Patients understand the care and treatment choices available to them. They should be able to express their views and are involved in making decisions about their care. (Informed Consent)
You should respect their privacy, dignity and independence take their views and experiences into account when prescribing care.

Outcome in plain English

1A People who use services are involved in their care planning

  • Explain and discuss the care and options available to a patient
  • Respect a persons rights to make the choice of treatment
  • Promote and respect all aspects of their human rights by:
  • Putting the needs and preferences of the person at the core of all decisions of their treatment
  • Ensure that privacy can be maintained during treatment
  • ensure that staff understand the concepts of privacy, dignity, independence and human rights
  • Maintain confidentiality
  • Listen and involve patient or those acting on their behalf in the treatment  decisions
  • Provide information to the patient or carer about their care/treatment and available support
  • Ensure that staff understand diversity and human rights
  • Make sure patients are aware of independent advocacy services
  • Cooperates with independent advocacy services

1B Treatment and support needs of people who use the service is met because:

  • They are listened to.
  • They, or those acting on their behalf, are involved in the treatment  process
  • The patient's preferences are taken into consideration
  • Ensure that staff are respectful of the patient's decisions
  • Manage risk through effective procedures

1C Follow clear procedures which ensure:

  • Patient involvement in their own are and
  • The patient's treatment preferences are taken into consideration
  • The choices of people who use services are accommodated unless:
  • it places other people at risk
  • Unreasonable resources are needed to achieve the choice
  • It is not a service that you provide
  • the patient  does not have capacity to make that decision
  • the person is subject to a legal restriction that prohibits them making a choice.
  • Treatment and care plans are based on individual needs and choices
  • If required arrangements for a carer should be in place
  • Reasonable adjustments should be made to involve the person in decision about their treatment

1D Following Guidance

  • All relevant guidance applicable to the service should be followed
  • Promote rights and choices
  • 1E Patient involvement in their own care is supported by
  • Giving patients access to information
  • Disuses the patients options with them
  • understand individual needs
  • know the aims and limitations of the service
  • Know the choices available to the patient
  • be aware of the consequences of the patient's choice
  • Be able to advise the patient on the risks and benefits of their choice
  • Take into account the urgency of the need for treatment
  • Provide information to allow them to make informed lifestyle changes

1F Promote independence

  • Involve patient in their own care
  • respect patient choice
  • Enable informed choice
  • Inform them of the risks

1G Respect Human rights and diversity

  • Discuss the patient choice
  • Provide information
  • Ensure that staff understand the concepts of privacy, dignity, independence and human rights

1H Provide details of the Aims and Objectives of your service

  • The facilities available for the patient care
  • How care plans are reviews
  • Inform them of the cost of service
  • How to raise a complaint or concern about the service
  • Details of the local advocacy service

1I & J Encourage and support patients/careers choices

What the BMA says

Your practice is likely to be compliant if your practice does the following:

Involves patients in their care; for example, by establishing patients needs, preferences and decisions and providing information about the available care, treatment and support options so that patients can make informed decisions.  

  1. Provides care with due regard for the patients’ age, sex, religious persuasion, sexual orientation, racial origin, cultural and linguistic background and any disability they may have.
  2. If patients lack capacity to make their own decisions, it follows procedures based on the guidance in the BMA’s Mental Capacity Act Toolkit.
  3. Knows when to arrange for a patient representative, with the representative being involved in assessment, planning and decisions about the patient’s care.
  4. Maintains, respects and manages the privacy of all patients and their records.  

Your practice has the following:

  • A chaperone policy.
  • A confidentiality and consent policy
  • Information from surveys suggesting that patients feel involved in their care
  • A patient participation scheme.
  • Records that explain when a patient’s preferred treatment cannot be followed (e.g. because their choice would place others at risk of harm, or because services are unavailable).
  • A leaflet containing information about your practice’s services.

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