# Advanced Mental Capacity Assessment | Nellie Supports Source: https://www.nelliesupports.com/services/mental-capacity-assessments/advanced-mental-capacity-assessment Canonical: https://www.nelliesupports.com/services/mental-capacity-assessments/advanced-mental-capacity-assessment # Advanced Mental Capacity Assessment For complex, high-risk or potentially contested capacity matters where additional cognitive and psychological evidence would help inform the assessment. Additional evidence for a specific capacity decision. 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. A professional assessment report and a plain-English appendix summarising the psychometric findings. ## 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. Tell us the decision involved and the concerns behind the enquiry. The appropriate service depends on the scope and evidence needed for that instruction. ## 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. The evaluation comes first. The later assessment addresses the specific capacity decision identified in the instruction. ## How the two parts work together ### 1. 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. ### 2. Complete the psychometric evaluation The tailored evaluation is usually completed remotely. Its findings provide additional information to support the decision-specific assessment. ### 3. 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. Where several MCAs are required, a separately quoted psychometric evaluation may be appropriate. Its scope is agreed to support the requested assessments, rather than quoting a complete Advanced package for every decision. Private clients pay in advance. Professionals and businesses are offered 30-day payment terms. We can arrange interpreters at an additional cost, agreed before booking. ## 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. 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