NHS Consent Forms

NHS Consent Form 4: Adults Who Lack Capacity to Consent

NHS consent form 4 is the best-interests form used when an adult lacks capacity to consent to the treatment being proposed. No one signs as the patient — instead, the clinical team records the capacity assessment and the reasoning behind the decision.

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Independently researched and cross-checked against the official primary sources cited on this page. Not written or reviewed by a licensed attorney or clinician. Guidance on this page is sourced from the official publications cited below — it is not a clinical review.

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Read what this consent form must cover before you fill it in.

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Download the NHS consent form 4 template in PDF or Word below, or complete it online. If the patient can decide for themselves, use NHS consent form 1 from the NHS consent forms set instead.

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NHS Consent Form 4 — fully formatted and ready to print or edit. No signup, no email required.

The two-stage capacity test under the Mental Capacity Act 2005

The Act sets out a functional test that must be recorded on the form. Every practicable step to support the patient's own decision must be tried first.

  • Stage one — is there an impairment of, or disturbance in, the functioning of the mind or brain?
  • Stage two — does that impairment mean the patient cannot understand, retain, weigh or communicate this decision?

Write down how the assessment was carried out. A conclusion with no working shown is the weakest part of most completed form 4 records.

Making a best-interests decision, not a substituted one

Best interests is not the clinician's view of the best outcome. It is a structured attempt to reach the decision this patient would most likely have wanted.

Consider their past and present wishes, their beliefs and values, and anything they wrote down while they had capacity. Choose the option least restrictive of their rights and freedoms.

Who must be consulted before treatment proceeds

Consultation is a legal duty, not a courtesy. Record who was spoken to and what they said, even where their views did not change the outcome.

  • Anyone named by the patient as someone to be consulted
  • Carers, family members and close friends interested in their welfare
  • A registered health and welfare attorney or a court-appointed deputy
  • An Independent Mental Capacity Advocate where the patient is unbefriended and the treatment is serious

Family members cannot consent on the patient's behalf. They inform the decision; the responsible clinician makes it and signs the form.

Advance decisions and attorneys that override the form

A valid and applicable advance decision to refuse treatment is legally binding. If one exists and covers this treatment, it must be followed and form 4 is not the route to treat.

A registered health and welfare Lasting Power of Attorney gives the attorney authority to consent or refuse on the patient's behalf. In that case the attorney signs a normal consent form rather than a best-interests record.

How other tier-1 countries handle incapacity

Every tier-1 system has a substitute decision-making route, but the mechanism and terminology differ substantially.

United Kingdom

England and Wales apply the Mental Capacity Act 2005 with form 4; Scotland uses the Adults with Incapacity Act 2000 and its section 47 certificate.

United States

A healthcare proxy or state surrogate hierarchy usually decides, often applying a substituted-judgment standard rather than best interests — see our general medical consent form.

Canada, Australia and New Zealand

Canadian provinces use substitute decision-maker legislation, Australian states appoint guardians through tribunals, and New Zealand relies on enduring powers of attorney under the PPPR Act.

Frequently asked questions

What if the patient regains capacity later?

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Capacity is decision-specific and can fluctuate. If it returns before treatment, stop and take the patient's own consent on the appropriate form instead.

Does form 4 apply in an emergency?

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Urgent life-saving treatment can proceed under the doctrine of necessity. Complete the form as soon as practicable afterwards to document the reasoning.

When is an IMCA required?

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An Independent Mental Capacity Advocate must be instructed for serious medical treatment where the patient has no family or friends able to be consulted.

Does form 4 apply to 16 and 17-year-olds?

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Yes. The Mental Capacity Act 2005 applies from age 16, so a best-interests decision may be recorded on form 4 for a young person who lacks capacity.

Authoritative sources

Official guidance we cross-checked this template against.

Related Consent Forms

Fill out the NHS Consent Form 4 online

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Still required: Patient full name, Date, Health professional signature, Health professional signature — date, Second health professional signature (where required by local policy), Second health professional signature (where required by local policy) — date.

Patient details
Proposed treatment
Capacity assessment
Best-interests decision
People consulted
Signatures