans and (ii) Do Not Attempt Cardiopulmonary Resuscitation records and (b) accessible across all health settings.
Answered by Helen Whately - Minister of State (Department of Health and Social Care)
The Department will respond to the report by the Parliamentary and Health Service Ombudsman entitled End-of-life care: improving 'do not attempt CPR' conversations for everyone, in due course.
Asked by: Baroness Browning (Conservative - Life peer)
Question to the Department of Health and Social Care:
To ask His Majesty's Government what criteria apply to NHS hospitals when requesting patients to sign a 'do not resuscitate' form.
Answered by Lord Markham - Parliamentary Under-Secretary (Department of Health and Social Care)
There are no set criteria applied to National Health Service hospitals when requesting patients sign do not resuscitate forms. Doctors are required to make do not attempt cardiopulmonary resuscitation (DNACPR) decisions based on the individual circumstances of a patient, and with the involvement of the person concerned or, where the person lacks capacity, their family, or any other legally recognised advocate.
Patient facing guidance setting out how DNACPR decisions should be made, and how individuals or their families can get support about a DNACPR, is provided on the NHS website, in an online only format.
Asked by: Baroness Browning (Conservative - Life peer)
Question to the Department of Health and Social Care:
To ask His Majesty's Government how many 'do not resuscitate' forms have been signed in each of the past five years.
Answered by Lord Markham - Parliamentary Under-Secretary (Department of Health and Social Care)
The Department does not hold this data.
Asked by: Daisy Cooper (Liberal Democrat - St Albans)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what guidance her Department provides to ensure that patients' relatives are aware of their right to a second opinion when a doctor makes a do not attempt cardiopulmonary resuscitation decision.
Answered by Maria Caulfield - Parliamentary Under Secretary of State (Department for Business and Trade) (Minister for Women)
Patient facing guidance setting out how the decision for a do not attempt cardiopulmonary resuscitation (DNACPR) is made, and how individuals or their families can get support if they have concerns about a DNACPR, including second opinions and review, is available at the following link:
https://www.nhs.uk/conditions/do-not-attempt-cardiopulmonary-resuscitation-dnacpr-decisions/
Asked by: Peter Gibson (Conservative - Darlington)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what steps he has taken to ensure that all DNR notices put in place during the pandemic in Darlington have now been removed.
Answered by Maria Caulfield - Parliamentary Under Secretary of State (Department for Business and Trade) (Minister for Women)
The Department does not hold information on individual Do Not Attempt Cardiopulmonary Resuscitation (DNACPR) decisions at specific National Health Service trusts. Concerns about individual DNACPR decisions should be raised with the health or care provider involved in the first instance.
The Care Quality Commission continues to ensure providers understand their responsibilities should allegations of inappropriate application of DNACPR decisions be made, as well as raise cases with the relevant bodies as appropriate.
Asked by: Lord Austin of Dudley (Non-affiliated - Life peer)
Question to the Department of Health and Social Care:
To ask Her Majesty's Government, further to the Written Answer by Lord Kamall on 31 January (HL5607), whether they collect comparative data showing the proportion of do not resuscitate notices that have been issued when a patient and their family have said they do not agree to such an order in comparison to the number of patients the hospital has admitted
Answered by Lord Kamall
The Department established a Ministerial Oversight Group to ensure consistent adherence to guidance on how Do Not Attempt Cardiopulmonary Resuscitation (DNACPRs) are used. The National Health Service provides online guidance and information for the public on DNACPR decisions, including information on asking for a second opinion or a review and if there are concerns about, or disagreement with, a DNACPR form in a patient’s or family member’s medical records. The Care Quality Commission continues to ensure providers understand their responsibilities if allegations of inappropriate application of DNACPR decisions are brought to their attention, as well as raising cases with the relevant bodies including the General Medical Council as appropriate.
The Department does not record how many DNACPR decisions are in place or whether there is agreement with those decisions, nor do we collect comparative data showing the proportion of DNACPR decisions in comparison to hospital admissions.
Asked by: Lord Austin of Dudley (Non-affiliated - Life peer)
Question to the Department of Health and Social Care:
To ask Her Majesty's Government, further to the Written Answer by Lord Kamall on 31 January (HL5607), how many do not resuscitate notices proposed by clinicians have not been subsequently imposed as a result of consulting a patient or their family who said they do not agree to such an order.
Answered by Lord Kamall
The Department established a Ministerial Oversight Group to ensure consistent adherence to guidance on how Do Not Attempt Cardiopulmonary Resuscitation (DNACPRs) are used. The National Health Service provides online guidance and information for the public on DNACPR decisions, including information on asking for a second opinion or a review and if there are concerns about, or disagreement with, a DNACPR form in a patient’s or family member’s medical records. The Care Quality Commission continues to ensure providers understand their responsibilities if allegations of inappropriate application of DNACPR decisions are brought to their attention, as well as raising cases with the relevant bodies including the General Medical Council as appropriate.
The Department does not record how many DNACPR decisions are in place or whether there is agreement with those decisions, nor do we collect comparative data showing the proportion of DNACPR decisions in comparison to hospital admissions.