The Department of Health and Social Care (DHSC) has asked the CQC to review the use of Do Not Attempt Cardiopulmonary Resuscitation (DNACPR) decisions during the coronavirus pandemic.
The move follows concerns about the issuance of blanket (DNACPR) orders without consent for older people and people with a learning disability in advance care plans during the height of the pandemic.
In April, 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.
Dr Rosie Benneyworth, Chief Inspector of Primary Medical Services and Integrated Care at the Care Quality Commission, said: “We welcome this commission from Department of Health and Social Care and are taking it forward at pace. This builds on the concerns we reported earlier in the year and we are pleased that they are being given closer attention.
“Health and social care providers have faced extraordinary pressures this year. Both staff, and people using services and their loved ones, have at times raised concerns with us about care. It is vital that we take this opportunity to learn from what has happened – challenging poor care and sharing the ways that providers have put people’s needs at the heart of their care so that others can learn from them.
“Along with partners we have been clear that it is unacceptable for advance care plans, with or without Do Not Attempt Resuscitation (DNAR) form completion, to be applied to groups of people of any description. These decisions must continue to be made on an individual basis according to need. Through this review we will look to identify and share best practice in this complex area, as well as identifying where decisions may not have been patient-centred and ensuring mistakes are not repeated.”
Interim findings are expected to be reported by the CQC later this year with a final report in early 2021.