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Mental Capacity and the challenge of ‘silos’

In Court of Protection (CoP) cases across the past few years there has been increasing reference and cautionary notes regarding professionals working in ‘silos’. This has been discussed by professionals such as Local Government Lawyer (2020) and Barrister, and honorary KC, Alex Keene (2021, 2024). This is a very interesting and thought-provoking topic, that we will try to explain to give readers some important context.

Read More »Mental Capacity and the challenge of ‘silos’
Elderly man walking through city using two walking sticks to support his mobility.

What is ‘salient information’?

When conducting a Mental Capacity Assessment it is vital to understand the salient information relevant to this case. Put simply, ‘salient information’ is the relevant information that is required in order for the relevant person to be able to demonstrate capacity for the specific decision being addressed.

To help illustrate this point, we have two case studies that consider two separate decisions: whether to install bed rails, and whether to smoke.

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Reflections on the NMCF Annual Report 2022–2023

The National Mental Capacity Forum (NMCF) is a working initiative between the Ministry of Justice (MoJ) and Department of Health and Social Care (DoHSC). The core purpose for the forum is to improve implementation of the Mental Capacity Act (2005), for which it has been releasing annual reports since 2016. The latest report for the period 2022-2023 has just been published (May 2024), and is recommended reading for anyone working in the field.

Read More »Reflections on the NMCF Annual Report 2022–2023
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Learning from Lives and Deaths: Mental Capacity in the spotlight

Learning from Lives and Deaths – people with learning disability and autistic people (LeDeR) was established in 2017 as a collaboration between several UK universities along with NHS England and several leading charities in the area. Its report for 2022, which was only published as recently as November 2023, includes some really interesting and important observations in relation to Mental Capacity and how it is applied in practice in England.

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Older lady sat in a community centre, smiling at the camera

Barriers to supported decision-making in practice

Evidence based practice is essential in healthcare, and indeed many other sectors.  It provides proof of impact, or outcome, through careful assessment and comparison in controlled environments. In today’s blog, we will examine a recent systematic review of the field, published in the journal Health Expectations looking particularly at the barriers to supported decision-making that the paper identifies

Read More »Barriers to supported decision-making in practice
Woman deep in thought during assessment.

COPPA: Masterclass in Executive Dysfunction & Mental Capacity

We recently had the privilege to attend a stimulating event exploring the role of executive dysfunction and mental capacity. The afternoon was hosted by CoPPA North West and Pennine Care NHS Foundation and featured speakers from across the legal and medical professions, including Judge Simon Burrows, Barristers Rebecca Clark and Neil Allen, and Consultant Psychiatrists Dr Cathy Symonds, Dr Ade Akinola and Dr Samuel Wintrip.  

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Patient consulting with doctor

Capacity Assessments: Professionalism, Accountability and Best Practice

A recent case held before the Court of Protection highlighted issues around the way that Mental Capacity Assessments are completed. In her conclusions, Mrs Justice Knowles highlighted the important role played by the Assessor – emphasising the need for accountability in the process, and for the Assessor to take professional measures to establish the salient information relating to the case the case.

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