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advance care planning

What is Advance Care Planning?

Advance Care Planning (ACP) is the process of planning for your future health and personal care needs.

Should you fall too ill to communicate or make treatment decisions, your Advance Care Plans helps your medical team and chosen spokesperson to make decisions that are in your best interests. Having ACP conversations with your loved ones allows you to:

  • Share your personal values and beliefs
  • Explore how your values and beliefs affect your healthcare preferences in difficult medical situations
  • Think about who among your loved ones can be your voice if you become very ill one day


Prepare your Advance Care Plan Document

Once you have thought through your care preferences and discussed them with your loved ones, Brahm Centre can assist you in putting your wishes into an Advance Care Plan Document and lodging it in on the NEHR.

Brahm Centre has a team of certified Advance Care Planning Facilitators. Please write to for an appointment.

What is the Fee?

The ACP will be conducted by donation and the donation is tax deductible.


Frequently Asked Questions

1. Who needs Advance Care Planning and why is it helpful?
Advance Care Planning is for everyone, regardless of age or state of health. In a medical emergency where you become very ill and lose the ability to speak for yourself, the healthcare team may turn to your loved ones to make decisions about your care on your behalf. By communicating your preferences in advance, you can prepare for the unexpected and help relieve some of the burden and stress your loved ones may experience.

2. When will my doctors act on the decisions in my Advance Care Plan?
When you are no longer able to make decisions for yourself. As long as you have the mental capacity to make decisions, you will be consulted on the choice of treatment.

3. Do I need a lawyer to do Advance Care Planning?

No, a lawyer is not required. Advance Care Planning can take place whenever you share your future healthcare preferences with your loved ones. Document your preferences, assisted by a certified ACP facilitator. Communicate with your loved ones so they are clear about your wishes. If you have complex health conditions, you may wish to discuss with your doctor.

4. How will the healthcare team know what I have discussed during Advance Care Planning?
In a medical crisis where you are no longer able to communicate your wishes, the healthcare team may consult your loved ones about your treatment preferences. It is therefore useful to appoint a Nominated Healthcare Spokesperson (NHS). With a Advance Care Plan lodged on the National Health Record System (NEHR), the healthcare team and your loved ones may access the document for reference.In a medical crisis where you are no longer able to communicate your wishes, the healthcare team may consult your loved ones about your treatment preferences. It is therefore useful to appoint a Nominated Healthcare Spokesperson (NHS). Your Advance Care Planning service provider will document your Advance Care Plan via their portal. A copy of your Advance Care Plan will be contributed to the National Electronic Health Record (NEHR) system and be accessible by healthcare professionals who are authorised with NEHR access.

5. Can I change my mind after an Advance Care Planning discussion?
Yes, you can change or review your care preferences at any time if you change your mind or if your medical condition changes. Simply share your new wishes with your loved ones and update the Advance Care Plan through your Advance Care Planning service provider, such as Braham Centre. Once the update is completed, the NEHR will receive a copy of the updated Advance Care Plan automatically.

6. Who can I appoint as my voice or “Nominated Healthcare Spokesperson”?
The person you have appointed to speak on your behalf should be at least 21 years old. This person may be a family member or a friend. The most important thing is to choose someone whom you trust and know will act in your best interest should you become unable to make decisions for yourself. It is possible to appoint more than one Nominated Healthcare Spokesperson, although all parties should be clear and in agreement about what your preferences are.

7. What is the difference between Advance Care Planning and the Advance Medical Directive?
An Advance Care Plan is not a legal document. It is a process that enables you to nominate healthcare spokespersons (which you may change along the way) and ensure they are aware of your healthcare options so that they can make informed decisions regarding your healthcare wishes.

An Advance Medical Directive (AMD) is a legal document that one completes stating that one does not wish to receive extraordinary life-sustaining treatment to artificially prolong life in the event of terminal illness where death is inevitable and impending. One can make an Advance Medical Directive and also undergo the advance care planning process. The AMD must be made through a doctor.

The AMD will only come into force once you have been determined to have a terminal illness and a Certificate of Terminal illness has been issued. Three doctors, including the patient’s hospital doctor, must unanimously certify a patient’s terminal illness. Two of the doctors must be specialists.