If you would like to develop a ReSPECT electronic form for your patient record system, please contact us at firstname.lastname@example.org. All forms developed must be submitted for approval before being accepted for use. Full information, forms and brochures are available on the Gloucestershire CCG website. This information is recorded on a ReSPECT form owned and retained by the individual. There is also a national website that provides more information – ReSPECT We hold regular conference calls that adopters can attend. If you would like to be invited to participate in the calls, please send an email indicating the location of the adopter in which you work, email@example.com To create an advance plan for the care and treatment of a person in the event of an emergency, it is essential to ensure that the plan is understood and implemented if the person is unable at the time of the emergency to: make or express a choice. The plan should be concise, clear and in a format that is instantly and universally recognizable in any care setting. ReSPECT (Recommended Summary Plan for Emergency Care and Treatment) strives to meet these requirements in partnership with national stakeholders.  In contrast, many precautionary and escalation plans for treatment are limited to specific clinical areas or locations and can be lengthy (some are longer than 20 pages).
While detailed plans can help make complex decisions when time permits, they can be a handicap when a quick decision is needed. The PHM dataset consists of two tables: Attributes and Activity. The first table provides information on patient characteristics such as demographic information (age and sex), clinical information (long-term illness), socioeconomic information (deprivation index) and other data such as smoking and social status. The second table contains information on patient contact, such as location of delivery (e.g., secondary, hospital, and optional), specialty (e.g., dermatology), providers, appointments, hours, and costs. More details about the content can be found in the Github online repository.28 ReSPECT can be used for both adults and children and includes wishes and recommendations for treatment as well as recording treatments that are not desired or would not work. It can be applied to any emergency, including those that are expected to recover completely. Like any care plan, it is not legally binding, but it should not be ignored when making emergency decisions. In England and Wales, a preliminary ruling refusing treatment is binding if it is valid and applicable in the circumstances; under the common law in Scotland, a valid and enforceable living will would have a similar status. Socio-demographic, medical and respect data to be collected It should also be taken into account that, regardless of the pandemic, all studies published on the ReSPECT form included small samples, and the majority focused on secondary care.
This study is the first to examine the implementation, use, and outcomes of all documented forms of ReSPECT (from primary and secondary care) for a broad patient population, particularly the approximately one million patients served by the NBSSG GCC. If you are an inpatient or inpatient nurse and would like to know more, please ask the department supervisor for more information. The NBSSG region represents a diverse population in both urban and rural areas.29 In 2017, the NBSSG population was approximately 951,000, with an average age of 36 years, just below the national median age of 40.4.30 Of the BNSSG population, 9.8% are Black and Asian. This figure is slightly lower than the national average of 14.6%, but represents a large local variation, with Bristol above the national average at 16%.31 BNSSG is a relatively wealthy region, with only 16% of the population living in the most disadvantaged national quintile (the national average is 20%).32 33 These mixed results may be partly explained by differences in training and familiarity with ReSPECT. Since most positive studies have some or all of their data from 2018 or later, as opposed to less positive studies that primarily collected data in 2017 or earlier. Early adoption hospital consultants have also been shown to prioritize ReSPECT discussions for patients whose condition has rapidly deteriorated and have therefore focused on DNACPR decisions.9 However, training and familiarity may not be the full explanation, as despite the subsequent publication of educational material from Resuscitation Council UK, which clarifies that the ReSPECT form does not simply replace the DNACPR forms, Subsequent studies conducted through interviews with consultants (2019-2020) found that CPR still dominated ReSPECT conversations and that, in turn, these conversations primarily involved critically ill patients.10 11 Another explanation for why the ReSPECT form has not yet fully achieved its objectives may be due to the fact that most of these studies were conducted in hospitals. This may be particularly important because GP-led discussions about ASF have been shown to be associated with a decreased likelihood of patients dying in hospital compared to patients who have had conversations about ACP with other healthcare professionals.12 A 2019 ReSPECT study looking at community use of ReSPECT found that GPs discussed plans for who go beyond CPR. such as possible hospital admissions and symptom management.13 While it was noted that GPs are still not fully implementing the ReTEMP process in accordance with the original objectives, with a focus on primary care decisions such as hospital admission preferences without considering specific hospital interventions.13 The ReSPECT form will replace our Sick Patient Deterioration (UP) plan. However, we will look at existing UP forms.