LP1H explained
Guidance from Estate Advisory Group
Written and legally reviewed by Ramani Gill TEP, Solicitor and private client practitioner·Last reviewed 13 August 2026
LP1H mirrors the financial form with one profound difference: section 5, where you decide who can consent to or refuse life-sustaining treatment.
What it covers
- Where you live, including a move into a care home.
- Day-to-day care: diet, routine, dress, social contact.
- Medical treatment and consent, within the limits you set.
- Complaints about your care, and access to your medical records.
It can only be used once you cannot make the decision yourself. There is no 'use it now' option, unlike LP1F.
Section 5: life-sustaining treatment
You must tick one option
Option A gives your attorneys the power to consent to or refuse life-sustaining treatment on your behalf. Option B keeps that decision with your doctors, who must still consider your known wishes. Leaving it blank invalidates the form.
Neither answer is right or wrong. Option A suits people with strong views who trust their attorney to hold the line; Option B suits people who would rather clinicians decide. Whichever you choose, tell your attorneys what you would want.
Preferences worth including
- Where you would like to be cared for, and where you would rather not.
- Religious, cultural or dietary requirements.
- Who you want kept informed and involved.
Preferences are wishes; instructions are binding. Get the distinction right — see preferences and instructions and the health and welfare LPA page.
Worked example: choosing Option A or B
David, 74, is completing LP1H after a heart diagnosis. He appoints his wife Angela as his sole attorney, with his son Michael as a replacement. Angela already knows David does not want prolonged ventilation with no realistic chance of recovery, and David trusts her to hold that line under pressure from well-meaning relatives. He ticks Option A, giving Angela the power to consent to or refuse life-sustaining treatment on his behalf, and writes a short preference recording his wishes so Angela has something in writing to point to. His neighbour Frank, by contrast, would rather his doctors made that specific call using their clinical judgement and ticks Option B — his attorney can still make every other health and welfare decision.
Section 6 and telling people
Health and welfare decisions often affect a wider family than financial ones. Naming siblings or adult children in section 6 means they receive an LP3 notice and three weeks to object before registration, which can prevent disputes surfacing only after a crisis. It is optional, and many donors leave it blank because they trust their chosen attorneys, but families with a history of disagreement often find it worth the extra step.
Getting the form right
Same eligibility rules as LP1F
The certificate provider and witnessing rules that apply to the financial form apply equally here. See can an attorney be a witness before anyone signs.
Our service walks you through section 5 with plain-English explanations of both options, checks your attorneys and certificate provider for eligibility, and produces the completed LP1H ready for signing alongside your financial LPA if you are making both.
Common questions
Is this the same as a living will?
No. An advance decision to refuse treatment is a separate document that binds clinicians directly. An LP1H appoints people to decide. They can work together but the later document generally prevails on the same treatment.
Can attorneys override doctors?
Within the LPA's scope an attorney's refusal of treatment is legally binding, but clinicians are not required to provide treatment they consider clinically inappropriate.
Can I choose different attorneys for health and finance?
Yes. Many people appoint the same attorneys for both, but there is no requirement to; a spouse for health decisions and an accountant-minded child for finances is a common split.
Does LP1H let attorneys decide where I live?
Yes, including a move into residential care, once you lack capacity to make that specific decision yourself. You can add a preference about where you would like to live.
Read next
Where this fits
This page is part of Forms, wording and signing. The pages below take it further.
- The LPA forms explained
LP1F, LP1H and LP3 — what each section asks and where people go wrong.
- Make an LPA online
The whole journey end to end: questions, documents, signing and registration.
Review and sources
Reviewed by Ramani Gill TEP, Solicitor and private client practitioner. Last reviewed 13 August 2026. We recheck fees, forms and Office of the Public Guardian guidance whenever they change — see our editorial policy.
Official sources
Skip the blank forms
We ask plain-English questions and prepare the LP1F or LP1H wording from your answers, checked for common completion errors.
The Office of the Public Guardian charges a separate £92 to register each LPA.
This is general information about how Lasting Powers of Attorney work in England and Wales. It is not legal advice about your situation. What we do and do not do.
Published by Estate Advisory Group