title: District nurse consultations with vulnerable patients over wishes for end-of-life care.
abstract: As part of an enhanced service under NHS England's Transforming Primary Care initiative, GP practices will begin to proactively case manage patients at risk of unplanned hospital admissions. At the centre of this service is a case management register and personalised care plan that indicates the patient's wishes for future care. The initiative, and particularly the asking of questions about 'do not attempt resuscitation' orders and end-of-life care, has drawn the criticism of district nurses who are frequently asked to complete the personalised care plans with patients-many of whom they have not previously met. This article considers whether the template for personal care plans is reflective of the law on consent and, in particular, the Mental Capacity Act 2005.
authors.affiliation: Senior Lecturer in Health Law, College of Health Science, Swansea University.
authors.forename: Richard
authors.initials: R
authors.lastname: Griffith
mesh_terms: D016223:Advance Directives; D019090:Case Management; D003152:Community Health Nursing; D003657:Decision Making; D006801:Humans; D016743:Mental Competency / Q000331:legislation & jurisprudence; D009723:Nurse-Patient Relations; D013222:State Medicine; D013727:Terminal Care; D006113:United Kingdom; D035862:Vulnerable Populations
keywords: Advance decisions; Do not attempt resuscitation; Mental Capacity Act 2005; Unplanned admissions; Vulnerable patients