Last reviewed: June 2026 · For use in England & Wales · eLitigant is a Community Interest Company (No. 16566612), not a law firm. Always check the current official form on GOV.UK before you file, and sign the statement of truth yourself.
Official form & guidance: LPA forms (LP1H — health and welfare) →
In short
Form LP1H is the Lasting Power of Attorney for health and welfare in England and Wales. It lets the people you trust make decisions about where you live, your daily care and your medical treatment — but only if a day comes when you cannot make a particular decision yourself. Section 5 lets you choose whether attorneys can consent to or refuse life-sustaining treatment (Option A) or leave that with doctors (Option B). It is registered with the Office of the Public Guardian. eLitigant gently drafts your LP1H from your own wishes, in complete confidence.
Your LP1H could be done in 5 minutes.
We download and compose it for you — you just answer a few plain-English questions, and out comes a document drafted to an elite, professional standard. No stress, no jargon, no re-typing. We take the boring out of bureaucracy.
① Draft it from scratch
Tell Chris who the donor and attorneys are, Option A or B on life-sustaining treatment, and any instructions on care, faith or daily life. Chris drafts your LP1H complete with signature layout.
② Check the draft you’ve written
Already started your LP1H or an Advance Decision? Upload it. Chris reviews every line against your own wishes and flags what’s missing before you register with the OPG.
③ Companion documents
Pair LP1H with LP1F and an ADRT for one estate plan. Run what you have by Chris and he drafts the set to the Litigant Standard.
An LP1H is not only about the end of life. It is the document that lets a family member refuse a discharge to a care home that is wrong for the patient, insist on proper pain management, and make a thousand smaller decisions that the NHS and social care machine will otherwise make by default.
Pair LP1H with LP1F. Most donors want both — money and care — covered by the people they trust.
What LP1H covers
- Where the donor lives (including whether to move to a care home)
- Day-to-day care — diet, dress, routine
- Medical treatment decisions (including, if granted, refusing life-sustaining treatment)
- Social activities and contact with others
When it takes effect
Only when the donor lacks capacity to make the specific decision in question. Capacity is decision-specific under the Mental Capacity Act 2005 — a donor may have capacity to choose today’s meal but not whether to sell the house.
The life-sustaining treatment question
Section 5 of LP1H contains an option:
- Option A — attorneys can give or refuse consent to life-sustaining treatment
- Option B — attorneys cannot give or refuse consent to life-sustaining treatment (it remains with doctors, applying best interests)
Choose carefully. Option A transfers a profound responsibility. Option B keeps the clinical team in the driving seat on end-of-life decisions. Many donors choose Option B and draft a separate Advance Decision under the Mental Capacity Act 2005 to cover specific refusals (ventilation, tube feeding, CPR).
Instructions and preferences
Instructions (binding) and preferences (to consider) work identically to LP1F. Useful examples:
- Instruction: “My attorneys must not consent to long-term residential care without first exploring in detail the option of home care with professional support.”
- Preference: “I would like to remain in my own home for as long as practicable.”
- Preference: “I would like my Catholic faith respected — last rites available if appropriate.”
Let Chris draft this for you
Tell Chris what you want to achieve. Upload your documents. Chris produces professional drafts to the Litigant Standard™ — whichever form, whichever jurisdiction. You review every line. You sign. You file. The court sees your name. The standard it sees is the Litigant Standard.
Attorneys — jointly or severally
Same choices as LP1F. Health and welfare decisions can be time-critical — jointly-and-severally is often more practical than jointly. Joint attorneys must all consent before any decision; if one is abroad or uncontactable, nothing happens.
LP1H cannot override the doctors
An attorney cannot demand treatment the clinical team considers clinically inappropriate. The attorney decides between options offered by doctors — they do not mandate treatment. For refusals, the attorney’s authority is higher, especially with Option A selected.
Advance Decisions — a companion document
An Advance Decision to Refuse Treatment (ADRT) under MCA 2005 ss.24–26 is separate from the LPA. An ADRT refuses specific treatments in specific circumstances. Written, signed, witnessed (where it covers life-sustaining treatment). Chris drafts ADRTs alongside LPAs too.
Registration and signing
Same as LP1F — donor first, certificate provider, attorneys, replacement attorneys, then register with OPG. £92 fee. 8–10 week processing. Same fee-exemption mechanics via LPA120A.
Related Court Forms & Guides
- Form N260: Statement of Costs — the costs schedule used at summary assessment.
- Form N244: Application Notice — the form for interim applications.
- Start a Money Claim Online (OCMC) — where most civil money claims begin.
- Particulars of Claim — setting out the basis of your claim.
- Civil Court Forms Index — every civil court form guide in one place.
Can Chris draft LP1H?
Yes. Tell Chris: who the donor is, who the attorneys are, Option A or B on life-sustaining treatment, any instructions about residential care, faith, daily life. Chris drafts LP1H complete with signature layout and registration cover letter. Pair with LP1F and an ADRT — one estate plan, all documents to the Litigant Standard, drafted in hours.
Prepare to win. Plan not to fail.
An LP1H is a gift to your family — it means the people who love you, and know you, speak for you. Draft it while you still can. Chris drafts to the standard that makes the form unquestionable.
See it done — a lasting power of attorney for health and welfare (LP1H) in minutes
A lasting power of attorney for health and welfare (LP1H), drafted to a high, professional standard — Chris builds all 24 pages from your facts in minutes, where doing it right yourself can take weeks of painstaking work. Scroll the sample below.
One day · unlimited forms & drafts · contracts & correspondence too · no subscription · you check, sign & file
Planning ahead — wills & estate documents
Get your wishes down properly while you can: write a will yourself · amend a will with a codicil · letter of wishes · advance decision (living will) · sever a joint tenancy.
Frequently asked questions
What does an LP1H cover?
An LP1H covers health and welfare decisions: where the donor lives (including whether to move to a care home), day-to-day care such as diet, dress and routine, medical treatment decisions, and social activities and contact with others.
When does an LP1H take effect?
Only when the donor lacks capacity to make the specific decision in question. Capacity is decision-specific under the Mental Capacity Act 2005 — a donor may have capacity to choose today’s meal but not whether to sell the house.
What is the life-sustaining treatment option in Section 5?
Section 5 lets you choose Option A, where attorneys can give or refuse consent to life-sustaining treatment, or Option B, where that authority stays with doctors applying best interests. Option A transfers a profound responsibility; many donors choose Option B and draft a separate Advance Decision for specific refusals.
What is the difference between instructions and preferences?
Instructions are binding on your attorneys, while preferences are matters they must consider. For example, an instruction might require attorneys to explore home care before consenting to long-term residential care, while a preference might ask to remain at home for as long as practicable.
Should attorneys act jointly or jointly and severally?
Health and welfare decisions can be time-critical, so jointly-and-severally is often more practical. Joint attorneys must all consent before any decision, so if one is abroad or uncontactable, nothing happens.
How is an LP1H registered?
It is signed by the donor first, then the certificate provider, attorneys and any replacement attorneys, then registered with the Office of the Public Guardian. Check the current HMCTS fee and processing time, and note the fee-exemption mechanics available via Form LPA120A.
Ready to draft your LP1H?
One day · one matter · unlimited drafts · no subscription · you remain the litigant in person
Related guides: Form LP1F — Property & Financial Affairs LPA · Form COP1 — Court of Protection Deputyship · All civil court forms