CINXE.COM
Information for the public | Decision-making and mental capacity | Guidance | NICE
<!DOCTYPE html> <html lang="en-GB" class="no-js"> <head> <meta charset="utf-8" /> <meta content="IE=edge,chrome=1" name="X-UA-Compatible" /> <meta content="width=device-width, initial-scale=1" name="viewport" /> <title>Information for the public | Decision-making and mental capacity | Guidance | NICE</title> <link rel="preconnect" href="https://fonts.gstatic.com" crossorigin /> <link rel="preconnect" href="https://fonts.googleapis.com" crossorigin /> <link rel="preconnect" href="https://code.jquery.com" crossorigin /> <link href="https://fonts.googleapis.com/css2?family=Inter:wght@400;600&family=Lora:ital,wght@0,600;1,600&display=swap" rel="stylesheet" /> <link href="https://cdn.nice.org.uk/V2/NICE.bootstrap.updated.brand.css" rel="stylesheet" type="text/css" /> <link href="/Themes/NICE.Bootstrap/styles/nice/NICE.base.css" rel="stylesheet" type="text/css" /> <link href="//cdn.nice.org.uk/V2/Content/fontawesome.css" rel="stylesheet" type="text/css" /> <link href="//cdn.nice.org.uk/V2/Content/NICE.glyphs.css" rel="stylesheet" type="text/css" /> <link href="/css/guidance.web.css?v=MfI3fZ7eulA9Kx8MLWnew5A4TpPacjutlQulEuCgaBs" rel="stylesheet" type="text/css" /> <meta content="This guideline covers decision-making in people 16 years and over who may lack capacity now or in the future. It aims to help health and social care practitioners support people to make their own decisions where they have the capacity to do so. It also helps practitioners to keep people who lack capacity at the centre of the decision-making process" name="Description" /> <meta content="NICE" name="DC.Publisher" /> <meta content="All content on this site is NICE copyright unless otherwise stated. You can download material for private research, study or in-house use only. Do not distribute or publish any material from this site without first obtaining NICE's permission. Where Crown copyright applies, see the Office of Public Sector Information (formerly HMSO) website for information." name="DC.Rights.Copyright" /> <meta content="eng" name="DC.Language" scheme="DCTERMS.ISO639-2T" /> <meta content="Health, well-being and care" name="DC.Subject" scheme="eGMS.IPSV" /> <meta content="Double-A" name="eGMS.accessibility" scheme="eGMS.WCAG10" /> <meta content="Information for the public | Decision-making and mental capacity | Guidance | NICE" name="DC.Title" /> <meta content="#f6f6f6" name="msapplication-TileColor" /> <meta content="//cdn.nice.org.uk/V3/Content/nice/favicon-144.png" name="msapplication-TileImage" /> <meta content="#333" name="theme-color" /> <link rel="shortcut icon" href="//cdn.nice.org.uk/V3/Content/nice/favicon.ico" /> <link rel="apple-touch-icon-precomposed" href="//cdn.nice.org.uk/V3/Content/nice/favicon-152.png"> <link rel="apple-touch-icon" href="//cdn.nice.org.uk/V3/Content/nice/favicon-152.png"> <link rel="apple-touch-icon-precomposed" sizes="120x120" href="//cdn.nice.org.uk/V3/Content/nice/favicon-120.png"> <link rel="apple-touch-icon" sizes="120x120" href="//cdn.nice.org.uk/V3/Content/nice/favicon-120.png"> <link rel="apple-touch-icon-precomposed" sizes="152x152" href="//cdn.nice.org.uk/V3/Content/nice/favicon-152.png"> <link rel="apple-touch-icon" sizes="152x152" href="//cdn.nice.org.uk/V3/Content/nice/favicon-152.png"> <script src="//cdn.nice.org.uk/cookie-banner/cookie-banner.min.js" type="text/javascript"></script> <script src="https://code.jquery.com/jquery-3.7.1.min.js" integrity="sha384-1H217gwSVyLSIfaLxHbE7dRb3v4mYCKbpQvzx0cegeju1MVsGrX5xXxAvs/HgeFs" crossorigin="anonymous"></script> <script src="https://code.jquery.com/jquery-migrate-3.4.1.min.js" integrity="sha384-ez4i72z0XhJqm0ZRoQkpPN0bDV8Kw8PK3n8kjEZsWhRDrfICLd0AGghHJB+vytx0" crossorigin="anonymous"></script> <script type="text/javascript" src="/js/bundle.min.js?v=3w6GfX1dYYlm8GobS-ucsLbXKPIAW90zg06zFfevsHw"></script> <meta name="theme-color" content="#333"><link href="/Media/Default/css/default.css" rel="stylesheet" type="text/css" /><script src="/Media/Default/js/default.js" type="text/javascript"></script> </head> <body data-spy="scroll" data-target=".aside-primary" class=""> <noscript> <iframe src="//www.googletagmanager.com/ns.html?id=GTM-M55QTQ" height="0" width="0" style="display:none;visibility:hidden"></iframe> </noscript> <script> (function (w, d, s, l, i) { w[l] = w[l] || []; w[l].push({ 'gtm.start': new Date().getTime(), event: 'gtm.js' }); var f = d.getElementsByTagName(s)[0], j = d.createElement(s), dl = l != 'dataLayer' ? '&l=' + l : ''; j.async = true; j.src = '//www.googletagmanager.com/gtm.js?id=' + i + dl; f.parentNode.insertBefore(j, f); })(window, document, 'script', 'dataLayer', 'GTM-M55QTQ'); </script> <div id="global-nav-header"></div> <div id="printpane"></div> <main> <div class="_ page-header" aria-label="Page header"> <div class="zone zone-breadcrumb"> <div class="container" id="global-breadcrumb"> <ol class="breadcrumb"> <li> <a href="/" data-track="guidancebreadcrumb">Home</a> <span class="divider icon-chevron-right"></span> </li> <li> <a href="/guidance" data-track="guidancebreadcrumb">NICE Guidance</a> <span class="divider icon-chevron-right"></span> </li> <li> <a href="/guidance/conditions-and-diseases" data-track="guidancebreadcrumb">Conditions and diseases</a> <span class="divider icon-chevron-right"></span> </li> <li> <a href="/guidance/conditions-and-diseases/mental-health-behavioural-and-neurodevelopmental-conditions" data-track="guidancebreadcrumb">Mental health, behavioural and neurodevelopmental conditions</a> <span class="divider icon-chevron-right"></span> </li> <li> <a href="/guidance/conditions-and-diseases/mental-health-behavioural-and-neurodevelopmental-conditions/mental-health-services" data-track="guidancebreadcrumb">Mental health services</a> </li> </ol> <h1 class="_ h1-alt" id="content-start">Decision-making and mental capacity</h1> <div class="product-heading "> <div class="product-heading"> <p class="product-title lead inline"> <span class="prod-title">NICE guideline [NG108]</span><wbr> <span class="published-date"> Published: <time datetime="2018-10-03">03 October 2018</time> </span> </p> </div> </div> </div> </div> </div> <div class="_ layout " aria-label="Main page content"> <div id="toTop"><span aria-hidden="true" class="icon-nice-chevron-up"></span></div> <div class="_"> <div class="content"> <div class="zone zone-content"> <div id="guidance-tabs-container" class="tabbable"> <ul class="nav nav-tabs" id="guidanceTabs-product"> <li class=""> <a href="/guidance/ng108">Guidance</a> </li> <li class=""> <a href="/guidance/ng108/resources">Tools and resources</a> </li> <li class="active"> <a href="/guidance/ng108/informationforpublic">Information for the public</a> </li> <li class=""> <a href="/guidance/ng108/evidence">Evidence</a> </li> <li class=""> <a href="/guidance/ng108/history">History</a> </li> </ul> <div class="tab-content"> <div class="tab-pane active gtm-guideline-page-tab" id="OverviewAndResources"> <div class="resource "> <div class="tab-header"> <div class="share-links navbar pull-right"> <div class="navbar-inner"> <div class="unstyled"> <div class="dropdown"> <a href="/guidance/ng108/resources/decisionmaking-and-mental-capacity-pdf-8478879561925" id="nice-download" target="_blank" class="track-event btn-sharelink dropdown-toggle" title="Download (PDF)" data-track="guidancedownload" data-track-category="guidance download" data-track-action="clicked" data-track-label="/guidance/ng108/resources/decisionmaking-and-mental-capacity-pdf-8478879561925"> <span>Download (PDF)</span> </a> </div> </div> </div> </div> <header> <h2 id="tab-title">Information for the public</h2> </header> </div> <div class="content "> <article class="product-body section-resource"> <div style="padding: 0 24px;"> <h2 style="padding: 0px;">Supporting people to make decisions</h2> <div class="row"> <div class="span2"><img style="width: 75px;" src="https://www.nice.org.uk/Media/Default/images/IFP/decision-making.png" alt="Decision making" width="100" height="100" /></div> <div class="span10"> <p>We decide things all the time in our daily lives.</p> <p>Being able to make decisions is called having ‘mental capacity’.</p> </div> </div> <div class="row"> <div class="span2"><img style="width: 75px;" src="https://www.nice.org.uk/Media/Default/images/IFP/issues-understanding.png" alt="Understanding" width="100" height="100" /></div> <div class="span10"> <p>Making decisions can be affected by things like learning disability, dementia and mental health conditions.</p> <p>These can make it hard for people to understand or remember information. They can also make it hard to use information or to communicate what they have decided.</p> </div> </div> <h2 style="padding: 0px;">The Mental Capacity Act</h2> <div class="row"> <div class="span2"><img class="media-object" style="width: 75px;" src="https://www.nice.org.uk/Media/Default/images/IFP/legal-document.png" alt="Legal document" width="100" height="100" /></div> <div class="span10"> <p>A law called the Mental Capacity Act protects people who might not be able to make decisions. It says staff working with people should:</p> <ul> <li>always assume people can decide for themselves unless it is shown that they can’t</li> <li>help people make their own decisions whenever they can</li> <li>respect what people decide even if they don’t agree</li> <li>make sure that if a decision is made for someone it is in their best interests.</li> </ul> </div> </div> <div class="row"> <div class="span2"><img style="width: 75px;" src="https://www.nice.org.uk/Media/Default/images/IFP/easy-read-teal1.png" alt="EasyRead" width="100" height="100" /></div> <div class="span10"> <p>You can read more about the Mental Capacity Act at the <a href="https://www.nhs.uk/conditions/social-care-and-support-guide/making-decisions-for-someone-else/mental-capacity-act/">NHS website</a> or the <a href="https://www.cqc.org.uk/help-advice/mental-health-capacity/about-mental-capacity-act">Care Quality Commission</a>.</p> <p>You can also see an <a href="https://www.scie.org.uk/mca-directory/mca-tailored-for-you/users-carers/">EasyRead guide</a> to the Act.</p> </div> </div> <h2 style="padding: 0px;">What is this guideline about?</h2> <div class="row"> <div class="span2"><img class="media-object" style="width: 75px;" src="https://www.nice.org.uk/Media/Default/images/IFP/about-advice-teal1.png" alt="Advice" width="100" height="100" /></div> <div class="span10"> <p>We have written this guideline to help staff use the Mental Capacity Act. Some of the ways the guideline says staff can do this are listed below.</p> </div> </div> <h3 style="padding: 0px;">Help and support people</h3> <div class="row"> <div class="span2"><img class="media-object" style="width: 75px;" src="https://www.nice.org.uk/Media/Default/images/IFP/staff-support.png" alt="Staff support" width="100" height="100" /></div> <div class="span10"> <ul> <li>Get to know people well – this helps staff understand what support someone will need to decide something</li> <li>Give people information they can understand</li> <li>Help them say what they think</li> </ul> </div> </div> <h3 style="padding: 0px;">Talk about advocacy</h3> <div class="row"> <div class="span2"><img class="media-object" style="width: 75px;" src="https://www.nice.org.uk/Media/Default/images/IFP/talk-about.png" alt="Talk about" width="100" height="100" /></div> <div class="span10"> <ul> <li>Tell people about independent advocates – they make sure people’s views, wishes and feelings are listened to</li> <li>Explain when an advocate might help, like when someone needs to make an important decision</li> </ul> </div> </div> <h3 style="padding: 0px;">Advance care planning</h3> <div class="row"> <div class="span2"><img class="media-object" style="width: 75px;" src="https://www.nice.org.uk/Media/Default/images/IFP/care-planning.png" alt="Care planning" width="100" height="100" /></div> <div class="span10"> <ul> <li>Tell people they can make decisions now about the future and explain what this involves</li> <li>Help them through this process – this means making a written plan together and checking often that they are still happy with it</li> </ul> </div> </div> <h2 style="height: 1em;">In the news</h2> <div class="row"> <div class="span2"><img class="media-object" style="width: 85px;" src="https://www.nice.org.uk/Media/Default/images/IFP/news-teal1.png" alt="News" width="100" height="100" /></div> <div class="span10"> <p>Read NICE news about how this guideline will help.</p> <p>Follow us on <a href="https://twitter.com/NICEcomms?ref_src=twsrc%5Egoogle%7Ctwcamp%5Eserp%7Ctwgr%5Eauthor">Twitter</a> and <a href="https://en-gb.facebook.com/NationalInstituteforHealthandCareExcellence/">Facebook</a>.</p> </div> </div> <h2 style="padding: 0px;">Where can I find out more?</h2> <div class="row"> <div class="span2"><img class="media-object" style="width: 75px;" src="https://www.nice.org.uk/Media/Default/images/IFP/information-teal1.png" alt="Information" width="100" height="100" /></div> <div class="span10"> <p>These people can give you more advice and support.</p> <p>Their information is not written by NICE.</p> <ul> <li><a href="https://www.alzheimers.org.uk/">Alzheimer’s Society</a>, 0300 222 11 22</li> <li><a href="https://www.carersuk.org/help-and-advice/talk-to-us/">Carers UK</a>, 0808 808 7777</li> <li><a href="https://www.headway.org.uk/">Headway – the brain injury association</a>, 0808 800 2244</li> <li><a href="http://www.mencap.org.uk/">Mencap</a>, 0808 808 1111</li> <li><a href="https://www.mind.org.uk/">Mind</a>, 0300 123 3393</li> <li><a href="https://www.pohwer.net/">POhWER</a>, 0300 456 2370</li> <li><a href="https://www.rethink.org/">Rethink Mental Illness</a>, 0300 5000 927</li> </ul> <p>To share an experience of care you have received, contact your local <a href="https://www.healthwatch.co.uk/your-local-healthwatch/list">Healthwatch</a>.</p> </div> </div> <h2 style="padding: 0px;">Who wrote this guideline?</h2> <div class="row"> <div class="span2"><img class="media-object" style="width: 75px;" src="https://www.nice.org.uk/Media/Default/images/IFP/group-teal1.png" alt="Collaboration" width="100" height="100" /></div> <div class="span10"> <p>We wrote this guideline with people who have needed support to make decisions, their families and carers and staff who support them. The guideline is based on the best research available.</p> <p>ISBN: 978-1-4731-2960-3</p> </div> </div> </div> <br> <div class="panel panel-resources"> <div class="panel-body"> <ul class="media-list"> <li class="media media-resource" style="background-color: #fff; padding-left: 5px;"> <div class="media-body nice_indent_1"> <div class="media-heading resource-link"> <a class="track-link" href="/guidance/ng108/resources/gwybodaeth-ir-cyhoedd-pdf-6664718845" data-track="resourcedownload" data-track-category="resource download" data-track-action="clicked" data-track-label="/guidance/ng108/resources/gwybodaeth-ir-cyhoedd-pdf-6664718845"> <span class="icon-download"></span> Gwybodaeth i'r cyhoedd <sup class="download-metadata"> PDF 371 KB </sup> </a> <span class="stats"> <time class="data-date" datetime="2019-04-01">01 April 2019 </time> </span> </div> </div> </li> </ul> </div> </div> <div class="lastUpdated"> <p> This page was last updated: <time datetime="2018-10-03">03 October 2018</time> </p> </div> </article> </div> </div> </div> </div> </div> </div> </div> </div> </div> </main> <div id="global-nav-footer"></div> <script> var global_nav_config = { service: "guidance", header: { cookie: false, skipLinkId: "content-start", search: { url: "/search", autocomplete: "/autocomplete?ajax=ajax", }, auth: { environment: "live" } } }; </script> <!--[if lt IE 9]> <script src="https://cdn.nice.org.uk/global-nav/global-nav.ie8.min.js" type="text/javascript"></script> <![endif]--> <script src="https://cdn.nice.org.uk/global-nav/global-nav.min.js" type="text/javascript"></script> <script src="//cdn.nice.org.uk/V2/Scripts/twitter.bootstrap.min.js" type="text/javascript"></script> <script src="/Themes/NICE.Bootstrap/scripts/niceorg/NICE.TopScroll.js" type="text/javascript"></script> <script src="//cdn.nice.org.uk/V2/Scripts/NICE.bootstrap.min.js" type="text/javascript"></script> </body> </html>