Making appropriate plans to meet a person’s changing needs and aid timely transitions to end of life care are critical components of the quality improvement process in health and social care . Care planning harnesses the care of people with and without capacity to make their own decisions. The assessment undertaken is person centred and it aims to establish the persons needs, preferences and personal goals relating to their own care and the decisions made to meet these goals with the available resources . It can be oriented towards meeting immediate needs, as well as predicting future needs and making appropriate arrangements or contingency plans to address these Where a person lacks capacity to decide, care planning must focus on determining their best interests. This can be achieved through discussions with the person’s family or close friends or carers and any decisions made must act to protect the person’s best interests .Advance care planning (ACP) is a process of discussions with an individual and their care provider to determine the person’s wishes should their illness deteriorate in the future. ACP’s can lead to an advance statement, an Advance Decision to Refuse Treatment (ADRT), a Do Not Attempt Cardiopulmonary Resuscitation (DNACPR) decision or other types of decision, such as appointing a Lasting Power of Attorney.