MCA resources on Advance decision

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Court of Protection forms and guidance

Her Majesty’s Courts & Tribunal Service

Court of Protection forms including the applications to make decisions on someone's behalf; to become someone's deputy; to authorise a deprivation of liberty; and applications relating to powers of attorney.

Last updated on hub: 10 September 2020

Creating an LPA online

Office of the Public Guardian

Explains that creating a lasting power of attorney is quick and easy, especially when using the online service. The service guides users through answering the questions and explains the process along the way. The service can be found here: service at www.lastingpowerofattorney.service.gov.uk/home.

Last updated on hub: 07 September 2020

Future wishes: form

Standex Systems

Future wishes form.

Last updated on hub: 09 September 2020

Increasing understanding and uptake of advance decisions in Wales

Public Policy Institute for Wales

This report draws on an examination of the literature and consultation with stakeholders directly involved in advance decisions to refuse treatment (ADRT) to identify ways of increasing awareness and uptake of ADRTs in Wales. The report looks at the current legal position in England and Wales, the current update and effectiveness of advance treatment refusals, attitudes to advance decisions and the views of health and social care practitioners. Barriers to the uptake up of ADRTs identified, include: misunderstanding about what is involved; scepticism about whether the patient’s wishes will be respected; and the mistaken belief that an ADRT is unnecessary if someone has already informed family members or healthcare professionals of what they would want. The report recommends actions for the Welsh Government, charities and other organisations to ensure people understand their options for advance care planning and their right to refuse treatment, if they so wish. These include: an increase in public education; correcting official forms that may mislead people about the legal status of their own or a relative’s expressed wishes; facilitating access to well designed ADRT forms/guidance and skilled support; normalising ADRTs (e.g. offering registration when patients sign up with a GP); training relevant practitioners to ensure that they understand what ADRTs are (and when they are valid and applicable), are able to provide appropriate guidance or referral, and can act in accordance with the law concerning them.

Last updated on hub: 15 February 2016

Lasting power of attorney: form

Standex Systems

Lasting power of attorney form.

Last updated on hub: 07 September 2020

Lasting powers of attorney (LPA) forms

Her Majesty's Government

UK Government's publications, guidance and forms relating to lasting power of attorney.

Last updated on hub: 07 September 2020

Losing the capacity to make decisions

Parkinson's UK

Signposts to key information on mental capacity and power of attorney, and to the relevant legislation, including: the Mental Capacity Act 2005 (England and Wales; the Mental Health (Northern Ireland) Order 1986; and the Adults with Incapacity (Scotland) Act 2000.

Last updated on hub: 07 September 2020

Make a lasting power of attorney on GOV.UK

Office of the Public Guardian

Ann explains how simple she found it to make a lasting power of attorney using the new digital service on GOV.UK.

Last updated on hub: 07 September 2020

Making and implementing advance decisions: a toolkit for healthcare professionals

Compassion In Dying

This toolkit supports healthcare professionals’ understanding of advance decisions. It looks at: the legal framework for advance decisions and explains healthcare professionals’ obligations when caring for someone who lacks capacity; what an advance decision is and the criteria one needs to meet; how to support someone to make an advance decision; what steps should be followed if a person lacks capacity and has an advance decision; challenges that healthcare professionals may face when acting on an advance decision and offers practical guidance to help overcome them; and the relationship between advance decisions and lasting power of attorney for health and welfare. It consolidates guidance from the Mental Capacity Act, General Medical Council and British Medical Association.

Last updated on hub: 09 September 2020

Management of patients with an advance decision and suicidal behaviour: a systematic review

Background: The use of advance care planning and advance decisions for psychiatric care is growing. However, there is limited guidance on clinical management when a patient presents with suicidal behaviour and an advance decision and no systematic reviews of the extant literature. Objectives: To synthesise existing literature on the management of advance decisions and suicidal behaviour. Design: A systematic search of seven bibliographic databases was conducted to identify studies relating to advance decisions and suicidal behaviour. Studies on terminal illness or end-of-life care were excluded to focus on the use of advance decisions in the context of suicidal behaviour. A textual synthesis of data was conducted, and themes were identified by using an adapted thematic framework analysis approach. Results: Overall 634 articles were identified, of which 35 were retained for full text screening. Fifteen relevant articles were identified following screening. Those articles pertained to actual clinical cases or fictional scenarios. Clinical practice and rationale for management decisions varied. Five themes were identified: (1) tension between patient autonomy and protecting a vulnerable person, (2) appropriateness of advance decisions for suicidal behaviour, (3) uncertainty about the application of legislation, (4) the length of time needed to consider all the evidence versus rapid decision-making for treatment and (5) importance of seeking support and sharing decision-making. Conclusions: Advance decisions present particular challenges for clinicians when associated with suicidal behaviour. Recommendations for practice and supervision for clinicians may help to reduce the variation in clinical practice.

Last updated on hub: 08 September 2020

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