Tag Archives: resuscitate

Mythbusting: nurse(?) makes mistake over ‘Do Not Resuscitate’

Ventilator: people with long-term illnesses, disabilities and learning disabilities are still being denied resuscitation by the NHS – and one nurse, at least, has denied the existence of this scandal.

I can’t let this pass.

At Prime Minister’s Questions on June 16, Peterborough’s Tory MP Paul Bristow asked an important question about “Do Not Resuscitate” (DNR) orders that have been made on NHS patients during the Covid-19 crisis.

Having reported on this scandal many times on This Site, I tweeted in response:

I was surprised and saddened when this provoked the following response from a Twitter user who identifies as a nurse (I won’t reproduce the tweet here because I do not wish to identify that person):

“Are you a healthcare professional?

“No.

“Then do not spread false theories about something you obviously know nothing about.”

I attempted to put my critic straight – as politely as possible, in the circumstances:

“I am a news reporter of nearly 30 years experience and have been covering this story from the start. I DO know the facts here. And I see that, since you provide no information to support your insult, you probably don’t. Go well.”

Sadly, this person would not take the (rather overt) hint and came back at me:

You have confirmed it.

It is a story.

I do not have the time, inclination or room on twitter to “provide you with information” only to say that I have 30 years experience as a nurse and have a postgraduate qualification in Professional Practice

Then this is a person who ought to have known better. The claim, “It is a story,” was an attempt to downplay the DNR deaths as fiction, and I wasn’t having that. Also the refusal to support a claim with factual information is a classic tactic by trolls who don’t have any facts to offer.

So I responded (again):

“And how does that better qualify you to comment on this? I’ve done the research so I know my facts. It isn’t fiction.”

And again this person came back at me:

Ok then would you attempt CPR on a five stone frail old woman? Am not going to carry on with this because I’m afraid you just don’t know what you’re on about

This is misleading, and a lie. Allow me to explain.

Mr Bristow’s question is available  to read in Hansard, here. He said: “Last year, doctors and care settings issued an unprecedented number of “do not resuscitate” orders to patients with learning disabilities and mental illness. Many were unlawful and caused avoidable deaths.

“Despite urgent Care Quality Commission and NHS guidance, shockingly, this practice has continued. Last week, The Telegraph reported that Sonia Deleon died unresuscitated. Her family said she was given a DNR without them knowing, and with her learning disabilities and schizophrenia stated as reasons.

“Does the Prime Minister share my alarm about these cases, which should have no place in our care, and does he agree that they should be independently investigated?”

I won’t bother to repeat Boris Johnson’s response as he made no undertaking to prevent further abuses of DNR orders.

It was clear that the issue here was not the safety of attempting cardio-pulmonary resuscitation on a person who may suffer as much harm in that attempt as by the condition that had caused them to need reviving.

It was a political choice to deny health care to people dying with Covid-19, because they have learning (or other) disabilities. It seems to have been considered an opportunity to clear many thousands of so-called “useless eaters” from the UK’s benefit books.

Sonia Deleon’s story is a classic example; you can read about it here.

In brief, almost a year after it was revealed that a policy was in place to deny NHS Covid-19 care to people with long-term illnesses and disabilities – and NHS bosses then claimed to have warned hospitals, GPs and NHS managers not to make such orders on these people, Sonia Deleon was deliberately allowed to die because a DNR order on her had been made.

Hospital authorities claimed that it the order had been agreed with Ms Deleon’s family but they deny this strenuously.

Ms Deleon had learning disabilities and the circumstances of her death are not only a scandal in themselves but are a continuation of a national disgrace.

And I was criticised for highlighting this atrocity – by someone claiming to be a nurse.

I won’t take this matter further by seeking to identify the NHS trust for which this person works and requesting that they be reminded of the facts and properly disciplined for trying to mislead the public. I may change my mind if any further attempts at deception result from this article.

But I will take the opportunity to request that anybody who has relatives living with a long-term illness or disability, or a learning disability, should contact the NHS and ensure that orders equivalent to death sentences have not been applied to their loved ones without their knowledge.

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People with learning disabilities in England are bumped up the Covid vaccine waiting list

This is because of the recent fuss over ‘do not revive’ orders that are still being applied to people with learning disabilities – for no reason other than to make sure they die if they catch Covid-19.

The idea, it seems, is to make people think the government is ensuring that all such people will be protected from Covid-19 as soon as possible.

But I don’t see any information that people with learning disabilities will no longer have DNR orders applied to them.

And of course while we’re now told the vaccine is 80 per cent effective after the first dose, that still means 50 per cent of people are likely to catch it.

And it is much harder to survive if there’s a doctor’s order hanging over you, saying you shouldn’t be put on a ventilator.

Source: All people on learning disabilities register in England to be invited for Covid vaccine | World news | The Guardian

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Sign the petition to stop ‘do not revive’ orders on people with learning disabilities who catch Covid-19

No ventilator for you: even after the NHS announced that ‘do not revive’ notices should not be forced on people with any disabilities at all, let alone learning disabilities, it is still happening. Is this a quiet cull?

Personally, This Writer wants to know who is still signing these orders after the NHS announced that they were forbidden and everybody should be involved in deciding the level of their own care.

It is clear that this is still not happening, and it is still people with disabilities who are being targeted for death by abandonment.

This petition is an attempt to raise the public profile of an issue that the media seem determined to ignore – so let’s do what we can to get as many people to notice it and sign it as possible.

It states:

People with learning disabilities have been given do not resuscitate orders during the second wave of the pandemic, in spite of widespread condemnation of the practice last year and an urgent investigation by the care watchdog.

Mencap said it had received reports in January from people with learning disabilities that they had been told they would not be resuscitated if they were taken ill with Covid-19.

The Care Quality Commission said in December that inappropriate Do Not Attempt Cardiopulmonary Resuscitation (DNACPR) notices had caused potentially avoidable deaths last year.

DNACPRs are usually made for people who are too frail to benefit from CPR, but Mencap said some seem to have been issued for people simply because they had a learning disability. The CQC is due to publish a report on the practice within weeks.

This is absolutely disgusting and cannot be allowed to continue. We must stand against this and not allow the UK to become a fascist state

We are all one and everybody has value. This is a serious human rights issue and cannot be allowed to continue in this day and age. We must join together and show we will not stand by and allow this horrific practice to continue. We must stand firm and resist this and insist this practice ends now!

Once again, the petition is here. Please sign it and pass it on to your friends and social media contacts.

This may not affect you – now. But who knows who will be targeted next?

Have YOU donated to my crowdfunding appeal, raising funds to fight false libel claims by TV celebrities who should know better? These court cases cost a lot of money so every penny will help ensure that wealth doesn’t beat justice.

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Court threat over ‘illegal’ coronavirus-related ‘Do Not Revive’ orders on disabled people

Ventilator: if you’re disabled, and you catch Covid-19, a doctor might deny you access to one of these and let you die. If he does so without asking you, he’s abusing your human rights. Matt Hancock is being told to step in and stop this – or be slapped down by the courts.

Remember when This Site reported that doctors were being ordered to deny coronavirus care to people with disabilities?

It went on for a while.

Eventually it seemed the people at the top of the NHS put a stop to the practice, telling hospitals, GPs and NHS managers not to issue such letters.

So why are we being told that medical professionals are still being told not to revive people with disabilities who are suffering from Covid-19?

The issue is that doctors are being told to issue these letters about disabled people, without consulting those people on whether they agree with the decision. That’s an abuse of human rights.

And now it seems Matt Hancock and the Department of Health and Social Care may face a court order to halt the practice.

The problem is that the government is not directly responsible for the issuing of these letters – doctors are.

But law firm Leigh Day, acting for Kate Masters, whose family has already fought a successful legal action against a DNR order, says the government is failing to provide proper guidance on this issue.

So Hancock is facing an ultimatum. Either he honours the following series of requests:

Masters wants the government to use its emergency coronavirus laws to put several safeguards in place. These state that doctors must not issue DNR notices unless the patient and/or their family/carers are:

  • Told “that it is not appropriate to consider CPR and why”.
  • Provided with “an opportunity to discuss their views and wishes regarding receiving CPR with the healthcare professional making the decision”.
  • Given “clear information as to how the healthcare professional will take into account their views/wishes, the relevance of clinical judgement regarding efficacy of CPR (including being clear consent is not required) and how resource constraints are taken into account”.
  • “Informed of the DNR decision and the reasons why (which must be individual to the patient)”.
  • Advised “they can request a second opinion if they disagree with the decision”.

Or, if he fails to respond by May 7 (tomorrow, at the time of writing), then he’ll be dragged into court to face a judicial review that could force him to treat people with disabilities with the same respect as people with money.

I think he’ll take the court option, even though the request is perfectly reasonable.

Tories want to kill people with disabilities.

They’re a little… Nazi in that respect.

Source: Matt Hancock could face court action over the ‘illegal’ treatment of disabled people during lockdown | The Canary

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Coronavirus: Medical groups unite to condemn bulk ‘Do Not Revive’ plan for sick and disabled people


This should be seen as absolute proof that it has been a policy to deny coronavirus care to people with long-term illnesses and disabilities.

This Writer has noted some scepticism in the responses to yesterday’s article about the GP practice in Wales that wrote to people with ongoing medical conditions, telling them that equipment used to treat coronavirus is being rationed and they were not likely to be treated if they contracted the disease. Instead, the letter asked them to sign a form directing medical staff not to attempt to resuscitate them if they succumbed to the virus.

My own attitude to this is clear: as we have all paid into the National Health Service, throughout our lives, we all deserve the best possible care available from it. I asked: do politicians and royalty get preferential treatment? If so, why?

Also, just because a person has an underlying condition, that doesn’t mean they won’t be able to shrug off the virus, given the same help that is provided to everybody else.

Now the British Medical Association, the Care Provider Alliance, the Care Quality Commission and the Royal College of General Practitioners have released a joint statement, saying more or less the same.

Here’s the statement:

It reads [boldings mine]:

The importance of having a personalised care plan in place, especially for older people, people who are frail or have other serious conditions has never been more important than it is now during the Covid-19 Pandemic.

Where a person has capacit, as defined by the Mental Capacity Act, this advance care plan should always be discussed with them directly. Where a person lacks the capacity to engage with this process then it is reasonable to produce such a plan following best interest guidelines with the involvement of family members or other appropriate individuals.

Such advance care plans may result in the consideration and completion of a Do Not Attempt Resuscitation (DNAR) or ReSPECT form. It remains essential that these decisions are made on an individual basis. The General Practitioner continues to have a central role in the consideration, completion and signing of DNAR forms for people in community settings.

It is unacceptable for advance care plans, with or without DNAR form completion to be applied to groups of people of any description. These decisions must continue to be made on an individual basis according to need.

It’s saying that any policy requiring medical staff to write off any individual – of any age and condition – as untreatable without discussing their situation with them is wrong.

If the government has handed that down to healthcare providers as a requirement, then it is wrong.

If anybody has already died as a result of such a policy, then those responsible must be identified and must pay the appropriate penalty.

This is real. It is important. It could be deadly. Don’t let the Tories get away with it.

Have YOU donated to my crowdfunding appeal, raising funds to fight false libel claims by TV celebrities who should know better? These court cases cost a lot of money so every penny will help ensure that wealth doesn’t beat justice.

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Tory NHS sniping fails to hit targets

141024NHS

Heartfelt words: A short poem by Lorna (pictured) on YouTube has been more persuasive than any of the Tory smear tactics.

The Tories have been working very hard on their campaign against NHS Wales; shame they don’t have a brilliant health service in England to hold up in comparison.

Twitter lit up around teatime yesterday (Thursday) with allegation after allegation about the service in Wales – for example, that one in seven Welsh patients are on waiting lists, including more than a thousand (if memory serves) for more than a year.

Yr Obdt Srvt countered by pointing out that Mrs Mike had to go to NHS Wales-arranged hospital appointments twice last week; on both occasions she was seen promptly and received appropriate treatment immediately.

All right, came the response. What about the appalling record of the Welsh Ambulance Service, which remains unable to reach all of its emergency calls within the mandatory eight-minute deadline?

The response should be obvious: How many of those patients died? They didn’t have an answer for that. It seems that the health of the patient is of less concern to the statistic-keepers than the speed with which they are attended. The situation conjures up images of Mussolini’s (fabled) Italy in which the trains all ran on time and you can imagine a Tory-run NHS Wales report right now: “None of the patients survived the journey to the hospital but the ambulances were all punctual!”

In fact, even if the Tories had been able to dredge up an answer, they would have been trumped. Yr Obdt Srvt has friends who work in the ambulance service and it just happens that, only a few days ago, one of them told us proudly how they had been working in a team who had arrived too late to stop the patient’s death – and had then brought this person back to life.

(As an aside, it was pleasant to be addressed by members of Conservative Central Headquarters, by the Welsh Tory leader Andrew RT Davies, and by the Welsh Conservatives’ official Twitter accounts while debating the above issues (and others). Either Vox Political is going up in the world or they had nothing better to do than argue the toss with a small blog site. If you’re a Tory, try to work out which of those alternatives is least embarrassing for you!)

So, before criticising hard-working ambulance crews who have to negotiate gridlocked city centres, miles of winding country roads, and sometimes both – and are still expected to do it all within eight minutes, just take a moment to thank them for the amazing feats they can perform when they do arrive.

Wales isn’t like England. The terrain is different and the service is intentionally under-funded by the Westminster government, which has been cutting its grant to the Welsh Assembly ever since the Conservative Party came into office on the back of Liberal Democrat collusion.

As for the service in England itself – well, you’ve seen the image of Lorna adorning the top of this article. Have a listen to the following YouTube clip; it’ll tell you all you need to know about public feeling on that account!

Follow me on Twitter: @MidWalesMike

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