ReSPECT
The Trust has begun use of a new form called ReSPECT, replacing the Do Not Attempt Resuscitation (DNACPR) form for patients being discharged. ReSPECT (Recommended Summary Plan for Emergency Care and Treatment) forms provide clear and personalised guidance about your preferences regarding emergency treatment and care.
While DNACPR forms focus on whether or not a patient should receive CPR in the event of cardiac or respiratory failure, they do not address other aspects of emergency care or medical treatment.
The benefits of ReSPECT
ReSPECT is more detailed, allowing for tailored recommendations for individuals’ clinical care in future emergencies. This reflects a move towards more comprehensive and person-centred care, respecting both patient preferences and clinical judgement. The ReSPECT form aims to do this through:
Empowering you to express their care preferences by documenting their values, priorities and treatments plans- Guide healthcare professionals in emergencies with clear, concise recommendations about appropriate treatments tailored to the individual, helping healthcare professionals to feel comfortable having those conversations
- Encourage open communication between patients, families and healthcare providers
- Ensure continuity of care across settings by providing a document that informs all healthcare teams of the agreed plan
- Support ethical decision-making by prioritising patient autonomy while aligning with best clinical practices
The precedent behind ReSPECT
ReSPECT already exists and is used successfully by several other local Trusts. The ReSPECT form is now in use at both Bedford Hospital and the L&D, and is a patient-centred initiative. More information about ReSPECT and frequently asked questions can be found on the Resuscitation Council UK website.