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How we are involved with ReSPECT for emergency care

13 March 2017

NIHR CLAHRC Wessex has been working with a number of organisations to look into the burden of treatment and complexity in end of life care.

It has been reviewing a decision aid ReSPECT for health professionals, families and patients to use when a person is unable to communicate their medical treatment preferences.

Professor Alison Richardson (pictured), Professor of Cancer Nursing and End of Life Care & Director - Southampton Academy of Research, said

“This work is the culmination of a process, stretching back over 18 months . NIHR CLAHRC Wessex has held in-depth discussions with doctor, nurses and ambulance crews and whole healthcare teams from a range of different organisations, as well as with people, their families and other carers. The feedback from these discussions was shared with the developers of the Recommended Summary Plan for Emergency Care and Treatment (ReSPECT) documentation.

 In addition to this we are looking at the factors that can serve to inhibit or block bringing this approach into hospitals and primary care. The ReSPECT process is designed to encourage early discussions between patients, relatives and clinicians. It focuses on care and treatment that should be actively considered, not solely treatment to be withheld. Anyone can have one of these plans, but they have particular relevance for people who might be approaching the end of their lives. It is really important to have conversations about what people would want, and initiate a conversation and shared decision making between healthcare professionals, people and their families or other carers to ensure needs and wishes are documented and respected. This can help ensure high-quality care in the event of patient deterioration and make patients and families lives better.” 

You can hear more about ReSPECT on Radio 4 today see below and on YouTube (from Friday 10 March, 2017)

BBC piece online


Patient and public involvement is vital to the success of the CLAHRC.

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