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Introduction

This document sets out the framework for the administration of covert medication when the individual lacks the capacity to consent to treatment.

 

Scope

This guidance is relevant to:

  • Doctors
  • Qualified Nurses
  • Pharmacists

This policy should be applied when the individual lacks the capacity to make a decision regarding treatment (medication) and omitting of medication is likely to result in significant physical and/or mental harm.

 

Purpose

Covert administration of medication is a complex issue which involves concealing medication (usually in food or drink) and administering to a patient who lacks the capacity to consent to treatment. It is generally unacceptable to administer concealed medication in food or drink, however there may be circumstances when concealing administration of medication is indicated to avoid significant decline in their physical or mental health.

N.B. It is generally safer to dive medication enterally rather than parenterally.

The purpose of this document is to set out the framework for the safe administration of covert medication.

 

Policy Details

Download: PDF version
Compiled by: David Sills, Dementia and Admiral Nurse Lead
Ratified by: Medicines Management Committee / NMAHPG
Date Ratified: August 2019
Date Issued: August 2019
Review Date: August 2022
Target Audience: All healthcare staff
Contact name: David Sills, Dementia and Admiral Nurse Lead

 

See also:

  • Consent Policy
  • Mental Capacity Policy
  • Deprivation of Liberty Safeguarding Policy
  • Medicines Management Policy