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- ReSPECT stands for Recommended Summary Plan for Emergency Care and Treatment. It is an emergency care and treatment plan (ECTP) used in parts of the United Kingdom, in which personalized recommendations for future emergency clinical care and treatment are created through discussion between health care professionals and a person (or their legal proxy or those close to them). These recommendations are then documented on a ReSPECT form. The ReSPECT process is centred around conversations which aim to develop a shared understanding between the healthcare professional and a person about their condition, the outcomes the person values and those they fear and then how treatments and interventions (such as cardiopulmonary resuscitation (CPR), ventilation, intravenous medication, or admission to intensive care) fit into this. It supports the important principle of personalised care, moving away from a yes/no CPR decision to one that is more nuanced and patient centred. A person’s ReSPECT form includes recommendations about emergency treatments that could be helpful and should be considered, as well as those not wanted by or that would not work for them. It includes a recommendation about cardiopulmonary resuscitation (CPR), but that may be a recommendation that CPR is attempted, or a recommendation that it is not attempted. ReSPECT forms are not legally binding but can be used by health care professionals to guide them when providing treatment for the person in a future emergency situation. As the ReSPECT process and form are designed to be recognised across different care settings (for example between hospitals, primary care, ambulance services, or care homes) and to cross geographical boundaries, the person does not have to undertake repeated conversations and discussions. (en)
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