The government accepts this recommendation and recognises the importance of ensuring guidance on DNACPR decisions is clear and properly understood by all health and social care professionals as well as the patients involved. The recommendation aligns well with the work already being carried out by the Ministerial Oversight Group on DNACPR decisions, which was established following the CQC’s report ‘Protect, respect, connect – decisions about living and dying well during COVID-19’.36 The government welcomed the recommendations of this report and the Ministerial Oversight Group. DHSC will continue to work with partners to ensure system-wide guidance on DNACPR is clear and properly understood in all settings, particularly by those patients who may not have a carer or advocate present or need reasonable adjustments to remove communication barriers. This includes NHS England and NHS Improvement, HEE, NHSX, Skills for Care, the British Medical Association, the GMC and many other partners across health, social care, local government, voluntary and community services. A key outcome of this partnership working are the Universal Principles for Advance Care Planning which were published in March 2022.37 These principles will be adapted across health and care settings to consider different groups of people, ensuring every person understands and feels involved in their advance care plans. In addition, NHS England and NHS Improvement have published patient facing guidance on DNACPR on nhs.uk38 setting out how DNACPR decisions should be made and how individuals or their families can get support if they have concerns about a DNACPR decision.