Additional cognitive and psychological evidence · England and Wales
Advanced Mental Capacity Assessment
Additional evidence for a specific capacity decision.
For complex, high-risk or potentially contested capacity matters where additional cognitive and psychological evidence would help inform the assessment.
Available across England and Wales. Tell us the decision, the concerns and any deadline so we can agree the appropriate scope.
Psychometric findings support the decision-specific assessment; they do not determine capacity on their own. Reports are prepared to CPR Part 35 requirements where applicable to the instruction.

Is Advanced the right service?

Standard remains our primary service for most people who need a mental capacity assessment. Advanced is an option where additional cognitive and psychological evidence would help inform the decision-specific assessment.
- A complex instruction where further cognitive or psychological information would be helpful.
- A high-risk or potentially contested capacity matter requiring this additional evidence.
- An instruction suited to a tailored evaluation followed by a separate, in-person MCA.
What is included?
This two-part service includes:
- A tailored psychometric evaluation, usually completed remotely.
- An in-person, decision-specific Mental Capacity Assessment on a separate day afterwards.
- A professional assessment report and a plain-English appendix summarising the psychometric findings.
How the two parts work together
Agree the instruction
Explain the decision that needs assessing and why additional cognitive and psychological evidence would be helpful. We discuss the scope and appointment arrangements.
Complete the psychometric evaluation
The tailored evaluation is usually completed remotely. Its findings provide additional information to support the decision-specific assessment.
Attend the in-person MCA
The MCA takes place in person on a separate day afterwards. The professional assessment report includes a plain-English appendix summarising the psychometric findings.
Start with the decision and your concerns
A brief explanation of the instruction helps us discuss the appropriate scope. Please tell us:
- The specific decision or decisions that need assessing.
- The concerns prompting the request for additional cognitive or psychological evidence.
- Whether several MCAs are required.
- Any relevant deadline or appointment needs.
One fee for the Advanced service
The Advanced fee covers the two-part service described above, including the professional report and plain-English appendix.
Advanced Mental Capacity Assessment
£1,440 including VAT
£1,200 net + £240 VAT
Includes the psychometric evaluation, the subsequent in-person MCA and a professional report with a plain-English appendix summarising the psychometric findings.
The evaluation date, later in-person MCA appointment and report timing are confirmed for your instruction.
Common questions
Do most clients need Advanced?
Standard remains our primary service for most clients. Advanced is an option when additional cognitive and psychological evidence would help inform a complex, high-risk or potentially contested instruction.
Are the two appointments on the same day?
The psychometric evaluation takes place first, usually remotely. The decision-specific MCA takes place in person on a separate day afterwards.
Do psychometric results determine capacity?
Psychometric findings support the decision-specific assessment; they do not determine capacity on their own.
Discuss the right scope for your instruction
Explore our services or contact us to discuss the decision, the additional evidence required and the appropriate assessment option.
