West Midlands Collaboration Actioning Research in End of life and Supportive care.


WM CARES’ DNACPR project investigated whether the Tracey judgement in 2014 changed the practice of communicating DNACPR decisions with patients and their relatives in hospices around the West Midlands.

Six local hospices participated in a retrospective audit of DNACPR decisions, comparing the proportion discussed with patients and/or their relatives in 2013 and in 2015; the reasons for not discussing the decisions in both of these years and how the concept of “physical or psychological harm” was documented in 2015 following the Tracey judgement.

This study has been published in BMJ Supportive and Palliative Care http://dx.doi.org/10.1136/bmjspcare-2018-001518, has informed a further WM CARES study investigating current practice in making and communicating DNACPR decisions amongst non-palliative care specialists in the West Midlands and is being replicated around the UK by a new national palliative medicine trainee-led research collaborative.