Who assesses decisions in the best interests for someone lacking capacity?

• A. The healthcare team acting in the patient's best interests
• B. The patient's relatives only
• C. The court in every case
• D. The patient themselves

Answer: (A)

When someone cannot make their own decisions, those who are caring for them must decide what would be best for that person. The healthcare team is best placed to assess medical risks and benefits and to weigh those against the person’s known wishes, beliefs, and values. They bring the medical expertise needed to protect the person’s welfare and to choose the most appropriate course of action in their best interests. Relatives or carers should be consulted, but they do not have the authority to decide on their own. A court is only involved in specific situations, such as when there is a disagreement or safeguarding issue, not in every case. So, the healthcare team acting in the patient’s best interests is the correct approach.