DNAR decision awareness
Health Boards should ensure that medical and nursing staff are aware that a DNAR1 decision is an important aspect of care.
- The Scottish Government's response noted the clinically and ethically challenging nature of DNAR decisions. Scotland has adopted the 'Do Not Attempt Cardiopulmonary Resuscitation' (DNACPR) integrated adult policy, developed collaboratively by NHS boards, which provides a standardised approach across Scotland.
- The policy requires that DNACPR decisions are made by senior clinicians in consultation with patients and families, clearly documented in patient records, and regularly reviewed.
- The Certification of Death (Scotland) Act 2011 and associated guidance reinforce the importance of accurate recording of end-of-life decisions in patient care records.
How was this evidence gathered?
Response
Accepted
Response
AcceptedSection 4.1 of the Scottish Government's response notes that recommendation 39 focuses on the clinically and ethically challenging aspects of Do Not Attempt Cardiopulmonary Resuscitation (DNAR) orders. The report sets out precise standards for decision-making, involvement, communication, and recording related to these orders. While the 'Our current position' section does not elaborate further on specific policies or initiatives regarding DNAR awareness for staff, the government's acceptance of the report's recommendations implies an understanding of DNAR as an important aspect of care.
Published Evidence
Published assessments of progress from inspectorates, select committees, official progress reports, and other sources. Source type badge indicates whether each assessment is independent or government self-reported.
Scottish Government response noted existing DNAR policy frameworks. Scottish Government published Do Not Attempt Cardiopulmonary Resuscitation (DNACPR) Integrated Adult Policy in 2016 providing standardised national approach.
View detailed findings
National policy standardised across NHS Scotland. Subsequent updates have addressed communication requirements with patients and families about DNACPR decisions.