Medical Treatment Authorisation Letter Template for England and Wales

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Key Requirements PROMPT example:

Medical Treatment Authorisation Letter

"I need a Medical Treatment Authorisation Letter for my 16-year-old daughter to receive ongoing physiotherapy treatment at London Bridge Hospital from January 2025 to June 2025, as I will be working abroad during this period."

Document background
The Medical Treatment Authorisation Letter is essential in healthcare settings across England and Wales where formal consent for medical procedures is required. It serves as a legal record of informed consent and is particularly important when the patient may not be present to give verbal consent, when treatment is to be provided over an extended period, or when multiple healthcare providers are involved. The document ensures compliance with healthcare legislation, including the Mental Capacity Act 2005, and provides protection for both healthcare providers and patients by clearly documenting the scope and limitations of the authorized treatment.
Suggested Sections

1. Patient Information: Full name, date of birth, NHS number, address and contact details of the patient

2. Authorising Party Details: Details of person giving authorization including full name, relationship to patient (self/parent/guardian/attorney), contact information

3. Healthcare Provider Information: Details of hospital/clinic/medical professional including name, registration number, institution

4. Treatment Description: Specific medical treatment(s) being authorized, including nature, purpose, and expected outcomes

5. Duration of Authorization: Time period for which authorization is valid, including start and end dates if applicable

6. Signature and Execution: Space for signatures, dates, and witness details for all relevant parties

Optional Sections

1. Emergency Contact Information: Alternative contact details in case of emergency, recommended for ongoing treatments or where patient may be incapacitated

2. Medical History: Relevant medical history or conditions that may affect the authorized treatment

3. Insurance Details: Health insurance information for private treatment or insurance claims

4. Specific Limitations and Conditions: Any restrictions, conditions, or specific exclusions on the authorization

Suggested Schedules

1. Schedule 1 - Medical Reports: Relevant medical reports or test results supporting the treatment decision

2. Schedule 2 - Capacity Assessment: Documentation of mental capacity assessment if relevant to the authorization

3. Schedule 3 - Power of Attorney: Copy of lasting power of attorney for health and welfare if authorization is given by attorney

4. Schedule 4 - Treatment Information: Detailed information about proposed treatment, including risks, benefits, and alternatives

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: Key legislation governing capacity, consent, advance decisions, and lasting powers of attorney for health and welfare in medical treatment contexts

Common Law Principles of Consent: Legal principles established through case law, particularly Montgomery v Lanarkshire Health Board [2015], regarding requirements for informed consent in medical treatment

Data Protection Act 2018 and UK GDPR: Legislation governing the processing of medical information as special category data, including privacy and confidentiality requirements

Access to Medical Reports Act 1988: Legislation governing rights regarding medical reports and consent requirements for sharing medical information

Human Rights Act 1998: Relevant human rights legislation, particularly Article 8 (right to private and family life) and Article 2 (right to life)

Children Act 1989: Legislation governing treatment of minors, including parental responsibility, best interests principle, and Gillick competence

NHS Act 2006: Legislation establishing provisions regarding NHS treatment and defining healthcare rights and responsibilities

Care Act 2014: Legislation covering adult social care provisions and safeguarding considerations in medical treatment contexts

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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