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Ensuring Informed Consent and Capacity: Nellie Supports' Dedication to Ethical Social Work Practices

Updated: Sep 22, 2023


In today's digital age, consent has become an integral part of our lives, from agreeing to terms and conditions online to making crucial decisions about our healthcare. However, the complexities of modern consent can sometimes lead to unintended consequences, as many of us may not fully grasp the implications of our agreements. At Nellie Supports, our private social work practice, we believe that informed consent is a fundamental right, and we are dedicated to promoting ethical practices in all aspects of our work. Our mission is to ensure that everyone we serve fully understands their rights and options, while also recognising the importance of mental capacity assessments beyond healthcare settings.

Types of Consent:

There are various types of consent, each serving different purposes. Implied consent occurs when a person's actions suggest agreement without explicit verbal or written confirmation. An example of this could be a patient offering their arm to have their blood pressure taken during a medical examination. On the other hand, informed consent requires individuals to have a comprehensive understanding of the relevant facts, including risks and available alternatives. In medical procedures, this is often formalised with a physical signature on a consent form.

Issues with Informed Consent:

In a modern context, one of the major issues with consent is the prevalence of complex terms and conditions that people often neglect to read. As a society, we have developed a habit of clicking "accept" without fully understanding the implications of our consent. This raises concerns about whether we are truly providing valid consent in such situations. Additionally, if the information is not presented in an accessible manner, it may prevent individuals from fully comprehending what they are agreeing to.

Professional Responsibilities and the Mental Capacity Act:

At Nellie Supports, we take our professional responsibilities seriously, and we are guided by the principles of the Mental Capacity Act (2005) and the Equality Act (2010). The Mental Capacity Act emphasises the importance of supporting individuals to enable their capacity to make informed decisions. This means providing information in a clear and accessible manner, tailored to meet the individual's needs. Moreover, the Act requires us to presume capacity in the first instance, but also be vigilant in assessing an individual's capacity if there is reason to believe they may not be able to provide informed consent.

Applying Mental Capacity Assessments:

While mental capacity assessments are commonly used in healthcare settings, they are equally relevant in various other contexts, including financial agreements, legal decisions, and personal matters such as marriage and writing a Will. At Nellie Supports, we recognise the importance of mental capacity assessments in protecting a person's rights outside of traditional healthcare settings.

Promoting Awareness and Upholding Rights:

We firmly believe that everyone should be aware of their rights regarding consent and capacity. If there is any uncertainty or doubt, we encourage individuals and their support networks to seek advice, ask questions, and receive training or support from qualified professionals. Our commitment to ethical social work practices extends beyond our clients; we aim to spread awareness and promote a culture of informed consent and respectful decision-making in all aspects of life.


Informed consent is not just a legal requirement; it is a fundamental aspect of respecting an individual's autonomy and dignity. At Nellie Supports, we are dedicated to upholding ethical social work practices, ensuring that all those we serve fully understand their rights and options. Our focus on mental capacity assessments beyond healthcare settings reflects our commitment to safeguarding individuals' rights across various domains. As we continue to navigate the complexities of consent in the modern world, let us remember that promoting awareness and understanding is a collective responsibility to protect and empower those we support.

To learn more about Nellie Supports and our commitment to ethical social work practices, visit our website:

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