davidoliver372@googlemail com Follow David on Twitter @mancunianmedic On 18 March the Care Quality Commission (CQC) published a report on the quality of decision making, discussion with patients and families, and documentation on DNACPR (do not attempt cardiopulmonary resuscitation) decisions in the covid-19 pandemic Protect, Respect, Connect—Decisions about Living and Dying well during Covid-191 was commissioned by the government in response to news stories, complaints, and campaigns about perceived failings 2 The report acknowledged that the extreme demands of the pandemic response had increased pressure on clinical and care staff and services, which may have hampered decisions and communication The CQC has recommended ministerial oversight of a change programme including some key elements: better information for the public and patients;better staff training and support;a more standardised national approach to documentation, communication, and decisions;and better oversight, assurance, and governance—nationally and locally—with a particular focus on inequalities, to ensure that people in certain demographic groups or care settings aren’t systematically disadvantaged
David Oliver: Improving DNACPR discussions, decisions, and documentation