Planning Ahead: TEP and Living Wills

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Planning Ahead

An Advance Decision to Refuse Treatment

Organ Donation

Advance Care Planning

More Information

Planning Ahead

Planning ahead can help you think about your wishes and feel more in control. There are many ways in which you can do this.

The Treatment Escalation Plan (TEP) – make your wishes known

In Wiltshire the Treatment Escalation Plan (TEP) has been designed to help you communicate your treatment to health providers.

The TEP helps you to make important decisions about how you want to be treated if your health suddenly gets worse.

Further information and useful links about TEP are available at the Wiltshire CCG web page or ask your health professional.


An Advance Decision to Refuse Treatment (ADRT)

An advance decision to refuse treatment, (sometimes known as an advance decision or a living will) is a decision you can make now to refuse a specific type of treatment at some time in the future.

It lets your family, carers and health professionals know whether you want to refuse specific treatments in the future. This means they will know your wishes if you are unable to make or communicate the decisions yourself.

The treatments you are deciding to refuse must all be named in the advance decision.

You may want to refuse a treatment in some situations, but not others. If this is the case, you need to be clear about all the circumstances in which you want to refuse this treatment.

You can refuse a treatment that could potentially keep you alive (known aslife-sustainingtreatment). This includes treatments such as ventilation, artificial feeding, and antibiotics. You should discuss this with a doctor or nurse who knows about your medical history before you make up your mind.

Further information about making an advance decision is available at

Organ Donation

Organ Donation is giving an organ or tissue to help someone who needs a transplant. Transplants can save or greatly enhance the lives of other people. It is often the best or even the only treatment for many patients suffering from disease or failure of a major organ. This relies on donors and their families agreeing to donate their organ or tissue. Having a medical condition does not always prevent you from becoming an organ or tissue donor. Read more about organ donation on or call the donation line 0300 123 23 23

Advance Care Planning

Advance care planning (ACP) is a voluntary process of discussion about future care between an individual and their care providers, irrespective of discipline.

If the individual wishes, their family and friends may be included. It is recommended that with the individual’s agreement this discussion is documented, regularly reviewed, and communicated to key persons involved in their care. An ACP discussion might include: the individual’s concerns and wishes, their important values or personal goals for care, their understanding about their illness and prognosis, their preferences and wishes for types of care or treatment that may be beneficial in the future and the availability of these.

Ref: The National Council of Palliative Care. 2007. Advance Care Planning: A Guide for Health and Social Care Staff

More Information

To help you talk through your decisions with a health or social care professional, Dying Matters have made a Guide to decisions about CPR

Create date: December 2016; Last updated March 2018