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End of Life Care
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- Somerset and North Somerset End of Life Care - Marie Curie Cancer Care
- Allow a Natural Death - no resuscitation - form
This form has been designed to cover patients being transported by ambulance between hospital / hospice / home in order to secure their preferred place of care. It allows ambulance crews not to resuscitate a terminally ill patient if they die in transit where decisions have been made that resuscitation is no longer appropriate for the patient and in the absence of any other instruction. The form may also remain valid in the patient’s home as long as it is reviewed regularly. This would also help crews make more appropriate decisions if responding to a 999 call.
This form is based on recommendations from the joint statement from the Resuscitation Council, BMA and RCN. It has been consulted on via the BHSP End of Life Service Design Group and the Cancer Network Palliative and Supportive Care Group. The document owner for review and revision will be the Cancer Network PSCG. As the Cancer Network covers Somerset South West Ambulance have also been included with GWAS in developing this tool. It can therefore cover North Somerset patients heading south across the county border.
It may be initiated in primary, acute or hospice care settings. Ideally it needs to be printed on yellow paper. This is an explicit request from GWAS and SWAS in order that the forms stands out and can be identified quickly as an AANDO form for crews. Alternatively it could be kept in a yellow folder in the patient’s home.