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BMJ 2008;336:1152-1153 (24 May), doi:10.1136/bmj.39588.450127.DB
Andrew Cole
1 London
| The first 150 words of the full text of this article appear below. |
The General Medical Council calls on doctors to rethink their approach to discussing medical problems with their patients in its guidance on obtaining consent to treatment, published this week.
The guidance, which replaces previous advice published in 1998, follows changes in legislation such as the Mental Capacity Act 2005 and the Adults with Incapacity (Scotland) Act 2000, as well as developments in case law.
The advice, which comes into effect on 2 June, tackles in detail questions such as discussing risk, advance care planning, and what to do when a patients mental capacity is impaired or fluctuating.
The guidance says doctors "must not assume that because a patient lacks capacity to make a decision on a particular occasion, they lack capacity to make any decisions at all, or will not be able to make similar decisions in the future."
They should also take "all reasonable steps to plan for foreseeable
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