PERFORMANCE: CQC inspectors found four improperly completed “do not attempt resuscitation” orders at North West London Hospitals Trust, an inspection report reveals.

The CQC report said: “Records we looked at showed that patients had consented to their care and treatment. Four patients’ records we looked at included a ‘do not attempt cardiopulmonary resuscitation’ order. We found these were not completed to an acceptable standard.

“Patients’ relatives had not been involved in the decision where the patient did not have the capacity to make this decision independently. The orders were not reviewed at regular intervals to ensure this decision still applied. This showed that procedures were not followed and that relevant persons were not involved in the decision to not be resuscitated.”

Professor Rory Shaw, medical director, said: “It is really important to get this right for patients. Understanding and documenting the wishes and thoughts of patients and carers is our key priority at the very end of a person’s life.

“I was very concerned to discover we had not been doing this right every time. I have reinforced the message to all staff, changed how we monitor these forms, and I have personally walked round the wards checking the forms.”

“The Care Quality Commission revisited the trust on 27 June and I hope that they will have seen a marked improvement in this area.”