The mole remains the same

doi:10.1136/bmj.a349

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Jeffrey C McIlwain, consultant, clinical risk management

¹St Helens and Knowsley Teaching Hospitals NHS Trust

jeff.mcilwain{at}sthk.nhs.uk

Elwyn’s comment is interesting as an appeal. However, one wonders whether this ideal is a factual elution or a wish list.1 I would like references for his statement that “Consent is often completed a few hours before the intended procedure.” Does he mean the reaffirmation or the primary consent taking process? In hospital, the latter may …