Advance Decisions to Refuse Treatment: A Guide for Health and Social Care Professionals

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These guidelines were published by the National End of life Care programme with the National Council for Palliative Care. 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 guide is intended to clarify the law for professionals and to offer additional practical information to enable them to support all people, whatever their age; race, faith, gender, sexual orientation, gender identity, disability or preferences that may choose to consider making an advance decision to refuse treatment.