The Medical Treatment Authorisation Letter is essential in healthcare settings across England and Wales where formal consent for medical procedures is required. It serves as a legal record of informed consent and is particularly important when the patient may not be present to give verbal consent, when treatment is to be provided over an extended period, or when multiple healthcare providers are involved. The document ensures compliance with healthcare legislation, including the Mental Capacity Act 2005, and provides protection for both healthcare providers and patients by clearly documenting the scope and limitations of the authorized treatment.
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1. Patient Information: Full name, date of birth, NHS number, address and contact details of the patient
2. Authorising Party Details: Details of person giving authorization including full name, relationship to patient (self/parent/guardian/attorney), contact information
3. Healthcare Provider Information: Details of hospital/clinic/medical professional including name, registration number, institution
4. Treatment Description: Specific medical treatment(s) being authorized, including nature, purpose, and expected outcomes
5. Duration of Authorization: Time period for which authorization is valid, including start and end dates if applicable
6. Signature and Execution: Space for signatures, dates, and witness details for all relevant parties
1. Emergency Contact Information: Alternative contact details in case of emergency, recommended for ongoing treatments or where patient may be incapacitated
2. Medical History: Relevant medical history or conditions that may affect the authorized treatment
3. Insurance Details: Health insurance information for private treatment or insurance claims
4. Specific Limitations and Conditions: Any restrictions, conditions, or specific exclusions on the authorization
1. Schedule 1 - Medical Reports: Relevant medical reports or test results supporting the treatment decision
2. Schedule 2 - Capacity Assessment: Documentation of mental capacity assessment if relevant to the authorization
3. Schedule 3 - Power of Attorney: Copy of lasting power of attorney for health and welfare if authorization is given by attorney
4. Schedule 4 - Treatment Information: Detailed information about proposed treatment, including risks, benefits, and alternatives
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