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Nurses must ‘reflect’ new end of life care standards
ANONYMOUS 8 JULY, 2016 10:52 AM
I'm not entirely sure - but I think your 'It is doubtful you have in depth knowledge of CPR and its consequences ..' was aimed at me.
No, you are quite wrong - I am perfectly aware of the consequences of attempted CPR [which is why I'm angered that our 999 paramedics still seem to default to CPR even when patients are known terminally-diagnosed]:
I'm also a little unclear, how much of this thread is a discussion of behaviour here, and how much in Europe:
'I had the privilege to be involved in for over 20 years in a 1,000-bedded state of the art university hospital In Europe'
There is no reason to believe that behaviour is identical across national boundaries - and national laws [which DO affect the behaviour of clinicians] relevant to EoL differ even within the UK.
JANE MARQUESEN: A very good question - but the new DH one, is not actually 'a new set of instructions'. What it claims to be, is effectively a response to things such as 'the 6 Ambitions for Palliative and End of Life Care' and it is the DH's explanation of how it intends to promote the things the earlier reports called for.
But the DH is not promising to support all of the 'recommendations' in those earlier 'way forward' documents. For example, in 'Annex A' number 20 in response to:
That the £130 million additional investment identified as needed to enable the national choice offer in end of life care to be made by April 2020 be identified in the next spending review.
the reply in this new 'promises by the DH' document is:
We are committed to improving quality and choice in end of life care as an intrinsic part of creating a modern fit-for-purpose NHS that delivers what people need from their health services. In our Mandate for 2016/17, we explicitly refer to end of life care and ask NHS England to improve significantly patient choice and quality in end of life care, including on people’s choices about where they would like to be cared for and die.
Our plan for end of life recognises the changes underway in the NHS over this Parliament and ensures that end of life care is firmly embedded in the major problems NHS England is putting in place to deliver a transformed NHS.
As a result, we do not believe that the specific costing proposals set out in the Review, which do not take into account the wider transformation agenda, represent the best way to ensure improvements in end of life care.
8 July, 2016
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