Anticipatory Care Planning
We are offering any patients who feel they may benefit the opportunity to discuss how they want their care to be managed in the final years of their life.
It has long been recognised that people who are more vulnerable to serious illness may benefit from a more anticipatory approach to their care. These might include patients who have an active diagnosis or cancer, patients with other serious medical problems, or older patients who have frailer health (such as those in care homes).
Part of proactive care planning is to encourage discussions about how you want to be cared for if you became seriously unwell. Discussions may be about anything you want but would usually include making sure that we have details of carers and loved ones you would like us to know about. Some people also appreciate being able to voice their feelings about the 'what-ifs' of the future: what are they happy (or not happy) to undergo if new health problems appear? What do they want to happen if they become very unwell? Do they want to have resuscitation (chest compressions) attempted if they pass away?
Below you will find a list of typical scenarios we would normally discuss with our patients.
You may wish formally nominate a person who is legally able to make decisions for if you are unable to. This I called a ‘power of attorney’ and more information can be found here: (https://www.nhs.uk/conditions/end-of-life-care/lasting-power-of-attorney/).
It may well be that none of these situations are relevant to you at the moment. There is no obligation to address them. In reality, doctors will always have these discussions with patients if and when the circumstances arise, and your decision at the time always takes precedent. But it is sometimes helpful to have at least talked about these things in advance, while a person is comparatively well.
If you would like to know more about this, or would like to discuss any of the issues raised, you or your nominated carer or loved one can book a consultation with your named GP.
Anticipatory Care Plan