This flowchart sets out the steps needed to provide care and treatment to patients who re not under DoLS or MHA, patients with a DoLS authorisation, and patients detained under the MHA.

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.

A preferred priorities for care (PPC) statement form (A4), which patients can fill in to state their wishes and care preferences are for the last few months or year of their life.

Statement form for advance decision to refuse treatment (A5). An advance decision allows a person over the age of 18 to refuse a specific treatment in the future when they lack the capacity to consent to, or refuse, that treatment.

A case study focusing on a patient for whom an inadequate capacity assessment was carried out. Following IMCA intervention, it was discovered that lack of capacity had been assumed and the IMCA set about undertaking an accurate capacity assessment. The patient, however, passed away before this could be completed. The case study has been drawn together by the Department of Health, the Care Quality Commission, and POhWER, a major provider of advocacy services, and aims to show how IMCAs can act as a powerful support to people who may lack capacity.

A case study focusing on a patient with an acquired brain injury, needing a best interests decision made as to whether she should have a PEG feed inserted. The case shows how the correct application of the principles of the MCA ensured the least restrictive option was explored and the patient was able to make improvements in eating and drinking so the PEG was no longer needed. The case study has been drawn together by the Department of Health, the Care Quality Commission, and POhWER, a major provider of advocacy services, to show how IMCAs can act as a powerful support to people who may lack capacity.

A case study focusing on patient decision to require representation in deciding whether she should be resuscitated and the intervention by an IMCA. It has been drawn together by the Department of Health, the Care Quality Commission, and POhWER, a major provider of advocacy services, showing how IMCAs can act as a powerful support to people who may lack capacity.

This flowchart describes the Do not attempt cardiopulmonary resuscitation (DNACPR) process, intended for application in in-patient settings.

Do not attempt cardiopulmonary resuscitation (DNACPR) form.

This factsheet is aimed at service users and is about making sure people are safe in hospital and get the medical care they need. It includes illustrative examples of making decision about capacity and deprivation of liberty.

This document is part of a series of brief guides to help all health and social care professionals navigate through and apply the principles of the Mental Capacity Act for decisions regarding treatment and care. It sets out alternative decision-making approaches in the event that a person does not have mental capacity to give consent to a proposed treatment. It looks at the role of advance decisions to refuse treatment, lasting powers of attorney for health and welfare and discusses situations where the Court of Protection may need to be involved. The guide also covers advance care plans, independent mental capacity advocates, and best interest decisions.

This diagram provides step by step guidance to understanding the principles of consent and mental capacity prior to undertaking care, examination or treatment. The steps are applicable to patients aged 16 and over.