SJT: Mastering Consent, Capacity & End-of-Life Law (Free MSRA Revision)

Intro: | Consent, capacity and end-of-life law are the single most law-dense domains in the MSRA SJT. This episode distils Montgomery, the Mental Capacity Act, ADRTs, LPAs, Gillick competence, Fraser guidelines, best-interests law, DNA-CPR rules and equality duties into clear, repeatable exam patterns. Through realistic scenarios — from delirious sepsis to refusals of life-saving treatment, to children’s consent and resource allocation — you’ll learn exactly how safe doctors apply structured, lawful reasoning under pressure.Chapters: | • Consent as a legal process (capacity, voluntariness, informed choice) • Montgomery: material risks & reasonable alternatives • Unwise decisions and autonomy rights • GCA mnemonic for valid adult consent • Gillick, Fraser & Family Law Reform Act pathways • When 16–17-year-olds refuse life-saving treatment • MCA 2-stage test and four functional abilities • Supporting capacity: reversible causes & communication aids • IMCA triggers for serious medical decisions • ADRTs and LPAs: when legally binding • DNA-CPR vs do-not-treat • Tracy & Winspear case law • Best-interests decisions & Section 4 checklist • Equality Act: reasonable adjustments and AIS • Cultural competence and safe boundaries • Fairness in scarce-resource decisions • High-frequency SJT traps • Four recurring exam patterns • Final three MSRA principles Chapters_timestamps: | 00:00 Why consent, capacity and EoL law dominate 00:30 Consent as a process 01:16 Montgomery: material risks 02:24 Autonomy and unwise decisions 03:20 GCA mnemonic for safe consent 04:10 Under-16s: Gillick 05:00 Fraser criteria 05:56 16–17 refusal: legal duties 06:48 MCA: support → assess → best interests 07:40 Reversible causes & communication support 08:36 Two-stage test + four abilities 10:00 IMCA triggers 11:20 ADRT validity & applicability 12:10 LPAs and authority 13:05 DNA-CPR limits 13:40 Tracy & Winspear 14:20 Best-interests checklist 15:04 Equality Act & AIS 16:00 Cultural boundaries & safeguarding 17:00 Fair allocation of scarce resources 18:00 High-risk SJT traps 19:00 Four exam patterns 20:10 Final takeaways Key_takeaways: | • Autonomy first: support understanding before assessing capacity • Montgomery requires discussing material risks and all reasonable alternatives • Capacity is decision-specific; unwise decisions ≠ incapacity • ADRTs (valid & applicable) and LPAs are legally binding • Fairness requires needs-based allocation, reasonable adjustments and escalation of system risk 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 #Consent #Capacity #EndOfLifeCare #MCA2005 #Montgomery #Gillick #FraserGuidelines #ADRT #LPA #DNA_CPR #PatientSafety #Professionalism #MedicalEthics #UKDoctors #GPTraining #MedicalRevision #MedEd #passthemsra #freemsra #msraio