Best interests, dementia and the Mental Capacity Act (2005).

The Mental Capacity Act (2005) is an impressive piece of legislation that deserves serious ethical attention, but much of the commentary on the Act has focussed on its legal and practical implications rather than the underlying ethical concepts. This paper examines the approach that the Act takes to...

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Main Authors: Hope, T, Slowther, A, Eccles, J
Format: Journal article
Language:English
Published: 2009
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author Hope, T
Slowther, A
Eccles, J
author_facet Hope, T
Slowther, A
Eccles, J
author_sort Hope, T
collection OXFORD
description The Mental Capacity Act (2005) is an impressive piece of legislation that deserves serious ethical attention, but much of the commentary on the Act has focussed on its legal and practical implications rather than the underlying ethical concepts. This paper examines the approach that the Act takes to best interests. The Act does not provide an account of the underlying concept of best interests. Instead it lists factors that must be considered in determining best interests, and the Code of Practice to the Act states that this list is incomplete. This paper argues that this general approach is correct, contrary to some accounts of best interests. The checklist includes items that are unhelpful. Furthermore, neither the Act nor its Code of Practice provides sufficient guidance to carers faced with difficult decisions concerning best interests. This paper suggests ways in which the checklist can be developed and discusses cases that could be used in an updated Code of Practice.
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spelling oxford-uuid:af3970ad-aa81-4151-9c64-4a1bfa74bfb62022-03-27T03:48:07ZBest interests, dementia and the Mental Capacity Act (2005).Journal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:af3970ad-aa81-4151-9c64-4a1bfa74bfb6EnglishSymplectic Elements at Oxford2009Hope, TSlowther, AEccles, JThe Mental Capacity Act (2005) is an impressive piece of legislation that deserves serious ethical attention, but much of the commentary on the Act has focussed on its legal and practical implications rather than the underlying ethical concepts. This paper examines the approach that the Act takes to best interests. The Act does not provide an account of the underlying concept of best interests. Instead it lists factors that must be considered in determining best interests, and the Code of Practice to the Act states that this list is incomplete. This paper argues that this general approach is correct, contrary to some accounts of best interests. The checklist includes items that are unhelpful. Furthermore, neither the Act nor its Code of Practice provides sufficient guidance to carers faced with difficult decisions concerning best interests. This paper suggests ways in which the checklist can be developed and discusses cases that could be used in an updated Code of Practice.
spellingShingle Hope, T
Slowther, A
Eccles, J
Best interests, dementia and the Mental Capacity Act (2005).
title Best interests, dementia and the Mental Capacity Act (2005).
title_full Best interests, dementia and the Mental Capacity Act (2005).
title_fullStr Best interests, dementia and the Mental Capacity Act (2005).
title_full_unstemmed Best interests, dementia and the Mental Capacity Act (2005).
title_short Best interests, dementia and the Mental Capacity Act (2005).
title_sort best interests dementia and the mental capacity act 2005
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