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Regional DNACPR Policy

Regional DNACPR Policy. Steve Barnard, Head of Clinical Governance, North West Ambulance Service NHS Trust Steve.barnard@nwas.nhs.uk. Background. Perceived lack of DNACPR Policy across NW in community setting High degree of variance regarding DNACPR documentation/recording

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Regional DNACPR Policy

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  1. Regional DNACPR Policy Steve Barnard, Head of Clinical Governance, North West Ambulance Service NHS Trust Steve.barnard@nwas.nhs.uk

  2. Background • Perceived lack of DNACPR Policy across NW in community setting • High degree of variance regarding DNACPR documentation/recording • Variable/lack of communication – patient, professional & organisational • Lack of policy integration between care settings and services

  3. National DNACPR Developments • National EoLC Programme developing principles • North East produced Deciding Right • Deciding Right includes Emergency Health Care Planning, ADRT and DNACPR • East of England and South Central SHAs have implemented single DNACPR Policies with standard forms. • Indication that national principles will reflect Deciding Right publication

  4. Regional DNACPR Developments • Implementation of Regional DNACPR policy is part of NW EoLC QIPP Project • NHS NW have agreed to adopt NW regional approach • Agreement to unify DNACPR Policy only • Adopt similar approach to South Central SHA • NWAS to act as project lead and support • NHS NW to write to Cluster Chief Executives for expressions of interest for early adopter sites.

  5. Regional DNACPR Concept • Unified regional approach to organisation policy design. • A common decision making process for DNACPRs • A common communication and info sharing process • A common policy statement to enable validity of DNACPRs for 7 days following a change in care setting. • A single DNACPR document for all settings • Individualised roles, responsibilities, procedures and governance

  6. Project Benefits • Supports a more integrated approach across different care settings and organisations - offering potentially seamless care and reducing the risk of inappropriate clinical decisions • Improved communication with patients and carers • Improved information sharing between organisations – more robust and timely • A potential reduction in 999 demand • A potential reduction in inappropriate admissions

  7. Project Structure • Single NW DNACPR Project Board • Early adopter sites identified at Cluster-level with Cluster-level Project Groups. • Criteria for early adopters to include: • The cluster has at least 2 acute trusts who are willing and have agreed to work in partnership with their local PCT/community services as part of the pilot. • The cluster (or organisations involved) can commit to working towards the timescales indicated.

  8. Timescales • Implementation of the unified NW DNACPR policy is required by the end of March 2013 • Identification of pilot sites is required by the 1st February 2012 • Agreement of common NW DNACPR principles and documentation by 1st April 2012 • Go live with first wave of early adopters by 1st June 2012

  9. Questions?

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