About Us

About Medical Consent

At Medical Consent we focus on just one thing. Creating patient-friendly software supported by high quality patient information videos (Patient Decision Aids) to achieve legally compliant informed consent.

Here in the UK, the process of achieving patient consent for medical interventions isn’t always completed as well as it could be. Before a patient signs their consent form, which acknowledges their understanding of any risks associated with their procedure, they need to feel confident about their decision. Currently, the process of consent is, in many cases, outdated and no longer fit for purpose. It can leave patients feeling confused, uncertain about what is involved in their procedure and the risks they face, and potentially with important questions unanswered. This can leave the Medical Team vulnerable to litigation.

Patient information and consenting patients – what’s changed?

In 2015, the UK’s Supreme Court stipulated that, before consenting to a medical procedure, healthcare professionals must give the patient all the information they need to be able to make the right decision about their treatment.

As part of this, it’s essential to explain all the treatment options, including the option of receiving no treatment, and the associated risks. This includes ‘material risks’ for each treatment option that must be personalised for every patient. This means doctors must have an understanding of a person’s work and lifestyle.

The test of materiality has become twofold:

  • Whether, in the circumstances of a particular case, a reasonable person in the patient’s position would be likely to attach significance to the risk
  • The doctor is, or should reasonably be aware, that their particular patient would be likely to attach significance to it 

Consent should be written and recorded. Once the patient has made their decision, consent should be acknowledged at the end of the discussion by both the doctor and the patient. This provides part of the evidence that a discussion has taken place, although in itself it provides no meaningful information about the quality of the discussion. In addition to the consent form, a record of the meeting (including the key points, hard copies or web links to any further information provided to the patient, and the patient’s decision) should be included in the patient’s case notes. This is essential, even if they choose not to have any treatment. 

In making informed consent a legal obligation, the Supreme Court overturned all the Lower Court judgments. Nadim Montgomery’s case failed in all the Lower Courts due to the existing case law in Sidaway and Bolam, the test at that time being a medical judgment that the doctor’s conduct would be supported by a responsible body of medical opinion.

So what does this mean for healthcare professionals today?

In short, it means they have a legal duty to provide informed consent to all patients, including full disclosure of the risks, and to keep a complete record of this. And they have no defence to do less than this by application of the Bolam test.

At Medical Consent, we understand that the legal implications may feel a bit overwhelming when you just want to get on with your job. And we know the process can be improved and benefit clinicians and their patients.

That’s why we’ve come up with an online pathway to help you and your patients navigate the whole consent process. It gives patients the information they need, step-by-step, so that they can feel confident about their decisions. And you can focus on continuing to do your best for your patients, without the threat of litigation at a later stage because due process was not followed.

Informed consent – the problems

The main issues around consent are:
  • Poor legal compliance
  • Patients not understanding the real surgical risk
  • An incomplete paper trail of consent
  • The spiralling cost and frequency of litigation
  • Rising cost of medical negligence insurance
Medical indemnity insurance is increasingly expensive as both the number and cost of claims continue to rise. Under the Clinical Negligence Scheme for Trusts operated by NHS Resolution (2018/19) the estimation of cost to settle all clinical negligence claims was £83bn. The actual payments made in that year for clinical negligence were £2.3bn up from the 2014/15 figure of £1bn.

Informed consent – the solution

At Medical Consent, our solution is built around:

  • Making sure patients know about alternative treatment options, risks and the impact the procedure could have on their day-to-day lives. These risks are set out in our Patient Decision Aid videos.
This is interesting. I want to know more about Patient Decision Aids.
  • A bidirectional platform that allows patients to input information and ask their healthcare team questions at any point.
  • Software that helps clinicians attain legal compliance.
  • A digital record of the patient consent journey.
  • Full audit trail automatically generated.
  • Evidence that patients have understood the procedure and its risks.
Yes. I see value here. Tell me more about your Informed Consent App.
  • A risk management platform, that helps consultants manage patient expectation of surgical outcomes

Meet the team


Neil Bolton 

Neil is our Managing Director. He has 25 years’ experience of running a legal liability business for Hiscox Syndicate and established Hiscox’s global market operation in the US.
DAn Smith photo (1)

Daniel Smith 

Dan is our Operations Director and an original founder of the business. He is a technology entrepreneur
adrian wilson

Professor Adrian Wilson

Adrian is our clinical director and is a world-renowned orthopaedic surgeon and medical entrepreneur. He is one of the founders of the business.