Advance Directive Template

(England & Wales)

Create your advance care planning documents with ADRT, Advance Statement, Mental Health Statement, and LPA guidance notes.

Professionally drafted — structured following Mental Capacity Act 2005 requirements for England and Wales.

Download a professionally drafted advance care planning template, also known as an advance directive, living will, advance decision, or advance statement. An advance care plan allows you to record your healthcare preferences, treatment wishes, and end-of-life decisions in advance — ensuring your wishes are known if you lose mental capacity. Covers treatment preferences, refusal of specific treatments, preferred place of care, organ donation wishes, religious and cultural considerations, and emergency contact details. Structured following the Mental Capacity Act 2005 requirements for England and Wales.

Complete Pack: £22 (4 documents)
✓ 4 documents included • ✓ Lifetime updates • ✓ Fully editable • ✓ Based on UK law • ✓ Instant download
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🎯 Two creation methods — same professional document

Whether you prefer step-by-step guidance or a traditional form, both methods produce the identical professionally-formatted advance directive. Choose the style that suits you.

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Completion Time
~25 min
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Completion Time
~15 min

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♻️ Unlimited use — update and regenerate your advance decision whenever your circumstances change

💡 Need comprehensive estate planning?

Get our Complete Estate Planning Pack – all 8 templates for comprehensive estate planning including wills, trusts, and healthcare planning.

Who Needs Advance Care Planning Documents?

These documents ensure your healthcare wishes are respected when you can't speak for yourself — giving you control over future medical treatment decisions.

👴
Anyone Over 18
Accidents can happen at any age — everyone should have advance care plans
🏥
Chronic Illness
Plan for potential decline while you can still express your wishes
🧠
Dementia Concerns
Document wishes before cognitive decline affects decision-making
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Treatment Preferences
Refuse specific treatments (CPR, ventilation, tube feeding)
🙏
Religious/Ethical Beliefs
Ensure care respects your spiritual or ethical values
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End-of-Life Location
Specify preference for home, hospice, or hospital care
👨‍👩‍👧
Protect Your Family
Spare loved ones from impossible decisions during crisis
⚕️
Major Surgery Ahead
Document wishes before any procedure with anaesthesia risk

This pack includes four documents for comprehensive advance care planning: an Advance Decision to Refuse Treatment (ADRT) for specifying treatments you refuse, an Advance Statement for expressing general healthcare wishes, a Mental Health Advance Statement for mental health treatment preferences, and Lasting Power of Attorney guidance notes.▼ Tap below to read more

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What's Included in This Pack?

4 Documents for Complete Coverage:

  • Advance Decision to Refuse Treatment (ADRT): Specifies treatments you refuse in specified circumstances. Healthcare professionals must follow valid ADRTs when you lack capacity.
  • Advance Statement: Expresses your general wishes, values, preferences, and feelings about future care. Not binding but must be considered in best interests decisions.
  • Mental Health Advance Statement: Specific preferences for mental health treatment if you're detained under the Mental Health Act.
  • LPA Guidance Notes: Information about Lasting Power of Attorney for Health and Welfare — when you might want to appoint someone to make decisions for you.

Together, these documents provide comprehensive coverage for typical healthcare planning scenarios.

An Advance Decision to Refuse Treatment (ADRT) is legally binding for specified treatments, whilst an Advance Statement expresses general wishes and preferences which healthcare professionals must consider when making best interests decisions.▼ Tap below to read more

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ADRT vs Advance Statement — What's the Difference?

Advance Decision to Refuse Treatment (ADRT):

  • ✓ Healthcare professionals must follow valid ADRTs under the Mental Capacity Act 2005
  • ✓ Specifies treatments you refuse (cannot request treatments)
  • ✓ Must be specific about treatments and circumstances
  • ✓ If refusing life-sustaining treatment, must be written, signed, and witnessed
  • ✓ Only applies when you lack mental capacity
  • ✓ Overrides decisions by family or doctors

Advance Statement:

  • ✓ Not binding — but must be taken into account
  • ✓ Expresses general wishes, values, and preferences
  • ✓ Can include care preferences, not just treatment refusals
  • ✓ No specific format required
  • ✓ Helps healthcare teams understand you as a person
  • ✓ Guides "best interests" decisions

Our pack includes both documents so you have comprehensive coverage — binding refusals plus general guidance.

Avoid common mistakes when creating your advance care plan: being too vague about treatment refusals, failing to sign and witness ADRTs refusing life-sustaining treatment, not informing your GP and healthcare providers, and not reviewing documents after major health changes.▼ Tap below to read more

Common Advance Care Planning Mistakes to Avoid

Don't Make These Critical Errors:

  • Too vague: Saying "no heroic measures" isn't specific enough — name exact treatments you refuse.
  • Not signed for life-sustaining treatment: ADRTs refusing life-sustaining treatment MUST be signed and witnessed to be valid.
  • Hiding documents: If nobody knows your ADRT exists or where it is, it won't be followed in emergencies.
  • Never reviewing: Life circumstances change — review documents after major health changes or every 2-3 years.
  • Not telling your GP: Your GP should have copies and note them in your medical records.
  • Conflicting with LPA: If you have a Health & Welfare LPA, ensure your ADRT doesn't conflict with their authority.
  • Making decisions for others: You can only refuse treatment for yourself, not make decisions for family members.
  • Requesting euthanasia: ADRTs can refuse treatment but cannot request assisted dying (which is illegal in the UK).
  • No capacity statement: Documents should confirm you had mental capacity when creating them.
  • Not discussing with family: Surprising family with your wishes during a crisis causes distress.

Our template guides you through creating valid, effective advance care documents.

⚠️ After you download — CRITICAL:

If refusing life-sustaining treatment, the ADRT must be signed and witnessed. Give copies to your GP (ask them to add to medical records), next of kin, and anyone named as attorney. Review after major health changes. Consider carrying a wallet card stating you have an ADRT.

Frequently Asked Questions

Is an Advance Decision legally binding?

Under the Mental Capacity Act 2005, a valid and applicable Advance Decision to Refuse Treatment (ADRT) must be followed by healthcare professionals. They must respect your refusal even if they believe the treatment would benefit you.

However, it must be valid (made when you had capacity, not withdrawn, and made without pressure) and applicable (covers the specific treatment and circumstances). If refusing life-sustaining treatment, additional requirements apply — the document must be in writing, signed by you, witnessed, and include a specific statement that it applies even if your life is at risk.

Can I refuse life-sustaining treatment?

Yes, but additional requirements apply.

To refuse life-sustaining treatment (such as CPR, ventilation, or artificial nutrition), your ADRT must be in writing, signed by you, witnessed, and include a specific statement that it applies even if your life is at risk.

Our template includes all required elements.

How much does a solicitor charge for an advance care plan?

Solicitor fees for an advance directive typically range from £100 to £400+, depending on complexity. Some solicitors include it as part of a wider estate planning package.

Our template is £22 one-time. Many complete their advance care plan confidently without additional legal costs.

Consider solicitor review if you have complex medical conditions or wish to create a legally binding advance decision to refuse specific treatments.

Can I write my own advance care plan without a solicitor?

Yes. There is no legal requirement to use a solicitor to create an advance care plan in England and Wales. Under the Mental Capacity Act 2005, any adult with mental capacity can make an advance statement or advance decision.

Our template guides you through every section with clear instructions.

Consider solicitor review if you wish to make a legally binding advance decision to refuse life-sustaining treatment, which has specific witnessing requirements.

What's the difference between an advance care plan and a lasting power of attorney?

An advance care plan records your own healthcare wishes and treatment preferences for when you lack capacity. A lasting power of attorney (LPA) appoints someone else to make decisions on your behalf — either for health and welfare or property and financial affairs.

Many people create both. An advance care plan ensures your specific wishes are documented, whilst an LPA ensures someone you trust can make decisions the plan doesn't cover.

What if UK law changes after I purchase?

You receive free lifetime updates — no subscription required, no monthly fees, ever.

We monitor UK law changes and update templates accordingly. When we release an updated version, it appears free in your My Templates page. No extra charges. No recurring fees.

Is this really £22 one-time, or will I be charged monthly?

£22 one-time. That's it. No subscriptions, no recurring fees, no "free trial" traps.

Here's what we don't do: Other sites advertise "free templates" — you spend 15 minutes filling one in, then they demand your card for a "free trial" that charges £35–£42/month when you forget to cancel. Worse, many are US-based and won't hold up under UK law. (Read about the scam)

We're different: £22 upfront for the document you actually need. Build it, preview it, pay only when you're happy. Own it forever with free lifetime updates. Based on UK law. No subscription fatigue.

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