Dear   
We are looking through the medical records of our patients with ongoing health needs. To improve the service we provide we are reviewing how these needs might change in the future.
We have identified you as someone with a long term condition and as such we have enclosed a questionnaire that would help us to update your record to include wishes about your future care.
Research shows us whether our lives are long or short, recording these wishes are best done before these conversations become paramount, when we have time to think, plan and record these wishes and then get on with living.
The questionnaire includes information about your nominated Next of Kin and /or Power of Attorney, as well as questions about your preferred place of care if you become unwell.
Please complete the information attached and return it to us so that we can begin updating our records with your wishes in mind.  It is important for you to know that this information can always be changed when and if you change your wishes simply by speaking to your GP.  It is also important to know that this information is shared with your GP practice and other health care professionals such as the community nursing team and London Ambulance service so that your care is coordinated and your wishes are known.
If you would like more information you can contact your GP to discuss further. Please mention that you have received this letter when speaking to our receptionist team. 

Yours sincerely,