Advance healthcare directive

If you are planning ahead, you can make an advance healthcare directive. This arrangement lets you set out your wishes regarding medical and healthcare treatment in case you are unable to make these decisions in the future. Importantly, it lets you write down any treatment you do not want.

You can appoint someone you know and trust as your designated healthcare representative. They will act on your behalf regarding the decisions in your advance healthcare directive. A designated healthcare representative has the power to advise on and interpret your wishes. They can agree to, or refuse treatment on your behalf, based on your advance healthcare directive. 

Doctors and other healthcare professionals must consult your advance healthcare directive if you lose the ability to make a treatment decision. 

How do I apply for an advance healthcare directive?

An advance healthcare directive must be made in writing and signed by you, two witnesses, and by your designated healthcare representative, if you decide to have one.

You can write down any treatments you wish to refuse and the circumstances in which this should apply.

You can include requests for specific treatments. Requests for treatments are not legally binding. However, by including them you can make sure they are considered during any related decision-making process.

How do I find out if someone has an advance healthcare directive?

You do not have to tell us when you have made an advance healthcare directive, but we recommend that you do. We will provide a form that you can use to make your advance healthcare directive. If you use our form, we will review it to make sure it meets the legal requirements.

The benefit of telling us is that we can provide you with a certified copy of the advance healthcare directive which can be used if you lack the capacity to make a decision about your care and treatment.

You should provide a copy of your advance healthcare directive to your GP and any other healthcare professional who may provide you with treatment.

Healthcare professionals must check if you have an advance healthcare directive if you lack the capacity to make a treatment decision.

Monitoring an advance healthcare directive

If you lose the capacity to make certain healthcare and treatment decisions, and have a designated healthcare representative, they must make a record of any decision made that relates to your advance healthcare directive. They must do this as soon as possible and no later than seven days after the decision has been made.

If you regain capacity, your designated healthcare representative must provide a copy of this record to you. We can also request a copy of this record.

We can send someone to talk to you or your designated healthcare representative. For example, we can send a general visitor or special visitor if we receive a complaint about your designated healthcare representative, or want to check that the agreement is working the way that it should.

Ending an advance healthcare directive

You can end your advance healthcare directive at any time if you have the capacity to do so. An advance healthcare directive must be ended in writing.

Changing an advance healthcare directive

You can change your advance healthcare directive if you have capacity to do so. Any change to your advance healthcare directive must be made in writing, signed by you, two witnesses, and by your designated healthcare representative, if you have one.

It can be a good idea to review and update your advance healthcare directive regularly so that it reflects your wishes. You should also review and update it following any major medical treatment or diagnoses to ensure it reflects your medical history.

What does it cost?

It will not cost anything to make, change or end an advance healthcare directive with us.