How To Write A Living Will in the U.K.
What is a Living Will?
The term Living Will is not really legally recognised in the UK, but it is used around the world to describe a statement that
expresses the types of medical treatments you wish to receive if you were ever unable to communicate for yourself.
These are statements made in advance of losing capacity, and so have been called an "Advance Directive" an
"Advance Statement" or an "Advance Decision".
You may have seen stories in the news about family members disagreeing on the best course of action for a loved one in a coma.
An Advance Statement (or Living Will) adds your own voice to the discussion. You can tell your family exactly how you would
like to be treated, particularly if you had an irreversible, terminal condition.
In the UK, we do not use the term Living Will, but we do use "Advance Statement" or "Advance Decision".
What is the difference between an Advance Statement and an Advance Decision?
An "advance decision to refuse treatment" lets you explain the types of medical treatment(s) you would not want
doctors to give you if a time comes when you lack capacity and cannot make or communicate your wishes.
You have to express this whilst you still have the capacity to make these decisions.
An "Advance Statement" allows you to make general statements, describing your wishes and preferences about
future care should you be unable to make or communicate a decision or express your preferences at the time.
There is no restriction on what can be expressed in an Advance Statement, and it doesn't have to be directed
at medical staff. Oftentimes, an Advance Statement is written for the benefit of family and loved ones.
It can describe your preferences for palliative care, the music that you like to listen to, the clothes
that you wish to wear, the types of visits you would like to receive and from whom.
An Advance Statement is not legally binding. You are just documenting these preferences for the benefit
of your loved ones, who would hopefully respect your wishes. It is a particularly useful document if you
have named a Lasting Power of Attorney for Health and Welfare. This person will be able to refer to your
Advance Statement to guide their decision making.
At LegalWills.co.uk, we cover the Advance Statement and Advance Decision within our
MyLivingWill™ service. Although the Living Will is not a legally
recognised term, it is well known, and for the sake of clarity and brevity, it makes sense for us to go
by the term "Living Will".
Why would a Living Will be useful?
We regard the
Living Will as a part of a complete "Estate plan".
Your estate plan includes the
Last Will and Testament, your
Lasting Power of Attorney for Property and Financial Affairs,
your
Lasting Power of Attorney for Health and Welfare,
your
Funeral wishes, and your
Executor Handbook.
Preparing any of these documents does not mean that you are about to die. You should prepare your estate
planning documents, and then put them in a drawer. Just in case. From time to time, take them out,
read them through, and see if they still reflect your wishes. You cannot wait until you "need" the
documents before writing them. They must all be completed whilst you are fit, healthy and mentally competent.
They come into effect after you have lost capacity, or in the case of your Will, after you have died.
Of course, you may be in a situation where you know that something is imminent. You may have been
diagnosed in the early stages of an illness, or going in for critical surgery, or even going on a trip.
In these situations, the timing of your estate planning documents becomes a little more pressing.
If you have strong feelings about your medical care, either from a religious or spiritual influence,
or even from seeing somebody else go through a traumatic experience, then you should seriously consider
preparing your Advance Statements.
Can I put this into my Last Will and Testament?
No. Your Last Will and Testament does absolutely nothing whilst you are alive, even if you are in a coma
or unable to speak for yourself. Your Last Will and Testament only has power after you have passed away.
The Executor named in your Last Will and Testament has absolutely no powers whilst you are alive.
Your Living Will, Advance Decision and Advance Statement are in effect whilst you are alive but unable
to speak for yourself. They are immediately cancelled at the moment you pass away.
How does it work with a Lasting Power of Attorney?
You can prepare a Lasting Power of Attorney (LPA) for Health and Welfare directly from the
Office of the Public Guardian website. This document
allows you to name somebody to make medical decisions on your behalf if you were ever unable to speak for
yourself and communicate your wishes.
If you create an advance decision after creating an LPA for health and welfare, your attorney cannot
consent to any treatment refused in the advance decision.
If you create an LPA for health and welfare after creating an advance decision, whichever was made
more recently takes priority should they deal with the same decision.
How can I create an Advance Statement or Advance Decision?
There is no official format for an Advance Statement or Advance Decision. You must be over 18 years of age,
and you must be mentally competent.
There is no requirement to work with a solicitor or a doctor to prepare your Advance Statement or Decision.
If your Advance Decision includes a wish to refuse life sustaining treatment, then it must be in writing.
The best way to prepare your Living Will is to use the online
Living Will
tool at LegalWills.co.uk. You should download and print the document, and then sign it in the presence of two witnesses.
What can I include in my Advance Statement? What am I not allowed to include?
Our MyLivingWill service guides you through the process of preparing your Advance Statement and Advance Decision.
There are restrictions on what you can include in your Advance Decision.
You cannot:
- refuse basic care that is essential to keep you comfortable, such as nursing care, pain relief, keeping you warm
- refuse the offer of food or drink by mouth
- ask for anything that is against the law such as euthanasia or help to take your own life
- demand specific medical treatment; no one can insist on treatment that healthcare professionals consider clinically unnecessary, futile or inappropriate
- refuse treatment for a mental disorder if you are to be detained under the Mental Health Act 1983
Is a Living Will legally binding? Can it be ignored?
An Advance Decision is legally binding and must be followed by a medical professional, even if they feel
that your wishes are not in your best interests. If there is no Advance Decision, then the medical professionals
will simply treat you in a manner that they feel is in your best interests. If you have a Lasting Power of Attorney
for Health and Welfare that was made after your Advance Decision, then the LPA supersedes the Advance Decision.
How should I let people know that I have prepared a Living Will?
Much like the other estate planning documents, if you have prepared one, and nobody knows about it, you are no further ahead.
It is very important that your loved ones know that you have and Advance Statement or Advance Decision.
We provide some tools to help with this.
We offer a
MyKeyholder™ service that grants access to different services for trusted Keyholders®.
You can set up a trusted individual to access your
Life Locker,
Vault,
Messages and even your
Living Will itself.
We also have
Wallet Cards available with a unique Keyholder ID.
This wallet card can alert the finder to the documents that you have prepared, and allow them to access these documents
at the appropriate time.
MyLivingWill™- Frequently Asked Questions
The MyLivingWill™ service steps you through a simple question and answer
wizard, formats your answers into a readable format, allows you to store your
information securely online and allows you to make unlimited updates. You
can then designate your own personal "Keyholders®", who with their unique ID can
unlock your Advance Directives at the appropriate
time.
The complete pricing structure is available on our Products & Prices
page.
According to current laws in most jurisdictions, in order to be legal
documents your Advance Directives must be signed
in the presence of two witnesses.
However, "electronic signature" laws are moving rapidly and we are
closely monitoring these laws to support the future electronic notarization
of documents, or even the electronic signature of your Advance Directives.
It is only a matter of time before this becomes
standard practice in preparing legal documents. According to today's laws
you will need to print the Advance Directives you
create with the MyLivingWill™ service and have them signed according to the laws
in your area. More details about this process are available on the help
pages within the wizard.
Although the unsigned versions of your Advance Directives
stored online at
LegalWills.co.uk
are not legal documents, if you
wish you can allow one or more of your designated Keyholders® to have access to
the documents that you have created here
at
LegalWills.co.uk.
This could be important if your legally signed
copies cannot be located. In this situation, your
LegalWills.co.uk
documents can still provide some guidance to a
loving family, as they can understand your wishes regarding your health care if
you are unable to communicate these wishes yourself.
If properly signed according to the laws in your area, your Advance Directives
are legal documents that cannot be over-ridden
by your family.
Unlike a Will, a Living Will comes into effect before you die. In
particular, a Living Will comes into effect if you are mentally incapacitated
(e.g. in a coma) or your death has become inevitable, and you are unable to
express your wishes yourself.
It expresses any wishes you have for a right to die with dignity, or if you
have some views on the health care that you wish to receive.
You can choose to have a 1-year, 10-year or Life membership at
LegalWills.co.uk,
during which time you can make as many updates or amendments
to your Advance Directives as you wish at no
extra charge. Details of the membership packages available can be found on
our Products & Prices
page.
Stepping through the question and answer wizard for the MyLivingWill™ service
could take less than ten minutes, particularly if you are already comfortable
with the decisions that you wish to make. However, some questions may
require some thought, and there are some issues that you may need to discuss
with your family and loved ones.
When working through the MyLivingWill™ service you do
not have to complete the document in one sitting. You can answer a couple
of questions and then store these wishes securely online here at
LegalWills.co.uk
until you have a few more minutes to answer additional
questions. If you wish, you can spend many weeks or months making
unlimited updates until you are happy with your final results, at which point
you could have your final copy reviewed and signed.
All of your information stored at
LegalWills.co.uk
is safe and secure.
Your information is so highly encrypted that nobody has access to this
information other than yourself and your trusted Keyholders using their randomly
generated personal key. Even the owners and administrators of
LegalWills.co.uk
are not able to access your information due to the software
design and encryption methods used.
Note, however, that some services require temporary decryption of a member's documents
as part of the operation of providing that service.
For example, if the member wants to have their Will reviewed by one of our legal
professionals, or wants to have their documents printed and mailed to them, then
the software will automatically decrypt these documents as part of the member's
instructions to have these services performed.
All data passing from your computer to
LegalWills.co.uk
is authenticated and
encrypted using 256-bit "SSL encryption". This is the most advanced level
of encryption available today, and it means that any information sent from your
computer is scrambled in a way which makes it completely unintelligible if
intercepted. When you are on a secure section within the web
site, a padlock will appear on your web browser.
This is your assurance that the encryption is in place and that you are
communicating across a secure link.
Furthermore,
LegalWills.co.uk
uses an industry standard high security
streaming-encryption algorithm known as "RSA" to encrypt all of your information
before it is stored online. To give you a feeling for the level of
security provided by this encryption, it has been estimated that with the most
efficient algorithms known to date, it would take a computer operating at 1
million instructions per second over 300 quintillion years (that's 3 with 20
zeros behind it!) to break the encryption. That's several trillion times longer
than the age of the Earth.
All of our data is securely stored in a highly encrypted format on database
servers. To protect against catastrophic data loss, daily backups are
performed on each of our servers. Hence, if
any one of our servers experienced technical difficulties, the data would not be
at risk.
Furthermore, physical protection of our primary systems includes:
- Fire detection and fire suppression systems with dry pipe pre-action
sprinkler systems
- N + 1 redundant power supplies, providing dual power feeds and backup
batteries, water coolant systems and generators
- N + 1 redundant climate control, providing primary and backup chiller
units, cooling towers, and water storage
- Local network operations center (NOC) for monitoring all data center
operations
- 24x7 monitoring and support of network connection and server
availability
- 24x7 uniformed guard service with interior and exterior closed-circuit
television surveillance
- Electronic access at all data center entrances, including biometric hand
scanners
- Electronic key management systems and individually keyed cabinets
As you can see, we take the security and privacy of all of our member
information very seriously.
Services such as MyFuneral™,
MyLifeLocker™,
MyVault™,
and MyMessages™ do not create legal documents and
make no assumptions about your country of residence.
We have worked extensively with solicitors to ensure that the legal
documents created by the MyWill™,
MyPowerOfAttorney™ and
MyLivingWill™ services are up to date
with the laws in your jurisdiction.
If you have any doubts about the legal standing of any documents in your
jurisdiction, feel free to seek legal counsel in your area to have your
documents reviewed.
There is a considerable amount of information included in the on-line help of
the MyLivingWill™ wizard. This will answer most of the common
questions regarding the steps included in creating your own Advance Directives.
For information about the other services available, or about
LegalWills.co.uk
in general, you can browse this website or send an email to
[email protected].
We will be happy to answer any questions you may have.
Create your Living Will right now using the MyLivingWill™ wizard
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