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What rights does the person I care for have?

The person you care for has the right to:

  • make decisions about their health care and treatment, unless there is evidence that they can’t do this
  • be properly consulted about their health care and treatment
  • have someone with them at their medical appointment if that’s what they want, and
  • have help with making any decisions and saying what they want to happen (for example, help from you as the carer, from an advocacy service or through communication support).

Any decisions about a person’s health care or treatment must always:

  • benefit them
  • be necessary
  • restrict their freedom as little as possible, and
  • take into account their past and present wishes, if possible.

Can a health professional treat the person I care for without consent?

Yes. In special cases, the person you care for can be treated without consent in the following situations:

  • If the person you care for cannot make a decision on their own and no one is available to make the decision, then treatment can be given without consent. But the treatment must benefit the person, and the health professional must complete a certificate of incapacity.
  • In an emergency, when there is no time for anyone else to make a decision, doctors can give treatment without consent but only if it is needed to save the person’s life or stop them suffering more serious harm.
  • If the person you care for is being looked after under the Mental Health (Care and Treatment) (Scotland) Act 2003, they can be treated for their mental illness or disorder without consent.

Are there special rules for some kinds of treatment?

Only a doctor appointed by the Mental Welfare Commission for Scotland can allow the following treatments to be given to people with incapacity:

  • abortion
  • electroconvulsive therapy (ECT) for mental disorder
  • drugs to reduce sex drive
  • any treatment that may lead to sterilisation (for example, some treatments for cancer).

Only the Court of Session can allow the following treatments to be given to people with incapacity:

  • sterilisation
  • surgical treatment to reduce sex drive.

What happens if the person I care for is asked to take part in research?

Research on adults with incapacity can only be done if:

  • it will increase knowledge of the condition causing the person’s incapacity
  • it will benefit the person or others with a similar condition, and will cause little or no risk or discomfort (if the research is to test a medicine, the benefit to the person must be greater than any risk, or there should be no risk)
  • the person does not object
  • consent has been obtained from a legal proxy, or the person’s nearest relative if they don’t have a legal proxy, and
  • the research has been approved by a Research Ethics Committee.

Page last edited: 28 June 2011