Planning Ahead in Scotland

How to plan ahead when a loved one is approaching end of life in Scotland — Wills, Power of Attorney, organ donation, advance decisions, palliative care, and funeral planning.

  1. Have the conversation — gently and together. Ask what matters to them: where they would like to be cared for, what kind of service they would want, and any final wishes. Write these down together.
  2. Help them put legal affairs in order. Ensure there is an up-to-date Will and consider setting up a Power of Attorney (under the Adults with Incapacity (Scotland) Act 2000) for welfare and finances while they still have capacity. A solicitor can help with both.
  3. Gather and organise important documents together: birth certificate, marriage certificate, passport, pension details, insurance policies, bank accounts, property deeds, and utility bills. Keep copies in one safe place.
  4. Discuss organ and tissue donation wishes. In Scotland, the law is opt-out (deemed authorisation) — unless they expressed a wish to opt out. Check if they are on the NHS Organ Donor Register and record their decision clearly.
  5. Record their Advance Directive if they wish. In Scotland, an Advance Directive is not legally binding but is given significant weight by medical professionals. A welfare Power of Attorney is the strongest legal tool. A DNACPR form can also be discussed with their GP.
  6. Consider a funeral plan or pre-paid arrangement. They may want to choose between burial and cremation, pick readings or music, or meet funeral directors now. Pre-paid plans can lock in costs.
  7. Identify who will take the lead when the time comes. Discuss who will be the executor nominate in the Will, who will register the death (within 8 days in Scotland), and who will handle practical matters.
  8. Connect with palliative care and support services. Ask their GP about community palliative care, hospice referrals, Marie Curie nurses, and NHS Continuing Healthcare funding.
  9. Consider what legacy and memories they would like to leave — letters to loved ones, voice recordings, photo albums, recipes, or a memory box.
  10. Check eligibility for Attendance Allowance, Personal Independence Payment, or NHS Continuing Healthcare. In Scotland, personal care is free for over-65s. Macmillan Cancer Support also offers financial guidance.
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