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Recommended Summary Plan for Emergency Care and Treatment
The Recommended Summary Plan for Emergency Care and Treatment (ReSPECT) has been implemented across BaNES, Swindon and Wiltshire from 4 October 2021.
The ReSPECT form documents a patient's personalised recommendations for their clinical care and treatment in a future emergency in which they are unable to make or express choices. It replaces and builds on information held in a Treatment Escalation Plan.
These recommendations are created through conversations between a person, their families, and their health and care professionals to understand what matters to them and what is realistic in terms of their care and treatment. Patient preferences and clinical recommendations are recorded on a non-legally binding form which can be reviewed and adapted if circumstances change.
ReSPECT is a patient-held document which should stay with the patient. 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 included on a ReSPECT form?
A ReSPECT form records the patient’s relevant diagnoses, their personal preferences (life sustaining treatment versus comfort) and it records treatments that should be considered, as well as those that are not wanted or would not work. The clinical recommendations are used to guide decision-making in the event of an emergency or deterioration in the patient’s condition.
Who is ReSPECT for?
A ReSPECT form can be completed for any individual, but will have increasing relevance for those who have complex health needs, people who are likely to be nearing the end of their lives, and people who are at risk of sudden deterioration or cardiac arrest. Some people will want to record their care and treatment preferences for other reasons.
BaNES, Swindon & Wiltshire ReSPECT Policy
The BSW ReSPECT Policy has been developed in collaboration with organisations across the region to support the implementation of ReSPECT and sets out the principles which govern the use of the ReSPECT.
ReSPECT Resources and information
Information on ReSPECT and its usage can be found on the following websites:
The following resources are also available for clinicians and patients:
- Printable and editable blank ReSPECT Form
- 10 top tips for GPs having ReSPECT conversations
- ReSPECT information for nursing home / residential home staff
- Easy-read ReSPECT leaflets (Parts 1, 2, 3, 4 and 5)
- ReSPECT Information for Families
- ReSPECT Patient Leaflet
- ReSPECT Patient Guide
- ReSPECT Patient Guide for Young People
ReSPECT Education & Training
The table below summarises available ReSPECT eLearning and online resources. While these resources are recommended, it is acknowledged that individual organisations can determine which resources best suit their needs, and adapt them accordingly.
|
Level |
Who is it for? |
Recommended eLearning |
Further Learning / Resources |
|
1. Awareness & Action |
All clinical* and non-clinical** staff working in patient-facing roles and administrative staff working with medical records** who will not be having ReSPECT conversations with patients. |
|
|
|
2. Authorship & Conversations |
For all clinical staff who will be having ReSPECT conversations with patients, or any staff interested in learning more, including: Consultants, GPs, doctors in training (FY2 and above), senior nurses and AHPs |
|
|
|
* Includes clinical staff working in hospital, community, primary care, mental health services, care homes, ambulance, and out-of-hours services – nurses, ACPs, CNSs, HCAs, physiotherapists, occupational therapists, speech and language therapists, dietitians, therapeutic and diagnostic radiographers, cardiac and other department diagnosticians/physiologists ** Includes all patient facing non-clinical staff e.g., relevant managers & service managers, discharge coordinators, social workers, patient-facing volunteers – and staff involved in clinical administration, clinical support e.g., ward clerks, receptionists, medical secretaries, medical records staff involved in registration and clinic preparation |
|||
In addition, the following documents have been developed in collaboration with organisations across the region:
- A training implementation guide, with links to the relevant eLearning and further useful resources.
- A set of master training slides that can be adapted for delivery of local training sessions.
- ReSPECT guidance on discussion and recording information on a ReSPECT form
