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What is ReSPECT?
ReSPECT stands for Recommended Summary Plan for Emergency Care and Treatment. The ReSPECT process creates a summary of personalised recommendations for a person’s clinical care in a future emergency in which they do not have capacity to make or express choices. Such emergencies may include death or cardiac arrest, but are not limited to those events. The process is intended to respect both patient preferences and clinical judgement. The agreed realistic clinical recommendations that are recorded include a recommendation on whether or not CPR should be attempted if the person’s heart and breathing stop.
How does it work?
The plan is created through conversations between a person and one or more of the health professionals who are involved with their care. The plan should stay with the person and be available immediately to health and care professionals faced with making immediate decisions in an emergency in which the person themselves has lost capacity to participate in making those decisions.
ReSPECT may be used across a range of health and care settings, including the person’s own home, an ambulance, a care home, a hospice or a hospital. Professionals such as ambulance crews, out-of-hours doctors, care home staff and hospital staff will be better able to make immediate decisions about a person’s emergency care and treatment if they have prompt access to agreed clinical recommendations on a ReSPECT form.
What is a ReSPECT conversation?
ReSPECT conversations follow the ReSPECT process by:
- discussing and reaching a shared understanding of the person’s current state of health and how it may change in the foreseeable future,
- identifying the person’s preferences for and goals of care in the event of a future emergency,
- using that to record an agreed focus of care (either more towards life-sustaining treatments or more towards prioritising comfort over efforts to sustain life),
- making and recording shared decisions about specific types of care and realistic treatment that they would want considered, or that they would not want, and explaining sensitively advance decisions about treatments that clearly would not work in their situation,
- making and recording a shared decision about whether or not CPR is recommended.
Electronic ReSPECT Forms
If you are interested in developing an electronic ReSPECT form to sit within your patient record system, then please contact us at email@example.com. All forms developed will need to be submitted for approval before being adopted for use.
How do I adopt ReSPECT?
If you are a healthcare organisation wishing to adopt ReSPECT in your locality, please contact firstname.lastname@example.org
People should not expect to use the ReSPECT process until it has been established in their locality.
Phases of ReSPECT adoption:
- As an NHS organisation, you should start by contacting others in your local health and care community to establish whether the ReSPECT process has already been or is in the process of being adopted.
- Once interest in adoption has been established across your trust or STP you should register your interest. Register your interest by emailing email@example.com
- An Adopter Pack containing all the information and resources you need to adopt ReSPECT will be forwarded to you.
- Complete the Adopter Approval Form within the pack and return this by email to firstname.lastname@example.org.
- The ReSPECT form will then be sent to you (including both word document and writeable pdf formats).
- Before the ReSPECT logo can be used you must complete a Permission to Use Logo request to the RCUK.
- Confirm proposed timescale for adoption within eight weeks of returning the signed Adopter Approval Form.
- Provide regular updates on progress of adoption to email@example.com.
- Identify and inform firstname.lastname@example.org of the launch date (once this is confirmed).
- Agree the audit process internally and the timescale from the launch date to the first audit (6-12 months after launch) and notify email@example.com.
The ReSPECT Learning Web-application can be downloaded and used on mobile devices as well as desktop computers. The app allows you to learn about the ReSPECT process and how it applies to you. The content has been primarily designed for use by people of all disciplines working in health and social care, but is also available for members of the public. When you log in, you can select your role to make sure that the content is relevant to you.
Within the app, you can learn about what the ReSPECT process is, who ReSPECT is for, having a conversation about ReSPECT, practicalities of the ReSPECT form, and how to care for someone with a ReSPECT form. There are a variety of different ways to use the app; information is presented as modules with animations and podcasts, as well as clinical scenarios to assess your understanding and practical tools to enable you to reflect on your practice.
We hold regular adopter tele-conference calls, which adopter organisations are able to join.
If you wish to be invited to join the calls, please send an email, advising of which adopter site you work in, to firstname.lastname@example.org
Find supporting files for health care professionals, patients and carers, as well as publications and newsletter archives in our resource section.
For more information, please visit our frequently asked questions (FAQs) page.
Version 3 of the ReSPECT form has been introduced into practice on Wednesday 16 September. The form has been sent to adopter leads in advance of this date. You can find out more about version 3 in our FAQ for adopters, or by reading our news release.