Table of Contents What is it?What makes it legally binding?Role of relativesLimitationsHere’s some questions What is it? A legally binding document outlining what medical treatment a patient would not want in the future, if they lacked capacity. What makes it legally binding? Signed Witnessed It is not felt to have been signed under duress There is no doubt about the patient’s state of mind at time of signing Role of relatives Relatives have no legal rights to rescind or modify a valid advance decision Limitations The patient cannot specify which treatments they would want, only those they would not want Here’s some questions How does an ‘advance statement’ differ from an ‘advance decision’? Oops! This section is restricted to members. If a patient has a lasting power of attorney (LPA) and made an advance decision, which is taken into account preferentially if views on a treatment refusal are conflicting? Oops! This section is restricted to members.