In England, which feature is required for an advance decision to refuse life-sustaining treatment to be legally binding?

Correct answer: B. It is written, signed and witnessed, and states it applies even if life is at risk

  • A. It is spoken to a relative during a hospital admission
  • B. It is written, signed and witnessed, and states it applies even if life is at risk
  • C. It is recorded by a nurse without the patient’s signature
  • D. It is mentioned casually in a previous outpatient appointment

Explanation

An advance decision refusing life-sustaining treatment must meet additional formal requirements. It must be written, signed and witnessed, and include a statement that it applies even when life is at risk.

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About UK Law, Consent and Mental Capacity

UK consent and capacity law covers valid voluntary consent, adequate information, refusal of treatment, and the Mental Capacity Act principles for assessing decision specific capacity. It includes best interests decisions, least restrictive care, advance decisions and lasting powers of attorney, with capacity distinguished from mental illness, and legal capacity distinguished from clinical competence or mere agreement.

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