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General Guidance on ACP
- Hywel Dda University Health Board.
- This is a pack containing information, a Statement of Wishes and Care Preferences (SWACP) template and an Advance Decision to Refuse Treatment (ADRT) template. We use this SWACP template for people who do not want to make an ADRT. We do not use this ADRT template.
- We use an alternative HDUHB template for people who want to make an ADRT. It also has space to include wishes and preferences. We find this format much easier to use. We recommend amending the form itself to include name and DOB on each page. This is an amended version of just the form, including a header.
- Talk ACP website (featuring videos of Joy and Chris who have completed an ACP with the help of Paul Sartori Hospice at Home!)
- Talk CPR website
- The Palliative Care Matters website contains an enormous amount of very useful information about end of life care. This includes an ACP section where you can look at and download documents in use across Wales and elsewhere
- Together for Health. The Welsh Government’s aspirations for End of Life Care. ACP features prominently.
- The End of Life Care Implementation Board National Priorities 2017-2018
- Paul Sartori Hospice at Home – PowerPoint Presentations
- Paul Sartori Hospice at Home – Documents
- For SWACP and ADRTs we use HDUHB documents as detailed above.
- Record of Best Interest DISCUSSIONS. This is a template of our own design. It aims to provide future clinical decision makers with background information that might be relevant to future treatment decisions.
- Referral to the ACP service (PENDING – being redrafted)
- Fax to inform GP of a non-GP referral to the service
- Fax to Inform GP of a discharge from the service
- Fax to inform Out of Hours GP service of the existence of an ACP (in some cases we also inform WAST, using a similar template)
- Sample completed documents – these can be found on our ACP page
- Prompt sheet. This is a document based on the HDUHB SWACP template, which suggests issues for consideration.
- Easy read booklet My future Care and Medical Treatment
Sources of specific information
- Clinically Assisted Nutrition and Hydration
- The 2014 Cochrane Review
- This is a good UK discussion paper on clinically assisted nutrition in dementia
- General Medical Council guidance
- British Medical Association/General Medical Council/RCP – Joint Guidance
- National Council for Palliative Care
- An article from the Guardian about voluntary refusal of food and fluids (VROFF)
- A discussion piece on VROFF from the University of Glasgow website
- DNACPR decisions
- Office of National Statistics
- The mortality figures are here. The previous calendar year’s figures are published around November. I have found the ONS really helpful and suggest calling them if you need any help.