Multidisciplinary palliative care teams' understanding of Mental Capacity Act 2005 'best interest' determinations

Aim: To explore multidisciplinary palliative care teams' implementation of the concept of 'best interests' as stated in the Mental Capacity Act 2005 (MCA). Background: The MCA for England and Wales provides a statutory framework to protect people who are unable to make their own decisions. No previous research has tackled the specific aim of this investigation. Method: Qualitative research methods were used to interview professionals from two multidisciplinary palliative care teams. The interviews were audio-recorded and thematically analysed. Results: Participants reported that the best interests concept is part of their daily practice, but they had limited understanding of the MCA formulation of best interests. Team location influences the setting and process of best interests decision making. Conclusion: Palliative care professionals' process of considering their patients' best interests may not directly reflect the specific guidance of the MCA.