Informed Consent Form Template for England and Wales

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Key Requirements PROMPT example:

Informed Consent Form Template

I need an Informed Consent Form Template for a multi-center clinical trial starting in March 2025, which will involve collecting sensitive medical data from patients across five hospitals in England, with specific emphasis on data protection and right to withdraw.

Document background
The Informed Consent Form Template is essential for healthcare providers and researchers operating under English and Welsh jurisdiction. It serves as a crucial document for documenting patient understanding and voluntary agreement to medical procedures or research participation. The template ensures compliance with UK healthcare regulations, including the Mental Capacity Act 2005 and Data Protection Act 2018, while incorporating best practices from medical ethics and legal requirements. It should be used whenever informed consent is required for medical procedures, research studies, or clinical trials.
Suggested Sections

1. Introduction: Purpose of the consent form and study/procedure identification

2. Patient Information: Basic details of the person giving consent including name, date of birth, and contact information

3. Description of Procedure/Study: Clear explanation of what is being consented to, including purpose, methods, and duration

4. Risks and Benefits: Detailed outline of potential outcomes, side effects, and expected benefits

5. Declaration of Consent: Formal statement of voluntary agreement and understanding

6. Signatures: Space for patient, healthcare provider, and witness signatures with dates

Optional Sections

1. Alternative Treatments: Description of other available treatment options and their implications

2. Data Processing Information: Details of how personal data will be collected, stored, used, and shared

3. Withdrawal Rights: Information about the right to withdraw consent and its implications

4. Financial Information: Details of any costs, compensation, or insurance arrangements related to the procedure/study

Suggested Schedules

1. Patient Information Sheet: Detailed supplementary information about the procedure/study in plain language

2. Risk Assessment Form: Comprehensive breakdown of potential risks and mitigation measures

3. Privacy Notice: Detailed information about data protection and privacy practices

4. Glossary of Terms: Definitions of medical and technical terms used in the consent form

Authors

Alex Denne

Head of Growth (Open Source Law) @ Genie AI | 3 x UCL-Certified in Contract Law & Drafting | 4+ Years Managing 1M+ Legal Documents | Serial Founder & Legal AI Author

Relevant legal definitions
Clauses
Industries

Data Protection Act 2018: UK implementation of GDPR, governing how personal data must be handled, processed, and protected in informed consent processes

Mental Capacity Act 2005: Legislation governing how to assess and handle consent for individuals who may lack capacity to make their own decisions

Human Rights Act 1998: Ensures respect for fundamental human rights in medical treatment and consent processes

NHS Act 2006: Provides framework for healthcare delivery and patient rights within the National Health Service

Care Act 2014: Sets out duties of care and support, including requirements for consent in care settings

HRA Guidelines: Health Research Authority guidance on obtaining and documenting informed consent, particularly in research contexts

GMC Guidance: General Medical Council professional standards and guidelines for obtaining patient consent

Montgomery Principles: Legal principles from Montgomery v Lanarkshire Health Board [2015] case defining standard for informed consent and risk disclosure

Clinical Trials Regulations 2004: Specific requirements for consent in clinical trials and medical research

Human Tissue Act 2004: Regulations governing consent for the use, storage, and disposal of human tissue samples

Medicines for Human Use Regulations: Requirements for consent in the context of medical treatment and drug administration

Good Clinical Practice Guidelines: International ethical and scientific quality standards for conducting clinical trials and obtaining consent

Common Law Duty of Care: Legal obligation to exercise reasonable care and skill in medical treatment and consent processes

Patient Autonomy Principle: Legal and ethical principle recognizing patient's right to make informed decisions about their own treatment

Teams

Employer, Employee, Start Date, Job Title, Department, Location, Probationary Period, Notice Period, Salary, Overtime, Vacation Pay, Statutory Holidays, Benefits, Bonus, Expenses, Working Hours, Rest Breaks,  Leaves of Absence, Confidentiality, Intellectual Property, Non-Solicitation, Non-Competition, Code of Conduct, Termination,  Severance Pay, Governing Law, Entire Agreemen

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