Service Overview

Advance Care Planning (ACP) is a meaningful process of communication and foresight. It allows you to reflect on and express your future healthcare preferences while you still possess decision-making capacity. Our professional team provides neutral and gentle guidance, facilitating dialogues with your family to ensure your values are respected, even if you can no longer speak for yourself. This proactive planning relieves your family of the immense burden of making critical decisions during a crisis.

ACP is an ongoing communication process involving the individual, family members and healthcare professionals. An Advance Medical Directive (AMD), by contrast, is a formally signed medical and legal document. ACP does not equate to making an AMD. If you wish to formalise certain preferences regarding life-sustaining treatment in a legal document, you may consider learning more about AMD based on your personal needs.

The Advance Decision on Life-Sustaining Treatment Ordinance came into operation on 31 July 2026, providing a legal framework for Advance Medical Directives (AMDs). A validly made AMD allows you to express your wishes regarding life-sustaining treatment in advance while you still have mental capacity. Under current Hong Kong law, a person making an AMD must be aged 18 or above and have the capacity to make the relevant decisions. The AMD must also meet the prescribed signing and witnessing requirements. The directive will only take effect when you later lose the mental capacity to make healthcare decisions and the specified conditions are met.

We can help you understand the AMD process and facilitate communication with your doctor and family members, so that your healthcare wishes are respected and properly arranged.

Our Professional Nursing Care

Our ACP service is led by trained professionals and is strictly voluntary and confidential:

  • Values Exploration

    Clarify your personal values, beliefs, and views on quality of life.

  • Options Explanation

    Explanations of life-sustaining treatments to help you make informed choices.

  • AMD Assistance

    Support in signing a legally binding AD to formally specify treatment refusals.

  • Family Consensus

    Ensure your family understands and commit to honoring your wishes.

Who We Serve

  • All adults, particularly those with serious or chronic illnesses.

  • Patients and families receiving Palliative & Hospice Home Care.

  • Individuals wishing to provide a clear medical roadmap for their family.

  • Families experiencing difficulties or conflicts about future care directions.


Our Services

Health Outcomes

  • Upholding Autonomy: Ensure your healthcare decisions and quality of life are respected.
  • Easing Family Burden: Remove the guesswork and reduce guilt and conflict.
  • Effective Clinical Communication: Help the medical team align their care strictly with your personal goals.
  • Peace of Mind: Your wishes are documented, legally sound and properly arranged.

Professional Team & Qualifications

Led by our professionals, ACP facilitation requires advanced communication skills and empathy.

  • Specialist Nurse (SN): Qualified in Palliative Care or ACP facilitation.
  • Registered Nurse (RN).

Fees & Packages

ACP is available per session or as part of our Palliative & Hospice Home Care packages. Please contact us for further details.

Service Process



  • Assessment

    Identify a suitable time to introduce ACP concepts.


  • Assign a Facilitator

    Arrange a qualified ACP nurse facilitator to guide your journey.


  • Communication Sessions

    In-depth meetings with you and your designated family members.


  • Documentation Support

    Explain legal requirements (AMD or other documents) and witness the formal signing.



  • Recording

    Document your wishes and share them with your consultant and family.

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FAQs

What is the difference between ACP and AMD?

ACP is an ongoing communication process for discussing future care preferences. AMD is a legally binding written document. It is one possible outcome of the ACP process, and serves to legally formalise a person's wish to refuse certain life-sustaining treatments under specified conditions.

When is the best time to discuss ACP or AMD?

Any time -- the earlier, the better. It is best to reflect on these matters while you are healthy and of sound mind. However, starting these discussions with your family and medical team becomes particularly vital following a diagnosis of a serious illness. If you wish to formalise your preferences in a legal document, you may make an AMD while you still have mental capacity.

Does AMD mean refusing resuscitation and giving up treatment?

No. AMD only addresses certain life-sustaining treatments under specified clinical conditions. It does not mean refusing all care – basic care and palliative care will continue.

Can I change or revoke my AMD after signing it?

Yes. As long as you have mental capacity, you may revoke or change it at any time – in writing, orally, by destroying the document, or by making a new AMD. Family members cannot make this decision on your behalf.

Related Reading

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