Consent

Question 1

What is consent?

Answer 1

voluntary permission of an informed person who has capacity to consent

Question 2

What standard of the GDC refers to consent

Answer 2

standard 3

Question 3

What is standard 3 of the GDC

Answer 3

obtaining of valid consent

Question 4

How must the consent be valid

Answer 4

• must be gained of someone with capacity
• the person must be well informed
• the person must give the consent voluntary i.e not manipulated or co-erced

Question 5

What is the criteria for capacity

Answer 5

Patient must be able to

• act
• make a reasoned decision
• communicate a decision
• understand a decision
• retain memory of a decision

Question 6

What is a good method for trying to assess capacity

Answer 6

‘chunking’

Question 7

What is chunking

Answer 7

When informing the patient of the procedure, risks, benefits etc - provide this information in chunks

After each chunk, check the patients understanding and memory of it

Question 8

What are the key principles of the Adults with Incapacity Act 2000

Answer 8

• benefit
• minimum necessary intervention
• take into account wishes of the adult
• consultation with relevant others
• encourage adult to exercise residual capacity

Question 9

From what age can you legally consent?

Answer 9

16

Question 10

Can children consent?

Answer 10

If they are deemed gillick competent

Question 11

Who has parental responsibility and so can consent for a child

Answer 11

Mother has automatic rights

Dad must be married to mum OR is named on the birth certificate if born after 2006

These rights are kept after divorce but lost when giving up for adoption

Question 11

Who can consent on behalf of a child

Answer 11

Mother has automatic rights

Dad must be married to mum OR is named on the birth certificate if born after 2006

Question 12

What should be discussed with a patient regarding their treatment when gaining their consent

Answer 12

• options for tx
• risks and benefits of each type of tx
• risks and benefits of proposed tx
• likely prognosis
• recommended option
• what might happen if tx isn’t carried out
• is tx gaurenteed
• what are the material risks

Question 13

When is consent not required

Answer 13

emergency situation and can’t get patient wishes

adults with incapacity under certain conditions