Anticipatory care planning

ACP and DNACPR discussions

This pilot training programme is for Senior Nurses and Allied Health Professionals working in NHS Lothian who have been nominated by their manager for an extended role in relation to discussing and completing DNACPR forms.

Three cohorts of staff will take part in the initial programme between September 2018 and February 2019. This training is being delivered by the NHS Lothian Clinical Education Department and the EC4H Programme in NHS Lothian.

Our normal programme of ACP workshops will resume in 2019. Please contact the EC4H administrator for information

Programme Overview

Each cohort of 10 senior professionals will attend a half day theory workshop covering the key principles and application of the NHS Scotland DNACPR policy and the NHS Lothian procedure for non-medical practitioners.
In the second part of this day, participants will have protected time for self-directed learning and preparation for the interactive workshop.

The one-day, 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 are 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.

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.

The communication workshop is based on the EC4H Book:
Talking about deteriorating health, dying and ‘what matters’


Senior nurses and senior allied health professionals

For further information, please contact: Jenni Chambers; Clinical Education Department, NHS Lothian.

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 about 3 weeks before the workshop.
    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.


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 in each cohort, cancellations will only be permitted for unavoidable events.