"DNACPR - poor culture around chronic conditions"

A doctor at Wishaw General Hospital wishes to put a DNACPR form on my father’s file. The doctor noted the reason for this is because my father has had MS for a long time. The doctor noted that there is no religion or belief under the Equality Act 2010 which would be relevant to this decision. The doctor noted that a second opinion would be sought and ultimately if the second opinion confirms their view, the wishes of the family and patient would not be respected.

My father has received CPR with success once before, he has a long term chronic condition but no present medical morbidity which would increase the risks associated with resuscitation. My father is under 65. As the qualitative data shows across NHS Lanarkshire, whilst it is important this conversation takes place openly and candidly, the culture of ignorance as to chronic conditions, the beliefs of patients and the archaic views on quality of life is unnerving.

Advanced MS not a valid reason as per medical guidelines set out in paragraph 40 of the British Medical Association’s ‘Guidance for decision-making: Withholding and Withdrawing Life-Prolonging Medical Treatment’. The Principal Medical Officer for Scotland’s letter to all NHS Boards on 18th May 2020, although in a COVID-19 context, reiterates clearly that any DNACPR form should not be in place simply because of a long-term condition.

Our family is keen to have a candid conversation regarding the medical rationale behind this decision-making. Unfortunately,  the doctor does not seem to wish to have a constructive conversation. Our family provide all care needs to my father whilst he is in hospital and support staff in a friendly and respectful manner - it is disappointing that the doctor in charge of my father’s care does not afford him or ourselves the same dignity and respect.

We feel that Wishaw General Hospital urgently needs training on DNACPR forms and respectful discussions with Powers of Attorneys and the patient as to supportive and collegiate decision making.