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This guide is designed to help health and social care professionals understand and implement the law relating to advance decisions to refuse treatment (ADRT) contained in the Mental Capacity Act (2005).
This 2013 version replaces that published in September 2008 and covers:
How to make an advance decision to refuse treatment, who can make an advance decision, when a decision should be reviewed and how it can changed or withdrawn
What should be included
Rules applying to advance decisions to refuse life sustaining treatment and how they relate to other rules about decision-making
How to decide on the existence, validity and applicability of advance decisions and what healthcare professionals should do if an advance decision is not valid or applicable
The implications for healthcare professionals of advance care decisions, including situations where a healthcare professional has a conscientious objection to stopping or providing life-sustaining treatment
What happens if there is a disagreement about an advance decision.
Publication by the National End of Life Programme which became part of NHS Improving Quality in May 2013