Resources

DEMO DATA

Guidance sources underpinning this audit's criteria.

Recommended Lazomis QI Resources

Designing Safer Clinical Processes: A Guide for Healthcare Teams
Patient Safety
Guide

Capacity assessment is a safety-critical process spanning decision-specific assessment, support for decision-making, communication, documentation and escalation.

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How Clinical Audit Enhances Clinical Governance
Clinical Governance
How-to article

Mental capacity documentation is governance-sensitive: legal duties, safeguarding, best interests, least restrictive options and local policy compliance.

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PDSA Cycles: A Practical Guide to Testing Change in Healthcare
Quality Improvement
Guide

Turn audit findings into tested changes — documentation prompts, decision-specific templates, MCA training and IMCA referral prompts.

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How to Write a Clinical Audit Report: A Practical Guide for UK NHS Teams
Clinical Audit
Guide

Structure your results into a report suitable for governance meetings, safeguarding committees, education sessions and portfolio evidence.

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Audit-specific guidance and standards

legal framework

Mental Capacity Act 2005
legal framework
UK Parliament / Ministry of Justice

Statutory framework for capacity assessment and best interests decisions.

Open source
Mental Capacity Act Code of Practice
legal framework
Ministry of Justice

Guidance on applying the MCA in practice.

Open source

national guidance

NICE NG108 — Decision-making and mental capacity
national guidance
NICE

Best-practice recommendations on decision-making and mental capacity.

Open source

professional standard

GMC — Decision making and consent
professional standard
General Medical Council

Doctors' duties around consent and shared decision-making.

Open source
GMC — Mental capacity ethical guidance
professional standard
General Medical Council

Ethical guidance on assessing capacity.

Open source

local policy

Local Mental Capacity Act policy (demo)
local policy
Demo NHS Trust

Trust MCA policy — configure link in Setup.

Local safeguarding policy (demo)
local policy
Demo NHS Trust

Escalation route for safeguarding concerns.

local guideline

Local IMCA referral guidance (demo)
local guideline
Demo NHS Trust

How to refer for IMCA support locally.