Advance Statement of Wishes and Preferences
An Advance Statement of wishes and preferences is a written record of what matters most to you in relation to your future care and day-to-day life. It gives your family, carers, and healthcare professionals guidance if you are ever unable to make or communicate decisions for yourself.
Unlike some other advance planning tools, an Advance Statement is not legally binding. However, under the Mental Capacity Act 2005, anyone making decisions on your behalf must take it into account. This makes it a valuable way of ensuring your voice is heard, even if you cannot speak for yourself.
What Can Be Included in an Advance Statement?
Your Advance Statement can be as detailed or as simple as you wish. It may cover:
- Care preferences – for example, whether you’d prefer to be cared for at home, in a hospice, or in hospital.
- Daily routines – such as sleep patterns, favourite foods, hobbies, or activities that are important to your wellbeing.
- Values and beliefs – including religious, cultural, or spiritual wishes.
- Personal preferences – such as the type of clothing you like to wear, music you enjoy, or how you like your home environment arranged.
- Communication needs – for example, if English is not your first language, or if you need hearing aids or other support.
- Family and relationships – people you would like involved in your care decisions and how you want them to be updated.
How is it Different from an Advance Decision to Refuse Treatment (ADRT)?
An ADRT is a legally binding document that allows you to refuse specific medical treatments in advance. An Advance Statement, on the other hand, is not legally enforceable, but it gives helpful context and guidance to anyone making decisions about your care. Many people choose to have both, as they complement each other.
Legal Status of an Advance Statement
- It is not legally binding, but professionals and carers are expected to take it into account when making decisions in your best interests.
- It should be written down, signed, and dated to make it clear and easier to follow.
- It can be shared with your GP, healthcare team, family, and anyone else involved in your care.
Why Write an Advance Statement?
It:
- Ensures your wishes and values are respected.
- Helps your loved ones and care team make decisions with confidence.
- Provides comfort to your family, knowing they are honouring your preferences.
- Can reduce stress and uncertainty during difficult times.
An Advance Statement of wishes and preferences is a simple but powerful way to make sure your voice is heard in the future. While it is not legally binding, it provides essential guidance to those who may need to make decisions for you, ensuring that your care reflects who you are and what matters most to you.
Download an Advance Statement template to use yourself