# Enhanced Mental Capacity Assessment | Nellie Supports Source: https://www.nelliesupports.com/services/mental-capacity-assessments/enhanced-mental-capacity-assessment Canonical: https://www.nelliesupports.com/services/mental-capacity-assessments/enhanced-mental-capacity-assessment # Enhanced Mental Capacity Assessment An in-depth assessment for complex or potentially contested cases requiring a fuller review of the person’s circumstances and supporting evidence. Capacity evidence in its wider social context. 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 comprehensive report bringing together the background, social context, assessment findings and reasoned conclusions. ## When a fuller review is helpful Standard remains our primary service for most capacity assessments. Enhanced is an option for complex or potentially contested instructions where a fuller review of circumstances and supporting evidence is required. - The instruction requires a detailed review of the background alongside the capacity assessment. - Support needs, care arrangements and relevant social circumstances need to be explored. - Relevant concerns about vulnerability, pressure or influence form part of the wider circumstances. Relevant concerns about vulnerability, pressure or influence are considered alongside, and distinguished from, the question of capacity. ## What is included? This service includes: - Initial consultation and detailed case review. - A social care needs assessment exploring support needs, care arrangements and relevant social circumstances. - Appropriate psychometric and cognitive testing. - A decision-specific Mental Capacity Assessment. - A comprehensive report bringing together the background, social context, assessment findings and reasoned conclusions. ## Bringing the evidence together ### Understand the instruction The initial consultation and detailed case review establish the background to the capacity question and the circumstances requiring fuller consideration. ### Explore the wider circumstances The social care needs assessment explores support needs, care arrangements and relevant social circumstances. Appropriate psychometric and cognitive testing adds information alongside the decision-specific MCA. ### Present the findings and reasoning The comprehensive report brings together the background, social context and assessment findings. It sets out reasoned conclusions while distinguishing relevant vulnerability, pressure or influence concerns from the capacity question. ## What to tell us at the first enquiry Begin with a brief explanation of the decision and why a fuller assessment is being considered. Helpful information includes: - The specific decision that needs assessing. - The relevant background to the instruction. - The support needs, care arrangements or social circumstances you want considered. - Any concerns about vulnerability, pressure or influence. - Any relevant deadline or appointment needs. We can discuss how the Enhanced scope relates to the questions raised by your instruction. ## A defined scope for a fuller assessment The Enhanced fee covers the consultation and case review, social care needs assessment, appropriate testing, decision-specific MCA and comprehensive report described on this page. ### Enhanced Mental Capacity Assessment £4,200 including VAT (£3,500 net; £700 VAT). Includes consultation and detailed case review, a social care needs assessment, appropriate testing, a decision-specific MCA and a comprehensive report. Assessment appointments and report timing are confirmed when the scope of your instruction is agreed. The appointment arrangements and report timing are confirmed for the agreed instruction. Contact us with the capacity question and the wider circumstances so we can discuss the appropriate service. 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 ### What does the social care needs assessment consider? It explores the person’s support needs, care arrangements and relevant social circumstances as part of the fuller review included in Enhanced. ### How are pressure or influence concerns considered? Relevant concerns about vulnerability, pressure or influence are considered alongside, and distinguished from, the question of capacity. The comprehensive report brings together the social context and assessment findings. ### Does every capacity assessment need this wider review? Standard remains the primary service for most clients. Enhanced is for complex or potentially contested cases requiring the fuller review of circumstances and evidence described here. ### Can testing determine capacity on its own? Psychometric findings support the decision-specific assessment; they do not determine capacity on their own. ## Discuss the evidence your instruction needs Explore the assessment options or contact us to discuss the capacity decision and whether this fuller review is appropriate. [Mental capacity assessment services](https://www.nelliesupports.com/services/mental-capacity-assessments) [Advanced Mental Capacity Assessment](https://www.nelliesupports.com/services/mental-capacity-assessments/advanced-mental-capacity-assessment) [Separately quoted psychometric evaluation](https://www.nelliesupports.com/services/mental-capacity-assessments/psychometric-evaluation-for-complex-capacity-matters) [Our professional standards](https://www.nelliesupports.com/about-nellie-supports/professional-standards) [Assessment prices](https://www.nelliesupports.com/prices) [Discuss an assessment](https://www.nelliesupports.com/contact) --- Nellie Supports Ltd · 0333 987 5118 · nellie@nelliesupports.com Office 11 and 12, Unit 20, Springfield Business Park, Grantham, NG31 7FZ