Advance care planning is a process where people talk about their wishes and what they would like for their future care. This is important if there is a chance the person’s health might get worse and they may not be well enough to share their wishes in future.

Advance care planning

Voluntary: a person can choose if they want to take part.

Age: for anyone over 18.

More important for: older adults, frail individuals and adults who have a long-term health condition that might get worse.

Person-centred: considers the person’s future wishes.

Honest: wishes are not always possible, so planning gives you a chance to talk about other options.

Open to all: anyone can start a conversation including a person making a plan, those important to them and health professionals.

Common myths about advance care planning

There can be myths about advance care planning which are considered below.

Myth
Plans cannot be changed

Truth

Plans can and should be updated if wishes or situations change.

Myth
Only people who are very ill should be thinking about a plan

Truth

Anyone can make a plan. This is helpful if a person becomes unwell or they are unable to share their wishes in the future.

Myth
Advance care planning only talks about treatment and care.

Truth

It covers all the things that matter to the person making the plan. This will include their wishes relating to their care, finances (for example, paying bills, benefit support etc.), legal (if they would like to create a will etc.), and other personal matters.

Who takes part in advance care planning?

The following people are likely to be part of advance care planning.

The person making the plan
This person is at the heart of the conversation

People important to that person
This might include a partner, family, friends, caregivers. etc

Healthcare professionals
This may include a community nurse, a general Practitioner (GP) or specialist involved in care

Legal professionals
A solicitor may be involved if the person would like to arrange for someone important to them to make decisions on their behalf

Karen Bowes, Royal College of Nursing, discusses ‘What is ACP?’