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Care Homes NHS Lothian | Our Services

Vaccination – Information on Consent, Power of Attorney and Preparing for a Visit from the Vaccination Team to Your Care Home

Not all residents with an appointed PoA lack capacity to consent to vaccination. A person may still have capacity for simple decisions like vaccination, even if they cannot consent to more complex treatments such as surgery.

Here you will find information on when a resident does and doesn’t have capacity to consent to vaccination and how to prepare in your Care Home for a visit from the vaccination team.

This information is also available on the Vaccination – Information on Power of Attorney webpage on this website.

Important:
Verbal consent will be taken from the PoA at the time of vaccination.

When does a resident have capacity to consent to vaccination?

A resident can provide informed consent if they:
  • Show consistency in decision-making (e.g. given the same information again, they make the same choice).
  • Understand and act on the information given about the vaccination.
  • Use this information to make a decision.
  • Communicate their decision clearly to the vaccinator.

When a resident doesn’t have capacity to consent to vaccination?

When a resident cannot provide informed consent, they must have:
  • A valid Certificate of Incapacity under Section 47 of the Adults with Incapacity (Scotland) Act 2000, specifically covering vaccination or medical treatment/interventions. This can be requested from the GP if needed.
  • An acting PoA with welfare powers.

Care Home Preparation Before a Vaccination Team Visit

To avoid delays, staff should ensure the following documents are ready for review by the vaccination team:
  • A copy of your full power of attorney document or certificate of appointment for the nurse to review
  • The certificate of incapacity under Section 47 of the Adults with Incapacity (Scotland) Act 2000 which is valid for the administration of vaccinations