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Capacity and substitute decision maker

All adults are presumed to have the capacity to decide whether they wish to receive health care, except when it can be shown they lack the capacity to do so.  

Partnering with Consumers National Standard - Action 2.5 (Australian Commission on Safety and Quality in Health Care)
Action 2.5 requires health service organisations to have processes to identify:   

  1. The capacity of a patient to make decisions about t​heir own care 
  2. A substitute decision maker if a patient does not have the capacity to make decisions for themselves

The intent of this action is that patients who do not have the capacity to make decisions about their care are identified, and systems are put in place so that they, or agreed substitute decision makers, are involved in decision making, including informed consent.