%0 Journal Article %A L Jackson %A K Detering %A W Silvester %A A Hancock %T The evolution of Austin health's ‘Statement of Choices’ %D 2011 %R 10.1136/bmjspcare-2011-000053.78 %J BMJ Supportive & Palliative Care %P 89-89 %V 1 %N 1 %X Background The Respecting Patient Choices team has been doing advance care planning since 2002. We encourage people to nominate a substitute decision maker (SDM) and document their health care wishes on a ‘Statement of Choices’ (SOC). This document has evolved and now includes four components to ensure that the written plans are understood and appropriately acted upon by doctors. They are: to record a person's wishes about future medical treatment based on their goals, values and beliefs.to record this information in a language that doctors would recognise and could act upon.be easy to fill in.to provide prompts for people facilitating the ACP conversation. Aim To evaluate the evolution of the SOC. Methods A retrospective audit of SOC completed in 2010. Results Most people (70%) choose to nominate a SDM and complete a SOC. People generally nominate a family member as their SDM and the majority (>90%) indicate on their SOC that they ‘would not want CPR even if the doctors think it could be beneficial’ and ‘do not want life prolonging treatment (LPT) at all’. 25% provided guidance on what would be an ‘acceptable outcome’. The SOC is recognised by the doctors and is acted upon. Conclusions▶ Austin Health has devised a SOC form that enables people to record their medical treatment preferences especially in relation to CPR and LPT.▶ The SOC is being further evolved for specific chronic conditions (eg, dialysis). %U https://spcare.bmj.com/content/bmjspcare/1/1/89.1.full.pdf