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Consent: patients and doctors making decisions together

Contents

 

Paragraphs

How the guidance applies to you

 

Part 1: Principles

1-6

Partnership

3-6

 

Part 2:  Making decisions about investigations and treatment

7-60

Sharing information and discussing treatment options

7 – 26

Answering questions

12

Reasons for not sharing information with patients

13-17

Sharing information

18-21

Involving families, carers and advocates

22

Obstacles to sharing information

23-25

Responsibility for seeking a patient's consent

26-27

Discussing side effects, complications and other risks

28-36

Making decisions

37-43

The scope of decisions

37-39

Making decisions about potential future events

40

Ensuring that decisions are voluntary

41-42

Respecting a patient's decisions

43

Expressions of consent

44-50

Recording decisions

51

Reviewing decisions

52-53

Involving children and young people in making decisions

54-56

Advance care planning

57-61

 

Part 3:  Capacity issues

62-80

The legal framework

62-63

Presumption of capacity

64-65

Maximising a patient's ability to make decisions

66-70

Assessing capacity

71-74

Making decisions when a patient lacks capacity

75-76

Resolving disagreements

77-78

The scope of treatment in emergencies

79

 

Legal annex

 

Common law

 

Legislation

 

Other sources of information and guidance

 

 

 

 

Main sections of 0-18 years

Contents

 

Introduction

 

Assessing best interests

 

Communication

 

Making decisions

 

Principles of confidentiality

 

Access to medical records by children, young people and their parents

 

Child protection

 

Sexual activity

 

Contraception, abortion and sexually transmitted infections (STIs)

 

Suitability to work with children and young people

 

Complaints

 

Prescribing medicine