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ReSPECT in Kent and Medway

ReSPECT (Recommended Summary Plan for Emergency Care and Treatment) is being adopted in Kent and Medway as an e-form on the Kent and Medway Care Record (KMCR).

The ReSPECT process creates a personalised recommendation for an individual’s clinical care in emergency situations when they may be unable to make decisions or express their wishes.

ReSPECT will replace Do Not Attempt Cardiopulmonary Resuscitation (DNACPRs) and Treatment Escalation Plans (TEPs) in a phased rollout across Kent and Medway health and care partners – find out more about ReSPECT at the NHS Kent and Medway website and on the national ReSPECT website.

The ReSPECT form will be held digitally on the shared care record and will be recognised across organisational boundaries. People who have a ReSPECT form will be given a printed copy to keep with them, which must be updated when any changes are made to the ReSPECT form on KMCR.

As part of the rollout, training on the ReSPECT process and conversation is available here: ReSPECT Resuscitation Council e-learning. We recommend this training, and it will be beneficial for any clinical staff member who is involved in having conversations about advanced care planning (such as PCN Care Home Nurses).

If you have any questions about ReSPECT and your training needs, please email

More information about ReSPECT and the support that is available to help with training:

To support you in rolling out ReSPECT training we’ve created a training needs analysis, which shows you how much training is needed for different levels of patient interaction. Staff members will need different levels of training based on their previous experience and how confident they feel in having person-centred advance care planning conversations and shared decision making.

The training will allow staff to be ready to support those who would benefit from completing the ReSPECT process once it has gone live on the Kent and Medway Care Record (KMCR) in September. The e-form has now been signed off and accredited by Resuscitation Council UK and is in the final development stages. More information about the roll out will be shared in the coming months.

Organisations may want to target initial training for staff who care for patients who have complex health needs, are likely to be nearing the end of life, or are at risk of sudden deterioration or cardiac arrest. However, all clinicians need to be aware of the ReSPECT process’s role and remit and to be clear on expectations in the event of a patient presenting with a ReSPECT form. The ReSPECT Resuscitation Council e-learning is free, nationally recognised training. Some staff members have completed it in half-an-hour, but we recommend allowing up to an hour and a half. Staff should make a profile and select the patients they work with (children/adults etc.) to access the appropriate content. A certificate is available upon completion.

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