Ambulance Service access to Advanced Care PlansAmbulance Service access to Advanced Care Plans
Produced by Health and Care JerseyAuthored by Health and Care Jersey and published on
05 August 2026.Prepared internally, no external costs.
Request 856325972
1. Does your Ambulance Service have a system for enabling attending crew to access copies of an individual’s advance care plans (as listed in the table below)?
Advance care planning document
| Yes, the crew has access to the full document – please explain the system in place | No, the crew only has partial access to the document – 'e.g. the crew can see if someone has completed a document, but not the form itself. Please explain the system in place | Please include any further information that may help individuals understand the extent to which their care preferences will be known to paramedics |
Advance Decision to Refuse Treatment (ADRT) | | | |
Treatment escalation plans (e.g. ReSPECT forms) | | | |
Do Not Attempt Cardio Pulmonary Resuscitation (DNACPR) order | | | |
Lasting powers of attorney for health and welfare (LPA) | | | |
Any other document setting out a person's care plan (please provide the name of the document below:
Name: | | |
|
2. If you do have a system for holding and accessing a person's advance care planning documents, who can provide you with these documents and how would they do so (e.g. via an internal system, by email, by posting a copy, by handing you a copy in person)? If an internal system and/or an email are to be used, please give details.
Advance care planning document | Who can provide a copy and how would they do so? |
| Health or social care professional (Yes/No) | If yes, please detail the mechanism used for sharing the document (e.g. by email to xx@xx.gg) | Individual (Yes/No) | If yes, please detail the mechanism used for sharing the document (e.g. send by email to XX@XX.XX, call # to find more information) |
Advance Decision to Refuse Treatment (ADRT) | | | | |
Treatment escalation plans (e.g. ReSPECT forms) | | | | |
Do Not Attempt Cardio Pulmonary Resuscitation (DNACPR) order | | | | |
Lasting powers of attorney for health and welfare (LPA) | | | | |
Any other document setting out a person's care plan (please provide the name of the document) | | | |
|
3. Does your service recognise and act on the Lions Club “message in a bottle” scheme?
4. Does your service recognise and act on any medical jewellery alerts for end-of-life decisions? If you only recognise a particular brand, e.g. MedicAlert please specify.
5. Does your service give any information or support to someone at the end of life who wishes to remain and die at home? (e.g. complete ReSPECT/ DNAR forms, obtain anticipatory medication, call a specific number for support). If so please outline this. If there are common circumstances in which transfer to hospital is mandatory/unavoidable please explain below as this will help individuals and their families manage expectations.
Response
1
No, the States of Jersey Ambulance Service does not have a system to enable attending crews to access copies of an individual’s advance care plans (where such copies are not held at the attending location).
Guidance is contained in the Jersey JRCALC (Joint Royal Colleges Ambulance Liaison Committee) app used by the States of Jersey Ambulance Service. As noted in previous Freedom of Information responses published to www.gov.je in 2024, the JRCALC guidelines [The Guidelines – JRCALC] are subject to copyright and cannot be reproduced for this Freedom of Information response.
2
Not applicable.
3 and 4
The Jersey Multi-agency Unified Do Not Attempt Cardiopulmonary Resuscitation (DNACPR) Policy recognises that a ‘message in a bottle’ or medical alert bracelet / necklace may be used to communicate the existence of a DNACPR.
5
The States of Jersey Ambulance Service is not responsible for the provision of information or support to someone at the end of life who wishes to remain and die at home.
gov.je