Clear Direction for Those Working With Vulnerable Patients in Our Health Services

A one-day conference

Royal Marine Hotel,
Dun Laoghaire, Co. Dublin

Date: 14th June 2018

The Assisted Decision Making (Capacity) Act has been signed into law and it applies to everyone in all health and social care services.  The Act is about supporting decision making and maximising a person’s capacity to make decisions. Now is the time to start preparing staff and services for commencement and provide guidance for staff on what the Act will mean for day to day practice.

CMG events typically sell out quickly, so prompt booking is strongly advised to secure your place at the Early Bird Rate of €345.00 + VAT (Normal rate €445.00 + VAT)

Please note the early bird discount can close sooner than expected once a certain amount of seats fill up, therefore your prompt booking is strongly advised to avoid disappointment.

Book your place now!

This one day conference aims to do just that and delegates will leave this conference with a better understanding of the act, how it will affect your day to day operations and what key points you need to focus on implementing going forward.

This conference will be of interest to all professionals working in our healthcare services including nurses, directors of nursing, social care workers, home care providers, carers, nursing homes, hospices, consultants, GP’s, regulators, associations, researchers and universities.

Full Day Programme 8.50am to 4pm

Chairperson Opening Remarks & Overview
Speaker: Deirdre Madden, UCC

  • Why it is needed. What is hoped to be achieved.

Speaker: Mary Kirwan, Barrister & Lecturer RCSI

  • Understanding Capacity
  • Who does the act apply to – who is the relevant person (RP)
  • Assessing and supporting Capacity
  • Power of court to make declarations as to capacity
  • Review of declaration
  • The Guiding Principles of the Act
  • Intervention
  • The three levels of supported decision – briefly covered- making: A) Decision Making Agreement / B) Co-Decision Making / C)Decision Making Representative
  • The role of the Director of Decision Making Support and the role of the Courts

Guiding Principles of the Act

Assistance Decision Making & Co-Decision Making
Speaker: Sophie Honohan BL, The Law Library


  • The role of a co-decision-maker
  • The co-decision-making agreement and its registration
  • Variation and termination of agreement and change(s) in capacity
  • The interplay with the Director of the Decision Support Service
  • Complaints and offences in relation to co-decision-making

Assisted decision-making:

  • Difference between co-decision and assisted decision-making
  • The assisted decision-making agreement
  • The decision-making assistant

Decision Making Representative

Restrictions and Protections

Consent – How will consent change?
Speaker: Asim A. Sheikh, practising Barrister, specialising in medical negligence and medical law.

  • How the 2015 Act will change consent in Medical Practice
  • Examine Fundamental changes brought by the Guiding Principles
  • Examine what the legal rationale will potentially be in relation to the measurement of capacity
  • will look at relevant UK case law by way of examples and learning points
  • will look at case vignettes of practice to look at how consent will change
  • will give practical tips to practitioners in relation to changes in practice

Implications of the legislation in practice
Speaker: Caoimhe Gleeson, HSE National Programme Lead- Assisted Decision Making

  • Supported Decision Making
  • Functional assessment of capacity
  • Decision making in the absence of capacity
  • The guiding principles in operation
  • The challenge of unwise decisions
  • Unwise decisions and safeguarding
  • Immediate system changes required
  • Challenging current culture

Abolishment of the Ward of Court

  • Arrangements and timeframes for review of existing Wards of Court and the process for their transfer to the new system.

Enduring Powers of Attorney
Speaker: Patricia Rickard-Clarke, Solicitor & Member of the Multi-Disciplinary Group drafting codes of practice for Advance Healthcare Directives

  • Requirements when creating an enduring power of attorney
  • Who is suitable to be an attorney or is ineligible or disqualified from being an attorney?
  • What is the scope of the authority that a person may give an attorney?
  • Registration requirements and effect of registration.
  • Reporting obligation of an attorney and the role of the Director of the Decision Support Service.
  • Offences in relation to enduring powers of attorney.

Advanced Healthcare Directives
Speaker: Deirdre Shanagher, Development Officer, The Irish Hospice Foundation

  • Advanced care planning
  • Making an advance healthcare directive
  • Validity and applicability
  • Effect of advance healthcare directives
  • Designated healthcare representative
  • Role of courts
  • Codes of practice

Development of the Codes of Practice

Expert Reports

Applications to court
Speaker: Nicola Carroll, Barrister-at-Law, The Law Library


  • Role of director where nullity occurs

Detention Matters

  • Detention related safeguards

Deprivation of Liberty provisions

There will be 6 structured CPD points awarded to all attendees at this conference from the CPD certification service

Patricia Rickard-Clarke

Patricia Rickard-Clarke

Solicitor & Member of the Multi-Disciplinary Group drafting codes of practice for Advance Healthcare Directives

Patricia Rickard-Clarke is a solicitor and former Commissioner of the Law Reform Commission. 

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She is the independent Chair of the National Safeguarding Committee for Vulnerable Adults, Chair of the Third AGE’s National Advisory Council, SAGE, Support and Advocacy Service for Older People and a member of the Board of Third Age CLG, Chair of the Law Society’s Mental Health and Capacity Task Force.  She is a member of the Council of the Royal College of Physicians of Ireland and a member of the National Assisted Decision-Making Steering Group of the HSE. 

Nicola Carroll

Nicola Carroll


Nicola Carroll BL is a graduate of Trinity College Dublin and the Honorable Society of King’s Inns.
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She was called to the Bar in 2009 and practises in the area of disciplinary and regulatory law. She has advised and acted on behalf of a number of professional regulatory bodies including the Medical Council, the Veterinary Council of Ireland and the Osteopathic Council of Ireland. She is currently the Secretary of the Irish Sport Anti-Doping Disciplinary Panel and a Committee Member of the Professional Regulatory and Disciplinary Bar Association of Ireland.

Professor Deirdre Madden

Professor Deirdre Madden

Professor of Law, University College Cork

Professor Madden has a Master’s degree on surrogacy and a PhD on the law relating to assisted reproduction.

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She was called to the Bar in 1989. Her books include Medicine, Ethics and the Law (2nd ed. 2011) and Medical Law (2013). Professor Madden was author of the Report on Post-Mortem Practice and Procedure (2005) and Chairperson of the Commission on Patient Safety and Quality Assurance which published its Report, entitled Building a Culture of Patient Safety in July 2008. Professor Madden was a member of the Medical Council from 2004 – 2013 and is a current member of the Health and Social Care Professionals Council. She is a member of a number of national expert groups related to medical law, ethics and patient safety, including the National Patient Safety Advisory Group, the Board of the National Office of Clinical Audit, the National Advisory Committee on Bioethics, HIQA’s Research Advisory Group, the Expert Group on Abortion and she chaired the National Consent Advisory Group for the HSE. Professor Madden is also an Expert Evaluator on ethics for the European Commission for more than 10 years; a member of the Research Ethics Committee for the National Longitudinal Study of Children in Ireland; and an elected Fellow of the Hastings Center in the United States. She has been a Visiting Professor at Colby College, Maine USA; St Louis University, Missouri; and the University of Sydney. She is also a frequent media commentator on issues relating to medical law and ethics.

Mary KirwanMary Kirwan

Barrister and Lecturer RCSI

Mary is a barrister and lecturer at the Royal College of Surgeons in Ireland.

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She teaches medical law on the undergraduate and postgraduate Ethics programme in the RCSI.

She is a dissertation director for the MSc Healthcare Ethics and Law course and provides training seminars in hospitals on medico/legal issues.
Mary Kirwan is a graduate of the National University of Ireland Galway and the Honorable Society of Kings Inns.

Mary is also a winner of the Law Society of Ireland Justice Media Award for her writing on current legal topics. She has written extensively in the area of law, including a weekly legal column in the Irish Independent, and is a frequent legal contributor in national and local broadcast media, including RTE’s Prime Time.

Mary is currently a member of a number of committees including a Research Ethics Committee, an Ethics Committee and an Advisory Panel.
Mary provides expert legal advice to various organisations on a voluntary basis and previously worked with the Legal Aid Board.

Deirdre Shanagher

Deirdre Shanagher

Development Officer, Irish Hospice Foundation

Deirdre is currently working with the Irish Hospice Foundation as a Development Officer.

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She is a registered general nurse who has worked with older people as a nurse and nurse manager. Deirdre obtained a BSc (Cur) general nursing in 2006, an MSc Gerontological nursing in 2011 and European Certificate in Palliative Dementia Care in 2014. She is a member of the All Ireland Gerontological Nurses Association and The Irish Association of Palliative Care. Deirdre has served on the board of Care Alliance Ireland since 2014 and chairs the research sub-committee of that board. Her work with the Irish Hospice Foundation centres around the Palliative Care for All and Primary Palliative Care Programmes as well as supporting other projects linked to the healthcare team.

Asim A. Sheikh

Asim A. Sheikh

Barrister-at-Law, The Law Library

Asim A. Sheikh is a practising barrister specialising in clinical  negligence and medical/healthcare law.

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He is also part-time Lecturer in  Legal Medicine, at Forensic and Legal Medicine, School of Medicine and Medical Science, UCD. He practices, lectures and has published widely on aspects of  medical law. He also lectures in the RCSI and occasionally in TCD and the  Law Society. He is a member of the National Advisory Council on Bioethics  and is Editor of the Medico-Legal Journal of Ireland.

Royal Marine Hotel, Dun Laoghaire, Co. Dublin

EARLY BIRD RATE €345 + VAT per Person – (Closing Friday 23rd March) Normal Rate @ €445 + VAT.

Please note the early bird discount can close sooner than expected once a certain amount of seats fill up, therefore your prompt booking is strongly advised to avoid disappointment

CMG Events Conference Discount

  • 10% discount for the third delegate booked or subsequent bookings thereafter from the same company.

The rate to attend includes morning tea/coffee and refreshments on arrival at registration, mid-morning tea/coffee and pastries and full buffet lunch. You will receive the speakers PowerPoint presentations within 24 hours after the event.

Tel: 01 293 4764


   Telephone:+353 1 2933650

Early Bird Booking rate: €345.00 + VAT Normal Rate: €445 + VAT

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Terms and Conditions:
Payment for attendance is due within seven days from the date of invoice. This booking is transferable and a substitute attendee may attend on your behalf at no additional cost if you cannot attend. Cancellation of a booking must be received by CMG Events in writing by email or by post, no later than 14 days prior to the event date. Regrettably no cancelations or refunds can be made after this date. In the case of a refund – an administration charge of 25% plus VAT will be deducted before a refund is made. CMG Events reserve the right to make any necessary changes to the advertised programme including a change of venue. The views expressed by the speakers are not necessarily those held by the organisers, nor is the organiser responsible for speakers opinions or statements. Please note CMG Events will distribute the delegate list to all registered attendees prior to the conference for networking purposes. However, in keeping with current data protection and privacy legislation, the distributed delegate list will not contain telephone or email contact details. Please advise CMG Events if you would like to have your name removed from this networking list for this event. We do not sell your data to a third party - we may use your contact details for the purposes of notifying you of other conferences or training courses that we run. If you do not wish for us to contact you again, please let us know by emailing

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