| Reference | Ward | Department | Decision type | Reason | Assessment date | Functional elements | BI required | Safety concern |
|---|---|---|---|---|---|---|---|---|
| DEMO-MCA-01 | Acute Medical Unit | Medicine | consent to treatment or procedure | possible delirium | 2026-05-18 | Yes | No | No |
| DEMO-MCA-02 | Care of the Elderly Ward | Older People's Medicine | discharge destination | dementia or cognitive impairment | 2026-05-25 | No | Yes | No |
| DEMO-MCA-03 | Frailty Unit | Older People's Medicine | escalation / treatment limitation decision | best interests process required | 2026-06-01 | Yes | Yes | No |
| DEMO-MCA-04 | Respiratory Ward | Medicine | refusal of treatment | refusal of recommended care | 2026-06-05 | No | No | Yes |
| DEMO-MCA-05 | Care of the Elderly Ward | Older People's Medicine | residence / placement decision | complex discharge decision | 2026-06-09 | Yes | Yes | No |
| DEMO-MCA-06 | Acute Medical Unit | Medicine | consent to treatment or procedure | possible delirium | 2026-06-12 | Yes | No | No |
| DEMO-MCA-100 | Acute Medical Unit | Medicine | financial or property-related issue referred for advice | not documented | 2026-06-12 | Yes | Yes | No |
| DEMO-MCA-101 | Care of the Elderly Ward | Medicine | not documented | brain injury | 2026-05-29 | Yes | Yes | No |
| DEMO-MCA-102 | Emergency Department | Emergency Medicine | not documented | local policy trigger | 2026-05-15 | No | Yes | No |
| DEMO-MCA-103 | Frailty Unit | Medicine | care package or support decision | dementia or cognitive impairment | 2026-05-12 | Yes | No | No |
| DEMO-MCA-104 | Care of the Elderly Ward | Medicine | consent to treatment or procedure | safeguarding concern | 2026-06-11 | Yes | Yes | No |
| DEMO-MCA-105 | Frailty Unit | Emergency Medicine | financial or property-related issue referred for advice | complex discharge decision | 2026-05-26 | No | Yes | No |
| DEMO-MCA-106 | Emergency Department | Older People's Medicine | personal care decision | dementia or cognitive impairment | 2026-05-15 | No | No | No |
| DEMO-MCA-107 | Care of the Elderly Ward | Older People's Medicine | medication decision | learning disability | 2026-05-31 | Yes | Yes | No |
| DEMO-MCA-108 | Respiratory Ward | Older People's Medicine | consent to treatment or procedure | fluctuating cognition | 2026-05-17 | No | No | No |
| DEMO-MCA-109 | Respiratory Ward | Emergency Medicine | escalation / treatment limitation decision | brain injury | 2026-05-23 | No | No | Yes |
| DEMO-MCA-110 | Emergency Department | Medicine | residence / placement decision | dementia or cognitive impairment | 2026-06-04 | No | No | No |
| DEMO-MCA-111 | Care of the Elderly Ward | Emergency Medicine | nutrition and hydration decision | learning disability | 2026-06-12 | No | No | No |
| DEMO-MCA-112 | Emergency Department | Emergency Medicine | discharge destination | not documented | 2026-05-22 | No | Yes | No |
| DEMO-MCA-113 | Frailty Unit | Medicine | discharge destination | disagreement about care | 2026-05-29 | Yes | No | No |
| DEMO-MCA-114 | Acute Medical Unit | Emergency Medicine | personal care decision | disagreement about care | 2026-05-29 | No | Yes | Yes |
| DEMO-MCA-115 | Frailty Unit | Emergency Medicine | care package or support decision | other | 2026-06-03 | No | Yes | No |
| DEMO-MCA-116 | Respiratory Ward | Older People's Medicine | not documented | intoxication or withdrawal | 2026-05-25 | Yes | Yes | No |
| DEMO-MCA-117 | Frailty Unit | Medicine | refusal of treatment | best interests process required | 2026-05-26 | Yes | Yes | No |
| DEMO-MCA-118 | Care of the Elderly Ward | Emergency Medicine | refusal of treatment | other | 2026-05-03 | Yes | No | No |
| DEMO-MCA-119 | Emergency Department | Older People's Medicine | nutrition and hydration decision | local policy trigger | 2026-05-27 | No | Yes | No |
| DEMO-MCA-120 | Care of the Elderly Ward | Medicine | consent to treatment or procedure | severe distress or anxiety | 2026-05-31 | No | Yes | No |
| DEMO-MCA-121 | Frailty Unit | Medicine | restraint / restriction-related decision | brain injury | 2026-06-11 | Yes | No | No |
| DEMO-MCA-122 | Care of the Elderly Ward | Older People's Medicine | consent to treatment or procedure | communication difficulty | 2026-06-13 | No | Yes | No |
| DEMO-MCA-123 | Respiratory Ward | Medicine | investigation decision | other | 2026-05-08 | No | Yes | No |
| DEMO-MCA-124 | Acute Medical Unit | Medicine | financial or property-related issue referred for advice | local policy trigger | 2026-05-04 | No | Yes | No |
| DEMO-MCA-125 | Emergency Department | Medicine | medication decision | safeguarding concern | 2026-06-09 | No | No | No |
| DEMO-MCA-126 | Respiratory Ward | Emergency Medicine | restraint / restriction-related decision | acute mental disorder | 2026-05-11 | No | Yes | No |
| DEMO-MCA-127 | Acute Medical Unit | Medicine | safeguarding-related decision | brain injury | 2026-05-21 | No | Yes | No |
| DEMO-MCA-128 | Respiratory Ward | Emergency Medicine | discharge against advice | fluctuating cognition | 2026-05-07 | No | Yes | No |
| DEMO-MCA-129 | Care of the Elderly Ward | Medicine | nutrition and hydration decision | refusal of recommended care | 2026-05-15 | Yes | No | No |
| DEMO-MCA-130 | Emergency Department | Medicine | investigation decision | refusal of recommended care | 2026-05-05 | Yes | Yes | No |
| DEMO-MCA-131 | Respiratory Ward | Medicine | not documented | dementia or cognitive impairment | 2026-05-03 | No | No | No |
| DEMO-MCA-132 | Care of the Elderly Ward | Medicine | end-of-life care decision | local policy trigger | 2026-06-12 | Yes | No | No |
| DEMO-MCA-133 | Respiratory Ward | Medicine | care package or support decision | dementia or cognitive impairment | 2026-06-08 | Yes | No | No |
| DEMO-MCA-134 | Acute Medical Unit | Emergency Medicine | discharge against advice | disagreement about care | 2026-05-19 | No | Yes | No |
| DEMO-MCA-135 | Acute Medical Unit | Older People's Medicine | care package or support decision | fluctuating cognition | 2026-06-01 | Yes | No | No |
| DEMO-MCA-136 | Respiratory Ward | Medicine | nutrition and hydration decision | safeguarding concern | 2026-06-07 | Yes | No | No |
| DEMO-MCA-137 | Emergency Department | Medicine | refusal of treatment | complex discharge decision | 2026-05-21 | No | No | No |
| DEMO-MCA-138 | Care of the Elderly Ward | Emergency Medicine | refusal of treatment | other | 2026-05-28 | Yes | No | No |
| DEMO-MCA-139 | Frailty Unit | Emergency Medicine | restraint / restriction-related decision | complex discharge decision | 2026-05-25 | No | No | No |
| DEMO-MCA-140 | Frailty Unit | Older People's Medicine | nutrition and hydration decision | complex discharge decision | 2026-05-29 | No | No | No |
| DEMO-MCA-141 | Frailty Unit | Emergency Medicine | discharge destination | learning disability | 2026-06-08 | No | No | No |
| DEMO-MCA-142 | Respiratory Ward | Older People's Medicine | not documented | severe distress or anxiety | 2026-05-05 | Yes | Yes | No |
| DEMO-MCA-143 | Acute Medical Unit | Medicine | not documented | fluctuating cognition | 2026-05-12 | No | No | No |
| DEMO-MCA-144 | Emergency Department | Medicine | end-of-life care decision | intoxication or withdrawal | 2026-05-31 | No | No | No |
| DEMO-MCA-145 | Respiratory Ward | Emergency Medicine | investigation decision | fluctuating cognition | 2026-05-18 | Yes | No | No |
| DEMO-MCA-146 | Care of the Elderly Ward | Medicine | investigation decision | severe distress or anxiety | 2026-06-02 | No | No | No |
| DEMO-MCA-147 | Emergency Department | Medicine | investigation decision | possible delirium | 2026-05-08 | No | No | No |
| DEMO-MCA-148 | Emergency Department | Emergency Medicine | other | local policy trigger | 2026-06-09 | Yes | Yes | No |
| DEMO-MCA-149 | Care of the Elderly Ward | Emergency Medicine | safeguarding-related decision | communication difficulty | 2026-06-10 | No | No | Yes |
| DEMO-MCA-150 | Care of the Elderly Ward | Medicine | other | fluctuating cognition | 2026-06-15 | Yes | No | No |
| DEMO-MCA-151 | Frailty Unit | Emergency Medicine | not documented | acute mental disorder | 2026-05-19 | No | No | No |
| DEMO-MCA-152 | Emergency Department | Older People's Medicine | investigation decision | acute mental disorder | 2026-06-14 | No | Yes | No |
| DEMO-MCA-153 | Frailty Unit | Emergency Medicine | care package or support decision | dementia or cognitive impairment | 2026-05-08 | No | No | No |