Competence and Capacity

Introduction

• Relevant legislation

Competence in healthcare

• Definition
• Key aspects of competence
• Ethical and legal responsibilities

Capacity (Patient decision-making ability)

• Definition
• The presumption of capacity
• Assessing capacity
• Best interest decisions

Applying in Clinical Practice

• Consent
• Safeguarding
• Competency of healthcare providers
• Advanced decision making and DNACPR

Deprivation of Liberty Safeguards (DoLS)

• DoLS overview
• Mental Capacity Act 2005
• IMCA

Capacity Assessment

• Stage 1, Diagnostic Test
• Stage 2, Functional Test
• When to conduct a capacity assessment
• Principles of a good capacity assessment
• Best practice for recording a capacity assessment

If the patient lacks capacity

• Best interest check list from Mental Capacity Act 2005
• Autonomy
• Beneficence
• Non-maleficence
• Justice

Advanced Decisions

• ADRT
• DNACPR
• Case study 1

Liberty Protection Safeguards (LPS)

• Mental Capacity (Amendment) Act 2019
• Difference between DoLS and LPS
• Case study 2