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Consent and learning disability — DCH MCQ

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HardEthics and communicationConsent and learning disabilityDCH

A 10-year-old child with learning disability needs immunisation. His mother consents, but he is distressed and says no; there is no urgent outbreak risk. What is the most appropriate management?

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Correct answer: C — Use best-interests decision-making and reasonable adjustments

Children who lack capacity still require best-interests decision-making that considers their views, distress, benefits, timing and reasonable adjustments. Immediate force is inappropriate when the situation is not urgent. The pearl is that consent is a process, and preparation or specialist support may make vaccination possible.

Reference: GMC 0-18 years guidance; UKHSA Green Book