Medical Treatment: Decisions and the Law

10.  Sterilisation and Contraception

Co-authored by Angus Moon QC, Debra Powell QC and Elizabeth Fox.

Contents

  • A General  10.1
  • B The capacitous patient 10.2
  • General rule 10.2
  • Informed consent  10.3
  • The role of partner/spouse 10.4
  • Procedure 10.5
  • C Adults  10.6
  • Capacitous adults  10.6
  • Adults lacking capacity to consent 10.7
  • Capacity 10.7
  • Best interests 10.8
  • General application of ‘best interests’ principle in sterilisation and contraception cases 10.9
  • The prospect of attaining or recovering capacity for a relevant decision 10.10
  • The risk of sexual contact  10.11
  • The availability of other methods of contraception 10.12
  • The need for counselling and education 10.13
  • The risks of pregnancy  10.14
  • Freedom of association and reduction of intrusion by statutory services 10.15
  • The effect on the standard of care 10.16
  • Male patients 10.17
  • The immediacy of the risks 10.18
  • Covert treatment 10.19
  • Procedure  10.20
  • D Children  10.24
  • General principle  10.24
  • Children with no learning disabilities 10.24
  • Children with learning disabilities 10.25
  • Best interests  10.26
  • Procedure  10.27
  • E Conclusion  10.28
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