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  1. Jun 15, 2024 · The five key principles of the Mental Capacity Act ensure respect, support, and protection for individuals who may lack capacity. By adhering to these principles, healthcare and social care professionals protect individuals’ rights, promote autonomy, and maximise well-being.

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    • Presumption of Capacity. By presuming capacity, we are respecting the individual’s rights to make a decision for themselves. We should never assume that because a person has a cognitive impairment, that they are unable to make a decision that will impact on their daily life.
    • Individuals have the right to be supported to make their own decision(s) This refers to all reasonable adjustments to support understanding, enable retention, facilitate communication and weigh-up a specific decision.
    • Individuals have the right to make ‘unwise’ decisions. The Mental Capacity Act is designed to uphold and promote a person’s rights. Therefore, if they are judged to have capacity to make a specific decision, then it is not our role to judge an individual’s choices, even if we perceive them to be unwise.
    • If a person has been found to lack capacity for a specific decision, then any decision made on their behalf must be in their Best Interest.
    • 1.1 Overarching principles. Recommendations for service providers and commissioners. 1.1.1 Service providers and commissioners should ensure that practitioners undergo training to help them to apply the Mental Capacity Act 2005 and its Code of Practice.
    • 1.2 Supporting decision-making. 'A person is not to be treated as unable to make a decision unless all practicable steps to help him do so have been taken without success.'
    • 1.3 Advance care planning. Advance care planning involves helping people to plan for their future care and support needs, including medical treatment, and therefore to exercise their personal autonomy as far as possible.
    • 1.4 Assessment of mental capacity. 'A person must be assumed to have capacity unless it is established that he lacks capacity.' (Principle 1, section 1(2), Mental Capacity Act 2005.)
  3. Apr 28, 2021 · In this article. Principle 1 – A presumption of capacity. The Mental Capacity Act contains five key principles, which must be applied at any time when the Act is being used for individuals who lack capacity.

  4. Apr 3, 2006 · The Act applies to people >16 years, 3 habitually resident or present in England and Wales, 4 who lack mental capacity. The Act sets out five principles designed to emphasise its underlying ethos, which is that it is intended to support and enable those people lacking capacity.

    • Carolyn Johnston, Jane Liddle
    • 2007
  5. The Act’s five statutory principles are the benchmark and must underpin all acts carried out and decisions taken in relation to the Act. Anyone caring for or supporting a person who may lack capacity could be involved in assessing capacity – follow the two-stage test.

  6. Mental capacity is about being able to make your own decisions. It is decision and time specific. We all make decisions every day, and most of us are able to make these ourselves. Sometimes, we may lack capacity to make a big decision.

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