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module 1 subtitle
Placing the ADRT Specialist Guidance
in Context
1.Introduction
2.Mental Capacity Act 2005
3.Duty of Care and Legal Requirements
4.Frequently Asked Questions
a. The Format of an ADRT?
b. Ethical Dilemma - 2
c. Refusing Life - Sustaining Treatment?
d. Personal Reflection - 4
e. Distributing an ADRT?
f. Relationship of the Mental Capacity Act to the Mental Health Act?
g. Is an ADRT legal?
h. Handling Emergencies?
i. Clinical Scenario - 4: Consent to healthcare treatment-blood transfusion
j. Conscientious Objection?
5.End of Module Quiz
Section 4 - Frequently Asked Questions  
 Format of an ADRT
The maker of an ADRT to include the following information
  • In writing (good practice is advised)
  • Details of maker including full name, date of birth, home address and any distinguishing features – in case health and social care professionals need to identify the maker if unconsciousness
  • Name and address of GP and preferably whether they have a copy of the ADRT
  • Statement that the ADRT should be used if the person lacks capacity to make treatment decisions
  • Must specify the particular treatment that is to be refused and the circumstances in which the ADRT will apply
  • Date written (and dates if reviewed)
  • Maker’s signature (or the signature of someone the person has asked to sign on their behalf and in their presence)
  • Witness signature, name and contact details, if there is one. Signed in the presence of the above person at the same time as their signature
 If the ADRT incorporates the refusal of life sustaining treatment the following become a legal requirement for the document, it must:
  1. Be in writing. If the person is unable to write, someone else must write it down for them e.g. a family member or a health social care professional.
  2. Be signed by the maker. If they are unable to sign they can direct someone to sign on their behalf in their presence.
  3. Be signed in the presence of the witness. The witness must then sign in the presence of the person making the ADRT. If the person making he ADRT cannot sign, the person can direct someone to sign on his or her behalf in front of the person making the ADRT. The witness then signs with them both present
  4. Include a clear, specific written statement that the ADRT is to apply to a specific treatment “even if life is at risk”. If this part of the ADRT is made at a separate time it must be signed and witnessed as previously stated.
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