11. Consent and the Explanation of Risk in Anaesthesia

  1. Ian Johnston2,
  2. William Harrop-Griffiths3 and
  3. Leslie Gemmell4
  1. Stuart White

Published Online: 10 NOV 2011

DOI: 10.1002/9781118227978.ch11

AAGBI Core Topics in Anaesthesia

AAGBI Core Topics in Anaesthesia

How to Cite

White, S. (2011) Consent and the Explanation of Risk in Anaesthesia, in AAGBI Core Topics in Anaesthesia (eds I. Johnston, W. Harrop-Griffiths and L. Gemmell), Wiley-Blackwell, Oxford, UK. doi: 10.1002/9781118227978.ch11

Editor Information

  1. 2

    Raigmore Hospital, Inverness, UK

  2. 3

    Imperial College Healthcare NHS Trust, London, UK

  3. 4

    Wrexham Maelor Hospital, Wrexham, UK

Author Information

  1. Brighton and Sussex University Healthcare, NHS Trust, Brighton, UK

Publication History

  1. Published Online: 10 NOV 2011
  2. Published Print: 29 NOV 2011

ISBN Information

Print ISBN: 9780470658628

Online ISBN: 9781118227978

SEARCH

Keywords:

  • consent, risk in anaesthesia;
  • Mental Capacity Act 2005 (MCA);
  • consent, core precept;
  • Common law of consent;
  • anaesthesia, competent adults;
  • proxy decision making;
  • CTIMPs regulations;
  • needlestick injury;
  • formal consent, legal waiver

Summary

• Competent patients aged over 16 years are treated according to the common law, and may consent to or refuse any medical treatment.

• In England and Wales, patients aged over 16 years who lack competence in the opinion of the doctor are treated according to the Mental Capacity Act 2005; treatment may be provided if it is necessary and in the patient's best interests.

• The Mental Capacity Act also recognizes both proxy decision making by third parties and advance directives.

• A number of problems persist with the concept of consent, mostly centred around difficulties in risk communication.