Capacity Assessments

Capacity Assessments

Our Capacity Assessments are a specialist service designed to determine if an individual has the mental capacity to make certain decisions.

It should be assumed that a person has capacity unless a comprehensive assessment has been conducted by a professional which indicates otherwise. A clinician will deem an individual to have capacity if they are satisfied that the individual can:

  • Understand information given to them about a particular decision
  • Retain the information given for long enough to make a decision
  • Weigh up the information sufficiently to make a decision
  • Consistently communicate their decision

Our Expertise

Whilst there is no definitive, predetermined capacity assessment, there are practice guidelines and legal frameworks that inform the assessment and should be adhered to. These include:

  • Adults with Incapacity: Guide to Assessing Capacity (2008)
  • Guide to Best Interests Decision Making (2021)
  • The Adults with Incapacity (Scotland) Act 2000
  • The British Psychological Society: Supporting People Who Lack Mental Capacity: A

A capacity assessment is necessary to determine if you/your loved one is able to make decisions independently, or if assistance and support is required to ensure that decisions are made in your best interest. The ultimate goal is to protect and empower those who may lack capacity.

  • A person may lack capacity if they have:
  • A brain injury
  • A mental health condition
  • A stroke
  • Cognitive impairment
  • Dementia
  • Intellectual disability

However, having a diagnosis of any of these conditions does not necessarily mean that a person lacks capacity. Furthermore, capacity can fluctuate, and someone can lack capacity to make some decisions but still have the capacity to make others.

What areas of capacity can be assessed?

At The Edinburgh Practice, we can assess capacity in relation to the following areas:

  • Capacity to Decide Living Arrangements: An individual’s capacity to decide where to live.
  • Capacity to Manage Finances: An individual’s ability to make financial decisions.
  • Changes to or appointing Powers of Attorney: Appointing a Power of Attorney or changing the individual(s) that you have appointed to manage your affairs and make financial decisions on your behalf.
  • Gifting: An individual’s capacity to decide to gift assets or money to others.
  • Guardianship: Providing legal authority for an individual to make personal decisions on behalf of another.
  • Litigation Capacity: An individual’s ability to take legal action.
  • Testamentary Capacity: An individual’s ability to make or alter a will.

The Assessment Process

Broadly, the different steps of a capacity assessment will be as follows:

  • An initial consultation lasting approximately one hour. This would involve a clinical interview with the client. This will be conducted at the practice (home visits can also be considered). Further consultations with the client to assess capacity as appropriate.
  • Collateral information is gathered via phone call or in person, from someone who knows the client well and who is not related to the decision at hand. Collateral information is also gathered by family members/other individuals who know the client well.
  • A review of relevant medical records e.g. GP records.
  • Reviewing relevant legal documentation and requested amendments.
  • Discussion with relevant health care professionals.
  • Cognitive screening where appropriate.
  • A feedback session is offered to outline the outcome of the assessment.
  • A written report is provided, outlining the capacity assessment process and the clinical opinion and outcome.

 

Initial Meeting

An initial appointment involving a clinical interview will be arranged with the client at a time that is convenient to them. This will last approximately one hour and will be conducted at the practice. Home visits can also be considered. Further appointments will be offered to gather additional information and to assess the client’s capacity.

Gathering Additional Information

Collateral information will be gathered via phone call or in person, from someone who knows the client well. Collateral information will also be gathered from family members/other individuals who know the client well.

A review of relevant medical records (such as GP records) will be conducted. Additionally, a discussion will be organised with the client to ascertain what changes are being requested and review relevant legal documentation and requested amendments. A cognitive screening will be carried out where applicable.

Relevant healthcare professionals (such as GPs) will also be contacted for discussion and relevant medical records will be reviewed.

Feedback

Once all relevant information is gathered, a feedback session will be offered to discuss the outcome of the assessment.

Report

A written report outlining the capacity assessment process and the clinical opinion/outcome will be provided to all clients.

Our Fees

As the complexity of capacity assessment can vary fees are based on individual cases. Please get in touch via our self-referral form to request a capacity assessment and we will provide you with an estimate of fees.

Register

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contacted directly. All information will be kept confidentially.

🌟 Happy Monday everyone! We hope you all had a wonderful and relaxing weekend. Today, we are thrilled to share another heartfelt client review. 
🤗 It brings us so much joy to hear about this client's positive experience with The Edinburgh Practice and our dedicated team. Providing exceptional support and care in a relaxed and safe environment is one of our main priorities, and it means a lot to us that this client would recommend TEP to others. 
🙏 Thank you for choosing The Edinburgh Practice!
🎉 Happy 1st Birthday to our forever home! 🎉 
This #FeelGoodFriday we are celebrating our new forever home at Waverley Square turning 1 yesterday! To celebrate (as well as eating plenty of cake!) we have been looking back across the past year and appreciating how much TEP has grown and how proud we are of Team TEP and the care we provide to our clients. We are also looking forward to more exciting developments which are in the pipeline! 
💫What an incredible journey it has been! From moving into our new home, expanding the team, welcoming new clients, welcoming on board many new clinicians, fundraising events & launching new services - we have a lot to celebrate! 
Some of our favourite moments from the past year! 
⭐️The pleasure of hosting our Memory Art Competition and receiving amazing entries from our community.
⭐️We were delighted to receive one exceptional and two good grades from our HIS inspection at the start of the year. 
⭐️Three amazing promotions within the administration team that have led to our two amazing coordinators and a medical secretary!
⭐️ Raising over £1,400 for Alzheimer’s Scotland (@alzscot), our charity partner! Shout out to @tribe.cycle @tribeyoga for lending us the bike!
⭐️The introduction of our new services including Sport & Exercise Psychology, Dietetics, Health Visiting and the development of our Women’s Health service (coming soon!)
⭐️In March, TEP had the honour of hosting the Upper Austrian Delegation who visited the practice to learn about our Memory Clinic!
⭐️Launching our wonderful new website including our new online client portal! 
💛 A heartfelt thank you to all our clients, supporters, and team members who have made this milestone possible. Here’s to an amazing first year and an even more exciting year ahead! We can’t wait to continue this journey with all of you. 
#TheEdinburghPractice #FeelGoodFriday
🌈 Happy #PrideMonth from Team TEP! 
🏳️‍🌈 Pride month is not only a vibrant and inclusive celebration of the LGBTQIA+ community but a time to acknowledge the challenges faced by this community, to educate ourselves and others and to stand in solidarity with the fight for equality and acceptance. 
💛As a proud ally, we send our support to this community this month, and every other month.
☀️ Welcome back to another #MeaningfulMonday! We hope everyone had a wonderful weekend enjoying the sunshine. 
💛 We are starting the week off on a positive note with some fantastic client feedback! At TEP, the wellbeing and experience of our clients is our top priority! We are dedicated to creating a compassionate, safe and professional environment for our clients. 
🙏 We are grateful to this client for sharing their experience with us, thank you!
This #FeelGoodFriday we have Dr Anu Shekhar, one of our Clinical Psychologists at TEP, back with another interesting topic for us ‘The Use of Metaphors in Therapy’!
 
🤔What is a metaphor?
 
A metaphor is an expression that describes a person or object referring to something that is considered to have similar characteristics to that person or object.
 
💛How can they be helpful in managing your own emotions?
 
Metaphors are powerful tools and can help you gain insight, reframe your perspectives and access a deeper level of understanding. This can be helpful when journalling or speaking to someone you trust.
 
We would love to hear about your favourite metaphor! Feel free to leave a comment below ⬇️
 
#FeelGoodFriday #TheEdinburghPractice #positivity
⭐️ This week is Dementia Awareness Week! Each year, Dementia Awareness Week (DAW) is held with the aim of raising awareness of dementia and to help improve the lives of people with dementia, their families and their carers. 
📣 The theme this year is: Your voice. Your choice. Your future. 
⭐️ Each person living with dementia has their own unique story, and their needs, preferences and aspirations are as diverse as they are! Good care looks different for everyone, and the best care is specifically tailored to the individual - your voice, your choice and your future. 
⭐️ If you are worried that you or a loved one may have dementia, speak to your GP or reach out to us via a self-referral to our Memory Clinic via our website (link in bio). 
⭐️ Seeking assessment and support quickly can lead to an earlier diagnosis which gives you more time to plan for the future and access support and services that can help. Your voice. Your choice. Your future.
⭐️ If you are in TEP this week please do pick up one of Alzheimer Scotland’s leaflets in our reception area! 
#WeCare #DementiaAwarenessWeek #DAW24 #MemoryClinic
👋 We are back with another #MeaningfulMonday! This week we are thrilled to share a wonderful review from one of our cherished clients. 
😊 It's so great to hear that they found the practice to be calm and relaxing. Our practice is designed for client comfort and our reception area features soft, peaceful music, a lovely coffee machine and a wonderful play area for children. 
🫶 Thank you to this client for their kind words, we are delighted to know they found our team helpful!
🎉 We are happy to be welcoming another new addition to Team TEP - Dr Madeline Dykes, Clinical Psychologist! 
💫 Dr Madeline has a broad range of experience working across a range of fields including the public health system, University services and private practice. Dr Madeline has been working in New Zealand for the past 3 years with adolescents and young adults in a University setting. 
⭐️ Dr Madeline has experience supporting people with a range of challenges such as anxiety, mood difficulties, trauma, adjusting to life stressors and changes, disordered eating and complicated family dynamics. Dr Madeline has expertise in the assessment of Autism and has developed a passion for working with neurodiverse individuals, including working with clients collaboratively to identify, understand and support the strengths as well as the challenges that may come with a neurodiverse brain. 
👏 Dr Madeline is such a great addition to the team, with increasing referral rates we are delighted to have Dr Madeline join us to help us to continue to offer fast access to high quality assessments and therapy. Dr Madeline’s practice is based on Cognitive Behavioural Therapy (CBT) and Acceptance Commitment Therapy (ACT). She had also completed training in Eye Movement Desensitisation and Reprocessing (EMDR), Dialectical Behaviour Therapy (DBT) and Maudsley Family Based Therapy (MFBT). 
💛 Welcome to Team TEP, Dr Madeline!
⭐️ Happy Monday everyone! We hope you had a wonderful weekend.
😊 This week’s #MeaningfulMonday features some lovely feedback from a valued client. We’re thrilled to hear that The Edinburgh Practice has helped make a positive impact on their mental health.
💫 At TEP, we understand how challenging it can be to take that first step towards seeking support, and our aim is to make the process as smooth and supportive as possible.
🙏 Thank you to this client for providing feedback, we greatly appreciate it!
☀️ Welcome back to another #MeaningfulMonday! We hope everyone soaked up all the sunshine this weekend and enjoyed some time outdoors if you were able to!
🤗 Today’s client review is a short but sweet piece of feedback, yet it is so meaningful to Team TEP.
💛 We are so glad that this client is happy with the support they received from the practice. Our biggest aim is to provide exceptional care and support to all our clients. We want our clients to feel welcomed and supported throughout their time with TEP. Thank you to this client for providing feedback!