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Embedding the Mental Capacity Act 2005 in clinical practice: an audit review

  • Claudia Dunlop (a1) and Oluwatoyin Sorinmade (a1)
Abstract
Aims and method

An audit cycle assessed compliance of healthcare professionals within Oxleas NHS Foundation Trust with the statutory requirements of the Mental Capacity Act 2005 in patient care. Each stage involved a retrospective review of relevant patient electronic records. The additional purpose of the audit was to make recommendations to improve compliance with the requirement of the Act by healthcare professionals and improve patient understanding of its provisions.

Results

The audit cycle demonstrated some improvement in clinical practice as well as the need for further efforts at raising the understanding and compliance of clinicians and the public with provisions of the Act.

Clinical Implications

Healthcare professionals need further understanding of the provisions of the Act and their responsibilities. There is also the need to enhance public awareness to provisions of the Act in relation to their decision-making autonomy. Stakeholders need to put strategies in place for these to be achieved.

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Copyright
This is an Open Access article, distributed under the terms of the Creative Commons Attribution (CC-BY) license (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Corresponding author
Oluwatoyin Sorinmade (oluwatoyin.sorinmade@oxleas.nhs.uk)
Footnotes
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Declaration of interest

O.S. is a member of the Care Quality Commission external advisory committee on the Mental Health Act/Deprivation of Liberty Safeguards.

Footnotes
References
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1 Department for Constitutional Affairs. Mental Capacity Act 2005: Code of Practice. TSO (The Stationery Office), 2007.
2 Jones, R. Mental Capacity Act Manual. Sweet & Maxwell, 2005.
3 Sorinmade, O, Strathdee, G, Wilson, C, Kessel, B, Odesanya, O. Audit of fidelity clinicians to the Mental Capacity Act in the process of capacity assessment and arriving at best interests decisions. Qual Ageing Older Adults 2011; 12: 174–9.
4 Ministry of Justice. Public Guardian Board Annual Report. Ministry of Justice, 2012.
5 Care Quality Commission. Monitoring the Use of the Mental Capacity Act Deprivation of Liberty Safeguards in 2012/13. CQC, 2014.
6 Care Quality Commission. Monitoring the Use of the Mental Capacity Act Deprivation of Liberty Safeguards in 2011/12. CQC, 2013.
7 Lords scrutinises Mental Capacity Act 2005 and asks: Is it working? Available at http://www.parliament.uk/business/committees/committees-a-z/lords-select/mental-capacity-act-2005/news/committee-launches-its-inquiry/ (last accessed March 2014).
8 Peisah, C, Sorinmade, OA, Mitchell, L, Hertogh, CM. Decisional capacity: toward an inclusionary approach Int Psychogeriatr 2013; 25: 1571–9.
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BJPsych Bulletin
  • ISSN: 2053-4868
  • EISSN: 2053-4876
  • URL: /core/journals/bjpsych-bulletin
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Embedding the Mental Capacity Act 2005 in clinical practice: an audit review

  • Claudia Dunlop (a1) and Oluwatoyin Sorinmade (a1)
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