AN INQUIRY has been launched into the alleged blanket use of Do Not Attempt Resuscitation (DNAR) orders in England during the early stages of the coronavirus pandemic. 

The Care Quality Commission (CQC) will investigate concerns that the orders were wrongly applied to certain groups, including care home residents.

The decision to issue a DNAR to a person who is very ill should only be made with the consent of the individual or their family.

However, a doctor can make an on-the-spot decision in exceptional circumstances, but this must always be done on an individual basis. 

The CQC said it is proceeding “apace” with the review, commissioned by the Department for Health and Social care.

Dr Rosie Benneyworth, chief inspector of primary medical services and integrated care at the CQC, said it was “unacceptable” for such orders to be applied to whole groups of people of any description. 

“Through this review we will look to identify and share best practice in this complex area, as well as ensuring mistakes are not repeated,” she said. 

The investigation comes after repeated concerns were raised throughout the pandemic about the inappropriate use of DNAR orders. 

In August, a Queen’s Nursing Institute charity survey of 128 care home managers and nurses found that one in 10 institutions had been ordered by NHS bosses to introduce DNARs without permission from the residents, family members or staff. 

This took place in both care homes for the elderly and homes for younger people with learning or cognitive disabilities. 

Fiona Carragher, director of research and influencing at the Alzheimer’s Society, said: “Let’s be clear – it’s appalling to hear that a blanket-DNAR approach was ever taken, effectively denying people their right to life, without permission being appropriately obtained. 

“It’s vital that the CQC investigation ensures this never happens again, correcting any cases where it may have been inappropriately applied.” 

Age UK director Caroline Abrahams said that the charity had seen “distressing” cases of DNAR orders being applied inappropriately during the first wave.

“We also heard from older people and families who were not adequately consulted about their wishes or who felt pressured into agreeing an order. 

“As we head into a tough winter, it’s vital that older people and families are never again subjected to such utterly unacceptable practices.”