Norfolk healthcare to adopt ReSPECT process


In March 2020, EEAST along with other healthcare services across Norfolk, will adopt the Recommended Summary Plan for Emergency Care and Treatment (ReSPECT) process.

This is a personalised process to plan a person’s clinical care in the event of a future emergency. 
It results in a document that contains their wishes and care preferences along with appropriate clinical recommendations.

It also records when a "Do Not Attempt Cardiopulmonary Resuscitation" (DNACPR) decision has been made but it is important to note that a person can have a completed ReSPECT form and still be "for" CPR.

Who is it for?
ReSPECT can be for anyone, of any age. It is most likely to benefit people: 

  • With complex health needs
  • At risk of sudden collapse or cardiac arrest
  • Nearing the end of their lives
  • Who want to record their preferences for any reason.

How does it work?
ReSPECT is much more than a DNACPR form. It’s a person-centred plan which records treatments that should be considered as well as those that are not recommended.

It helps to guide clinicians who have to make these rapid decisions in choosing the right balance of treatment between sustaining life and providing comfort.

While it records recommendations to guide clinical decision-making in an emergency, these are not legally-binding. The final decision rests with the clinician(s) dealing with the emergency.

Who developed it?
The process has been developed by a working group which has wide representation, including patients and the public, the Resuscitation Council (UK), Royal College of Nursing, Association of Ambulance Service Chief Executives, Medical Royal Colleges, General Medical Council, and the Care Quality Commission, together with leaders of successful local and regional initiatives to develop robust processes and related documents.

It is already fully implemented in many parts of the UK, Addenbrookes in Cambridgeshire being one such area along with other STP areas that working actively towards implementation in the coming months.

What happens next?
The proposed launch date for ReSPECT is 18th March 2020. 
At this stage, all patients requiring documentation of CPR status or other significant medical treatment decisions will require a ReSPECT form, rather than a DNACPR form to be completed.
Those DNACPR forms already in existence will remain valid. 

Over the coming months, we will develop and share an e-learning module, podcast, FAQ and training material to support the role out. Meanwhile there is a national ambulance document that can be accessed here.

Daimon Wheddon Clinical Lead:
Carl Smith Quality Improvement & Professional Standards Officer:


Published 10th December 2019




pdfReSPECT (0.14 MB)

Leave a Comment
Name (required)
Email Address (required, never displayed)
Enter a message

(all comments are moderated - your submission will be posted on approval.)