The third part of the BMA’s report on end of life care and physician-assisted dying was published in March. The report contains the ‘reflections and recommendations’ of the BMA’s enquiry. The following key points of direct relevance to MCA practitioners arose:
- Current training on mental capacity does not always address all of the complexities involved in assessing decision-specific capacity in patients.
- Training should look to emphasise specific issues associated with mental capacity which are particularly applicable to the end of life – such as fluctuating capacity, patients with cognitive impairments, and recognising that capacity must be assessed for specific decisions.
- Doctors should understand how to best maximise decision-making capabilities.