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Policies on Advance Decisions & Lasting Power of Attorney

Reference: 25-26202

Date response sent: 16/08/2025

Details of enquiry

  1. Do you have a policy (or policies) which outlines the responsibilities of health and care professionals and the Trust towards a patient who has an Advance Decision to Refuse Treatment (ADRT) or Lasting Power of Attorney (LPA) for Health and Welfare?
  2. In the event that a patient or family member, or someone using the Trust’s services has a concern about the implementation of an Advance Decision to Refuse Treatment (ADRT) or a Lasting Power of Attorney (LPA) for Health and Welfare, does the Trust/Health Board have a documented process or course of action that would be provided to the person to allow them to resolve their concerns?
  3. Do you have a named individual who is responsible for overseeing the Trust’s compliance with the Mental Capacity Act 2005? If yes, please share their contact details.

Response sent

  1. Do you have a policy (or policies) which outlines the responsibilities of health and care professionals and the Trust towards a patient who has an Advance Decision to Refuse Treatment (ADRT) or Lasting Power of Attorney (LPA) for Health and Welfare?

No. The Tavistock and Portman NHS Foundation Trust is a small specialist NHS mental health trust with a focus on training and education, as well as providing a range of mental health services and therapies for children and their families, young people and adults.

We provide outpatient, and mainly psychological services via talking therapies. We do not provide end of life services, nor acute services, nor inpatient patient services, and do not have an A&E department

  1. In the event that a patient or family member, or someone using the Trust’s services has a concern about the implementation of an Advance Decision to Refuse Treatment (ADRT) or a Lasting Power of Attorney (LPA) for Health and Welfare, does the Trust/Health Board have a documented process or course of action that would be provided to the person to allow them to resolve their concerns?

No. See our response to Question 1 above.

  1. Do you have a named individual who is responsible for overseeing the Trust’s compliance with the Mental Capacity Act 2005? If yes, please share their contact details.

This falls under the Chief Medical Officer’s portfolio and was previously covered by the Deputy Chief Medical Officer prior to their retirement