The ALLIANCE comments on draft COVID-19 clinical and ethical guidance

Section: The ALLIANCEType: News Item Date Published: 14th April 2020
ALLIANCE COVID-19 News graphic

Briefing paper offers observations and recommendations on how to better recognise people's human rights.

The ALLIANCE has called for an equalities and human right based framework to be clearly embedded in key Scottish Government advice intended to guide clinical and ethical decision making in relation to the Coronavirus pandemic.

Commenting on the Clinical Guidance, the Ethical Advice and Support Framework, and National Clinical Guidance for Nursing and AHP Community Health Staff, the briefing outlines a range of practical considerations which would safeguard the rights of people living with long term conditions, disabled people and unpaid carers.

These include:

  • Calling for further information to be provided on how people will be involved in clinical decisions related to the withdrawal of treatment or end of life care.
  • Urgently amending the section of the guidance which relates to the use of the Clinical Frailty Scale (CFS).
  • Clear guidance for health and care practitioners on when and how Anticipatory Care Planning conversations (including on Do Not Attempt Cardiopulmonary Resuscitation (DNACPR) status) should be undertaken.
  • Calling for greater detail on how people who experience barriers to accessing health and care services will receive information on Community Hubs and Assessment Centres.
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