Consent to Care and Treatment Form

Record a person’s informed consent to their care, medicines support, information sharing, photographs, access to their home and other key decisions – with clear routes where they lack capacity.

Editable Word document
8
10pages
Guidance notes included
aml consultancy solutions

Care providers

Consent to Care and Treatment Form

About this document

What it’s for

A structured record of the person’s consent to the main parts of their care and support, decision by decision, as required by CQC Regulation 11. It shows who gave consent and with what authority, records refusals and conditions, and routes to a Mental Capacity Act assessment where the person may not be able to decide.

When to use it

  • When care starts, alongside the care plan
  • At each care plan review, or when the person’s care or capacity changes
  • When a new type of care, monitoring or information sharing is proposed

What’s inside

The document is laid out in the sections below. Each one comes with a plain-English guidance note explaining what it does and what to change.

  • About consent – please read this with the person
  • Part 1 – The person
  • Part 2 – Who is making these decisions?
  • Part 4 – Sharing my information
  • Part 5 – Photographs and recordings
  • Part 6 – Advance wishes
  • Part 7 – Declaration
  • Part 8 – Withdrawal or change of consent
  • Part 9 – Review

How to complete it

  • Explain each item in a way the person understands and record their choice
  • Never ask family to sign unless they hold the right legal authority
  • If the person may lack capacity for any item, complete the MCA Assessment Record for that decision
  • Give the person a copy and review it at least annually

Key points to check

  • Consent is not the lawful basis for most care record keeping under UK GDPR – keep your privacy notice separate
  • Consent can be withdrawn at any time – use Part 8

Our templates are professionally structured starting points for UK businesses, not legal advice. For anything complex, unusual or high-value, have your final version checked by a solicitor.

Included in the pack

Care providers

£20

for every document in this category

Editable Microsoft Word files

Guidance notes in every document

Written for UK businesses

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