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Capacity Assessment

Capacity Assessments

by leading medical consultants

Most of us take the mental capacity to carry out a common task or make an important decision for granted. However, mental capacity can be affected by a variety of illnesses such as depression, anxiety or dementia, resulting in reduced ability to make specific decisions. To have mental capacity the individual must be provided with information about the choices they face, and must be able to understand and retain this information, weigh the choices in the balance and make a decision.

Impairment of mental capacity may have legal implications. For example, if you draw up a legal document such as a will or lasting power of attorney, and your mental capacity is questioned at a later date, that document may be overturned by the court, so your wishes may not be followed. If you (or someone you care for) live with a condition like dementia or depression and you need to take an important decision, it is important that an assessment is made of your mental capacity in order to prevent the decision being challenged in the future.

Testamentary capacity is a specific type of capacity where a person has the ability to draw up a valid will. To have testamentary capacity a person must be able to understand the purpose and effect of a will, who the potential beneficiaries are, the approximate size of their estate and be free of an illness which affects their judgement.

Although some legal and financial advisers are experienced with assessing people’s capacity, often a medical opinion is essential. Our consultants are experienced in complex capacity assessments, including testamentary capacity. We offer a bespoke, comprehensive assessment and are happy to work collaboratively with solicitors and financial advisers to ensure you receive a first class service.

 

LPA Certificate Provider

A lasting power of attorney (LPA) allows a ‘donor’ to appoint one or more people (the ‘attorneys’) to make decisions on their behalf. Our consultant psychiatrists can assess a donor to ensure they have capacity at the time that they grant an LPA, and will provide a certificate.

Second Opinion

Mental capacity assessments may sometimes need a second opinion; for example when capacity is assessed by two different professionals and the decision or outcome differs; when there is dispute as to the validity of a previous decision; or when a GP or other professional requests a second opinion. Red & Yellow Care have expert consultants who are able to provide this service.

Retrospective Capacity Assessments

A retrospective capacity assessment may be needed when decisions made in the past are questioned by someone in the present. They may believe the individual lacked mental capacity to make a decision at the time, for example about setting up a Lasting Power of Attorney, writing a will or donating valuable gifts. Our expert, Consultant Psychiatrist Dr Rajiv Menon, has significant experience in retrospective capacity assessments.


We’re Red & Yellow Care, the
health experts for later life.

At Red & Yellow Care we specialise in diagnosis, treatment, care and advice for older adults. Our approach is unique – we build a complete picture of the individual – and we treat them like an individual. We guarantee fast and flexible appointments with the very best specialists.

Meet some of our consultants.

Dr James Warner

Consultant Psychiatrist

Psychiatry

Dr Hema Ananth

Consultant Psychiatrist

Psychiatry

Dr Alex Bailey

Consultant Psychiatrist

Psychiatry

Dr Brian Parsons

Consultant Psychiatrist

Psychiatry

Dr Rajiv Menon

Consultant Psychiatrist

Psychiatry

Dr Farooq Khan

Consultant Psychiatrist

Psychiatry

Dr Rafael Euba

Consultant Psychiatrist

Psychiatry

Let us help you find the right consultant.


How we can help.

Because we are the specialists in health for older adults, we can offer all the expertise you need from one source.

We usually visit you at your home, or alternatively can see you at our consulting rooms or your lawyers office. For medico-legal capacity assessments we welcome your lawyer to be present for part of the consultation, particularly at the moment the legal documents are signed.

Clear and simple pricing.


Comprehensive health & capacity assessment: up to 120 minutes incl. report, priced at £750.

Capacity assessment only: up to 60 minutes incl. report, priced at £375.

Optional follow-ups at £300 up to 60 minutes, £200 up to 30 minutes.

Home visit supplements starting from £100.

Get started now

Smarter, faster, easier and
more thorough healthcare.

Expert

We have the best consultants and other specialists dedicated to the health of older people.

Fast

We aim for our specialists to see you within a matter of days, and within 24 hours for urgent appointments.

Flexible

We fit our service around you. Planning your appointments where and when suits you best.

Comprehensive

We are committed to giving you the most thorough assessment, treatment and care.

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  • At all times we found both you and Dr Ananth most helpful. Thank you again for all your assistance in this matter
    Gupta – solicitor
  • My decisions, greatly helped by my wife, family and friends, were also sustained by the team from Red & Yellow Care
    Bernard – person with dementia
  • The service pre appointment was excellent and the appointment was also very good.
    Daniel – husband and carer

    Dr Colin Mitchell

    Dr Colin Mitchell Graduated in Medicine in 2002 from Edinburgh University. He has served as a Senior House Officer and Specialist Registrar at various hospitals throughout the UK and also the Maroondah Hospital in Melbourne. He is now a consultant Geriatrician and Physician at St. Mary’s Hospital in London. His extra-clinical work includes positions as speaker at the Elder Care /Ageing Seminars for the Working Parent Company and as an Honorary Lecturer for Imperial College. Colin has a special interest in using Information Technology and Social Media to improve training and service design and has authored numerous articles and presentations on the subject, such as “Using smartphones and the medical web to become a more up-to-date, productive and informed physician” (CME – Geriatric Medicine, Jun 2011).

    Expertise

    Colin is specialised in the diagnosis and treatment of older adults (aged over 50) with a wide range of conditions including:

    Arthritis – Osteoarthritis / Joint pain
    Alzheimer’s disease
    Vascular dementia
    Hypertension
    Frailty
    Immobility & Falls
    Mild Cognitive Impairment
    Parkinson’s disease
    Capacity Assessment
    Dizziness / blackouts
    Weight changes

    Assessment and Treatment

    Colin provides thorough diagnostic assessments, treatment and ongoing reviews. He aims to see you within a matter of days from referral and can see you at your home or at our consulting rooms.

    Appointment prices

    Initial assessment of 90 minutes incl. report, priced at £450.

    Optional follow-ups at £300 for 60 minutes, and £200 for 30 minutes.

    Home visit supplements starting from £100.

    Dr Brian Parsons

    Dr Brian Parsons is a Consultant Psychiatrist specialising in the mental health of older adults. He studied Medicine at University College, Dublin. After completing his Medical and Surgical residency posts he trained in General Practice and obtained membership of the Irish College of General Practitioners. Dr Parsons then went on to train in psychiatry in Ireland, Australia and the United Kingdom gaining a CCT (Certificate of Completion of Training) in General Adult and Old Age Psychiatry with an endorsement in Liaison Psychiatry. He took a substantive consultant post with Surrey & Borders Partnership NHS Foundation Trust in 2007 where he is currently working as a Community Consultant Old Age Psychiatrist.

    Dr Parsons has previously managed in-patients with functional mental illness and dementia, as well as providing Liaison Psychiatry services to St. Peter’s Hospital in Chertsey. He was the Trust Clinical Lead for the “Enhancing Quality Programme for Dementia” and his Memory Service has been accredited as “Excellent” by the Memory Services National Accreditation Programme (Royal College of Psychiatrists) in 2015.

    Dr Parsons has recently completed a four year term as an Elected Member of the Executive Committee of the South East Division of the Royal College of Psychiatrists. He became a member of the Royal College of Psychiatrists in 2002 and was awarded a Higher Diploma in Healthcare Risk Management in 2003.

    Expertise

    He is specialised in the diagnosis and treatment of older adults (aged over 50) with a wide range of conditions including:

    • Anxiety disorders
    • Depression
    • Alzheimer’s disease
    • Vascular dementia
    • Lewy body dementia
    • Mild cognitive impairment
    • Panic disorders
    • Capacity assessment
    • Psychosis

    Research and Publications

    Das K, Davis R, Du Toit B, Parsons B ‘Sporadic Creutzfeldt-Jakob disease: a description of two cases’,
    International Psychogeriatrics  24(7): 1183-1185 (2012)

    Parsons B, Agrawal N ‘Acute confusional state’, British Medical Journal, e-learning on-line programme
    http://learning.bmj.com/learning/search-result.html?moduleId=10007766

    Campbell F, Parsons B, Loane R ‘An analysis of referral letters to a department of Old Age Psychiatry’, Irish Journal of Psychological Medicine  25(1) (2008)

    Parsons B, Kennedy M ‘A review of recorded information given to patients commenced on clozapine and the development of guidelines on disclosure, a key component of informed’,  Journal of Medical Ethics  33:564-567 (2007)

    Walsh I, Regan J, Sowman R, Parsons B, McKay AP ‘Prevalence of language, communication and swallowing disorders in mental health service attenders’, Irish Journal of Psychological Medicine  24(3):89-93 (2007)

    Campbell F, Parsons B ‘Anxiety disorders mental health distance learning module’, Forum, Journal of the Irish College of General Practitioners  23(12): module 112 (2006)

    Murphy M, Nathan M, Lee E, Parsons B, Gunasekera L ‘Oedipism: autoenucleation in a patient with schizophrenia’, case report
    Irish Journal of Psychological Medicine  23(4): 159-160 (2006)

    Parsons B, McCabe B ‘Diagnosis and management of anxiety disorders in primary care’, Forum, Journal of Irish College of General Practitioners 6(1): 14-18 (2006)

    Bedford D, Igoe G, White M, Parsons B, Foyle D, Howell F, Corcoran, R ‘The acceptability of pneumococcal vaccine to older persons in Ireland’, Irish Medical Journal 93 (2): 48-9 (2000)

    Parsons B ‘General Practice and the ageing Irish’, Forum, Journal of the Irish College of General Practitioners 12 (3): 38-40 (1995)

    Assessment and Treatment

    Brian provides thorough diagnostic assessments, treatment and ongoing reviews. He aims to see you within a matter of days from referral and can see you at your home or at our consulting rooms.

    Appointment prices

    Initial assessment of 90 minutes incl. report, priced at £450.

    Comprehensive diagnostic & capacity assessment of 120 minutes incl. report, priced at £750.

    Optional follow-ups at £300 for 60 minutes, and £200 for 30 minutes.

    Home visit supplements starting from £100.

    Dr Rajiv Menon

    Dr Rajiv Menon is a consultant psychiatrist with over 30 years’ experience in the care of older adults. After working for six years as a physician/geriatrician, he switched to psychiatry in 1988 and trained at the Maudsley and Bethlem Royal Hospitals. During this period he also worked at Johns Hopkins School of Medicine, Baltimore, USA, where he was awarded a Research Fellowship for his work on MRI scans. On return to the UK, Dr Menon worked at the Institute of Psychiatry and obtained an M.Phil. from King’s College, London. He was appointed consultant psychiatrist for older adults at Chelsea & Westminster Hospital in 1995, and retired from the NHS after 20 years as a consultant. He currently divides his time between tribunal work, medico-legal work and private practice. Dr Menon has considerable expertise in all aspects of older adult psychiatry, with a special interest in the overlap between physical and mental health. He also has an interest in assessing testamentary capacity (both in life and retrospectively from records). He is multilingual, speaking fluent English, Malayalam, Hindi and Urdu.

    Dr Menon specialises in testamentary capacity of older adults (aged over 50) including:

    • Testamentary Capacity Assessments
    • Retrospective Capacity Assessments

    Assessment

    Rajiv provides thorough testamentary capacity assessments. He aims to see you within a matter of days from referral and can see you at your home or at our consulting rooms. Rajiv also provides retrospective capacity assessments of the deceased from medical and other records. Specialised in mental and physical health, his binocular approach to testamentary capacity is unique.

    Appointment prices

    Capacity assessment of 60 minutes incl. report, priced at £375.

    Comprehensive diagnostic & capacity assessment of 120 minutes incl. report, priced at £750.

    Optional follow-ups at £300 for 60 minutes, and £150 for 30 minutes.

    Home visit supplements starting from £100.

    Retrospective Capacity Assessment incl. report and providing evidence in court priced at £300 per hour (price estimates can be provided on referral).

    Dr Ramin Nilforooshan

    Dr Ramin Nilforooshan is a Consultant Psychiatrist, specialising in Older Adult Mental Health. He completed his psychiatric training in Guy’s and Maudsley Rotation and has been a Consultant Psychiatrist for Older Adults in Surrey and Borders Partnership NHS Foundation Trust since 2011 and is now also Associate Medical Director for research and development.

    He is specialty lead for dementia research for Kent, Surrey and Sussex, Honorary Senior Clinical Lecturer at University of Surrey and Senior Research Fellow at King’s College London.

    Expertise

    He is specialised in the diagnosis and treatment of older adults (aged over 50) with a wide range of conditions including:

    • Anxiety disorders
    • Depression
    • Alzheimer’s disease
    • Vascular dementia
    • Lewy body dementia
    • Assessment of Capacity
    • Schizophrenia and all psychosis

    Assessment and Treatment

    Ramin provides thorough diagnostic assessments, treatment and ongoing reviews. He aims to see you within a matter of days from referral and can see you at your home or at our consulting rooms.

    Appointment prices

    Initial assessment of 90 minutes incl. report, priced at £450.

    Comprehensive diagnostic & capacity assessment of 120 minutes incl. report, priced at £750.

    Optional follow-ups at £300 for 60 minutes, and £200 for 30 minutes.

    Home visit supplements starting from £100.

    Dr Hema Ananth

    Dr Hema Ananth qualified from UCL in 1995 and has now been established as a Consultant Psychiatrist for 12 years. She completed her Psychiatric training on the Royal Free Training Scheme. Hema was awarded the Fellowship of the Royal College of Psychiatrists in 2012 for her contribution to Psychiatry. Her NHS work is in Hertfordshire, where she is the lead for the local Memory Service. This involves close work with the Alzheimer’s Society, with whom she has been involved in a voluntary capacity. Hema is the Chair of the Herts Old Age Psychiatry Group and also sits on the Ethics Executive. She has been involved in private practice for 10 years.

    Hema is actively involved in Medical Education of Junior Doctors and is a Tutor and enrolled in a Masters in Medical Education. She was elected Secretary of the Psychiatry Council at The Royal Society of Medicine where she promotes Psychiatry and inputs into conferences. She has previously been on the Liaison Faculty and Women in Psychiatry Group at The Royal College of Psychiatrists and remains an active member of the Old Age Faculty.

    Expertise

    Hema is specialised in the diagnosis and treatment of older adults (aged over 50) with a wide range of conditions including:

    • Anxiety Disorders
    • Depression
    • Alzheimer’s disease
    • Vascular dementia
    • Lewy Body dementia
    • Mild Cognitive Impairment
    • Panic Disorders
    • Capacity Assessment
    • Cognitive Behavioural Therapy (CBT)

    Research and Publications

    Beveridge E A, Ananth H, Scurlock H J ‘What protection for the unborn child of a psychologically vulnerable adult?’ Journal of the Royal Society of Medicine.96(2):92-93, February 2003.

    Ananth H, Jones L, King M and Tookman A ‘The Impact of Cancer on Sexual Function:A Controlled Study’ Palliative Medicine, 2003; 17: 202-205

    Invited speaker at Marie Curie Research and Development Conference 2002, 2005 and St George’s Hospital 2002.

    Campbell PG and Ananth H ‘Graduates: In: Jacoby R, Oppenheimer C, eds: Psychiatry in the Elderly’ Oxford: Oxford University Press, 2002, pp 762-799.

    Ananth H, Popescu I, Good CD, Critchley HD, Frackowiak RSJ, Dolan RJ ‘Cortical and Subcortical Gray Matter Abnormalities in Schizophrenia: Optimized Volumetric Voxel-Based Morphometry of Structural Magnetic Resonance Imaging’ Am J Psychiatry 159:1497 – 1505, September 2002

    Poster presentation at International Schizophrenia Conference, Davos 2002.

    Critchley HD, Ananth H, Popescu I, Good CD, Frackowiak RSJ, Dolan RJ: Cortical and thalamic grey matter abnormalities in Schizophrenia: optimized volumetric Voxel-based morphometry of structural magnetic resonance imaging Schizophrenia Research 53, Suppl A181

    Currently collaborating with Research & development team looking into category-specific object naming in dementia: Category-Specific Object Naming in Dementia of Probable Alzheimer Type: naming pictures of living and non-living things, actively recruit for DENDRON.

    Posters at Royal College of Psychiatrists: 2012 Prevalence of Depression in non-referred patients in the General Hospital, 2015 Eating Disorders in the Elderly and Developing a Template for GP letters following a Memory Clinic Assessment

    Assessment and Treatment

    Hema provides thorough diagnostic assessments, treatment and ongoing reviews. She aims to see you within a matter of days from referral and can see you at your home or at our consulting rooms at The Medical Chambers Kensington or Queen Square Private Consulting Rooms.

    Appointment prices

    Initial assessment of 90 minutes incl. report, priced at £450.

    Comprehensive diagnostic & capacity assessment of 120 minutes incl. report, priced at £750.

    Optional follow-ups at £300 for 60 minutes, and £200 for 30 minutes.

    Home visit supplements starting from £100.

    Dr Farooq Khan

    Dr Khan works as Consultant Psychiatrist at the Birmingham and Solihull NHS Mental Health Foundation Trust. Dr Khan has outstanding qualifications including Masters in Psychiatry, MRCPsych, he is the Fellow at the Indian Psychiatric Society and holds Masters in Medical Education. He had a comprehensive and wide ranged professional experience of working in adult, old age, child, alcohol and substance use, learning disability, assertive outreach and Forensic Psychiatry right from the beginning of his career in psychiatry before aspiring to become expert in older people’s mental health problems.

    Dr Khan is a member of editorial review board of a Medical Journal and has more than 30 publications in National and International Medical Journals. Dr Khan has broad based research experience both being the lead and co-investigator in number of projects (completed and ongoing). All of these projects are clinical and related to both the workplace and academic institutions. Dr Khan has presented papers / posters in more than 30 National and International Conferences winning medals and awards.

    Dr Khan is the Regional Representative of for Royal College of Psychiatrists – West Midlands Region for Faculty of Old age Psychiatry.

    Dr Khan holds a Senior Lecturer post at the University of Chester, he is Hon Senior Clinical Lecturer at the Aston Medical School and also Senior Clinical Examiner at the Birmingham Medical School (Psychiatry).

    Expertise

    He is specialist in the diagnosis and treatment of older adults (aged over 50) with a wide range of conditions including:

    • Depression
    • Dementia of different types including Alzheimer’s, Vascular, Mixed, Lewy-body, Parkinson’s dementia
    • Anxiety disorders
    • Schizophrenia and other psychotic conditions
    • Mental Capacity Assessments including testamentary capacity assessments

    Research and publications

    Kumararatne G., Khan, F. Issues in Dementia: What do we know to date? Geriatric Medicine (GM) March 2016 edition; 15-20.

    Kumararatne G., Khan, F. Issues in Dementia: What do we know to date? Geriatric Medicine (GM) Feb 2016 edition; 28-34.

    Tsaroucha A., Kingston, P., Khan, F., Hassiem, F. The relationship between oral/dental pain and behavioural and psychological symptoms of dementia (BPSD) among elderly residents in nursing homes. The Journal of New Writing in Health and Social Care 2015, 1(2).

    Khan F. Mild Cognitive Impairment (MCI) or Normal Ageing! Journal of Gerontology and Geriatric Research 2015; 4(4).

    Khan FA, Sehgal T, Tadros G, Holmes J. Descriptive psychiatric profile of patients presenting with overdose in an inner city hospital. AP J Psychol Med 2014; 15(2): 181-6.

    Khan F, Kingston P. Retirement and Mental Health, Old Age Psychiatrist 2014; (59). Available at: http://www.rcpsych.ac.uk/pdf/121213-RETIREMENT%20AND%20MENTAL%20HEALTH%20NEWS%20LETTER%20EDITED%2021.pdf

    Khan F, Malik A, Azeem S, Abeyagunaratne J, Azeem H, Ali MS. Contemporary issues in liaison psychiatry and growing older adult population in India: experiences from UK initiatives AP J Psychol Med 2013; 14 (1): 25-32.

    Khan F, Tadros G. Physician-assisted suicide and euthanasia in Indian context: Sooner or later the need to ponder! Indian J Psychol Med 2013; 35:101-5.

    Khan, F. & Tadros, G. (2013). Complexity in cognitive assessment of elderly British Minority Ethnic groups (BME): cultural perspective. Dementia: International Journal of Social Research and Practice doi: 10.1177/1471301213475539.

    Rakhawy, M., Tadros, G., Khan, F., Al-Houssini, A.M. (2013). Euthanasia and Physician- assisted suicide: historical and religious perspective in the Middle East. International Psychiatry 2013; 10(1): 20-21.

    Khan, F. A., Rice, D. and Tadros, G. The use of supportive observations within an inpatient mental health unit for older people and dilemma of using the Mental Health Act (2007) or the Mental Capacity Act (2005) in England and Wales. Journal of Psychiatric and Mental Health Nursing; 2013 Feb; 20(1): 91-6.

    Khan, F. (2011). Being Monolingual, Bilingual or Multilingual – Pros and cons in Dementia patients. International Psychiatry Journal, 8(4): 96-98.

    Khan, F & Bernadt, M. (2011). Intense suicidal thoughts and self-harm following Escitalopram treatment. Indian Journal of Psychological Medicine, 33(1): 74-76.

    Khan, F. & Curtice, M. (2011). Nonpharmacological management of behavioural symptoms of dementia. British Journal of Community Nursing, 16(9): 441-449.

    Khan, F. & Curtice, M. (2011). Diagnostic dilemma in an elderly woman. British Medical Journal, 342:d969.

    Tadros, G., Rakhawy, M. Y., Khoweiled, A., El-Houssini, A. M. & Khan, F. (2011). Perception of physician-assisted suicide among Egyptian Psychiatrists – cultural perspective. The Psychiatrist, 35: 15-18.

    Assessment and Treatment

    Farooq provides thorough diagnostic assessments, treatment and ongoing reviews. He aims to see you within a matter of days from referral and can see you at your home or at our consulting rooms.

    Appointment prices

    Initial assessment of 90 minutes incl. report, priced at £450.

    Capacity assessment of 60 minutes incl. report, priced at £375.

    Comprehensive diagnostic & capacity assessment of 120 minutes incl. report, priced at £750.

    Optional follow-ups at £300 for 60 minutes, and £200 for 30 minutes.

    Home visit supplements starting from £100.

    Dr Claudia Wald

    Dr Wald is a Consultant Psychiatrist specialising in the mental health of older adults. She gained dual accreditation in adult and older adult psychiatry from the Royal College of Psychiatrists in 1998 and have been a Consultant Psychiatrist for Older Adults in Central and North West London NHS Foundation Trust since 2003. As a Consultant Psychiatrist, she has had a wide range of experience in overseeing services including older adult in-patient wards, an NHS-funded continuing care home for people with mental illness and associated challenging behaviours, an older adult community mental health team and older adult liaison services at Chelsea & Westminster Hospital and St Mary’s Hospital in Paddington.

    She established the Westminster Memory Service in 2009 and the Kensington & Chelsea Memory Service in 2011 which have both repeatedly been nationally accredited with excellence by the Royal College of Psychiatrists and which were awarded The Royal College’s Older Adult Team of the Year in 2015. She has extensive experience in the diagnosis and management of cognitive disorders and the psychiatric and behavioural symptoms which commonly accompany these conditions. Dr Wald also have extensive experience in the diagnosis, treatment and management of functional mental illnesses such mood disorders and psychosis as well as capacity assessments.

    Expertise

    Claudia is specialised in the diagnosis and treatment of older adults (aged over 50) with a wide range of conditions including:

    • Anxiety disorders
    • Depression
    • Vascular dementia
    • Panic disorders
    • Capacity assessment
    • Alzheimer’s disease
    • Lewy body dementia
    • Mild cognitive impairment
    • Other dementias

    Assessment and Treatment

    Claudia provides thorough diagnostic assessments, treatment and ongoing reviews. She aims to see you within a matter of days from referral and can see you at your home or at our consulting rooms at The Medical Chambers Kensington or Queen Square Private Consulting Rooms.

    Appointment prices

    Initial assessment of 90 minutes incl. report, priced at £450.

    Capacity assessment of 60 minutes incl. report, priced at £375.

    Comprehensive diagnostic & capacity assessment of 120 minutes incl. report, priced at £750.

    Optional follow-ups at £300 for 60 minutes, and £200 for 30 minutes.

    Home visit supplements starting from £100.