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Five key principles Principle 1: A presumption of capacity. Principle 2: Individuals being supported to make their own decisions. Principle 3: Unwise decisions. Principle 4: Best interests. Principle 5: Less restrictive option.
What you must check understand the information they need - for example, what the consequences will be. remember the information for long enough to make the decision. weigh up the options and make a choice. communicate their decision in any way - for example, by blinking or squeezing a hand.
IMCAs are a safeguard for people who lack capacity to make some important decisions. The IMCA role is to support and represent the person in the decision-making process.
Because the four elements of capacity (understanding, appreciation, reasoning, and communication) are built into everyday dialogue and interactions, it can be assumed that patients have the capacity to make medical decisions if their conversation demonstrates basic logic.
The Mental Capacity Act 2005 introduced the role of the independent mental capacity advocate (IMCA). IMCAs are a legal safeguard for people who lack the capacity to make specific important decisions: including making decisions about where they live and about serious medical treatment options.
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Thats the job of the CEO, who canand shouldhave access to the best possible advice. Acknowledge that the nameless decision-making teams exist, and ask how you can make more deliberate use of them.

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