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A guide to help district health boards deliver ACP

This implementation guide is designed to help district health boards (DHBs)* deliver advance care planning (ACP) to the people they serve. It is a practical, ‘hands-on’ tool for DHBs to use to generate ideas and find inspiration as they implement ACP.

Created in response to feedback

The guide was created in response to feedback received during the development of the National ACP Strategy 2018–22.

The National ACP Cooperative consistently heard that DHB deployment teams wanted:

  • a better understanding of how to provide ACP services (‘the deployment model’)
  • to be able to learn from each other
  • to share what they have done: what worked and how they overcame the challenges they encountered.

The development of a ‘how-to’ guide was therefore included in the strategy’s roadmap of action.

A work in progress

The guide is a ‘living’ resource and is not exhaustive. The ideas and activities it contains are recommendations only and designed to complement the DHB examples.

We will continuously build on the guide, adding more ideas and examples as teams, DHBs and communities try new approaches and overcome challenges and barriers through the various stages of ACP implementation.


We welcome all feedback on the guide – please email

* In the guide, when we refer to DHBs, we mean the health system of a district not just the publically funded providers within a district.

Last updated: 13th November, 2021