Medical Consent Authorisation Form Template for England and Wales

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Key Requirements PROMPT example:

Medical Consent Authorisation Form

"I need a Medical Consent Authorisation Form for our private clinic's new laser eye surgery procedure, which needs to include specific provisions for photography during treatment and potential involvement in our training program starting January 2025."

Document background
The Medical Consent Authorisation Form is a critical document in healthcare settings across England and Wales, designed to protect both patients' rights and healthcare providers' obligations. This document is required whenever a patient undergoes significant medical procedures, treatments, or participates in clinical research. It must comply with the Mental Capacity Act 2005, Data Protection Act 2018, and relevant GMC guidelines. The form documents the patient's understanding of the proposed intervention, including risks, benefits, and alternatives, while ensuring that consent is voluntary and informed.
Suggested Sections

1. Patient Information: Full name, date of birth, NHS number, contact details, and relevant medical history

2. Healthcare Provider Details: Institution name, treating physician, department, and contact information

3. Procedure/Treatment Description: Detailed description of proposed medical intervention, including purpose and nature of treatment

4. Risks and Benefits: Comprehensive outline of potential outcomes, side effects, and expected benefits

5. Declaration of Consent: Express confirmation of understanding and agreement to proceed with treatment

Optional Sections

1. Alternative Treatments: Description of alternative treatment options and their respective risks and benefits

2. Interpreter Declaration: Section for confirmation that information has been accurately translated for non-English speaking patients

3. Clinical Photography Consent: Additional consent for taking and using medical photographs or recordings

4. Emergency Contact Information: Details of next of kin or designated emergency contacts

5. Advance Decisions: Reference to any existing advance decisions or living wills

Suggested Schedules

1. Procedure Information Sheet: Detailed medical information and diagrams explaining the procedure

2. Capacity Assessment Form: Documentation of patient's mental capacity to make informed decisions

3. Patient Information Leaflets: Supporting educational materials about the treatment and aftercare

4. Medication Schedule: Details of any required pre or post-procedure medications

Authors

Alex Denne

Head of Growth (Open Source Law) @ Genie AI | 3 x UCL-Certified in Contract Law & Drafting | 4+ Years Managing 1M+ Legal Documents | Serial Founder & Legal AI Author

Industries

Mental Capacity Act 2005: Primary legislation governing how decisions are made for people who lack mental capacity to make them themselves, including medical treatment decisions

Data Protection Act 2018: UK implementation of GDPR, governing how personal medical data must be processed, stored and shared

Human Rights Act 1998: Ensures respect for human rights in medical treatment, including right to privacy and right to life

Care Act 2014: Legislation covering care and support for adults and their carers, including healthcare provisions

Health and Social Care Act 2012: Legislation governing the structure and function of the NHS and healthcare provision

Informed Consent Doctrine: Common law principle requiring healthcare providers to obtain informed consent before treatment

Patient Autonomy Principle: Common law principle establishing the right of patients to make their own healthcare decisions

GMC Consent Guidance: Professional guidelines from the General Medical Council on obtaining and documenting patient consent

NHS England Guidelines: National Health Service protocols and standards for medical consent and treatment

NICE Guidelines: National Institute for Health and Care Excellence standards for clinical practice and patient consent

Children Act 1989: Legislation governing consent for treatment of minors and young people under 18

Capacity Assessment Requirements: Legal requirements for assessing a patient's capacity to make medical decisions

Emergency Treatment Provisions: Legal framework for providing treatment in emergency situations where consent cannot be obtained

Lasting Power of Attorney Considerations: Legal framework for decision-making by appointed representatives in healthcare matters

Mental Health Treatment Framework: Specific considerations and requirements for consent in mental health treatment

Teams

Employer, Employee, Start Date, Job Title, Department, Location, Probationary Period, Notice Period, Salary, Overtime, Vacation Pay, Statutory Holidays, Benefits, Bonus, Expenses, Working Hours, Rest Breaks,  Leaves of Absence, Confidentiality, Intellectual Property, Non-Solicitation, Non-Competition, Code of Conduct, Termination,  Severance Pay, Governing Law, Entire Agreemen

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