End of Life Care Plan and Advance Care Planning Record

A person-centred plan for the last months, weeks and days of life – wishes and preferences, advance decisions, ReSPECT and DNACPR information, symptom management, spiritual needs and care after death.

Editable Word document
7
10pages
Guidance notes included
aml consultancy solutions

Care providers

End of Life Care Plan and Advance Care Planning Record

About this document

What it’s for

Records what matters most to a person at the end of their life and how they want to be cared for, so that staff, family and health professionals can honour their wishes. It brings together advance care planning, legal documents such as lasting powers of attorney and advance decisions, and the practical care plan.

When to use it

  • When a person’s health is deteriorating and they may be in the last year of life
  • When a person wants to plan ahead, at any time
  • Reviewed whenever their condition or wishes change

What’s inside

The document is laid out in the sections below. Each one comes with a plain-English guidance note explaining what it does and what to change.

  • Part 1 – Important people and contacts
  • Part 2 – Legal and clinical decisions
  • Part 3 – What matters to me
  • Part 4 – Care and comfort plan
  • Part 5 – Care after death

How to complete it

  • Have conversations with the person (and, with their agreement, people important to them) over time
  • Record their words where possible
  • Share relevant parts with the GP, district nurses and out-of-hours services

Key points to check

  • A DNACPR decision or ReSPECT form is made by a clinician – this plan records where it is kept, it does not make the decision
  • Where a person lacks capacity, follow the Mental Capacity Act 2005 and best interests process

Our templates are professionally structured starting points for UK businesses, not legal advice. For anything complex, unusual or high-value, have your final version checked by a solicitor.

Included in the pack

Care providers

£20

for every document in this category

Editable Microsoft Word files

Guidance notes in every document

Written for UK businesses

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