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2013 Accountability Hearing With The Care Quality Commission
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Author :Great Britain. Parliament. House of Commons. Health Committee Publisher : ISBN 13 :9780215071613 Total Pages :13 pages Book Rating :4.0/5 (716 download)
Book Synopsis 2013 Accountability Hearing with the Care Quality Commission by : Great Britain. Parliament. House of Commons. Health Committee
Download or read book 2013 Accountability Hearing with the Care Quality Commission written by Great Britain. Parliament. House of Commons. Health Committee and published by . This book was released on 2014-04-14 with total page 13 pages. Available in PDF, EPUB and Kindle. Book excerpt: Care Quality Commission response to HC 761, session 2013-14 (ISBN 9780215066275)
Author :Great Britain: Parliament: House of Commons: Health Committee Publisher :The Stationery Office ISBN 13 :0215070577 Total Pages :60 pages Book Rating :4.2/5 (15 download)
Book Synopsis 2013 Accountability Hearing with the General Medical Council - HC 897 by : Great Britain: Parliament: House of Commons: Health Committee
Download or read book 2013 Accountability Hearing with the General Medical Council - HC 897 written by Great Britain: Parliament: House of Commons: Health Committee and published by The Stationery Office. This book was released on 2014-04-02 with total page 60 pages. Available in PDF, EPUB and Kindle. Book excerpt: GMC's fitness to practise successfully produces outcomes that protect patients from sub-standard doctors but failures to communicate the reasons for decisions and poor investigative practices have undermined a small number on investigations. The GMC should review its fitness to practice procedures to prevent such mistake. The Committee also found that while it is still too early to judge whether revalidation has been effective there is a worrying approach to the oversight of revalidation. Each designated body has a responsible officer for revalidating their medical staff, but the degree to which the responsible officer will be held to account is unclear. It is imperative that the GMC clarifies the personal responsibility and accountability of responsible officers. There is also concern over the number of responsible officers available to oversee the revalidation of doctors working in primary care. GPs are revalidated not by their own employers but by one of the 27 NHS England local area teams that oversees Clinical Commissioning Groups in England. Just 27 responsible officers will be tasked with overseeing revalidation for approximately 45,0000 GPs in England. The Government's intention had been to give the GMC the power to allow it to appeal decisions made by the Medical Practitioners Tribunal Service (MPTS) in 2014 by using a mechanism in secondary legislation called a section 60 order. The Government now plans to introduce the reform in primary legislation as part of a proposed Law Commission Bill thus meeting with even further delay
Author :Great Britain: Parliament: House of Commons: Health Committee Publisher :The Stationery Office ISBN 13 :9780215069795 Total Pages :64 pages Book Rating :4.0/5 (697 download)
Book Synopsis House of Commons - Health Committee: 2013 Accountability Hearing with Monitor - HC 841 by : Great Britain: Parliament: House of Commons: Health Committee
Download or read book House of Commons - Health Committee: 2013 Accountability Hearing with Monitor - HC 841 written by Great Britain: Parliament: House of Commons: Health Committee and published by The Stationery Office. This book was released on 2014-03-26 with total page 64 pages. Available in PDF, EPUB and Kindle. Book excerpt: This year's inquiry into the work of Monitor concludes that the model of care provided by the health and care system is not changing quickly enough with the result that pressures continue to build, threatening the financial stability of individual providers, and therefore the quality of care provided The pressures are likely to be particularly marked in the acute sector as plans are prepared and implemented to achieve the resource transfer required by the introduction of the Better Care Fund from April 2015. Continuing this theme, the Committee argues that as the NHS financial situation tightens, the challenge for Monitor in supporting trusts in financial difficulty is likely to increase. The MPs emphasise the importance of addressing pressures within individual providers in the context of the local health economy. The requirement for major change in the care model can only be delivered if individual providers, and Monitor as their regulator, look beyond preserving existing structures and address the need to develop different structures to meet changing needs. The Committee also expresses concern that Monitor has not done enough to reform the system of tariff payments for providers, arguing that the current tariff arrangements often create perverse incentives for providers and inhibit necessary service change. It recommends that Monitor and NHS England should initiate a formal joint process for a prioritised review of the NHS tariff arrangements with the objective of identifying and eliminating perverse incentives and introducing new tariff structures which incentivise necessary service change
Author :Great Britain: Parliament: House of Commons: Health Committee Publisher :The Stationery Office ISBN 13 :9780215065841 Total Pages :48 pages Book Rating :4.0/5 (658 download)
Book Synopsis House of Commons - Health Committee: 2013 Accountability Hearing with the Nursing and Midwifery Council - HC 699 by : Great Britain: Parliament: House of Commons: Health Committee
Download or read book House of Commons - Health Committee: 2013 Accountability Hearing with the Nursing and Midwifery Council - HC 699 written by Great Britain: Parliament: House of Commons: Health Committee and published by The Stationery Office. This book was released on 2013-12-18 with total page 48 pages. Available in PDF, EPUB and Kindle. Book excerpt: In this report the Health Committee welcomes improvements in the performance of the Nursing and Midwifery Council (NMC) over the last year, but expresses continuing concern that the progress made so far remains fragile. The Committee emphasises that it is important to ensure that the new challenges facing the NMC do not become a distraction from the continuing requirement to improve its performance of its core functions. The report is the first example of a Health Committee review of a professional regulator which builds on the work of the Professional Standards Authority (PSA). The length of time the NMC takes to conclude its fitness to practise cases has been an enduring concern for the Committee. From 2015, the NMC proposes to toughen the target period for resolving fitness to practise cases to 15 months (eventually to 12 months). The NMC has announced plans to introduce a system of revalidation by the end of 2015 which is welcomed. The Francis Report into the failings at Mid Staffs examined the role of regulators, including the NMC, in detail. The report stresses the importance of ensuring firstly that registrants understand their professional obligation to raise concerns when they see evidence of poor patient care, and secondly that patients and public are made more aware of the role of the NMC as the regulator of professional and clinical standards. The NMC should take urgent steps to raise the profile of the NMC both among its registrants and among patients and public.
Author :Great Britain: Parliament: House of Commons: Health Committee Publisher :The Stationery Office ISBN 13 :9780215052261 Total Pages :90 pages Book Rating :4.0/5 (522 download)
Book Synopsis 2012 Accountability Hearing with the Care Quality Commission by : Great Britain: Parliament: House of Commons: Health Committee
Download or read book 2012 Accountability Hearing with the Care Quality Commission written by Great Britain: Parliament: House of Commons: Health Committee and published by The Stationery Office. This book was released on 2013-01-09 with total page 90 pages. Available in PDF, EPUB and Kindle. Book excerpt: The failures of Care Quality Commission (CQC) prompted the Department of Health to undertake a performance and capability review which produced a wide range of recommendations. The decision by CQC board member Kay Sheldon to give evidence as a whistleblower added to the controversy. She identified serious failings within the management, organisation, functions and culture of the CQC and it is unacceptable that the CQC failed to address and act on them before she felt compelled to approach the public inquiry. It is clear from the evidence presented by the CQC's outgoing Chair, Jo Williams, and recently appointed Chief Executive, David Behan, that the regulator is aware of the reforms that must be implemented. The CQC's primary focus should be on ensuring that the essential standards it enforces can be interpreted by the public as a guarantee of acceptable standards in care. The CQC's essential standards in their current form do not succeed in this objective. Equally, the CQC must be far more diligent in communicating the outcomes of inspections, especially to residents in social care and their immediate family. In the long-term, the CQC has a role to play in facilitating a culture of challenge and response across health and social care so that identifying and addressing failings becomes a standard process for staff and management. Providers must support staff in raising concerns in order for those staff to meet their own professional duties. Those organisations who fail in this obligation should be refused registration by the CQC.
Author :Great Britain: Parliament: House of Commons: Health Committee Publisher :The Stationery Office ISBN 13 :9780215561305 Total Pages :120 pages Book Rating :4.5/5 (613 download)
Book Synopsis Annual accountability hearing with the Care Quality Commission by : Great Britain: Parliament: House of Commons: Health Committee
Download or read book Annual accountability hearing with the Care Quality Commission written by Great Britain: Parliament: House of Commons: Health Committee and published by The Stationery Office. This book was released on 2011-09-14 with total page 120 pages. Available in PDF, EPUB and Kindle. Book excerpt: Following its annual review of the work of the Care Quality Commission (CQC), the Health Committee reports that the bias of the work in the CQC away from its core function of inspection and towards the essentially administrative task of registration, represents a significant distortion of priorities. The Committee reports that: the CQC was established without sufficiently clear and realistic definition of its priorities and objectives; the timescales and resource implications of the functions of the CQC were not properly analysed; the registration process itself was not properly tested and proven before it was rolled out; the CQC failed to draw the implications of these failures adequately to the attention of ministers, Parliament and the public. Consequently, the Committee welcomes the government's decision to postpone registration of GP practices, and recommends that proper planning, including piloting of the model for registration, should be undertaken before the revised date of April 2013 is confirmed. The Committee also welcomes recent announcements that the CQC intends to undertake annual visits of all NHS and social care providers. It goes on to stress the importance of the role of inspectors in assessing the culture in care providers, especially concerning the obligation which rests on all healthcare professionals to raise concerns if they recognise, or ought to have recognised, evidence of failure of professional standards. Each provider organisation should recognise and respect this professional obligation and provide proper security to those professional staff who discharge it effectively.
Author :Great Britain: Parliament: House of Commons: Health Committee Publisher :The Stationery Office ISBN 13 :0215073274 Total Pages :228 pages Book Rating :4.2/5 (15 download)
Book Synopsis HC 401 - Managing the Care of People with Long-Term Conditions by : Great Britain: Parliament: House of Commons: Health Committee
Download or read book HC 401 - Managing the Care of People with Long-Term Conditions written by Great Britain: Parliament: House of Commons: Health Committee and published by The Stationery Office. This book was released on 2014-07-03 with total page 228 pages. Available in PDF, EPUB and Kindle. Book excerpt: 15 million NHS patients in England with long-term conditions such as diabetes, arthritis and asthma account for 70% of the annual expenditure of the NHS in England. One projection estimating that the bill for treatment of long-term conditions will require the NHS to find £4 billion more each year by 2016. Increasingly, patients do not have a single long-term condition but live with two or more conditions, complicating treatment and adding to its cost. The Committee strongly supports the development of individual care planning for people with long-term conditions, based on the principles successfully demonstrated in the NHS House of Care programme. Care planning approaches will involve GPs, community health services and specialists sitting down with the patient to draw up a personalised plan for the care required, which includes the support needed to help the patient manage his or her own condition. The challenge, though, of introducing personalised care planning for 15 million people is substantial. The Committee looked at the prevailing view that services to treat long-term conditions should be moved out of hospitals and into primary and community care. To provide effective care for these conditions, services have to be maintained across all settings, from support in the home through to acute specialist care, and many conditions will continue to require specialist services delivered in hospital. Effective management of long-term conditions also requires collaboration with other government providers, such as housing and transport services.
Author :Great Britain. Parliament. House of Commons. Health Committee Publisher :The Stationery Office ISBN 13 :0215081080 Total Pages :52 pages Book Rating :4.2/5 (15 download)
Book Synopsis HC 350 - Complaints and Raising Concerns by : Great Britain. Parliament. House of Commons. Health Committee
Download or read book HC 350 - Complaints and Raising Concerns written by Great Britain. Parliament. House of Commons. Health Committee and published by The Stationery Office. This book was released on 2015 with total page 52 pages. Available in PDF, EPUB and Kindle. Book excerpt: Most of those who complain about NHS services do not seek financial redress. They do so because they wish to have their concerns and experiences understood and for any failings to be acknowledged and put right so that others do not suffer the same avoidable harm. Where such errors occur, patients and their families deserve to be met with a system which is open to complaints, supports them through the process and which delivers a timely apology, explanation and a determination to learn from mistakes. The current system for complaints handling however, remains variable. Too many complaints are mishandled with people encountering poor communication or at worst, a defensive and complicated system which results in a complete breakdown in trust and a failure to improve patient safety. The Committee welcomes the progress made since their last report, but in this, the Committee's final report on complaints and concerns in this Parliament, an overview is set out of the developments and recommendations to date as well as those expected in 2015. The Committee also makes a number of recommendations where further action is required.
Author :Great Britain. Parliament. House of Commons. Health Committee Publisher :The Stationery Office ISBN 13 :0215084713 Total Pages :69 pages Book Rating :4.2/5 (15 download)
Book Synopsis HC 845 - Impact Of Physical Activity And Diet On Health by : Great Britain. Parliament. House of Commons. Health Committee
Download or read book HC 845 - Impact Of Physical Activity And Diet On Health written by Great Britain. Parliament. House of Commons. Health Committee and published by The Stationery Office. This book was released on 2015-03-25 with total page 69 pages. Available in PDF, EPUB and Kindle. Book excerpt: Diet, obesity, and physical activity all have important impacts on health. For too long however, physical activity has been seen merely in the light of its benefits in tackling obesity. A core message from this inquiry is the compelling evidence that physical activity in its own right has huge health benefits totally independent of a person's weight. The importance of this - regardless of weight, age, gender or other factors - needs to be clearly communicated. Interventions focused on encouraging individuals to change their behaviour with regard to diet and physical activity need to be underpinned by broader, population-level measures. Whilst both are important, population-level interventions have the advantage of impacting on far greater numbers than could ever benefit from individual interventions. The Committee recommends that the next Government prioritises prevention, health promotion and early intervention to tackle the health inequalities and avoidable harm resulting from poor diet and physical inactivity. The Committee regards it as inexplicable and unacceptable that the NHS is now spending more on bariatric surgery for obesity than on a national roll-out of intensive lifestyle intervention programmes that were first shown to cut obesity and prevent diabetes over a decade ago. All tiers of weight management services should be universally available and individual clinicians should use every opportunity to help their patients to recognise and address the problems caused by obesity and poor diet, and to promote the benefits of physical activity.
Author :Great Britain. Parliament. House of Commons. Health Committee Publisher :The Stationery Office ISBN 13 :0215084144 Total Pages :57 pages Book Rating :4.2/5 (15 download)
Book Synopsis HC 805 - End of Life Care by : Great Britain. Parliament. House of Commons. Health Committee
Download or read book HC 805 - End of Life Care written by Great Britain. Parliament. House of Commons. Health Committee and published by The Stationery Office. This book was released on 2015-03-15 with total page 57 pages. Available in PDF, EPUB and Kindle. Book excerpt: This report looks at the state of end of life care since the independent Review of the Liverpool Care Pathway, chaired by Baroness Neuberger. It finds great variation in quality and practice across both acute and community settings. It makes a number of recommendations for improvement, and in particular strongly recommends that social care should be free at the end of life. Other conclusions included that: all clinicians and providers who may care for people at the end of life should be aware of the Five Priorities of Care but in light of the variation in practice a senior named person in each NHS Trust be given responsibility for monitoring how end of life care is being delivered within their organisation; expertise should be more equitably available to people with a non-cancer diagnosis, older people and those with dementia; all staff who provide palliative and end of life care to people with life limiting conditions should receive training in advance care planning, including the different models and forms that are available and their legal status; most people who express a preference would like to die at home but that is made more difficult by the shortfall in community nurses and specialist outreach palliative care; sustainable, long term funding for the hospice sector also needs to be addressed as part of the Government's response to the Palliative Care Funding Review; and bereavement support for families should also be consistently included as part of end of life care
Author :Great Britain: Parliament: House of Commons: Health Committee Publisher :The Stationery Office ISBN 13 :9780215062345 Total Pages :188 pages Book Rating :4.0/5 (623 download)
Book Synopsis House of Commons - Health Committee: After Francis: Making A Difference - HC 657 by : Great Britain: Parliament: House of Commons: Health Committee
Download or read book House of Commons - Health Committee: After Francis: Making A Difference - HC 657 written by Great Britain: Parliament: House of Commons: Health Committee and published by The Stationery Office. This book was released on 2013-09-18 with total page 188 pages. Available in PDF, EPUB and Kindle. Book excerpt: The NHS needs to be an organization in which an open dialogue about care quality is part of the natural culture of the organization, not a duty which only arises in cases of service failure. Robert Francis made 290 recommendations in his report, but in truth they boil down to just one - that the culture of 'doing the system's business' is pervasive in parts of the NHS and has to change. Many who raise their concerns in the NHS at present risk serious consequences for their employment and professional status. But disciplinary procedures, professional conduct hearings and employment tribunals are not the proper place for honestly-held concerns about patient safety and care quality to be aired constructively. The NHS standard contract imposes a duty of candour on all NHS providers. This is an essential principle, but it is not adequately understood or applied. It should mean that all providers create a culture which is routinely open both with their patients and their commissioners. The same principle should apply to commissioners so that they are routinely open and accountable to local communities. The Health Committee recommended this approach in 2011 and repeats that now. It should be a prime role of the CQC to encourage the development of this culture within care providers, and of NHS England to develop the same culture within commissioners. The Health Committee will in future work closely with the Professional Standards Authority to develop the accountability process for professional regulators in healthcare
Author :Great Britain: Parliament: House of Commons: Health Committee Publisher :The Stationery Office ISBN 13 :9780215061485 Total Pages :92 pages Book Rating :4.0/5 (614 download)
Book Synopsis House of Commons - Health Committee: Post-Legislative Scrutiny of the Mental Health Act 2007 - HC 584 by : Great Britain: Parliament: House of Commons: Health Committee
Download or read book House of Commons - Health Committee: Post-Legislative Scrutiny of the Mental Health Act 2007 - HC 584 written by Great Britain: Parliament: House of Commons: Health Committee and published by The Stationery Office. This book was released on 2013-08-14 with total page 92 pages. Available in PDF, EPUB and Kindle. Book excerpt: According to the Health Committee, more needs to be done to protect the interests of patients who rely on mental health services. The Committee has undertaken a review of the 2007 Mental Health Act (ISBN 9780105412076). Many psychiatric wards are over capacity and there is huge pressure on beds, nevertheless, the Committee was shocked to learn that there is evidence that patients who need hospital treatment are being sectioned unnecessarily in order to access a bed. This represents a serious violation of patient's basic rights and it is never acceptable for patients to be subjected to compulsory detention unless it is clinically necessary. The 2007 Act contained important provisions which introduced Community Treatment Orders (CTOs). These orders allow for patients to be treated in the community whilst still being subject to recall to hospital if their condition deteriorates. The Committee is also concerned that pressure on hospital beds may be driving increased use of CTOs. MPs also examined the function of Independent Mental Health Advocates who help patients take advantage of their rights whilst in hospital. The Committee is in no doubt that a patient's primary advocate should be their clinician and independent advocates, ultimately, provide an important, but supplementary, service
Author :Great Britain: Parliament: House of Commons: Health Committee Publisher :The Stationery Office ISBN 13 :9780215063298 Total Pages :16 pages Book Rating :4.0/5 (632 download)
Book Synopsis House of Commons - Health Committee: Appointment of the Chair of Monitor - HC 744 by : Great Britain: Parliament: House of Commons: Health Committee
Download or read book House of Commons - Health Committee: Appointment of the Chair of Monitor - HC 744 written by Great Britain: Parliament: House of Commons: Health Committee and published by The Stationery Office. This book was released on 2013-10-24 with total page 16 pages. Available in PDF, EPUB and Kindle. Book excerpt: In April 2010 Dr David Bennett was appointed as interim Chief Executive of Monitor and then as Chair in March 2011. He was appointed permanent Chief Executive of Monitor with effect from 1 November 2012, while remaining as Chair pending a new appointment. On 10 October 2013, the Secretary of State proposed to appoint Dominic Dodd as Chair of Monitor. Dr Bennett has filled the roles of both Chair and Chief Executive - effectively Executive Chair - and has led Monitor through the whole process of change brought about by the Health and Social Care Act 2012. He has both shaped and interpreted the role that Monitor now plays in the system which makes the transition to another individual taking on the Chair an especially difficult one. On this basis the Committee did not endorse Mr Dodd's appointment
Author :Great Britain: Department of Health Publisher :Stationery Office ISBN 13 :9780101862523 Total Pages :48 pages Book Rating :4.8/5 (625 download)
Book Synopsis Post-legislative assessment of the Health and Social Care Act 2008 by : Great Britain: Department of Health
Download or read book Post-legislative assessment of the Health and Social Care Act 2008 written by Great Britain: Department of Health and published by Stationery Office. This book was released on 2013-05-20 with total page 48 pages. Available in PDF, EPUB and Kindle. Book excerpt: The 2008 Act falls into five main parts, whose main objectives were: to establish the Care Quality Commission; to change arrangements for regulation of health professionals and of the health and social care workforce; to update the Public Health (Control of Disease) Act 1984; to create the Health in Pregnancy Grant; and to make miscellaneous other changes in relation to health and social care. Most of the provisions of the Act are now in force (in some cases with amendments made by later legislation). The main exceptions include part 2 sections 124-126, which dealt with various matters in the remit of the General Social Care Council, and were not commenced. Instead, the Council was abolished, and its functions were transferred to the Health and Care Professions Council, in 2012. Part 3 provisions relating to port health have not yet been commenced, but the intention is that they will come into force at the same time as new port health regulations. The Act achieved its objectives (or in the case of port health, is in the process of doing so), with the exception of the creation of the Office of the Health Professions Adjudicator. The rest of the memorandum considers each Part of the Act in more detail, with information about: secondary legislation made under the powers created by the Act, and key guidance issued in relation to it; any legal issues that have arisen in relation to the Act, and other reviews of the Act, that the Department of Health is aware of
Book Synopsis Medicine, patients and the law by : Emma Cave
Download or read book Medicine, patients and the law written by Emma Cave and published by Manchester University Press. This book was released on 2023-06-06 with total page 729 pages. Available in PDF, EPUB and Kindle. Book excerpt: Embryo research, cloning, assisted conception, neonatal care, pandemic vaccine development, saviour siblings, organ transplants, drug trials – modern developments have transformed the field of medicine almost beyond recognition in recent decades and the law struggles to keep up. In this highly acclaimed and very accessible book Margaret Brazier, Emma Cave and Rob Heywood provide an incisive survey of the legal situation in areas as diverse as fertility treatment, patient consent, assisted dying, malpractice and medical privacy. The seventh edition of this book has been fully revised and updated to cover the latest cases, Brexit-related regulatory reform and COVID-19 pandemic measures. Essential reading for healthcare professionals, lecturers, medical and law students, this book is of relevance to all whose perusal of the daily news causes wonder, hope and consternation at the advances and limitations of medicine, patients and the law.
Book Synopsis Introducing the Social Sciences for Midwifery Practice by : Patricia Lindsay
Download or read book Introducing the Social Sciences for Midwifery Practice written by Patricia Lindsay and published by Routledge. This book was released on 2015-07-16 with total page 208 pages. Available in PDF, EPUB and Kindle. Book excerpt: Introducing the Social Sciences for Midwifery Practice makes clear the links between social, anthropological and psychological concepts, midwifery practice and women’s experience of birth. Demonstrating how empathising with women and understanding the context in which they live can affect childbirth outcomes and experiences, this evidence-based text emphasises the importance of compassionate and humane care in midwifery practice. Exploring midwifery as an art, as well as a science, the authors collected here make the case for midwives as professionals working ‘with women’ rather than as birth technicians, taking a purely competency-based approach to practice. The book incorporates a range of pedagogical features to enhance student learning, including overall chapter aims and learning outcomes, ‘recommendations for practice’, ‘learning triggers’ to encourage the reader to delve deeper and reflect on practice, ‘application to practice’ case studies which ensure that the theory is related to contemporary practice, and a glossary of terms. The chapters cover perspectives on birth from sociology; psychology; anthropology; law; social policy and politics. Other chapters address important issues such as disability, politics and sexuality. Outlining relevant theory from the social sciences and clearly applying it to practice, this text is an essential read for all student midwives, registered midwives and doulas.
Book Synopsis Medicine, patients and the law by : Margaret Brazier
Download or read book Medicine, patients and the law written by Margaret Brazier and published by Manchester University Press. This book was released on 2016-10-07 with total page 678 pages. Available in PDF, EPUB and Kindle. Book excerpt: Embryo research, cloning, assisted conception, neonatal care, saviour siblings, organ transplants, drug trials - modern developments have transformed the field of medicine almost beyond recognition in recent decades and the law struggles to keep up. In this highly acclaimed and very accessible book, now in its sixth edition, Margaret Brazier and Emma Cave provide an incisive survey of the legal situation in areas as diverse as fertility treatment, patient consent, assisted dying, malpractice and medical privacy. The book has been fully revised and updated to cover the latest cases, from assisted dying to informed consent; legislative reform of the NHS, professional regulation and redress; European regulations on data protection and clinical trials; and legislation and policy reforms on organ donation, assisted conception and mental capacity. Essential reading for healthcare professionals, lecturers, medical and law students, this book is of relevance to all whose perusal of the daily news causes wonder, hope and consternation at the advances and limitations of medicine, patients and the law.
