Life-Sustaining Treatment in LP1H: Option A vs Option B
How to approach the LP1H life-sustaining treatment decision, with practical framing for donors and attorneys before signing.
Why this section is so important
In LP1H, the life-sustaining treatment choice is one of the highest-impact decisions in the whole form.
The practical difference
- Option A: attorneys can make life-sustaining treatment decisions where legal conditions are met.
- Option B: attorneys cannot make those specific decisions.
Other health and care powers can still apply.
How donors should decide
A useful approach:
- Clarify values and treatment goals
- Discuss scenarios with intended attorneys
- Record preferences in plain language
This reduces uncertainty under pressure.
Attorney burden and preparedness
If Option A is chosen, attorneys need confidence with:
- Medical consultation processes
- Best-interests documentation
- Family communication during conflict
Frequent mistakes
- Selecting without discussion
- Leaving contradictory side notes
- Assuming family consensus will emerge later
Practical guidance
Even where attorneys have authority, they should document:
- Clinical context provided
- Donor wishes and prior statements
- Who was consulted
- Why decision is least restrictive and best interests aligned
Next reading
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Best Interests Checklist for Attorneys (Mental Capacity Act)
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