Do Not Attempt Cardiopulmonary Resuscitation 1669.pdf

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Appendix 2Equality Analysis(Impact assessment)What is being assessed? Name of the policy, procedure, proposal, strategy or service:Do Not Attempt Cardiopulmonary Resuscitation (DNACPR) PolicyDetails of person responsible for completing the assessment: Name: Jackie Cornes Job title: Resuscitation Officer Team: Professional Practice TeamState main purpose or aim of the policy, procedure, proposal, strategy or service:(usually the first paragraph of what you are writing. Also include details of legislation,guidance, regulations etc which have shaped or informed the document)Cardiopulmonary resuscitation (CPR) may be attempted on any individual for whom cardiac or respiratoryfunction ceases. Such events are inevitable as part of dying. CPR can theoretically be used on everyindividual prior to death. However, in some people this would be inappropriate, futile or against theindividual’s wishes. It is therefore essential to distinguish those patients for whom CPR would beinappropriate. The factors surrounding a decision whether or not to initiate CPR involve complex clinicalconsiderations and emotional issues. The decision for CPR of one patient may be inappropriate in asuperficially similar case. In conjunction with the General Medical Council (GMC) a joint statement by theBritish Medical Association (BMA), the Royal College of Nursing and the Resuscitation Council (UK) wasissued in October 2007. Recommended standards for recording DNAR (Do Not Attempt Resuscitation)decisions were issued in 2009 by the Resuscitation Council. The GMC also published guidelines –Treatment and care towards the end of life: good practice in decision making – in July 2010.The aforementioned guidelines have been used to prepare this policy.2. CONSIDERATION OF DATA AND RESEARCHTo carry out the equality analysis you will need to consider information about the people whouse the service and the staff that provide it.2.1 Give details of RELEVANT information available that gives you an understanding ofwho will be affected by this documentThis policy will support and inform the practice of all East Cheshire NHS Trust staff who are caring forpatients with a DNACPR decision.NoNo2.2 Evidence of complaints on grounds of discrimination: (Are there any complaints eitherfrom patients or staff (grievance) relating to the policy, procedure, proposal, strategy orservice or its effects on different groups?)2.3 Does the information gathered from 2.1 – 2.3 indicate any negative impact as a resultof this document?3. ASSESSMENT OF IMPACTNow that you have looked at the purpose, etc. of the policy, procedure, proposal, strategy orservice (part 1) and looked at the data and research you have (part 2), this section asks you toassess the impact of the policy, procedure, proposal, strategy or service on each of thestrands listed below.Do Not Attempt Cardiopulmonary Resuscitation PolicyResuscitation OfficerVersion 5.0 May 1214
RACE:From the evidence available does the policy, procedure, proposal, strategy or service affect, or havethe potential to affect, racial groups differently?YesExplain your response: The service may well look after patients from different race, if a patient or carer’sfirst language is not English then interpretation may be required. All staff should be aware of theinterpretation policy and interpretation/translation facilities. All staff should also know where to findinformation to enable them to adhere to cultural requirements of different faiths.GENDER (INCLUDING TRANSGENDER):From the evidence available does the policy, procedure, proposal, strategy or service affect, or havethe potential to affect, different gender groups differently?NoExplain your response: This policy applies equally regardless of gender or transgender status.DISABILITYFrom the evidence available does the policy, procedure, proposal, strategy or service affect, or havethe potential to affect, disabled people differently?YesExplain your response: Patient’s/carer’s having low vision may not be able to see/read the patientinformation leaflet ‘Decisions about Cardiopulmonary Resuscitation’, staff therefore need to know how toaccess alternative communication tools and/or more appropriate leaflets, e.g. with larger print.Patients/carer’s with hearing loss may require a BSL interpreter when discussing decisions relating tocardiopulmonary resuscitation. Any extra information required for patients/carer’s with learning disabilitiesshould be given accordingly after assessing their individual needs.AGE:From the evidence available does the policy, procedure, proposal, strategy or service, affect, or havethe potential to affect, age groups differently?NoExplain your response: This policy applies equally regardless of age.LESBIAN, GAY, BISEXUAL:From the evidence available does the policy, procedure, proposal, strategy or service affect, or havethe potential to affect, lesbian, gay or bisexual groups differently? NoExplain your response: This policy applies equally regardless of sexual orientation.RELIGION/BELIEF:From the evidence available does the policy, procedure, proposal, strategy or service affect, or havethe potential to affect, religious belief groups differently?YesExplain your response: See section on RACE - staff also need to be aware of the content of drugs, e.g.porcine products not suitable for Muslim patients.CARERS:From the evidence available does the policy, procedure, proposal, strategy or service affect, or havethe potential to affect, carers differently?YesExplain your response: All staff should be aware that it is important to inform and involve carers in thecare of their loved one and offer them access to support and advice as and when required.OTHER: EG Pregnant women, people in civil partnerships, human rights issues.From the evidence available does the policy, procedure, proposal, strategy or service affect, or havethe potential to affect any other groups differently?NoExplain your response:Do Not Attempt Cardiopulmonary Resuscitation PolicyResuscitation OfficerVersion 5.0 May 1215
Page 3 and 4: ContentsPage4 1.0 Policy Statement4
Page 5 and 6: 3.5 Ward/Department/Service Manager
Page 7 and 8: Trust’s Interpreting Policy for i
Page 9 and 10: 7.2 A DNACPR decision should be rev
Page 11 and 12: ReferencesA Joint Statement from th
Page 13: Guidance notes to assist with compl

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