What is ReSPECT?
ReSPECT stands for Recommended Summary Plan for Emergency Care and Treatment.
The Resuscitation Council UK defines ReSPECT as ‘A process which creates a summary of personalised recommendations for a person’s clinical care in a future emergency in which they do not have capacity to make or express choices’. Such emergencies may include death or cardiac arrest but are not limited to those events.
Why is now the right time to implement ReSPECT?
ReSPECT recommendations are created through conversations between a person, their families, and their health and care professionals. This helps patients express what matters to them and what is realistic in terms of their care and treatment, building on the excellent advance care planning that has been happening for years but standardising it.
A lot of lessons have been learned as a result of the COVID-19 pandemic, in particular around treatment escalation plans in emergency situations, and we can put what we have learned into practice to improve the situation for all future patients and their families.
Who can benefit from a ReSPECT form?
Patients: Their preferences on their medical treatment are recorded, as are other matters important to them. These allow health and care staff to make the right decisions on the most appropriate form and place of treatment and care, in line with the patient’s wishes.
Healthcare professionals (HCPs): ReSPECT can be used by all HCPs: Healthcare staff learn valuable information about the patient from the ReSPECT form, shortening the amount of time needed to provide the right treatment. It has been shown that GPs who have already adopted it have noticed that their patients receive better care in their preferred place, often closer to home. As a result, the number of patients who go to hospital emergency departments is reduced.
Jo Greengrass, Deputy Director of Nursing, Quality and Safety for East Berkshire CCGs, said:
“Frimley Clinical Commissioning Group is implementing the national ReSPECT (Recommended Summary Plan for Emergency Care and Treatment) programme across the system, as the ReSPECT process creates personalised recommendations for clinical care in emergencies when patients are not able to make decisions or express their wishes. This plan will complement patient’s Advance Care Plan (ACP) and includes information about Do Not Attempt Cardiopulmonary Resuscitation (DNACPR). “
To access ReSPECT training
This Training is for people that are working across the Frimley Integrated Care System. It is advised that you check with your ReSPECT leads before you complete the training.
ReSPECT Level 1: Awareness
Training for all staff to know what ReSPECT stands for and how to recognise the form
- Admin & reception teams.
- Health & Social Care assistants.
- Unregistered staff.
- Registered staff who do not require further training at this stage.
ReSPECT Level 2: Action
Training for staff who will need to recognise the form and act on the recommendations.
For: Registered health & social care staff and all allied health professionals.
ReSPECT Level 3: Conversations
Training for staff who will be initiating or carrying out conversations with patients and their families about treatment escalation, DNACPR and the ReSPECT process.
For: GPs, Consultants and other staff, on a named basis, as identified by individual organisations.
Action: Register on the link below to be sent access links to this level of training: