Requesting a Wish

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As part of completing the application form, we will ask a series of questions regarding your wish and your medical condition. This information is required to support appropriate clinical planning and risk assessment.

The form will request the following details:

• Personal details
• Description of the wish you would like to fulfil
• Estimated duration of the wish
• Name and contact details of your consultant or palliative care team
• Confirmation of any advanced directives that have been completed
• Details of mobility and transfer requirements
• List of current medications, including any “just in case” medications
• Instructions for what should occur in the event of an emergency during the wish

The following information will be reviewed by our medical team prior to approval of the wish. 

It is essential that all details are completed accurately to allow us to plan and deliver your wish safely, while ensuring your comfort and wellbeing throughout. 

We advise you that the form should be completed with the support of the palliative care team or hospice. 

All information provided will be treated as strictly confidential and handled in accordance with the UK General Data Protection Regulation (UK GDPR) and the Data Protection Act 2018.
Information will be used solely for the purposes of assessing, planning, and delivering your wish, and for ensuring your safety and clinical care during the process.

The lawful basis for processing this information is:

• Article 6(1)(e) – processing is necessary for the performance of a task carried out in the public interest; and
• Article 9(2)(h) – processing is necessary for the provision of health or social care.

Your information will only be shared with authorised members of the Ambulance Wish UK team and relevant healthcare professionals directly involved in your care. It will not be shared with any third parties without your consent, unless required by law or in the event of a medical emergency.