Advance Care Planning (ACP) Model of Care
The Advance Care Planning (ACP) model works to improve the journey of patients, particularly older people, through the health system. ACP takes into account the patient’s wishes, values and beliefs about medical treatment in order to prepare for end-of-life situations. In essence, ACP aims to reach a clear and agreed understanding between the individual, their ‘person responsible’ (if appropriate) and treating medical practitioner. A crucial component of successful ACP is that the individual understands that they have choices. As such, discussion is a focus of the model.
Download Model of Care for ACP PDF 
(1,255 KB)
About ACP
Why use ACP and what it is.
Implementing ACP
Guidelines, tools and hints to help implement ACP.
ACP Tools
Tools and templates to support ACP.
Contacts - to find out more about the ACP Model of Care
Principal Project Officer, Integrated Aged and Chronic Care
Health Services Performance Improvement Branch, NSW Health
Phone: 02 9391 9832
Literature - that validates the ACP Model of Care
- View references used to develop the ACP Model of Care
Online Discussion Group
If you would like to participate in a HSNet online discussion group for Advance Care Planning, logon and become a member at 
https://www.hsnet.nsw.gov.au and search for the NSW Health - Advance Care Planning Forum(s). HSNet is available for the use of staff working in the New South Wales human services sector. The site fosters collaboration between agencies, government and non-government. It enables members to publish and access information across agency boundaries, facilitating best practice in the sector.
