End of life care: improving DNACPR conversations for everyone

The cover of a report titled 'End-of-life care: improving 'do not attempt CPR' conversations for everyone". Logo in one corner reads 'Parliamentary and Health Service Ombudsman'

Whilst at the Parliamentary and Health Service Ombudsman, Beth led an 18-month long project to understand the issues within end-of-life care in the NHS. Under her leadership, co-designed policy making was introduced into the Ombudsman for the first time.

The resulting report and its recommendations were co-designed with people with learning disabilities, older people and the input of over seven hundred clinicians, nurses and academics from across the NHS and health inequalities.

The 2024 report, the first ever co-designed by the Ombudsman, calls for urgent improvements to the process and communication surrounding do not attempt cardiopulmonary resuscitation (DNACPR), so doctors, patients, and their loved ones can make informed choices about their care. 

The report and easy read version are available on the Ombudsman’s website. This work has resulted in national press coverage, changes to local practice and Ministerial roundtables to co-design national policy change.

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