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Mental Capacity & Best Interest Decisions

Checked: 01-05-2024 by Vicky Ryan Next Review: 30-04-2026

Overview

A regular theme from LeDeR reviews shows some GP's are holding MCA and BI meetings that are not documented for important decisions involving people with learning disabilities. This is particularly for things like vaccinations, DNACPR, ReSPECT forms and End of Life Care. 

Please use the following forms to document MCA and BI decisions appropriately:

Mental Capacity Form

Best Interests Decision form 

These forms are also available in EMIS.

Independent Mental Capacity Advocate

If you need to involve an Independent Mental Capacity Advocate (IMCA) where a patient has no next of kin, please see the Adult Safeguarding page for information on contacting an IMCA.  

Further advice and guidance

For further advice and guidance please contact:

BNSSG CONTACTS 

Name  

Contact details  

Role  

Faye Kamara 

Head of Safeguarding

(all age)

email: faye.kamara@nhs.net 

M: 07710 152879 

For advice and support to all ICB staff and GPs

Safeguarding Adults


Mental Capacity Act  

Prevent
Training and Policy  

Alex Morgan
Designated Professional for Safeguarding Adults

email: alex.morgan13@nhs.net   

Dr Ben Burrows Safeguarding Adults GP Lead  

email: bnssg.safeguardingadmin@nhs.net  

For advice and support for GPs  



Efforts are made to ensure the accuracy and agreement of these guidelines, including any content uploaded, referred to or linked to from the system. However, BNSSG ICB cannot guarantee this. This guidance does not override the individual responsibility of healthcare professionals to make decisions appropriate to the circumstances of the individual patient, in consultation with the patient and/or guardian or carer, in accordance with the mental capacity act, and informed by the summary of product characteristics of any drugs they are considering. Practitioners are required to perform their duties in accordance with the law and their regulators and nothing in this guidance should be interpreted in a way that would be inconsistent with compliance with those duties.

Information provided through Remedy is continually updated so please be aware any printed copies may quickly become out of date.