Mental Capacity at the End of Life


1 day
29 Jun, 2018
9.30 to 16.45 (registration from 9am)
Early bird price £108 before 29 April 2018
Regular price £132
All prices include VAT MORE INFO
St Christopher's Hospice, London
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Early bird prices available

Implications for practice

About the event

Whilst the Mental Capacity Act 2005 can be seen as an aspirational piece of legislation, it remains a challenge for professionals to ensure that the principles and guidance around best practice are followed in a consistent, person-centred, way. Challenges to practice abound – with capacity at end of life continuing to be a particular area of challenge due to the combined impact of illness, medication, and prevalence of fluctuating ability to make decisions.

This study-day aims to introduce an overview of the challenges, whilst also providing the opportunity to consider what best practice looks like across the capacity spectrum – from assessment, best interests, and onto Deprivation of Liberty Safeguards. There will be consideration of relevant case law, and the interplay between capacity and other legislative frameworks including the Care Act 2014 (with particular reference to the interface with Adult Safeguarding), and the Mental Health Act 1983.

There will be chance for learning to be applied in reference to a case-study, culminating in a plenary session where delegates will come together to share their own thoughts, learning and experience. The day will conclude with a question and answer session, which will allow delegates to devise an ongoing plan regarding their own personal learning needs.

  • What will I learn?

    The day will cover the following areas:

    • Mental Capacity Act and Deprivation of Liberty Safeguards case law
    • Best interest meetings
    • Patients with a psychiatric history
    • Unwise decisions and best interest
    • Restraint at the end of life including the use of medication.
  • Who is it for?

    This study day is for professionals from any setting working with patients who are approaching end of life. It will be of particular interest to those who are responsible for assessing mental capacity and deprivation of liberty safeguards.

  • Course speakers

    • Keynote Speaker – Alex Ruck Keene, Barrister at 39 Essex Chambers

    Alex Ruck Keene is an experienced barrister, writer and educator. His practice is focused on mental capacity and mental health law, in which he is able to provide specialist advice and representation, as well as delivering expert training for front line professionals. He also writes extensively in the field, editing and contributing to leading textbooks and (amongst many other publications) the 39 Essex Chambers Mental Capacity Law Report, the ‘bible’ for solicitors (and others) working in the area. He is the creator of the website, providing resources and expert commentary on some of the most difficult mental capacity issues.

    Alex is an Honorary Research Lecturer at the University of Manchester, a Wellcome Research Fellow and Visiting Lecturer at King’s College London and a Research Affiliate at the Essex Autonomy Project, University of Essex. He spent 2016 on secondment to the Law Commission as a consultant to their Mental Capacity and Deprivation of Liberty Project and throughout 2018 is legal adviser to the Independent Review of the Mental Health Act 1983.

    • Steve Chamberlain, Approved Mental Health Professional and leading trainer around the Mental Capacity Act 2005;
    • Vincent Docherty, Head of Patient and Family Support, St Christopher’s Hospice
    • Sally Mercer, Social Work Lead, St Christopher’s Hospice

More information


If you have any questions about this or any of our other courses, please contact the Education team who will be happy to help

020 8768 4656

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Learning at St Christopher’s

St Christopher's Education
Our programme

Why our education programme?

We have a well-established programme of high quality, cutting-edge, specialist palliative care education, designed for those working in the UK and internationally.
Studying here

Why St Christopher's?

Education is at the heart of St Christopher’s mission to promote and provide hospice care of the highest standards.
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Why our way of learning

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Containing material on all aspects of palliative care, death and bereavement

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St Christopher’s Education Centre and VAT charges

At St Christopher's, a registered charity, it is important for us to maximise any surpluses to reinvest in the objectives of the charity.

Unfortunately, the manner in which we undertake our training currently means we are not able to invest as much of our surplus as possible, therefore from the 1 December 2017, St Christopher’s Education Centre will charge VAT at the standard rate on our training courses, the reason for this change in pricing is twofold:

i) We want to be able to reinvest any surpluses made from training back into all of our charitable objectives rather than only Education

ii) We want to be able to reclaim the VAT on costs relating to developing and running the training courses