Abstract Introduction Since 2019, ReSPECT forms have been used to document patient wishes and appropriate escalation of treatment in our hospital. This audit examines the quality and completeness of ReSPECT forms in Southmead Hospital across medical and surgical wards, assessing adherence to national guidance as stipulated by the Resuscitation Council UK. The aim is to identify areas for improvement in documentation practices and issues for future QIPs. Methods This was a retrospective audit done for all inpatient wards in Southmead Hospital. The acute medical and surgical wards were excluded from the audit, namely 31A 0.05). Full MCA documentation in notes when a patient lacks capacity, compliance is universally low. All wards have very low compliance with legal proxy documentation. Only 22% compliance with values and fears documentation, suggesting a missed opportunity to reflect patients’ wishes in advanced care planning. Despite some well-performing criteria, there is a lot of work to be done to reach the standard of 100% in all criteria. Educational interventions focusing on MCA documentation, legal proxy awareness and capturing patient values. To send raw data to all ward leads who can extract ward-specific data, which can feed into future QIPs. Schedule a re-audit within 6–12 months to evaluate the impact of interventions.
Sreenivas et al. (Sun,) studied this question.