Patient Agreement To Investigation Or Treatment Page 6

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Guidance to health professionals (to be read in conjunction with consent policy)
What is a consent form for?
This form documents the patient's agreement to go ahead with the investigation or
treatment you have proposed. It is not a legal waiver - if patients, for example, do
not receive enough information on which to base their decision, then the consent
may not be valid, even though the form has been signed. Patients are also entitled
to change their mind after signing the form, if they retain capacity to do so. The form
should act as an aide-memoire to health professionals and patients, by providing a
checklist of the kind of information patients should be offered, and by enabling the
patient to have a written record of the main points discussed. In no way, however,
should the written information provided for the patient is regarded as a substitute for
face-to-face discussions with the patient.
The law on consent
See the Department of Health's Reference guide to consent for examination or
treatment for a comprehensive summary of the law (also available at
.
)
Who can give consent?
Everyone aged 16 or more is presumed to be competent for themselves, 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 himself or 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.
If the child is not able to give consent for himself or herself, someone with parental
responsibility may do so on their behalf and a separate form is available for this
purpose. Even where a child is able to give consent for himself or herself, you
should always involve those with parental responsibility in the child's care, unless the
child specifically asks you not to do so. If a patient is mentally competent to give
consent but is physically unable to sign a form, you should complete this form as
usual, and ask an independent witness to confirm that the patient has given consent
orally or non-verbally.
When NOT to use this form.
If the patient is 19 or over and lacks the capacity to give consent, you should use
Consent Form 4 (form for adults who lack the capacity to consent to investigation or
treatment) instead of this form. A patient lacks capacity if they have an impairment of
the mind or brain or disturbance affecting the way their mind or brain works and they
cannot:
Understand information about the decision to be made
Retain that information in their mind
Use of weigh that information as part of the decision-making process, or
Communicate their decision (by talking, using sign language or any other
means)
Quality and Governance Service
Updated November 2013

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