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CQC to review use of DNACPR during pandemic

15 October 2020

The Department of Health and Social Care has asked the Care Quality Commission to review how Do Not Attempt Cardiopulmonary Resuscitation (DNACPR) decisions were used during the Coronavirus pandemic.

Disability organisations including DR UK raised concerns with the CQC about the use of DNACPR decisions back in the Spring when it was suspected that they were being applied to elderly and clinically vulnerable people without their consent, or with inadequate information being provided in order for them to make an informed decision.

In April, following some shocking examples where GPs send blanket letters requesting DNACPR notices be put on file in residential settings, the CQC published a joint statement with the British Medical Association (BMA), Care Provider Alliance (CPA) and Royal College of General Practitioners (RCGP), reminding all providers that it is unacceptable for advance care plans, with or without DNAR form completion to be applied to groups of people of any description.

The review is expected to look at people’s experiences in care homes, primary care and hospitals. Interim findings are expected by the end of the year, with the final report due early next year.

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