MCA resources on Assessment

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Assessment of older adults' decision-making capacity in relation to independent living: a scoping review

Health and Social Care in the Community

With a growing global ageing population, approaches to assess and support decision-making are becoming more pertinent. This scoping review aimed to identify and map current knowledge on assessment of older adults' decision-making capacity in relation to independent living. A five-stage scoping review framework was followed. Inclusion criteria were papers on assessment approaches used to evaluate decision-making capacity of older adults, aged 60 years and over for independent living, including studies involving people with cognitive impairment and dementia. Five databases were searched for publications with eligibility criteria from January 2000 to December 2020; 4,118 results were retrieved from sources, resulting in 29 publications being analysed, eight of which were research reports. Publication characteristics and methodologies varied; however, many common components of decision-making capacity assessment for independent living were identified including cognitive, functional, environmental and risk assessment. Overall, a multidisciplinary approach was recommended, and consideration of the person's values and preferences is noted in many publications. Decision-making capacity assessment for independent living of older adults requires multicomponent, multidisciplinary assessment. Future work is needed to examine this from the perspective of older adults and their caregivers.

Last updated on hub: 17 August 2021

Carrying out and recording capacity assessments

39 Essex Chambers

The purpose of this document is to provide for social workers and those working in front-line clinical settings an overview of the law and principles relating to the assessment of capacity. Its focus is on (a) how to apply the MCA 2005 principles when assessing capacity; and (b) how to record your assessment, primarily in the context of health and welfare decisions. The courts have now considered questions of capacity on many occasions, sometimes giving guidance as to how the Act should be applied in general terms, and sometimes applying the Act to particular factual scenarios. The guide covers: key principles; what it means to lack capacity to make a decision; fluctuating capacity; good capacity assessment and recording; and useful resources.

Last updated on hub: 01 June 2021

Guidance note: relevant information for different categories of decisions

39 Essex Chambers

This guidance note sits alongside our guidance note on carrying out and recording capacity assessments, and is designed to assist social workers and those working in frontline clinical settings when they asked to consider a person’s capacity to make a decision or decisions. As set out in our guidance note, the courts have now applied the MCA 2005 in respect of very many types of decision. In the course of doing so, they have given indications as to what they consider to be relevant (and sometimes irrelevant) information for purposes of those decisions – i.e. what the person must be able to understand, retain, use and weigh to able to make the decision. This guidance note pulls together the guidance given in relation to some of the most common decisions that are encountered in practice in the context of health and welfare matters.

Last updated on hub: 01 June 2021

Mental capacity assessment and best interest forms

Warrington and Halton Hospitals NHS Foundation Trust

Forms to be used for the assessment and best interest review of patients who lack capacity to make a specific decision.

Last updated on hub: 20 September 2020

Consent, capacity and best interests assessment for health and social care interventions

Central and North West London NHS Foundation Trust

This flowchart describes the process of assessing capacity and best interests decision making for health and social care interventions.

Last updated on hub: 19 September 2020

Deprivation of Liberty Safeguards (DoLS): a guide for family and carers

North East London NHS Foundation Trust

A brief outline of what Deprivation of Liberty Safeguards are and who they apply to; and how deprivation of liberty is assessed and what happens it deprivation of liberty is occurring.

Last updated on hub: 17 September 2020

Assessment of mental capacity and determination of best interests

North East London NHS Foundation Trust

A mental capacity assessment and best interests determination form. The document includes a summary of key steps in assessing capacity, the principles of assessing capacity, what demonstrates decision-making capacity and considerations for the determination of an individual's best interests.

Last updated on hub: 17 September 2020

Assessment of mental capacity policy

North East London NHS Foundation Trust

This policy has arisen from the implementation of the MCA 2005 and seeks to give advice and guidance on how and when an assessment of mental capacity should be carried out. It draws a distinction between routine/ongoing assessments of capacity, which is a part of everyday care, and more exceptional occasions, when a formal assessment is necessary. In the latter case a formal, documented assessment is now required by the Trust in defined instances.

Last updated on hub: 17 September 2020

Mental capacity assessment and best interest decision making form

NHS Croydon Clinical Commissioning Group

A capacity assessment form for use when key decisions about care or treatment are planned and there is some doubt about whether the patient is able to make the decision for themselves.

Last updated on hub: 17 September 2020

Mental Capacity Act/Deprivation of Liberty Safeguards audit: file audit to test compliance with Mental Capacity Act 2005

NHS South East London Clinical Commissioning Group

This is an audit form to confirm whether a person’s records contain evidence that the person has been involved in any decision-making process and supported to make their own decisions about their care/treatment; evidence that an assessment of the person’s capacity (to make their own decision about their care/treatment) has been carried out in accordance with the Mental Capacity Act 2005 and its Code of Practice; and evidence that a determination of best interests has been carried out in accordance with the Mental Capacity Act 2005 and its Code of Practice.

Last updated on hub: 17 September 2020

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