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Advance Care Plan

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What is an Advance Decision to Refuse Treatment (ADRT)?

An Advance Decision to Refuse Treatment, sometimes shortened to ADRT, is a decision you can make now to refuse a specific type of treatment at some time in the future.

  • It is only used if at some time in the future you lose the ability to make your own decisions about your treatment.
  • It is important to discuss the options with a doctor or nurse who knows your medical history.
  • Other terms sometimes used include: ‘advance decision’ and in the past ‘living will’ which is no longer used.

If you make an advance decision to refuse a specific treatment, you will still be given the best possible care. You will have support, comfort and medicines to control your symptoms.

What is an Advance Care Plan?


Click here to visit our Advance Care Plan video library

A partnership across England and Wales


NHS Wales, the National Council of Palliative Care which hosts Dying Matters and Byw Nawr got together with Hospice UK to draw on expertise across the country and further afield to inform this website.

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Click here to take our Advance Care Plan survey
About Byw Nawr


This site draws on the expertise of NHS Wales, the National Council of Palliative Care, Hospice UK as well as other organisations from across the country to help you starting thinking about your Advance Care Plan.
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