Chief Psychiatrist's Clinical Practice Advisory Notice
Changes made to the Mental Health Act 2014 (MHA) by the Medical Treatment Planning and Decisions Act 2016 (the MTPDA) on 12 March 2018 create a new, alternative pathway to consent to ECT for adults who lack decision making capacity and are not already compulsory patients under the MHA.
This notice provides advice to public and private hospitals about the implications of these changes for consent to electroconvulsive therapy (ECT). For advice about other aspects of the MTPDA, see A guide to the Medical Treatment Planning and Decisions Act 2016: For health practitioners.
The MTPDA, and the changes it allows, are part of a broader shift within the community towards empowering and supporting people to make their own treatment decisions. The new ECT provisions offer the opportunity in certain circumstances for a person to have a trusted individual give consent to ECT on their behalf and for a person in a private hospital to receive ECT in familiar surroundings.
Chief psychiatrist annual reports
Reviewed 09 August 2018