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Best interests must be centred on the person's needs not those of the family

Nurses and others are given general authority under section 5 of the Mental Capacity Act to act in relation to a person's care and treatment where:.

The challenges facing the NHS in implementing Martha's Rule

The call for Martha's Rule arose out of the tragic death of 13-year-old Martha Mills, who died from sepsis in 2021 at King's College Hospital, London. There was a failure to recognise that she...

Residual liberty and the detained mental health patient

In AM v South London & Maudsley NHS Foundation Trust and The Secretary of State for Health [2013], Justice Charles held that the Mental Capacity Act 2005 could be used to treat a physical condition...

Clinical negligence: should the NHS consider a no-fault system?

‘… costs … have continued to grow at an eye-watering rate. Ten years ago, the NHS paid £900 million in damages; last year it was £2.17 billion – equivalent to the annual running costs of the biggest...

No duty to shield relatives from the shocking aftermath of treatment or death

Nervous shock used to be the term used to describe psychiatric harm that arose as result of another's negligent action. It is now more accurate to refer to such harm as a psychiatric injury, but the...

Applying the appropriate treatment test in the Mental Health Act 1983

‘Nursing, psychological intervention and specialist mental health habilitation, rehabilitation and care.’ .

Statins: the risks and statistics

‘If clinicians are going to recommend statins to their patients, then their duty of care must extend to ensuring that the nature of absolute risk and relative risk is explained’ .

Capacity, belief and impairment of the mind or brain

‘Although Mr C's general capacity was impaired by schizophrenia, it had not been established that he does not sufficiently understand the nature, purpose and effects of the treatment he refuses....

Martha's Rule and NHS patient safety

One issue she discusses are the professional silos and hierarchies, for example:.

The provision of aftercare under the Mental Health Act 1983

Section 117 of the Mental Health Act 1983 gives people who have been detained for treatment under the Act the right to aftercare on discharge from hospital (R v Ealing District Health Authority Ex p...

Determining what good looks like in patient safety

In a clinical negligence case, for example, the court must carefully unpack and analyse the level of care given to determine whether there was any negligence. Lawyers discuss with clinical experts the...

The relationship between the professional practice standard and a nurse's advisory role

‘A single comprehensive duty covering all the ways you are called on to exercise skill and judgement in improving the mental and physical condition of the patient.’ .

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