Dementia Advanced Care Planning with ReSPECT

An elderly man and woman are looking at each other in discussion, holding some paperwork on a clip-board. There is a checked table cloth and cup of tea on the table.

People often come to Guideposts when they don’t know where else to turn. They may have experienced a crisis, or recently stepped down from health or social services support. We do our best to help them look ahead with hope – and avoid needing crisis support again.

For those living with dementia, we recognise that care needs are likely to increase over time. That’s why we gently, but clearly, introduce questions that are helpful to consider before the need becomes urgent.

Team Training in Action

Recently, many of our staff completed training in a new process being rolled out across the UK: ReSPECT (Recommended Summary Plan for Emergency Care and Treatment). This approach helps shape emergency care recommendations based on what truly matters to the individual, and what is realistic within available services.

What values do I want to pass on?

Our teams are now introducing ReSPECT in CONNECT groups, where it naturally follows conversations about personal values, fears, and long-term goals. Alongside regular sessions on Advance Care Planning, Legal Power of Attorney, and Wills, we aim to make these often difficult subjects as approachable and empowering as possible.

The response we receive is that it genuinely offers peace of mind. One group member recently commented that just starting the conversation already feels like a relief.

What is ReSPECT?

ReSPECT stands for Recommended Summary Plan for Emergency Care and Treatment. The ReSPECT process creates a personalised recommendation for your clinical care in emergency situations where you are not able to make decisions or express your wishes. It has been adopted in the areas of the UK where we operate.

Why make a will?

You may think that making a will is all about deciding who will receive your belongings when the time comes. but there is much more to it. In setting out your wishes you are showing what you care about, your values, and hopes for the future.

You are also helping your loved ones avoid the added distress, delays and costs that come without a will.

Planning for the future isn’t just about what we leave behind—it’s about the love, values, and impact we carry forward.

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