Heart Education Awareness Resource and Training through eLearning (HEARTe)



Bill’s Advanced Care Planning (ACP)

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 individuals 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.

The Anticipatory Care Plan can come in all different formats for different areas and should be individualised.

An example of an anticipatory care plan

An example of a holistic assessment tool

Page last reviewed: 29 Jul 2020