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NEXT OF KIN

Next of kin

Your medical next of kin is someone you nominate to receive information about your medical care—especially if you're ill, unconscious, or unable to communicate. They are the person the hospital will contact in emergencies or if important updates are needed.

“Next of kin” refers to the closest living relative(s) of a person. Contrary to popular belief, the term ‘Next of Kin’ has no legal standing in the UK. This is separate from an inheritance next of kin which is not covered here.

LGBT+ people may not necessarily have family or next of kin with whom they would want ED staff to contact. The most significant relationships and support systems for LGBT+ people are often close friends and chosen family who are often excluded.

This content has been prompted by gay men being admitted to Emergency Departments (A&E) from chems related overdoses and their chosen family being excluded. 

Who can be a next of kin?

An adult. Your choice should be someone you feel close to. It does not have to be a blood relative or spouse. It's not automatically a spouse or family member—you can choose anyone (friend, partner, housemate). They do not automatically have legal decision-making powers unless they have Lasting Power of Attorney or are or are appointed by a court.

What can a next of kin do?

  • They act on your behalf if you are unable to communicate due to illness or being unconscious
  • They will be asked for advice and guidance on your wishes
  • Be kept informed about your care and condition
  • Act as a point of contact for the hospital
  • Support you in making decisions (but not make them for you, unless legally authorised)

What they cannot do (without legal authority)

  • Consent to treatment on your behalf
  • Access medical records without your permission
  • Make end-of-life or welfare decisions (unless appointed)

How to nominate someone

  • Hospitals will often ask upon admission: "Who is your next of kin?"
  • You can choose anyone you trust—it doesn't have to be a relative
  • It’s best to tell the person you've listed so they’re aware

More

Next of kin | Wikipedia
Next of Kin | The Patients Association
Myth busting: next of kin | Hill Dickinson
 Card bids to clarify next of kin | BBC 4 Mar 2005

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