Unified Do Not Attempt Cardiopulmonary Resuscitation (uDNACPR) / ReSPECT

ReSPECT document

NWC SCN’s current position statement

  • No change to current North West documentation at this time (Appendix 3; see NWC SCN position statement above)
  • NW uDNACPR will be referred to as guidance rather than policy going forward
  • The North West Strategic Clinical Networks in collaboration have agreed to provide guidance to localities considering implementation of ReSPECT over the next 2 years
  • ReSPECT implementation is not mandated but supported by key national stakeholders
  • Compile a North West evidence base for safe implementation of the ReSPECT process
  • Gather evidence from other areas implementing ReSPECT process including obtaining and share detailed outcomes from the current National pilots of the ReSPECT process
  • It will continue to be the responsibility of each locality to set their own timeline for potential implementation of ReSPECT


“The primary goal of healthcare is to benefit patients, by restoring or maintaining their health as far as possible, thereby maximising benefit and minimising harm.   If treatment fails, or ceases to benefit the patient, or if an adult patient with capacity has refused treatment, then that treatment is no longer justified.” (BMA, RC (UK), RCN 2007)

Although cardiopulmonary resuscitation (CPR) can be attempted on any person prior to death, the chance of survival following CPR in adults is relatively low depending on the circumstances. There comes a time for some people when it is not in their best interests to aggressively treat in this manner. It may then be appropriate to consider making a Do Not Attempt CPR (DNACPR) decision to enable the person to die with dignity.

The aim of the unified DNACPR (uDNACPR) policy is to ensure patients have a seamless service across settings and localities. Improving the patients’ and relatives’ experience is paramount and will also support the professional in the delivery of care.  The full policy can be found on the North West Ambulance Service (NWAS) website.

This toolkit provides educational resources for Health Care Professionals involved in making DNACPR decisions as well some guidance for those that care for patients at end of life.

The toolkit below contains education resources and shows in the appendices those resources, which have been shared and can be downloaded via the table below. Please click on the image to access the full toolkit.

The links to the resources detailed in the toolkit can be accessed via links in the ‘name’ column in the table below.

Appendix Name Format
A Unified Adult DNACPR Policy PowerPoint
B Care Homes Presentation PowerPoint
C Guidance For Care Homes PowerPoint
D DNACPR Conversations Flowchart PDF
E Decision Making Framework PDF
F Mental Capacity Act Guidance PDF
G Frequently Asked Questions Word
H How to complete the uDNACPR form PowerPoint
I Updated e-ELCA website includes a section on Priorities for Care of Dying People which is now live on the e-LfH Hub. This includes the Training Needs Analysis session and hard copy guide, the Core and Additional Sessions PDF and Learning Paths for specific staff groups – access via the handbook or using this link. PDF
J Electronic Version of uDNAPCR Form PDF
K Patient Information Booklet PDF
L Example of Easy Read Booklet PDF
M NWAS Staff Updates PDF
N ERISS Information PDF
O Audit Tool Word