A review of people's experiences of DNAR procedures in the Oldham area

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Summary of report content

Healthwatch Oldham undertook research into Do Not Attempt Resuscitation (DNAR) as it had been a topic of concern with people, especially during the COVID-19 pandemic. They undertook a survey to which 45 people responded.

Nearly 9 in 10 people had spoken to a healthcare professional about DNAR.  Nearly 70% of these had had the conversation during the Covid-19 pandemic. Nearly two thirds of the conversations took place in hospital.

Nearly two thirds agreed or strongly agreed that DNAR was explained to them in a way they understood.  A third strongly disagreed with the decision being made about DNAR.  Over a third strongly disagreed that their views were considered when deciding DNAR.

Over half agreed or strongly agreed that the conversation happened at the right time. Just over half felt the conversation was handled sensitively compared to 38% who felt it was not.

There were 8 recommendations about training of medical staff, timing of the conversation, the need to consult patients and family; reviewing the pathway; time to think; clear communication; thinking about the impact of the conversation and undertaking further research to understand the impact of this issue on under-represented groups.

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General details

Report title 
A review of people's experiences of DNAR procedures in the Oldham area
Local Healthwatch 
Healthwatch Oldham
Date of publication 
Tuesday, 1 December, 2020
Date evidence capture began 
Monday, 1 June, 2020
Date evidence capture finished 
Tuesday, 30 June, 2020
Type of report 
Report
Key themes 
Communication between staff and patients
Public involvement
Quality of care
Staff attitudes
Staff training
Healthwatch reference number 
Rep-7958

Methodology and approach

Was the work undertaken at the request of another organisation? 
No
Primary research method used 
Survey
How was the information collected? 
Survey
If an Enter and View methodology was applied, was the visit announced or unannounced? 
N/A

Details of health and care services included in the report

Secondary care services 
Care of the elderly
End of life care

Details of people who shared their views

Number of people who shared their views 
45
Age group 
All people 18 and over
Gender 
All
Ethnicity 
All
Sexual orientation 
Not known
Does the information include public's views? 
Yes
Does the information include carer's, friend's or relative's views? 
Yes
Does the information include staff's views? 
No
Does the information include other people's views? 
No
What was the main sentiment of the people who shared their views? 
Mixed

Outcomes and impact

Were recommendations made by local Healthwatch in the report? 
Yes
Does the information contain a response from a provider? 
No
Is there evidence of impact in the report? 
No
Is there evidence of impact external to the report? 
Not known

Network Impact
Relationships that exist locally, regionally, nationally have benefited from the work undertaken in the report
 
Implied Impact
Where it is implied that change may occur in the future as a result of Healthwatch work. This can be implied in a provider  response, press release or other source. Implied impact can become tangible impact once change has occurred.
 
Tangible Impact
There is evidence of change that can be directly attributed to Healthwatch work undertaken in the report.