Advance Care Planning
Advance care planning (ACP) is a voluntary process where you can think about, talk about and record what matters most to you for your future health and care.
It helps make sure your wishes are known and respected if there comes a time when you are unable to make or express decisions yourself.
When we would use advance care planning
We use advance care planning in situations where it can help you feel more prepared and supported about future care. This might be when you have a long‑term condition, are living with frailty, have experienced a recent change in your health, or simply want to plan ahead. Our teams may also discuss advance care planning during hospital stays, outpatient appointments, community visits or as part of palliative and end‑of‑life care. These conversations are always voluntary and are led at a pace that feels right for you.
Advance care planning can include your preferences about:
- How and where you would like to be cared for
- The treatments you would or would not want
- The people who should be involved in decisions
- Your cultural, spiritual or religious wishes
- What matters most to you in your daily life
Why advance care planning is helpful
Advance care planning can help you feel more in control, reduce stress for those close to you, and support healthcare professionals to make decisions that reflect your values and wishes.
Types of advance care planning
ReSPECT plan: Records your wishes about emergency care and treatments and is recognised by hospitals, GPs, ambulance services and community teams.
Advance Statement: Sets out the things that are important to you, such as routines, cultural or spiritual needs, and preferences.
Advance Decision to Refuse Treatment (ADRT): A legally binding document where you can record treatments you do not want in the future.
Lasting Power of Attorney (LPA): Allows you to legally appoint someone to make decisions on your behalf if you’re unable to.
Getting support with advance care planning
You can start advance care planning with your GP, specialist team, community nurse, or any healthcare professional involved in your care. If you are receiving palliative or end-of-life care, our specialist teams can support you with these conversations.
Sharing your plan
You can change your advance care plan at any time. It’s helpful to share it with people close to you and give a copy to your GP or clinical team. With your permission, key information can be added to your care record.
Useful resources
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