Advance Decisions to Refuse Treatment (ADRT)

Hospice in the Weald recognises that some people wish to make decisions now about their future care in order that those involved in their care (including any informal care givers) are aware of their preferences and wishes – especially in the event that they lose capacity (the ability to make decisions for themselves) at some point in the future.  Planning for future care can involve many different types of discussions and decisions.  Three main outcomes of Advance Care Planning (as detailed in the Mental Capacity Act 2005) are:

  • A verbal or written advance statement of wishes and feelings, beliefs and values
  • An advance decision to refuse treatment
  • A lasting power of attorney

Other discussions and decisions that can be made in advance might include emergency health care plans and decisions to not attempt cardiopulmonary resuscitation (if not included as part of an Advance Decision to Refuse Treatment).

Advance Decisions to Refuse Treatment (ADRT) allow people to give instructions about refusing specific medical treatments should there ever come a time when they are unable to make decisions for themselves or to communicate them to others.  They are enacted when a patient loses capacity and, provided they are deemed to be valid and applicable at that time, they are legally binding.


The above is an extract from our Advance Decision to Refuse Treatment (ADRT) policy.  To continue reading the full document, please click here.