Where in the UK has adopted the ReSPECT process?

A young woman with short brown hair holding the arm of a smiling older woman who is in a wheelchair in a bright blue shirt

ReSPECT is a process that creates personalised recommendations for a person’s clinical care and treatment if there's an emergency in the future that would leave them unable to discuss what's important to them.

Through conversations between a person, their family or legal representative, and their healthcare professionals, we can create recommendations for emergency care and treatment based on what really matters to that person, and what is realistic about the care available.

Many parts of England and Scotland have now adopted the ReSPECT process. You can read through the data below to find out whether or not it's been adopted where you live. Northern Ireland and Wales are yet to adopt ReSPECT.

Find out more about ReSPECT

This page was last updated June 2025.

England

North West

No adoption due to alternative processes (except in Manchester and Salford).

North East

No adoption

Yorkshire and Humber

Barnsley	Adopted
Bradford	Adopted
Doncaster	Adopted
East Riding of Yorkshire	Adopted
Hull	Adopted
Calderdale, Kirklees and Wakefield	Adopted
Leeds	Adopted
North East Lincolnshire	Adopted
North Lincolnshire	Adopted
North Yorkshire	Adopted
Rotherham	Adopted
Sheffield	Adopted
York	Adopted

East Midlands areas

Lincolnshire	Adopted
Northamptonshire	Adopted
Derbyshire	Adopted
Nottinghamshire	Adopted
Leicester	Adopted
Leicestershire	Adopted
Rutland	Adopted
Derby	Adopted

West Midlands areas

Birmingham	Adopted
Coventry	Adopted
Dudley	Adopted
Sandwell	Working towards adoption
Solihull	Adopted
Walsall	Adopted
Wolverhampton	Adopted
Herefordshire	Adopted
Shropshire	Adopted
Staffordshire	Adopted
Stoke-on-Trent	Adopted
Telford	Adopted
Wrekin	Adopted
Warwickshire	Adopted
Worcestershire	Adopted

South East England areas

Buckinghamshire	Working towards adoption
East Sussex	Adopted
Hampshire	Adopted
Isle of Wight	Not adopted
Kent and Medway	Adopted
Oxfordshire	Adopted
West Sussex	Adopted
Brighton and Hove	Adopted
Bracknell Forest	Adopted
Milton Keynes	Not adopted
Portsmouth	Not adopted
Reading	Adopted
Slough	Not adopted
Southampton	Not adopted
Surrey	Adopted
West Berkshire	Working towards adoption
Windsor	Not adopted
Maidenhead	Not adopted
Wokingham	Adopted

East of England areas

Bedford	Adopted
Cambridgeshire	Adopted
Central Bedfordshire	Adopted
North East Essex	Adopted
West Essex	Adopted
Middle and South Essex	Working towards adoption
East and North Hertfordshire	Adopted
West Hertfordshire	Adopted
Luton	Adopted
Norfolk	Adopted
Peterborough	Adopted
Suffolk	Adopted

South West England areas

Bristol	Adopted
Cornwall	Not adopted
Dorset	Adopted
Devon	Not adopted
Gloucestershire	Adopted
Bath and Northeast Somerset	Adopted
Torbay and Wiltshire	Adopted
Somerset	Not adopted
Plymouth	Not adopted
Swindon	Adopted
Christchurch and Poole	Not adopted
North Somerset	Adopted
South Gloucestershire	Adopted
Isle of Scilly	Not Adopted

London

No adoption

Scotland

NHS Dumfries and Galloway	Adopted
NHS Forth Valley	Adopted
NHS Lanarkshire	Adopted
NHS Tayside	Adopted
NHS Western Isles	Adopted
NHS Ayrshire and Aran	Adopted
NHS Grampian	Considering adoption
NHS Orkney	Adopted
NHS Shetland	Adopted
NHS Fife	Considering adoption
NHS Highland	Considering adoption
NHS Borders	Not adopted
NHS Lothian	Not adopted
NHS Greater Glasgow and Clyde	Not adopted

Wales

No adoption

Northern Ireland

Working towards adoption