Guiding principles

There are five principles which professionals must always consider when making decisions relating to care, support or treatment. These principles apply at the assessment stage and once the person has been admitted to hospital.

Principle 1: Least restrictive option

Anyone who is assessed and cared for under the act must not be restricted unnecessarily, and the outcome must be provided in the least restrictive way. When professionals are making decisions on a person’s behalf, they must also assess whether there is any need to act at all.

Principle 2: Individuals being supported to make their own decisions - empowerment and involvement

Anyone who is assessed and cared for under the act must be given practical support to make decisions for themselves.

Principle 3: Treated with respect

Anyone who is assessed and cared for under the act, and their family members and carers who are consulted for information, should be treated with respect and dignity and their views listened to by professionals.

Principle 4: Purpose and effectiveness

Any decision about care and treatment under the act must be specific to the person’s personal circumstances, have clear therapeutic benefit to them, promote their recovery, and be based on best-practice guidelines.

Principle 5: High quality

Health and social care organisations should work together to make sure that the services they provide are of high quality and will help the person leave hospital safely and with appropriate support in place.