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Colorectal Cancer Screening — MRCGP AKT MCQ

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HardPreventive MedicineColorectal Cancer ScreeningMRCGP AKT

A 60-year-old with a learning disability is due NHS bowel screening. A carer asks the GP to remove him permanently from recall because his capacity to decide is uncertain. What is the best response?

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Correct answer: B — Support his decision-making and assess capacity for this choice

Learning disability alone is not a reason to cease bowel screening recall. Presume capacity, provide accessible information and all practicable support, then assess capacity for this specific decision if doubt remains. If he lacks capacity after support, any decision must follow a documented best-interests process that considers the screening pathway and possible further investigation.

Reference: GOV.UK: bowel screening consent and ceasing guidance. https://www.gov.uk/government/publications/bowel-cancer-screening-consent-and-ceasing-guidance/consent-and-ceasing-guidance; NICE NG108: decision-making and mental capacity recommendations. https://www.nice.org.uk/guidance/ng108/chapter/Recommendations