What Consent Plus Is Trying To Achieve And Why

Frequently Asked Questions

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What is ConsentPlus?

ConsentPlus is a unique digital innovation, which use the flip class room principle to enhance involvement and participation of consent to treatment process. ConsentPlus aims to promote a dialogue of discussion on risk and benefits of surgery between the patient, family, friends and their healthcare team.

Consent PLUS has enabled the healthcare team to improve patient experience, save consultant time and standardise information delivery processes. Using Consent PLUS at the hospital in an access-controlled manner has enabled competent clinicians to give individual patients and their careers much more quality information about the procedure, including the material risks and benefit involved for that individual.

Can you use ConsentPlus if you do not have a computer?

ConsentPlus aims to be as interactive, efficient and tailor made to deliver the best information to you at the right place at the right time. You can access ConsentPlus on any computer, smartphone or tablet. We would like encourage people to use Consent PLUS over the internet with their family and friends and from a team before surgery.

Can non-patients use ConsentPlus?

Yes, Consent PLUS is designed to education people who wants to learn more about surgery and its risks. It is design to educate but not just limited to patients. From users’ feedback, patient’s family feel that Consent PLUS is a very useful resource.

How do I get started?

From the homepage, register with your details, watch the introductory video and select your surgery. The video’s will flow from there!

Do I have to watch all of the videos?

No, you can choose what you like.

We respect and understand that you may not want to watch all the videos. We want to make you feel informed and more confident in your decision and watch what you feel is necessary to achieve that.

What shall I do with the certificate?

Print off the certificate to take to your clinic appointment. If you do not have access to a printer, write down your unique code on the certificate and give this to your Consultant. They should then be able to access it.

What should I do if I can’t log in?

Check your email and password are correct. If you cannot remember your password, click on “Forgot your password?” on the log-in page to reset your details.

Disclaimer: The information provided is accurate at the time of writing to the best of the knowledge available at that time.

For Doctors

Explore the benefits associated with the Consent Plus process. Learn why we are so passionate about this process and understand the legal implications behind the consent process.

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Consent PLUS is a unique digital innovation, which uses the flip classroom principle to enhances involvement and participation of consent to treatment process. The aim of Consent PLUS is to promote a dialogue of discussion on risk and benefit of surgery between patient, family, friends and healthcare team

Benefits for patients and carers:

  • Improved consent process with clear interactive information about the procedure; material risks; benefits and alternatives. The consultation focuses on the patient rather than writing out the consent form.
  • The system has in-built checklist of individual competency to ensure that consent is obtained based on full disclosure of information.
  • Patients and their family can receive information sooner in the process, with more time to consider options and obtain further information if required.
  • Facility exists to support the process by e-mailing the documentation produced to the individual patient if requested during the consultation.

Benefits for staff obtaining consent:

  • Reduction in time spent by healthcare professionals to explain the same risk and benefit of surgery each time to all patients, saving clinician and clinic time.
  • Development of‘gold standard’procedure specific patient information pathway which gives consistent information.
  • Identification of agreed risks, benefits and alternatives for each procedure performed within the different departments of the Trust with production of a ‘checklist’ of risks and benefits to guide each consultation.


In 2015, the Supreme Court in the United Kingdom has significantly altered the emphasis of informed consent. In line with other international jurisdictions, the UK has now moved from a historically ‘doctor-focused’ to a more ‘patient-focused’ approach in the consent process.

“Retention of information is selective and the expected benefits of surgery are recalled much better than the potential risks”

Commutation is a two way process, in order for this to work, patient must also actively involve and put in the effort to try to understand and retain the information. Doctors must take reasonable care to ensure that the patient is aware of any material risks involved in any recommended treatment and of any reasonable alternative treatments

The law defines "material risk" as either a risk to which a reasonable person in the patient’s position would be likely to attach significance or a risk that a doctor knows—or should reasonably know—would probably be deemed of significance by this particular patient.


The Montgomery case has discredited the 30 year old Bolam test, which makes the responsible body of medical opinion no longer applicable in modern medicine.

As Daniel Sokol explains (doi:10.1136/bmj.h1481), the Montgomery ruling means that doctors have a duty “to take reasonable care to ensure that the patient is aware of any material risks involved in any recommended treatment and of any reasonable alternative or variant treatments.” said the justices. “The test of materiality is whether, in the circumstances of the particular case, a reasonable person in the patient’s position would be likely to attach significance to it.”

In Consent PLUS we believed focus on “this particular patient” is key to successful consent process. A material risk to one patient may not be to another.

A surgeon last week told us that he discloses risks of 1% and more. This is a perilous habit.

In the Australian case of Rogers v Whitaker there was a one in 14,000 chance of blindness in one eye.
Although the risk was remote, the claimant was already blind in the other eye, making the risk of great significance to the claimant. The Australian court found the doctor’s failure to disclose this risk to be negligent.

The UK Supreme Court talks of a “dialogue” between doctor and patient, reminiscent of the conversation model of consent of the bioethicist Howard Brody.

In order to have a dialogue, both doctor and patient must be educated.

The Supreme Court emphasised the need to give information in clear terms and to avoid “bombarding the patient with technical information which they cannot reasonably be expected to grasp.”

In the Montgomery case the Supreme Court noted that “there is something unreal about placing the onus of asking upon a patient who may not know that there is anything to ask about.”

This supports the need of education of the patient and the birth of Consent PLUS!