Quality statement 5: Decision making

Quality statement

People with dementia, while they have capacity, have the opportunity to discuss and make decisions, together with their carer/s, about the use of:

Quality measure

Structure: Evidence of local protocols on the discussion of advance decision making.

Process: Proportion of people with dementia, while they have capacity, and their carer/s, who are given the opportunity to discuss with health and social care professionals about the use of:

  • advance statements

  • advance decisions to refuse treatment

  • Lasting Power of Attorney

  • Preferred Priorities of Care.

Numerator – the number of people who are given the opportunity to discuss advance decision making.

Denominator – the number of people with dementia.

Numerator – the number of carers who are given the opportunity to discuss advance decision making.

Denominator – the number of carers of people with dementia.

What the quality statement means for each audience

Service providers ensure staff are appropriately trained to provide information on advance statements, advance decisions to refuse treatment, Lasting Power of Attorney and Preferred Priorities of Care.

Health and social care professionals offer the person with dementia, whilst they have capacity, the opportunity to discuss and make decisions together with their carer/s about the use of:

  • advance statements

  • advance decisions to refuse treatment

  • Lasting Power of Attorney

  • Preferred Priorities of Care.

Commissioners ensure that local arrangements for assessment and care planning specifically include advance decision making.

People with dementia and their carers can expect the opportunity to discuss and make a decision on the use of advance statements, advance decisions to refuse treatment, Lasting Power of Attorney and Preferred Priorities of Care.

Data source

Structure: Local data collection.

Process: Local data collection.