Patient Agreement To Sharing Information Page 2

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GUIDANCE NOTES
Who may give consent?
1. It is presumed that anyone aged 16 or over is competent to give consent for her/himself
unless the opposite is demonstrated. If a child under the age of 16 has ‘sufficient
understanding and intelligence to enable him or her to understand fully what is proposed’,
then he or she will be competent to give consent for him/herself. Young people aged 16
and 17, and legally ‘competent’ younger children, may therefore sign this form for
themselves, but may like a parent to countersign as well.
2. If a child is unable to give consent him/herself, person(s) with parental responsibility for
the child may provide information about their wishes in relation to the child. However, the
final decision to disclose information lies with the healthcare professional in charge of
caring for the child. Any decisions taken must be in the best interests of the child. Even
where a child is able to give consent him/herself, a healthcare professional with
responsibility for caring for the child should involve those with parental responsibility for
the child’s care, unless the child specifically asks the healthcare professional not to do so.
3. If a patient is mentally competent to give consent but is physically unable to sign a form,
this form should be completed and signed by an independent witness as confirmation that
the patient concerned gave consent orally or non-verbally.
4. Where an adult patient (aged 16 or over) lacks capacity to give or withhold consent,
decisions must be taken by the healthcare professional in charge of the care of the
patient. Decisions must be made in the best interests of the patient, taking into account
any wishes that may have been previously expressed by the patient (for example, before
he loss of capacity) and any views or wishes expressed by the patient’s family or friends.
Guidance on Confidentiality and Consent
The NHS Confidentiality Code of Practice published by the Department of Health
2003
https://
The HSCIC Guide to Confidentiality
The Department of Health guidance on consent to treatment
https://
examination-or-treatment-second-edition

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