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Advance Decisions Policy

It is a general principle of law and medical practice that adults have a right to consent to or refuse treatment. The courts have recognised that adults have the right to say in advance that they want to refuse treatment if they lose capacity in the future, even if this results in their death. A valid and applicable advance decision to refuse treatment has the same force as a contemporaneous decision. This has been a fundamental principle of the common law for many years and is now set out in the Mental Capacity Act 2005, which came into force in 2007 supported by the Code of Practice to the Act. Derbyshire Community Health Services NHS Foundation Trust aims to achieve a more balanced partnership between patients and healthcare professionals and acknowledges that it is the right of every adult patient with capacity to determine whether or not to accept medical treatment. In addition, it is the right of every adult patient to express views about their future care and treatment. The primary responsibility lies with the patient (the maker) to write an Advance Decision to Refuse Treatment (ADRT). The Trust endorses the good practice of staff, set out in national guidance and professional standards to provide information to and general support for patients who wish to write an ADRT. The Trust always encourages patients who wish to discuss their plans for future care and will provide advice to patients and support to advance care planning by helping to coordinate care and communicate plans. In addition, it is supportive of those patients who present with an advance decision and where this is valid and applicable, comply with that specific decision. This policy should be read in conjunction with the Trust’s Consent Policy and aims to raise awareness and give guidance to staff about advance decisions.

Midazolam by Buccal Administration for Children (UTC)

PGD Midazolam by Buccal Administration for Children (UTC)

APPENDIX 5 HRP23 Formal Notification of Return Date from Adoption Leave .docx

DCHS Policy Update_October 2024.docx

A7 - Patient Enquiries to Respiratory Administration (S88).docx

Disclosure Ref 2025171 - Referral for MRI scan.pdf

Freedom of Information disclosure reference 2025/171 relating to A&E guideline procedures for referring patients to MRI scans

Intergrated Performance Report - November 2025

Intergrated Performance Report - November 2025

8540-My-Community-Autumn-2019-V5-ONLINE.pdf

My Community Autumn 2019

Screen shots for opening one patient record at a time on SystmOne draft.docx

Missing from Known Address Policy (P71)

The purpose of the Missing Children and family Alert (MCFA) process is to locate pregnant women and children who have disappeared from view following an undisclosed change of address and for whom there may be concerns about child welfare in respect of unmet need, vulnerability or abuse. Working Together to Safeguard Children (HM Government 2018) identifies that all children should be safeguarded and have their welfare promoted. This Policy is aimed at DCHS Services that hold a child caseload.