The ReSPECT Process
The Recommended Summary Plan for Emergency Care and Treatment (ReSPECT) is a nationally recognised and endorsed form for Do Not Attempt Cardiopulmonary Resuscitation (DNACPR). This process has been trialled in three sites across the UK and an evaluation is currently underway and awaited.
The process is now being rolled out nationally in trusts and localities. The Network (YHCPCN) endorses and supports the use of the ReSPECT process across the region. It is hoped that all services supporting children and families with LLC or LTC will sign up to the ReSPECT process. This will ensure consistency for children and their families as well as for professionals.
The ReSPECT process will replace the Limitation of Treatment Agreement (LOTA) form which is currently in use for children with life limiting and life threatening conditions across our region. It is acknowledged that there will be a period where both the ReSPECT and LOTA will be in circulation and this is unavoidable. It is a phased implementation across the region and cannot be unified due to the number of trusts and organisations that are needed to sign up to the process and put this through their internal governance structures.