Background ReSPECT (Recommended Summary Plan for Emergency Care and Treatment) is a national form developed by the Resuscitation Council to support care planning. ReSPECT is a process that creates personalised recommendations for a person’s clinical care in a future emergency in which they are unable to make or express choices. A recommendation from the newly formed Banes, Swindon and Wiltshire (BSW) Palliative and End of Life Care Alliance, was to adopt ReSPECT across the BSW Integrated Care System (ICS).

Aim(s) To successfully introduce and embed the ReSPECT process across the BSW ICS.

Methods A working group was established in May 2021 with representation from across health and social care in BSW, including three acute hospitals, three hospices, social care, commissioners, Academic Health Science Network, Ambulance Service and Mental Health Partnership. ReSPECT was rolled out across BSW in October 2021. The Academic Health Science Network took the lead on education, with individual organisations taking responsibility for education of their employees. Other work streams included engagement and communication and metrics/reporting. Transformational funding was secured for three 12 month fixed term ReSPECT specialist health professionals to work across BSW educating, supporting and embedding ReSPECT into practice.

Results Numbers of active ReSPECT forms have continued to increase (November 2022 – 2336 forms). A system-wide qualitative audit is being undertaken by Dorothy House to look at the quality of information on the form using audit markers as per the Resuscitation Council guidance. The results of this audit will inform the necessary next steps.

Conclusions The work has increased collaboration across the ICS, with a greater understanding of how organisations work, and the challenges they face. The results of the qualitative audit will inform how the work to date can be improved and will be presented at the conference.