Advance care plan

Page 1

What matters to me: my wishes for my future care

Your Advance Care Plan from Royal Trinity Hospice

A useful planner for Trinity patients, those closes t to them or anyone looking to plan their future

What this book is for Page 3

Your health Page 5

Preferences for your future care Page 7

Your life Page 11

Planning your funeral Page 14

Legal and financial documentation Page 20

Legacies Page 21

Insurance policies Page 26

Utilities Page 27

Documents Page 28

Your life online and social media Page 29

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Contents

What is this book and who is it for?

Some of us find it comforting to know our wishes for the future are recorded and can be easily found when needed. It can feel especially reassuring for those living with life-limiting or serious illness, to plan for the future.

Thinking ahead and writing down what matters to you can be a daunting process. However, if no one else knows what is important to you, your preferences and choices may not be taken into consideration. It may be difficult to talk together with your family and you may not always agree, but having these conversations can help direct decisions that sometimes need to be made at a time of crisis. You may also like to talk to someone in your healthcare team. You have the right to do this in confidence and independently of friends and family if you wish.

At Royal Trinity Hospice, we openly talk about issues relating to death and dying and this includes encouraging people to plan ahead, and spend time thinking about their plans without feeling rushed. This planner, which may also be referred to as an advance care plan , covers a range of personal , medical , financial and domes tic matters and can be used to share information with those important to you as your illness advances. It helps to tell someone you trus t where this book is s tored.

It is important to note that this book is not a legally binding document and can be changed or altered at any time. There is information throughout , signposting you to places that can help you prepare legal instruction. Support is available through Royal Trinity Hospice so please ask anyone working for the hospice if you would like additional help or advice.

Do not include any details such as passwords or pins for accounts, as these should remain totally confidential.

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Completing this book

This book has been designed for patients receiving care and support at Trinity to use, but in reality, anyone can use it.

You can fill in as much or as little information as you wish , at your own speed. While you may choose to complete the entire book , you may prefer only to fill in sections that matter to you, or you feel able to complete. You may wish to work through this book at the same time as a friend or family member so you can discuss your wishes and talk through your answers together

The specialis t s taff at Royal Trinity Hospice can help with many of the aspects of completing this book. Please ask us if you would like to be put in touch with someone

Your name:

Any previous names or aliases:

Your preferred pronouns:

Your address:

Pos tcode:

Your date of birth: Your NHS number:

The date of completion of this book:

This book is intended for you to share with family, friends, or those closest to you, to give you peace of mind that your wishes have been recorded.

We do however strongly encourage all patients to complete a Universal Care Plan so your preferences for your future health care are shared with all professionals involved in your care now, and in the future.

Please speak to any Trinity health care professional about how to create a Universal Care Plan or find out more at ucp.onelondon.online

4

Your health

Name and address of your GP:

Pos tcode:

Your NHS number (can be provided by your GP):

Details of your next of kin / a person who knows you well

Their relationship to you:

Their name:

Their address:

Pos tcode:

Their contact number:

Have you completed a Universal Care Plan? Yes No (please select) If yes, where is it s tored?

Have you had a conversation with your doctor or a member of the team at Royal Trinity Hospice about a DNACPR form (stands for ‘Do Not Attempt Cardiopulmonary Resuscitation’)? Yes No (please select)

If so, have you completed one?

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Key contacts related to your health:

Your District Nurse

Name:

Address:

Contact numbers (working and out of hours):

Your care manager / agency name

Name:

Address:

Contact numbers (working and out of hours):

Pos tcode:

Pos tcode:

Contact details for other people involved in your care such as physiotherapist, pharmacist etc

Name:

Their relationship to you:

Name:

Their relationship to you:

Name:

Their relationship to you:

Contact number:

Contact number:

Contact number:

6

Preferences for your future care

If you were no longer able to care for yourself what would you like to happen?

This section gives you the option to consider who you would like to care for you, and where you would ideally like to receive care.

Writing down your preferences and choices can help you to influence what happens to you if you are no longer able to communicate your wishes. Some of the ques tions in this section could help health care professionals know what is important to you when planning your care, should you be unable to tell them yourself

Remember, this is not a legally binding document , but can help ensure that decisions about your treatment and care are carried out according to your wishes.

Who is your current primary care giver / contact? If you like, you can provide two names:

Name:

Their relationship to you:

Name:

Their relationship to you:

Contact number:

Contact number:

If you were unable to communicate your wishes in relation to your care and treatment , who would you want to do so on your behalf?

Name:

Address:

Their relationship to you:

Pos tcode:

Contact number:

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Appointing a Las ting Power of Attorney (LPA) can bring peace of mind when considering what you would want to happen if you los t capacity to make decisions for yourself, in relation to health and financial matters.

For more information on LPAs, please see Royal Trinity Hospice’s free leaflet at www.royaltrinityhospice.london/lpa

Have you formally appointed a Las ting Power of Attorney (LPA)?

Yes / No (please circle)

If you have, please provide your Trinity nurse with a copy to be scanned and held with your patient notes.

Your Lasting Power of Attorney

Name:

Address:

Pos tcode:

Contact number:

Is this las ting Power of Attorney for:

Property and affairs Personal welfare Both

If you have online access to the UK Government ’s Las ting Power of Attorney Service, you can reques t an access code to allow others to view your LPA. Further information can be found at www.gov.uk/view-las ting-power-of-attorney

Appointing a Las ting Power of Attorney can take several weeks (or even months) and is worth considering when arranging your affairs.

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Below you can provide a lis t of people who you are happy for us to share information with in relation to your health and care

Do you have any additional communication needs e.g. glasses or hearing aids? Or do you require the use of a sign language interpreter or translator?

Yes No (please select)

If yes, please lis t:

If you became unable to care for yourself at home, where would be your preferred place of care? (E.g. s taying at home with visiting carers, s taying with friends, s taying at a hospice)

Firs t choice:

Second choice:

When considering the end of your life, where would you prefer to be?

At home with visiting carers and specialis ts

Staying at Royal Trinity Hospice

In hospital

In a/your care home

Somewhere else (please state)

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Should you become seriously ill or injured, what would be your preference around life support / life sus taining treatment?

(If you have previously signed an ‘Advance Decision to Refuse Treatment ’ (ADRT) document , please check your recorded wishes correspond with what you write here)

I would be willing to be kept on life support

I would not want to be kept alive in this way

Is there anything that you wish to tell your care team in order for them to meet your cultural or religious practices or requirements, e.g. reques ting a female chaperone, space to pray, meal preferences?

Organ donation

Organ donation may be something you have considered. We can provide you with information about corneal and tissue donation , both of which can make a real difference to people who require transplants or treatment for an illness.

Mos t people with a terminal illness are not able to donate their organs after death. However, mos t are able to give their corneas and often other tissues. More information on this can be found at: www.royaltrinityhospice.london/tissue-donation

Yes, I am interes ted in corneal and/or tissue donation

No, I am not interes ted in donating

10

Your life

Are you in employment? Yes No (please select)

If you answered yes,

Name of employer:

Website link:

Contact details:

OR

Name and details of your business:

Do you have any dependants who rely on you or who you care for?

Yes No (please select)

If you answered yes,

Person one: Name:

Address:

Age:

Person two: Name:

Address:

Contact number:

Pos tcode:

Age:

Contact number:

Pos tcode:

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What do the people caring for you need to know about any cultural considerations? Are there any spiritual rituals that you would like observed in the lead up to, during and after your death?

Who, if anyone, would you like to advise on spiritual , cultural and faith-based practices that are important to you?

Do you have any pets?

Please provide any information about them such as their name, breed, birth date, sex, whether they have a microchip, diet , any known medical issues and the vet they are regis tered with.

What is your pet ’s insurance provider and policy number?

Insurer ’s name: Policy number:

Who would you like to care for your pet(s) if you were no longer able to, or after your death?

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Home contacts – do you have a cleaner, gardener, IT support person or driver?

Contact Type: (e.g. cleaner)

Name:

Contact Type: (e.g. cleaner)

Name:

Contact Type: (e g. cleaner)

Name:

Contact Type: (e.g. cleaner)

Name:

Contact number:

Contact number:

Contact number:

Contact number:

Can you provide details of any clubs, associations, unions, or religious bodies you are a member of and may pay into regularly such as membership fees?

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Planning your funeral

Would you like to have a funeral service or would you rather not have any formal ceremony/service after you die?

Yes, I would like a funeral service

No, I would not like a formal ceremony / service

I would like an alternative way of me and my life being remembered

If you have already made arrangements for your funeral , please provide details of your chosen provider, any payment plan or preferred funeral director. You may also wish to lis t details of any allocation from your es tate.

If you have not made plans for your funeral but have a preferred funeral provider please lis t as much detail as you can below.

Please cite the name you would like to be referred to at your funeral / memorial service and any pronouns.

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Details of burial or cremation

Do you have a plot arranged? Yes No (please select)

If yes, please provide details of location.

If not , where would you like to be buried?

If your preference is to be cremated, how would you like your ashes to be taken care of?

When you are buried or cremated, is your personal preference for your body to be in a:

Traditional wooden coffin/casket

Fabric shroud

Coffin made from natural materials

Biodegradable coffin e g. cardboard

Something else (please state)

Where do you wish for your body to res t before your funeral?

Do you wish to have your body embalmed? Yes No (please select)

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Are there any clothes you would like to be dressed in for your funeral?

What elements of a funeral are important to you?

Traditional faith-based funeral in a location of religious importance to you (please specify where and which religion , belief, philosophy)

Humanis t ceremony

Life celebration

Direct cremation - attended

Direct cremation - unattended

Eco friendly

Is there a route special to you that you would like to be followed on the way to the crematorium / cemetery / burial site?

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For the funeral service

Do you have a preferred person to lead your funeral?

If so, provide their name and contact information.

Name:

Contact number:

Is there anyone else you would like to nominate to help take part in the funeral? For example, as a coffin bearer, or to give a reading or performance.

Is there any music that you would like played or songs you would like sung?

Are there any readings, poems, words of wisdom or perhaps a letter from yourself that you would like included?

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Are there any specific prayers or blessings?

Would you like flowers at your funeral? If so, what type?

Would you like a collection for a nominated charity or social club? Mos t charities can support with organising funeral collections, including providing donation envelopes.

If there is a certain dress code or other specifics you would like to be observed by those attending your funeral , what would they be?

Is there anyone you would not like to take part in your funeral?

Would you like your death announced publicly and if so, in what publication?

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Is there a place you would like your family and friends to gather after your funeral?

Would you like a memorial or grave s tone?

Would you like a memorial tree, bench , or charitable collection?

Any there any extra details about your funeral you would like made known?

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Legal and financial documentation

Have you made a will? Yes No (please select)

If you answered yes, where is the most up-to-date signed copy stored?

Name of solicitor / organisation in relation to your will.

20

Legacies: Will writing

Making a will is the bes t way to ensure that your wishes are carried out after your death and your property, money and possessions go to the people and organisations that matter to you. Many people put off writing their will as they expect it to be complicated. However, it is relatively simple.

Trinity ’s free will services

Patient free will scheme: this scheme offers free simple wills to patients under the care of Royal Trinity Hospice We partner with an experienced and reliable local solicitor who can help make or amend a simple will , completely free of charge, at any time.

Create a will online or over the phone: Thanks to our partnership with Farewill , an online will writing provider, anyone can create a legal will online or over the phone, completely free of charge. Each will is expertly checked to make sure your wishes are met

To find out more about either of these options, speak to a member of Trinity s taff or visit www.royaltrinityhospice.london/will-writing-services.

Receive a copy of Trinity ’s Gifts in Wills Guide

Our guide is full of information on how your gift will impact Trinity ’s future and practical advice on will writing. This includes: six steps to making a will the types of gifts you can leave in your will information on inheritance tax frequently asked questions and more

To receive a physical copy or a PDF speak to a member of s taff, or visit our website at www.royaltrinityhospice.london/legacies

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Leaving a gift in your will to Royal Trinity Hospice

It cos ts £17 million every year to deliver end of life and support services at the hospice and in people’s homes across the community.

Gifts generously left in wills represent almos t half of our fundraising income each year and are essential in helping us continue providing our vital care to patients, entirely free of charge

Choosing to leave a gift to Royal Trinity Hospice in your will ensures we can provide the same outs tanding quality of care we are known for. Your gift will enable you to say “I will be helping to make every moment matter for more patients and their loved ones”

If you choose to leave a gift to Royal Trinity Hospice please use these details:

Royal Trinity Hospice

30 Clapham Common North Side, London , SW4 0RN

Charity number: 1013945

“Gifts in wills are vital to our hospice and will make it possible for all local people to access our services free of charge. I am proud to have left a gift in my will to Trinity and to have joined the amazing supporters in our ‘I Will’ community. By leaving a gift in your will , we will be safeguarding the future of Trinity together Your gift and mine will care for future generations.”

Emily Carter, Chief Executive, Royal Trinity Hospice

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Finances

Please do not record any of your pins or password information here.

Where do you keep documents relating to your financial affairs?

Have you any important documents related to bank accounts, or pensions held in previous names or aliases?

When approaching the end of life, some people choose to share details of their accounts with a trus ted person. Do you have a named person?

If so, please lis t their name:

Below you can lis t all banks and/or building societies that you have an account with.

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Do you have an accountant or another professional who manages your finances?

If so, please provide their name or accountancy practice

Who do you have a pension with?

Name of pension provider:

Policy number:

Name of pension provider:

Policy number:

Name of pension provider:

Policy number:

Name of pension provider:

Policy number:

Do you currently receive any benefits through the Department of Work and Pensions (DWP)? If so, you can lis t them below

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Notable assets

Do you have any owned property either in the UK or abroad?

If so, you can lis t the details below

Do you have any other notable assets e g. shares, artwork , boat etc?

If so, you can lis t the details below

What is the make and regis tration of any vehicles you own?

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Insurance policies

Below you can lis t the details of any insurance policies you have

Home insurance

Provider: Policy number:

Location of documents:

Private health insurance (if applicable)

Provider: Policy number:

Location of documents:

For more information on how your private health insurance may be able to support Trinity with a donation , please visit:

www.royaltrinityhospice.london/private

Life insurance

Provider: Policy number:

Location of documents:

Car insurance

Provider: Policy number:

Location of documents:

Motor breakdown cover

Provider: Policy number:

Location of documents:

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Utilities and accommodation

Below you can lis t details of your utilities and accommodation suppliers and providers

Mortgage / landlord / rent

Name/Provider:

Location of any documents:

Council tax

Local provider:

Council tax account number:

Names of main utility suppliers

Electric and / or gas provider:

Water:

Landline provider:

Internet provider:

Mobile phone network provider:

Do you have a mobile contract or have pay as you go?

Cable / satellite TV:

Netflix / Amazon / Spotify / Audible etc , streaming service subscriptions

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Documents

Where do you keep the following documents if you have them?

Your will:

Your Las ting Power of Attorney:

Your living will or advance directive:

(A legal document stating your end of life choices, used when a person is no longer able to communicate)

Your birth certificate:

Your marriage or civil partnership certificate:

The deeds to your property:

Your passport:

Your driving licence:

Your TV licence:

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Any other important / noteworthy documents:

Your life online and social media

For more information on planning and safeguarding your digital assets and legacy go to www.digitallegacyassociation.org

Which email and social media accounts do you hold?

Email:

Social media:

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Facebook

On your main profile, under settings and accounts centre, have you opted to set your account to ‘memorialise’ or ‘Delete after death’ ? (please tick)

Have you got a named legacy contact connected to your memorialised profile? (A legacy contact must be named in your will and also a friend on Facebook already)

Yes No (please select) If so, please list their name:

Instagram

Would you like this account memorialised after your death? Yes No

If so, please name the person you would like to apply to Instagram to do so:

Would you like your account removed after your death? Yes No

If yes, please name a family member verified to do so on your behalf: X (previously Twitter)

Would you like your account removed after your death? Yes No

If yes, please provide the name of an authorised person to work on your estate or a verified family member to deactivate the account:

LinkedIn

Would you like your profile to be memorialised or have the account closed after your death ? (please tick)

Please provide the name of a person who can do so and who will have access to the necessary legal documents giving them authority to make the reques t:

Gaming Please name any online gaming names or profiles you hold:

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Messages and thoughts - how I would like people to remember me:

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This booklet was produced with the help of Royal Trinity Hospice s taff and supporters.

If you would like this information in a different format, such as large print, or to be translated please speak to the Communications team on 020 7787 1000 or email media@royaltrinityhospice.london

Royal Trinity Hospice will always store your personal details securely

For full details see our privacy policy: www.royaltrinityhospice.london/privacy

Charity no. 1013945

Date of publication December 2023

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