TalkCPR Project

Mark Taubert, Paul Buss, Steve Ham, Veronica Snow, James Norris, Ben Smith, Angela Jones, Rachel Lewis, Alan Buckle, Lesley Radley, Gwenllian Edwards, Mererid Evans, James Powell, Siwan Seaman, Velindre NHS Trust Patient Liaison Group and DNACPR Policy Implementation Group Wales

Velindre NHS Trust

Talking openly and knowledgeably about Do Not Attempt Cardiopulmonary Resuscitation Decisions in Palliative Illness.

The aim of this project is to improve communication and dialogue between patients with palliative and terminal illness and their healthcare professionals about Do Not Attempt Cardiopulmonary Resuscitation (DNACPR) decisions.

Four videos hosted on a website aim to describe some of the main areas to consider when discussing this important topic. Videos were co-directed by patients, in order for them to help explain relevant issues surrounding this sensitive subject. In addition, videos for healthcare professionals with guidance and tips on how to start these conversations sensitively and professionally are also available on the http://TalkCPR.wales website.

We also aimed to clarify some of the common misconceptions surrounding CPR, allowing natural death and DNACPR towards the end of life in a news article. This project is referenced in this Guardian article and can be found here: www.gu.com/p/4g5pv/stw.

This Project Supports Prudent Healthcare

Anticipated Benefits

Communicating the concept of DNACPR in a sensitive way requires skill and once it has been discussed it should be documented very clearly, for other healthcare team members to know what discussion has been held. There is a need to explain this procedure better within society, and also to create reproducible ways of giving clinicians opportunities to gain confidence in talking about this topic more.

Measures

Intervention

Outcomes

Conclusion

These short films have been made available in each health board and trust in Wales. Three English Trusts have asked permission to use the videos in their own setting, and Pulse magazine have written a feature for GPs in the UK, on this novel video and website approach. A media campaign has made the TalkCPR project very prominent in the public domain, with Benedict Cumberbatch reading out a letter at Hay Festival mentioning this NHS Wales project and a Guardian article on CPR which went viral. Both NICE and the GMC have published the TalkCPR website resource.

It is hoped that the use of video and website information for patients around difficult areas such as CPR wishes can inform part of a more sharing approach, allowing patients and their proxy to be involved in key decisions and providing good quality information.

Part of Cohort Bevan Exemplars 2015-16