The CQC have stated that they want to try and take a new national approach when it comes to end of life care. They have stated that there is a worrying variation when it comes to the experiences that people have and this has been exacerbated as the result of the pandemic. The regulator has published the final report from the review, and they have asked the government to see if they can conduct their own response to the concerns about DNACRP orders. The decision to implement this kind of order has to be made by a senior clinician. This has to be done after a very careful assessment of the situation and it also has to be done with the family’s consent. The CQC review has been focused on those who are older, as well as those who may have learning disabilities. It's been uncovered that there’s an inconsistent approach and that there could even be some breaches of basic human rights.

The CQC have tried to support DNACPR orders, but with a blanket approach for groups of patients. This can include those who have learning disabilities, and when you break all of this down, you will see that it relates to discrimination. Out of the 2000 adult care services that happened to respond, 199 felt as though they had been subjected to decisions regarding DNACPR, and that they felt as though it was a blanket approach. In one area, it would seem that the GP had sent out letters to care homes about putting blanket decisions in place regarding those who have learning disabilities. Of course, this needs to change, and if you work in a nurse agency or a nursing recruitment agency then you will know that this won’t come easily.