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Can the Mental Capacity Act "Best interest" be quoted with effect to gain access to copies of medical notes when neither POA nor Guardianship is in place

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mergymraeg100

Can the Mental Capacity Act "Best interest" be quoted with effect to gain access to copies of medical notes when neither POA nor Guardianship is in place

Post by mergymraeg100 on Tue 22 Nov 2011 - 19:34

In order to commence retrospective claim from 2008 have been advised by the HA in Wales that they need my permission to access mother's medical notes....to give them the permission they need they have stated that I need to be in possession of a POA. Mother taken in to hospital 2008...stroke....compounded by vascular dementia and multiple infarcts...totally incoherent....spoke to her the day before...O.K. Unable therefore to arrange POA from this date onward .....would it not be reasonable therefore for the HA to take this urgent incident into account....? They have accepted I have had the authority to fund mother's care using her money, but it seems when I want to claim her money back from them I need a POA..If I had been aware of this forum, and aware of CHC in 2008 neither mother nor I would be in this position today....I know our case is not an isolated one....I have decided to wait until I am able to gain probate...i.e. Grant of Representation...which the HA will accept as authority to gain access to medical records and to commence the process of a retrospective claim...I have not applied for guardianship this year (since learning of chc and this forum) because my mother now has little time left...so it would seem to me less stressful to wait for probate rather than have the HA batting a loose ball back at me at my every attempt to convince them that they are NOT acting in the best interest of the person lacking capacity...this Act means NOTHING to them...I have always adhered to the principle of this act to the best of my knowledge....I would be very interested to know what much greater minds than mine think of this situation. Evil or Very Mad

ian

Re: Can the Mental Capacity Act "Best interest" be quoted with effect to gain access to copies of medical notes when neither POA nor Guardianship is in place

Post by ian on Sun 27 Nov 2011 - 23:20


Hello Mergymraeg 100

Happen VM might have better knowledge than me on this. But I would have thought in your circumstances the HA in Wales would have made the exception. I think VM understands the DATA protection act and FOI Act better than I do.

But off-hand I dont see why you should not be able to give permission in your circumstances.

Kind regards Ian

Bernard

Re: Can the Mental Capacity Act "Best interest" be quoted with effect to gain access to copies of medical notes when neither POA nor Guardianship is in place

Post by Bernard on Mon 28 Nov 2011 - 14:58

[quote="mergymraeg100"]In order to commence retrospective claim from 2008 have been advised by the HA in Wales that they need my permission to access mother's medical notes....to give them the permission they need they have stated that I need to be in possession of a POA. Mother taken in to hospital 2008...stroke....compounded by vascular dementia and multiple infarcts...totally incoherent....spoke to her the day before...O.K. Unable therefore to arrange POA from this date onward .....would it not be reasonable therefore for the HA to take this urgent incident into account....? They have accepted I have had the authority to fund mother's care using her money, but it seems when I want to claim her money back from them I need a POA..If I had been aware of this forum, and aware of CHC in 2008 neither mother nor I would be in this position today....I know our case is not an isolated one....[b][u]I have decided to wait until I am able to gain probate...i.e. Grant of Representation[/u][/b]...which the HA will accept as authority to gain access to medical records and to commence the process of a retrospective claim...[b][u]I have not applied for guardianship this year (since learning of chc and this forum) because my mother now has little time left[/u][/b]...so it would seem to me less stressful to wait for probate rather than have the HA batting a loose ball back at me at my every attempt to convince them that they are NOT acting in the best interest of the person lacking capacity...this Act means NOTHING to them...I have always adhered to the principle of this act to the best of my knowledge....I would be very interested to know what much greater minds than mine think of this situation. Evil or Very Mad [/quote]


Hi MM

From the above it seems that you have been involved with chc rigmarole since about 2008 so after the national framework of oct 2007, the rules and guide regarding consent are clearly outlined in the gruidances and frameworks issued.

If in wales, i think it was introduced later than oct 2007, but consent is a very high profile issue, it is an area when health officials and pct's and in many cases social workers do not follow their legally required procedures, especially relating to capacity and best interests, to us it still a 'grey' area re our understanding of it but we are learning and determined to 'crack it' and hold all responsible to account.

Re our case, which you asked about, it is as usual, vascular dementia after a stroke, with multiple health problems for our dad who is 71yrs old.
The same old same old, handed to social from hospital, we didn't know differently but since 'finding out' about CHC and assessment protocols we have made it our mission to update ourselves as much as possible from the point of view of the social side and the health side as we feel, in our case, that one is played against the other.

So still within an assessment process backtrack for chc, whilst paying for care home with nursing payment as we were LED down that path and dutifully followed as we thought the professionals were acting in the best interests of dad, now we know differently, so onwards and upwards, the experiences of others here have helped enormously.


Can you advise a bit more on the 'guardianship' issue that you havn't applied for ? this year as outlined above?

We are under the impression that if a person lacks capacity & has been declared as such by the authorities, then it/POA/LPA must be registered with the COP? for both finance and welfare, now that we have this, we would not want to lose it under any circumstances.

We would not now want the Local Authority and/or the PCT/NHS using this excuse to make decisions for our dad without our knowledge and consent, it would only be in their best interests as we now know, not his.

How is your case progressing, within the welsh system?

Bernard

mergymraeg100

Re: Can the Mental Capacity Act "Best interest" be quoted with effect to gain access to copies of medical notes when neither POA nor Guardianship is in place

Post by mergymraeg100 on Mon 28 Nov 2011 - 16:56

Mother was hospitalised in 2008....discharged into EMI....same scenario as you....found this forum by accident this year....requested MTD (first one ever)...CHC..refused.... appealed...CHC granted from date of MDT JUNE 2011....attempting now to claim from 2008/May 2011...at the moment can not get passed authorisation for inspection of medical notes by HA....I have decided at the moment to wait until I get probate....I don't think it will be long and anyway and I am in no hurry....Have you succeeded in getting CHC for any period...and has your father been diagnosed as lacking capacity?
I printed off all the documentation regarding guardianship off the net....after reading through them it seemed to me very labour intensive...I spoke to a Solicitor about it and he said I was using a sledge hammer to crack a nut!!! I only wanted a means of gaining access to mother's medical notes at the time....I believe there is enough to deal with without guardianship....POA...is a different matter and well worth having....my case is at a stand still at the moment...but I need time anyway to learn as much as possible about the whole situation...I do not know what I would have done without this forum...oh yes I do...I would still be paying care home fees.....thank you for your assistance...the Pdf file on the question of rehabilitation was interesting....all care NURSING care...NOT SOCIAL Care...in light of recent articles in the papers re care home standards and hospital standards and what I have witnessed first hand, all that very basic common sense stuff in the document made me quite nauseous....very useful to refer to however when arguing social and nursing care!!!! I will use it for this purpose....thank you Smile
MG

sillysally

Re: Can the Mental Capacity Act "Best interest" be quoted with effect to gain access to copies of medical notes when neither POA nor Guardianship is in place

Post by sillysally on Tue 29 Nov 2011 - 8:45

MM you refer above to a pdf on rehabilitation perhaps sent by Bernard. Please would you post a link or PM me with this. My own case is again simialr to yours and Bernards, and so it could be interesting. Thanks in adavance.

mergymraeg100

Re: Can the Mental Capacity Act "Best interest" be quoted with effect to gain access to copies of medical notes when neither POA nor Guardianship is in place

Post by mergymraeg100 on Tue 29 Nov 2011 - 16:10

Sillysally...I have read that you have now received this pdf from Steward....amazing how the RCN lists all functions of care on behalf of a patient for the benefit of nurses, but when it comes to paying for those nursing elements it is decided that they are not nursing needs at all...they are social needs....I will never forgive Margaret Thatcher for being the instigator of all this confusion...and the grey fellow John Major for perpetuating it..... Rolling Eyes This forum is quite difficult to follow!

sillysally

Re: Can the Mental Capacity Act "Best interest" be quoted with effect to gain access to copies of medical notes when neither POA nor Guardianship is in place

Post by sillysally on Tue 29 Nov 2011 - 16:46

mergymraeg100 wrote:Sillysally...I have read that you have now received this pdf from Steward....amazing how the RCN lists all functions of care on behalf of a patient for the benefit of nurses, but when it comes to paying for those nursing elements it is decided that they are not nursing needs at all...they are social needs....I will never forgive Margaret Thatcher for being the instigator of all this confusion...and the grey fellow John Major for perpetuating it..... Rolling Eyes This forum is quite difficult to follow!


Oh No! Confusion!!! I assumed the link was the one Bernard gave to the RCN site, but couldn't yet post in full as a www.link. I haven't received anything from Steward - should I have done? Thanks.

mergymraeg100

Re: Can the Mental Capacity Act "Best interest" be quoted with effect to gain access to copies of medical notes when neither POA nor Guardianship is in place

Post by mergymraeg100 on Wed 15 Feb 2012 - 16:43

Hello, I can now answer my own question!! I have received copies of all medical and SS notes using the Mental Capacity Act 2005 as authorisation. My next test will be presenting IT to the Health Board as as my authorisation to them to access my mother's notes in order to commence the process of retrospective claim for CHC...will let you know whether it works....or NOT!! I did receive valued assistance in attaining copies from VM pig

kind regards
MG
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