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RDF19 Poster Details

RDF19 Poster Detail

Poster Title 
Turning “can’t” into “can if” – innovation inspired by C.A.R.E.

Background:  The Recommended Summary Plan for Emergency Care and Treatment (ReSPECT), launched in the UK in February 2017, is a process that creates personalised recommendations for a person’s clinical care in a future emergency should they be unable to make or express their choices. It was implemented at Hampshire Hospitals NHS Foundation Trust in September 2017.

In May 2017, the University of Warwick designed a phase 3 evaluation study to investigate how, when and why the ReSPECT form was used and what effects it had on patient care. The study team acknowledged the likely need to offer a flexible approach to study sites in order to collect their evaluation data, particularly as one of the four ‘work packages’ required study sites to recruit the equivalent of their total in-patient population.  This provided our Trust with the greatest challenge – how to recruit 600 plus patients across 3 geographically distant hospital sites with very few local R&D staff available to work over an extended period of time to implement the study protocol.

Method and Discussion:  The study had received high-level support organisationally and the R&D management team had some previous experience of delivering opt-out studies in the critical care setting. Taking inspiration from the Trust’s C.A.R.E values and recognising the study would highlight the importance of the ReSPECT process to compassionate healthcare delivery, we adopted an approach which turned “can’t” into “can if” by identifying the Challenges, Actions, Robust systems and Engagement required to successfully gather all the data required to allow enrolment and much of the data collection to occur in just one focussed ReSPECT Study day.

Conclusion:  With pre-planning, preparation and engagement of a strong team committed to raising the profile of the ReSPECT process and research, we achieved our target with 629 patients recruited that day.

  • CORNER, Victoria (Senior Research Study Coordinator: Hampshire Hospitals NHS Foundation Trust)
  • TRODD, Dawn (Critical Care Senior Research Nurse: Hampshire Hospitals NHS Foundation Trust)
  • PARRY, Barbara (Research Advisor and Collaborative Research Fellow: Hampshire Hospitals NHS Foundation Trust)
Hampshire Hospitals NHS Foundation Trust