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ReSPECT process launches in Lincolnshire

Dates: 4, February, 2019 Category: CCG News Local health

A new process giving people more influence over their future care and treatment in emergency situations has launched.

ReSPECT – which stands for Recommended Summary Plan for Emergency Care and Treatment – went live on February 4.

It consists of a form which is filled in following conversations between patients and their healthcare staff to determine a personalised plan for potential future emergency care and treatment.


ReSPECT can record preferences and recommendations for emergency situations, whatever stage of life the patient is at. It is designed to allow patients greater influence on what happens to them in their own individual situation and ensures their wishes are carried out appropriately.

Dr Adam Brown, Consultant in Palliative Medicine at St Barnabas and United Lincolnshire Hospitals Trust, said: “Many life-sustaining treatments involve risks of causing harm, discomfort and loss of dignity. They could involve the risk of dying in hospital when a patient may have wanted to be at home.

“ReSPECT explores that person’s preferences for their care and realistic treatment in the event of a future emergency. It then goes on to make and record agreed clinical recommendations for in a future emergency in which they have lost the capacity to make or express decisions.

“ReSPECT is a national process which we are adopting locally. It is already recognised in several areas across England which means the forms will enable professionals such as ambulance crews, doctors, care home staff and hospital staff to make immediate decisions about a person’s emergency care and treatment.”

Earlier conversations

Rebecca Taylor, Lead Nurse for Quality at NHS Lincolnshire West CCG said ReSPECT would help initiate difficult conversations.

She said: “ReSPECT is about awareness.

“This new initiative will provide more clear guidance from patients than the previous Do Not Attempt CPR orders.

“It is focusing on patient choices and involvement.

“ReSPECT allows people to have these conversations earlier on, and to cover a wider range of treatment than just CPR.

“We want these conversations to be had between families, patients and healthcare professionals about how individuals want to be treated.

“They will also discuss what they want their treatment plan to look like.”

Watch the video below for more information.

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