ArtsAutosBooksBusinessEducationEntertainmentFamilyFashionFoodGamesGenderHealthHolidaysHomeHubPagesPersonal FinancePetsPoliticsReligionSportsTechnologyTravel


Updated on June 11, 2013


For almost 15 years now any patient entering hospital in the US has been asked to register their views on resuscitation. Their wishes can then be taken into account should an emergency situation arise.The demand for Living Wills or Advance Decisions as they are now called has trebled in the UK in the last three years. The British Medical Association, Royal College of Nursing and the Government have called for a move towards the American Style of consent forms in UK hospitals and these are now available in some health authorities.

Of course this is a taboo subject and one that people shy away from thinking about, let alone discussing. Surely though; if you do have preferences about your end of life care would it not be kinder to the relatives you leave behind to make a decision whilst you still can?

A living will lets you specify decisions about artificial life preserving in advance. It not only ensures your wishes will be heard, but also protects your loved ones from having to make difficult, deeply personal choices for you.

A Living Will is a legally binding option for people wishing to keep control over future medical decisions. It is nothing whatsoever to do with financial affairs.

It is your chance to make sure that you are not kept alive in circumstances which you would find intolerable.

Because of the seriousness of this decision and its potential result, witnesses must verify that a living will states the maker’s true intentions. Also, the witnesses must not have any interest in your estate,; they cannot be beneficiaries in your Will.

To make a Living Will you need to be:

  • Mentally able and in no mental distress
  • Over 18
  • Not pressured or influenced by anyone to make the decision
  • Fully informed at the time of making about the consequences and nature of the will
  • In full understanding that the will must apply to all situations or circumstances which arise later

Living wills and mental capacity

You can still make a living will if you're diagnosed with a mental illness, as long as you can show that you understand what you're doing and the implications and consequences of your action. You only need to be competent to make this decision and not necessarily competent to make other decisions.

It is advisable to put your wishes in writing and explain:

  • why you've made your decision about how you do/don't want to be treated
  • what you understand about the treatment you're agreeing to or refusing
  • why you're making these decisions now

Different Types of Living Will

The Living Will can be as detailed or as simple as you wish; it can specify that certain medications be avoided or that tube feeding or resuscitation not be carried out.

On the other hand, it may say that all life preserving treatment should be tried, irrespective of the chance of a successful outcome. However, unlike a refusal of treatment, a request for every possible therapy is not legally binding. The medical team does not have to follow your instructions but at least they will know that the person wants every possible opportunity to recover even if the chances are slim.

Statements and Directives

There are two ways of documenting your wishes - Advance Statements and Advance Directives.

Advance statements are not totally legally binding, but they must be considered by doctors when deciding what action to take. An advance statement could give a guide to health professionals about what sorts of treatments you would be happy to receive and those you would not. You can also specify if you would like medical staff to contact their Health Care Proxy before they make a decision. This may be a close friend or member of the family who will make decisions on their loved one's behalf, should the need arise.

If you have been asked to be a Health Care Proxy, you thoroughly discuss your loved one's preferences with regard to future treatment. It is also worthwhile writing down exactly what those preferences are and keeping the details in a safe place for referral to if the need arises.

There is no legally binding form that an advance statement must take, but there are a few guidelines that it is recommended you follow. Most importantly, you must sign and date the document, and include your name and address. Also, you should state at either the beginning or the end of the statement that you are fully aware of what you are doing, and capable of making the decisions outlined. You should also get a witness sign the document, to testify that this is the case.

Verbal Instructions

A verbal expression of your wishes must also be taken into account, but is more difficult to prove after the event.

Advance Directives

If there are specific treatments that you wish to refuse if you lose your mental capacity, you can make these explicit instructions in advance directives. They are instructions to the medical professional and exercise your legal right to accept or refuse treatment. As with advance statements, there is no detailed legal format for these documents. However and advance statement should always be in writing, and witnessed. If you make one of these directives you may wish to think about the possibility of new medical advances and take these into account when you express your instructions. An advance directive is legally binding, and must always be adhered to by health professionals.

Draft Living Will - UK

Who do I inform?

It’s important that your living will is entered into your medical notes so that in an emergency it is found and acted upon. Consider sending a copy to your doctor and to any hospital which is treating you. Make sure your Health Care Proxy if you have one has a copy and also close family and friends. If your living will is verbal, make sure close relatives or friends are aware of its content; although it is highly recommended that you also confirm it in writing

What if I change my mind?

A living will can be cancelled or revoked. You can revoke your living will at any time without regard to your mental or physical condition. A revocation is effective when the attending physician or other health care provider is informed by you or anyone who witnessed you revoke it.

This Video gives good advice for people living in the US - beware though some of it is quite flippant!


Have you made a Living Will yourself?

See results

Cost of a Living Will

The cost of an Advance Decision varies. In the UK to prepare one can cost anything from £0 via a website such as to over £100 if prepared by a firm of solicitors.

© Susan Bailey 2008 All Rights Reserved


This website uses cookies

As a user in the EEA, your approval is needed on a few things. To provide a better website experience, uses cookies (and other similar technologies) and may collect, process, and share personal data. Please choose which areas of our service you consent to our doing so.

For more information on managing or withdrawing consents and how we handle data, visit our Privacy Policy at:

Show Details
HubPages Device IDThis is used to identify particular browsers or devices when the access the service, and is used for security reasons.
LoginThis is necessary to sign in to the HubPages Service.
Google RecaptchaThis is used to prevent bots and spam. (Privacy Policy)
AkismetThis is used to detect comment spam. (Privacy Policy)
HubPages Google AnalyticsThis is used to provide data on traffic to our website, all personally identifyable data is anonymized. (Privacy Policy)
HubPages Traffic PixelThis is used to collect data on traffic to articles and other pages on our site. Unless you are signed in to a HubPages account, all personally identifiable information is anonymized.
Amazon Web ServicesThis is a cloud services platform that we used to host our service. (Privacy Policy)
CloudflareThis is a cloud CDN service that we use to efficiently deliver files required for our service to operate such as javascript, cascading style sheets, images, and videos. (Privacy Policy)
Google Hosted LibrariesJavascript software libraries such as jQuery are loaded at endpoints on the or domains, for performance and efficiency reasons. (Privacy Policy)
Google Custom SearchThis is feature allows you to search the site. (Privacy Policy)
Google MapsSome articles have Google Maps embedded in them. (Privacy Policy)
Google ChartsThis is used to display charts and graphs on articles and the author center. (Privacy Policy)
Google AdSense Host APIThis service allows you to sign up for or associate a Google AdSense account with HubPages, so that you can earn money from ads on your articles. No data is shared unless you engage with this feature. (Privacy Policy)
Google YouTubeSome articles have YouTube videos embedded in them. (Privacy Policy)
VimeoSome articles have Vimeo videos embedded in them. (Privacy Policy)
PaypalThis is used for a registered author who enrolls in the HubPages Earnings program and requests to be paid via PayPal. No data is shared with Paypal unless you engage with this feature. (Privacy Policy)
Facebook LoginYou can use this to streamline signing up for, or signing in to your Hubpages account. No data is shared with Facebook unless you engage with this feature. (Privacy Policy)
MavenThis supports the Maven widget and search functionality. (Privacy Policy)
Google AdSenseThis is an ad network. (Privacy Policy)
Google DoubleClickGoogle provides ad serving technology and runs an ad network. (Privacy Policy)
Index ExchangeThis is an ad network. (Privacy Policy)
SovrnThis is an ad network. (Privacy Policy)
Facebook AdsThis is an ad network. (Privacy Policy)
Amazon Unified Ad MarketplaceThis is an ad network. (Privacy Policy)
AppNexusThis is an ad network. (Privacy Policy)
OpenxThis is an ad network. (Privacy Policy)
Rubicon ProjectThis is an ad network. (Privacy Policy)
TripleLiftThis is an ad network. (Privacy Policy)
Say MediaWe partner with Say Media to deliver ad campaigns on our sites. (Privacy Policy)
Remarketing PixelsWe may use remarketing pixels from advertising networks such as Google AdWords, Bing Ads, and Facebook in order to advertise the HubPages Service to people that have visited our sites.
Conversion Tracking PixelsWe may use conversion tracking pixels from advertising networks such as Google AdWords, Bing Ads, and Facebook in order to identify when an advertisement has successfully resulted in the desired action, such as signing up for the HubPages Service or publishing an article on the HubPages Service.
Author Google AnalyticsThis is used to provide traffic data and reports to the authors of articles on the HubPages Service. (Privacy Policy)
ComscoreComScore is a media measurement and analytics company providing marketing data and analytics to enterprises, media and advertising agencies, and publishers. Non-consent will result in ComScore only processing obfuscated personal data. (Privacy Policy)
Amazon Tracking PixelSome articles display amazon products as part of the Amazon Affiliate program, this pixel provides traffic statistics for those products (Privacy Policy)
ClickscoThis is a data management platform studying reader behavior (Privacy Policy)