SJT: Mastering Capacity, Candour & Confidentiality for the MSRA (Free MSRA Revision)

Intro: Capacity, candour and confidentiality form the backbone of Good Medical Practice 2024 — and they are the single most heavily tested ethical trio in the MSRA SJT. This episode cuts through the noise and gives you a clean, law-anchored, exam-proof framework for handling clashes between autonomy, safety, legality and information governance. Using real-world patterns, the Mental Capacity Act 2005, Montgomery, Caldicott principles and safeguarding law, you’ll learn exactly how safe doctors reason when duties collide.Chapters: | • Capacity-first mindset and MCA statutory principles • Supporting decision-making before testing • Two-stage capacity test (diagnostic + functional) • Fluctuating capacity strategy • Montgomery: material risks & alternatives • Best interests: Section 4 checklist & least restrictive option • ADRT, LPA and IMCA triggers • Candour: professional vs statutory duties • Reg 20 thresholds and immediate apology rules • Speaking up: safety escalation and protected disclosures • Caldicott & IG: minimum necessary disclosure • Direct care vs third-party information requests • Police, safeguarding, DVLA and public-interest exceptions • Secure communication and digital breach mitigation • The MAKE-SAFE sequence for complex duty conflicts • High-yield decoy traps and how to avoid them Chapters_timestamps: | 00:00 Why these three duties dominate the MSRA 00:24 Core professional duties in modern UK practice 00:56 Capacity-first principle 01:36 Supporting capacity (MCA principles 1–3) 02:24 Two-stage test: diagnostic → functional 03:14 Fluctuating capacity 04:12 Montgomery in practice 05:20 Best interests & Section 4 checklist 06:24 ADRT, LPA, IMCA 07:48 Candour: immediate professional duty 09:00 Statutory candour (Reg 20) 10:10 Speaking up & protected disclosures 11:16 Confidentiality & minimum necessary disclosure 12:32 Direct care vs third-party requests 13:22 Police requests and safeguarding 14:20 DVLA & public-interest disclosure 15:05 Digital breaches & WhatsApp pitfalls 15:52 The MAKE-SAFE sequence 17:04 High-yield SJT traps 18:10 Final MSRA takeaways Key_takeaways: | • Capacity must always be enabled, assessed lawfully and documented clearly • Candour requires immediate apology, transparency and organisational reporting when thresholds are met • Confidentiality is strong but not absolute — public interest, safeguarding and statutory duties override it • Minimum necessary disclosure and secure channels are essential for IG safety • Complex scenarios require a structured sequence: make safe → assess capacity → clarify lawful basis → act proportionately → document Links: - passthemsra.com – Complete MSRA revision, notes, mocks, flashcards - freemsra.com – Free podcasts, threads and rapid-learning guides - msra.io – Smart MSRA Qbank with analytics#MSRA #SJT #GMCGuidance #Capacity #Candour #Confidentiality #MentalCapacityAct #Caldicott #PublicInterest #Safeguarding #Professionalism #MedicalEthics #UKDoctors #GPTraining #MedicalRevision #MedEd #passthemsra #freemsra #msraio