SJT: DNACPR Decisions — Law, Capacity & Best Interests (passthemsra.com) - Free MSRA revision

This episode breaks down one of the most challenging and high-stakes SJT themes: safe, lawful DNACPR decision-making. You’ll learn exactly how the GMC, Mental Capacity Act, ADRTs, LPAs and landmark cases like Tracey and Winspear shape what a safe doctor must do. Clear, practical, exam-ready steps distilled from a complex legal and ethical landscape.0:00 DNACPR in clinical practice00:22 Why this is a high-yield SJT topic00:48 CPR decisions: clinical judgement vs patient values01:20 The legal pillars: ADRT, LPA & MCA02:00 DNACPR = CPR only02:40 Avoiding undertreatment & therapeutic nihilism03:10 Valid ADRT requirements03:36 Limits of LPA authority04:18 Best-interest decisions under the MCA05:05 Duty to consult—Tracey & Winspear06:10 When consultation may be bypassed temporarily07:00 The five-step safe decision-making framework08:15 Mnemonic: CALMR09:05 Respect plans & the “CPR box” visual hook09:40 High-yield SJT patterns: blanket DNACPR10:20 Futility vs family disagreement11:05 Common unsafe traps12:10 Rapid-fire application using CALMR13:20 Three essential exam takeaways14:00 Closing summary• DNACPR applies only to CPR—all other appropriate treatment continues.• ADRTs refusing life-sustaining treatment require: written form, patient signature, witness signature, and explicit wording applying even if life is at risk.• LPAs can refuse but cannot demand clinically inappropriate treatment.• Under the MCA, when capacity is lacking, apply the full best-interests checklist and consult family unless unsafe or impossible.• Blanket DNACPRs are discriminatory and unlawful—always individualise.• Document everything: reasoning, consultation, decisions and review triggers.CALMR — the high-yield mnemonicC — Capacity & valuesA — ADRT/LPA checkL — Limit DNACPR to CPR onlyM — MCA best-interestsR — Record & reviewLinks:• passthemsra.com – Complete MSRA revision, notes, mocks, flashcards• freemsra.com – Free podcasts, threads and rapid-learning guides• msra.io – Smart MSRA Qbank with analytics#MSRA #SJT #GMCGuidance #DNACPR #MentalCapacityAct #UKDoctors #MedicalEthics #EndOfLifeCare #MedicalRevision #passthemsra #freemsra #msraio