The appellant appealed a decision of the Consent and Capacity Board confirming the renewal of a Community Treatment Order under the Mental Health Act.
The appellant argued that the tribunal failed to determine his capacity to consent to treatment at the time of the mandatory review and that, if he had regained capacity, the substitute decision maker’s prior consent would be invalid.
The court held that the tribunal was required to consider capacity as part of the statutory review criteria and found that it had done so.
The tribunal reasonably concluded that the appellant lacked the ability to understand and appreciate the consequences of refusing treatment, based primarily on medical evidence regarding persistent delusional beliefs and lack of insight into illness.
The tribunal’s reasoning was adequate and entitled to deference as a specialized body.
The appeal was dismissed.