Capacity to consent to treatment and admission audit

  • Applicant: Kay Burton
  • Project ID: 15-083

Clinicians should record in the clinical notes confirmation that they have tested the mental capacity of a patient when checking their (a) consent to admission and (b) consent to treatment. This is recorded in Events, and therefore free text. The Trust is required to demonstrate that this is audited to check compliance and follow up where the assessments are not being completed.

The Clinical Record Interactive Search (CRIS) system is a computer system that allows researchers at the NIHR Maudsley Biomedical Research Centre (BRC) to carry out research using information from South London and Maudsley NHS Foundation Trust clinical records.

About

The Clinical Record Interactive Search has been developed in collaboration with:

South London and Maudsley NHS Foundation Trust
NIHR Maudsley BRC