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Advance Care Planning, ReSPECT Forms, Advanced Decision to Refuse Treatment

  

The importance of patients and families having the opportunity to share their priorities for their future care is crucial particularly around times such as pandemics. To assist you with this an electronic ReSPECT has been developed. Also please find some helpful updates and reminders that may be of use.


Electronic ReSPECT Forms

Click on image below for link to electronic ReSPECT form (version 3)

 

 

Increasing the amount of EOLC planning should be considered wherever possible, so please consider undertaking a ReSPECT discussion during a remote consultation.

Complete remotely the new electronic form with an electronic signature (this is simply a typed name) and GMC number.

In order to be IG compliant the document needs to be saved as a PDF in the patient notes.

About Updated Version 3 Form

Following feedback from professionals, patients and their families, Resuscitation Council UK has improved the ReSPECT (Recommended Summary Plan for Emergency Care and Treatment) process which supports conversations about care in a future emergency.

RCUK has introduced an updated and improved version of the ReSPECT form (version 3) used to document conversations and recommendations made for care and treatment in an emergency.

The ReSPECT process aims to develop a shared understanding between the healthcare professional and the patient of their condition, the outcomes the patient values and those they fear and then how treatments and interventions, such as cardiopulmonary resuscitation (CPR) fit into this.

It supports the important principle of personalised care. As previously other community healthcare professionals can have these conversations and complete the form as well as GPs.

The COVID-19 pandemic has highlighted the importance of sensitive and well-structured conversations about someone’s realistic care choices and for there to be shared understanding between professionals, patients and their families.

Version 3 of the ReSPECT form is more patient-centred (their circumstances, their understanding and their perspective) than previous versions and contains more prompts for explicit clinical reasoning.

It addresses areas where misunderstandings have been reported and more personable and clearer language have been included.

It should not take any more time to complete than version 2.

 

 

ReSPECT Form Discussion Guide

 

 

ReSPECT Form Advice for Patients

 

 

 

Advanced Decision to Refuse Treatment (ADRT)

 

Click on image below for printable version

Training links

E-learning for Health Online training under EOLC COVID tab click link

ReSPECT online training click link

For a demonstration of merging and saving in EMIS click this link 

If required the pdf version can then be printed at the practice  (or in the future in one of the resilience hubs) to then send on to a patient or Care Home. Alternatively the completed electronic PDF form could be emailed to a Care Home using a secure NHS.net account.

Please refer to flow diagram explaining the process.

 

 

Useful Resources

Compassion in Dying

Compassion in Dying provide free information to help people understand their options. This includes booklets for people at the end of life or living with life-changing illness.

We provide Advance Statements and Advance Decisions (‘Living Wills’) for people who want to record their wishes for care, or who have views about treatment they wouldn’t want to receive.

We provide tailored resources for Black, Asian, and minority ethnic, LGBT and faith groups.

Our MyDecisions website helps people make an Advance Decision and/or Advance Statement online. Developed in collaboration with healthcare professionals, legal experts and people who have been supported by our services, the website guides people through a series of questions to help them consider what’s important to them. It then generates a personalised Advance Decision or Advance Statement document to print, sign and share.

ReSPECT FAQs from the Resuscitation Council – further details and guidelines follow link

Bereavement Support

Click on this link for COVID-19 bereavement support pack

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