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CQC to review blanket DNR orders during pandemic


Assisted dying


The CQC has announced an investigation into the use of blanket ‘do-not-resuscitate’ (DNR) orders in primary care as well as care homes and hospitals. 

This follows concerns that elderly and vulnerable people were subject to DNR decisions without their consent or informed choice earlier on in the Covid-19 pandemic, the regulator said.

The review will look to identify and share best practice around DNR and identify where decisions may not have been patient-centred.  

Interim findings are expected to be reported later this year with a final report early next year.

DNR orders can allow individuals to make a shared decision about what intervention they would like if they suffer cardiac or respiratory arrest, including refusing resuscitation. 

Announcing the review, CQC chief inspector of primary care Dr Rosie Benneyworth said it is ‘unacceptable’ for DNR decisions to be applied to a group of people and that they ‘must continue to be made on an individual basis’.  

She continued: ‘It is vital that we take this opportunity to learn from what has happened – challenging poor care and sharing the ways that providers have put people’s needs at the heart of their care so that others can learn from them.’ 

Both staff and patients’ families had raised concerns about care to the CQC, she added. 

In April, NHS England asked GPs and other healthcare professionals to avoid any ‘blanket’ policies on clinical decisions during the pandemic, especially with regards to DNR forms.

The guidance came as hundreds of GP practices in North West London were advised to tell the relatives of care home patients who lack capacity that ‘difficult decisions’ will need to be made around admitting these patients to hospital.

Also in April, the CQC published a joint statement with the BMA and RCGP which declared it unacceptable for advanced care plans to be applied to groups of people. 

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30 hechos para destruir la farsa de la pandemia – El colectivo de Uno / The Collective of One 12 October, 2021 4:27 am

[…] https://swprs.org/studies-on-covid-19-lethality/#agehttps://swprs.org/covid-19-mortality-overview/https://off-guardian.org/2021/09/22/30-facts-you-need-to-know-your-covid-cribsheet/?_x_tr_sl=en&_x_tr_tl=es&_x_tr_hl=en&_x_tr_pto=nui&fbclid=IwAR2aq-uycSx9p9ZQuXaE6YQ6lBs2IRf_N2DKKIoZqhgX4t80SU8GmYEw850#7https://off-guardian.org/2021/09/22/30-facts-you-need-to-know-your-covid-cribsheet/?_x_tr_sl=en&_x_tr_tl=es&_x_tr_hl=en&_x_tr_pto=nui&fbclid=IwAR2aq-uycSx9p9ZQuXaE6YQ6lBs2IRf_N2DKKIoZqhgX4t80SU8GmYEw850#9https://off-guardian.org/2021/09/22/30-facts-you-need-to-know-your-covid-cribsheet/?_x_tr_sl=en&_x_tr_tl=es&_x_tr_hl=en&_x_tr_pto=nui&fbclid=IwAR2aq-uycSx9p9ZQuXaE6YQ6lBs2IRf_N2DKKIoZqhgX4t80SU8GmYEw850#19https://off-guardian.org/2020/04/05/covid19-death-figures-a-substantial-over-estimate/https://www.spectator.co.uk/article/how-to-understand-and-report-figures-for-covid-19-deaths-https://www.dailymail.co.uk/news/article-9279767/BEL-MOONEY-dad-died-chronic-illness-hes-officially-Covid-victim.htmlhttps://www.spectator.co.uk/article/why-no-one-can-ever-recover-from-covid-19-in-englandhttps://off-guardian.org/2021/09/22/30-facts-you-need-to-know-your-covid-cribsheet/?_x_tr_sl=en&_x_tr_tl=es&_x_tr_hl=en&_x_tr_pto=nui&fbclid=IwAR2aq-uycSx9p9ZQuXaE6YQ6lBs2IRf_N2DKKIoZqhgX4t80SU8GmYEw850#14https://off-guardian.org/2021/09/22/30-facts-you-need-to-know-your-covid-cribsheet/?_x_tr_sl=en&_x_tr_tl=es&_x_tr_hl=en&_x_tr_pto=nui&fbclid=IwAR2aq-uycSx9p9ZQuXaE6YQ6lBs2IRf_N2DKKIoZqhgX4t80SU8GmYEw850#4https://off-guardian.org/2021/09/22/30-facts-you-need-to-know-your-covid-cribsheet/?_x_tr_sl=en&_x_tr_tl=es&_x_tr_hl=en&_x_tr_pto=nui&fbclid=IwAR2aq-uycSx9p9ZQuXaE6YQ6lBs2IRf_N2DKKIoZqhgX4t80SU8GmYEw850#18https://off-guardian.org/2020/03/23/italy-only-12-of-covid19-deaths-list-covid19-as-cause/https://www.ons.gov.uk/aboutus/transparencyandgovernance/freedomofinformationfoi/covid19deathswithnounderlyinghealthconditionsbrokendownbyagehttps://www.ons.gov.uk/aboutus/transparencyandgovernance/freedomofinformationfoi/averageageofthosewhohaddiedwithcovid19https://swprs.org/studies-on-covid-19-lethality/#agehttps://www.cdc.gov/nchs/data-visualization/mortality-trends/index.htmhttps://medium.com/wintoncentre/how-much-normal-risk-does-covid-represent-4539118e1196https://bmcinfectdis.biomedcentral.com/articles/10.1186/s12879-021-06026-6https://off-guardian.org/wp-content/medialibrary/covid-deathrate-vs-normal-deathrate.jpg?x25311https://www.bbc.co.uk/news/health-51979654https://off-guardian.org/2021/09/22/30-facts-you-need-to-know-your-covid-cribsheet/?_x_tr_sl=en&_x_tr_tl=es&_x_tr_hl=en&_x_tr_pto=nui&fbclid=IwAR2aq-uycSx9p9ZQuXaE6YQ6lBs2IRf_N2DKKIoZqhgX4t80SU8GmYEw850#7https://off-guardian.org/2021/09/22/30-facts-you-need-to-know-your-covid-cribsheet/?_x_tr_sl=en&_x_tr_tl=es&_x_tr_hl=en&_x_tr_pto=nui&fbclid=IwAR2aq-uycSx9p9ZQuXaE6YQ6lBs2IRf_N2DKKIoZqhgX4t80SU8GmYEw850#9https://off-guardian.org/2021/09/22/30-facts-you-need-to-know-your-covid-cribsheet/?_x_tr_sl=en&_x_tr_tl=es&_x_tr_hl=en&_x_tr_pto=nui&fbclid=IwAR2aq-uycSx9p9ZQuXaE6YQ6lBs2IRf_N2DKKIoZqhgX4t80SU8GmYEw850#19https://www.washingtonpost.com/health/2020/03/25/coronavirus-patients-do-not-resucitate/https://off-guardian.org/2020/06/11/watch-perspectives-on-the-pandemic-9/https://www.hsj.co.uk/coronavirus/unprecedented-number-of-dnr-orders-for-learning-disabilities-patients/7027480.articlehttps://www.independent.co.uk/news/health/covid-do-not-resuscitate-nhs-b1816413.htmlhttps://www.pulsetoday.co.uk/news/regulation/cqc-to-review-blanket-do-not-resuscitate-orders/https://www.sheffield.ac.uk/news/do-not-resuscitate-orders-were-common-patients-admitted-suspected-covid-19https://off-guardian.org/2021/09/22/30-facts-you-need-to-know-your-covid-cribsheet/?_x_tr_sl=en&_x_tr_tl=es&_x_tr_hl=en&_x_tr_pto=nui&fbclid=IwAR2aq-uycSx9p9ZQuXaE6YQ6lBs2IRf_N2DKKIoZqhgX4t80SU8GmYEw850#2https://off-guardian.org/2021/09/22/30-facts-you-need-to-know-your-covid-cribsheet/?_x_tr_sl=en&_x_tr_tl=es&_x_tr_hl=en&_x_tr_pto=nui&fbclid=IwAR2aq-uycSx9p9ZQuXaE6YQ6lBs2IRf_N2DKKIoZqhgX4t80SU8GmYEw850#6https://fee.org/articles/sweden-saw-lower-mortality-rate-than-most-of-europe-in-2020-despite-no-lockdown/https://off-guardian.org/wp-content/medialibrary/florida-california.jpg?x25311https://off-guardian.org/wp-content/medialibrary/uk-sweden-graph.jpg?x25311https://off-guardian.org/2020/04/01/could-the-covid19-response-be-more-deadly-than-the-virus/https://www.reuters.com/article/us-health-coronavirus-children-un/u-n-warns-economic-downturn-could-kill-hundreds-of-thousands-of-children-in-2020-idUSKBN21Y2X7https://www.washingtonpost.com/world/national-security/un-pandemic-could-push-tens-of-millions-into-chronic-hunger/2020/07/13/0733e34e-c51e-11ea-a825-8722004e4150_story.htmlhttps://news.un.org/en/story/2020/06/1067432https://pubmed.ncbi.nlm.nih.gov/32275300/https://www.birmingham.ac.uk/news/latest/2020/05/covid-disruption-28-million-surgeries-cancelled.aspxhttps://web.archive.org/web/20200724212540/https://amp.theguardian.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1https://www.centerforhealthsecurity.org/event201/scenario.htmlhttps://www.centerforhealthsecurity.org/event201/event201-resources/200117-PublicPrivatePandemicCalltoAction.pdfhttps://www.healthline.com/health-news/why-the-flu-season-basically-disappeared-this-year#What-drove-down-flu-activity?https://www.scientificamerican.com/article/flu-has-disappeared-worldwide-during-the-covid-pandemic1/https://www.forbes.com/sites/giacomotognini/2021/04/06/meet-the-40-new-billionaires-who-got-rich-fighting-covid-19/?sh=1c03575717e5https://www.oxfam.org/en/press-releases/covid-vaccines-create-9-new-billionaires-combined-wealth-greater-cost-vaccinatinghttps://www.businessinsider.com/billionaires-net-worth-increases-coronavirus-pandemic-2020-7?op=1&r=US&IR=T […]

30 Facts You NEED to Know: Your Covid Cribsheet – AnonMags 13 October, 2021 2:05 pm

[…] to non-terminal patients recommending they sign DNR orders, whilst other doctors signed “blanket DNRs” for entire nursing […]

أكذوبة الوباء.. 30 حقيقة تحتاج إلى معرفتها | النسخة الكاملة - مركز دراسات الواقع والتاريخ 14 October, 2021 10:46 am

[…] على أوامر عدم الإنعاش  DNR ، بينما وقع أطباء الآخرون “أوامر عدم إنعاش شاملة (على بياض)” لدور رعاية المسنين […]

No. 1341 知っておくべき30の事実 | 耕助のブログ 18 October, 2021 1:42 am
RASSEGNA STAMPA DETTI E SCRITTI 18 OTTOBRE 2021 - Detti e Scritti 18 October, 2021 11:57 am

[…] non terminali, raccomandando loro di prefirmare ordini DNR, mentre altri medici hanno firmato “DNR a tappeto” per intere case di […]

(Reader: Liberty) Catch the Train to the Land of Ascension | Operation Disclosure Official 19 October, 2021 3:45 am

[…] to non-terminal patients recommending they sign DNR orders, whilst other doctors signed “blanket DNRs” for entire nursing […]

30 datos que NECESITAS saber acerca de la SUPUESTA «pandemia» del Covid19 – El Correo Español 20 October, 2021 7:06 am

[…] no terminales recomendar que firman las órdenes de NR, mientras que otros médicos firmaron “DNR manta” para hogares de ancianos […]

أكذوبة الوباء.. 30 حقيقة تحتاج إلى معرفتها | النسخة الكاملة - الدكداكي - DAGDAG.ORG 24 October, 2021 6:48 am

[…] على أوامر عدم الإنعاش  DNR ، بينما وقع أطباء الآخرون “أوامر عدم إنعاش شاملة (على بياض)” لدور رعاية المسنين […]

Ce spune știința despre pandemie și nu se spune la televizor 26 October, 2021 7:41 pm

[…] a existat acest gen de măsură și în Marea Britanie în primul val, o dovedește și această decizie de a revizui felul în care se dictează întreruperea resuscitării, din toamna lui 2020. (Schimbarea de politică explică și evoluția favorabilă a mortalității […]

Ce spune știința despre pandemie și nu se spune la televizor | SACCSIV - blog ortodox 27 October, 2021 12:48 pm

[…] a existat acest gen de măsură și în Marea Britanie în primul val, o dovedește și această decizie de a revizui felul în care se dictează întreruperea resuscitării, din toamna lui 2020. (Schimbarea de politică explică și evoluția favorabilă a mortalității […]

Spread the truth, save lives . . . and here’s a crib sheet to help you – UK Reloaded 10 November, 2021 4:44 pm

[…] letters to non-terminal patients recommending they sign DNR orders, whilst other doctors signed “blanket DNRs” for entire nursing […]

I killer sono fra noi | il Simplicissimus 18 November, 2021 4:56 pm

[…] ai pazienti non terminali raccomandando di firmare richieste DNR e altri medici hanno firmato “DNR generali  per intere case di cura per anziani dove peraltro c’è stata la grande parte dei decessi. […]