Advanced Practice Training in Anticipatory Care Planning and DNACPR

We are running a further pilot cohort for this Anticipatory Care planning and DNACPR training programme 

This programme is for Senior Nurses and Allied Health Professionals (Band 6 and above) working for NHS Lothian. We invite applications from experienced staff already involved in Anticipatory Care Planning and DNACPR discussions


Day 1; 19th November 2019: DNACPR Theory session 9 – 4:30pm Medical Education Centre – Seminar Room 1, Western General Hospital

Day 2; 18th February 2020. Evaluation day 9:00-1.00pm at Comely Bank Centre,Training Room 3

Day 3; 28th August 2019. Evaluation day 9 -1.00pm

Participants must attend all three dates for successful completion of the programme.

The aim of the programme is to improve all aspects of Anticipatory Care planning and allow practitioners to sign off DNACPR forms following appropriate multi-disciplinary discussions.

Applicants will require the permission of a line manager to embed this advanced practice role on completion of the programme.

Programme overview

For further information, please email:

Participants: Senior nurses and senior allied health professionals Band 6 and above.

Pre-workshop preparation

Workshop participants find it helpful to think about how they currently communicate and what situations are particularly challenging.  As the workshop is based on participants’ own situations we will be asking what you would like to work on.

Pre-workshop information is available for participants on our secure EC4H Workshops website.

  • You will receive a link to and a password to allow you to access more information and resources for your workshop before the date of the first workshop in your cohort.
    Occasionally emails end up in spam so please check for this and contact us if you do not receive your login.
  • We will ask you to complete an online, pre-workshop evaluation – please do this as soon as possible as we use this information to plan your workshop. You are also required to complete a post-workshop evaluation and record some reflective cases from your application of the training programme in your own clinical practice.


Each cohort of 10 senior professionals will have protected time on Day 1 for self-directed learning the morning of 7th May 2019 to prepare for the interactive workshop. Participants will then attend a half day theory workshop in the afternoon of Day 1 covering the key principles and application of the NHS Scotland DNACPR policy and the NHS Lothian procedure for non-medical practitioners.

Day 2 is an Advanced Communication workshop offers an opportunity to work in a small peer group on scenarios relating to shared decision-making and communication about ACP and CPR when a patient is deteriorating with one or multiple advanced conditions and at risk of dying at home, in a care home or HBCCC unit or in an acute hospital. These will be people for whom CPR will not work or will have a very poor outcome.

Day 3 offers a morning consolidation of learning and dissemination of good practice. This day will also offer support for self assessment and guidance with any further learning needs.

Group mentorship will be provided with this cohort. No further mentorship or sign off is required.

Learning Outcomes

Learning outcomes for the communication workshop include:

  • Communicate sensitively and effectively with people and those close to them about serious illness, deteriorating health, dying and CPR.
  • Talk about anticipatory care planning informed by an understanding of ‘what matters’ to individual patients and families.
  • Discuss treatment options and outcomes within a person-centred model of shared decision-making.
  • Respond to anger, distress, collusion and other complex emotions.
  • Discuss the benefits and limitations of treatment in a balanced way.
  • Manage people who have unrealistic expectations of treatment and outcomes.
  • Address communication challenges that arise when the person has impaired decision-making capacity.

Booking – Application Form

You will be informed by email by the Clinical Education Department when your application has been assessed and a place has been reserved for you. As there are only 10 participants, cancellations will only be permitted for unavoidable events.