Recent Cases Explored

Key Updates For Healthcare Professionals on: Consent, Capacity, Ethics, DNAR, Deprivation of Liberty and Advance Healthcare Directives

A one-day conference

Royal Marine Hotel, Dun Laoghaire, Co. Dublin

Date: 30th November 2017

The law in regards to caring for vulnerable adults, adolescents, end of life care patients and children is rapidly changing and evolving in Ireland and It is important that all healthcare and legal professionals operating in the medical profession fully understand recent developments in relation to Consent, Capacity, Ethics and Advance Healthcare Directives.

CMG events typically sell out quickly, so prompt booking is strongly advised to secure your place at the Early Bird Rate of €335.00 + VAT (Normal rate €435.00 + 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

6 Structured CPD Points

This one day conference will provide an important opportunity for delegates to hear from leading experts in this space, network and discuss important current developments you need to note going forward. This conference will also provide you with the opportunity to exchange ideas hear of recent cases that are setting a precedent going forward and listen to others who are working in this area, their experiences and come away with best methods to implement for patients going forward.

This is a must attend event for all professionals working in Ireland’s healthcare services or the legal system surrounding it.

This event will be of real interest to all healthcare professionals who deal with vulnerable adults, children, adolescents, obstetrics including social workers, Midwifes, nurses, directors of nursing, GP’s, Ward managers, carers, legal representatives and those who deal with end of life care.

Full Day Programme 8.50am to 4pm

Opening Remarks from Conference Chairperson:
Jack Nagle, CEO, Alpha Healthcare

Healthcare & Medical Ethics
Speaker: Dr. Noreen O’Carroll, M.A., H. Dip.Ed., Ph.D., DPMSA, Lecturer in Medical Ethics, RCSI

  • Approaches to ethical dilemmas
  • Ethical reasoning skills
  • The Four Principles method of ethical decision-making in healthcare
  • The BMA’s approach to medical ethics
  • The Principle of Double Effect
  • Case studies

Ethical decision-making in end-of-life care
Speaker: Louise Campbell, Lecturer, NUI Galway

  • The ethical foundations of consent
  • Principles of shared decision-making in end-of-life care
  • A decision-making tool for building clinical ethics capacity in Irish health professionals 
  • Application of the tool to a case involving a DNA-CPR order

Advance Care Planning: Advance Healthcare Directives
Speaker: Deirdre Shanagher, Development Officer, Irish Hospice Foundation

  • What is an Advance Healthcare Directive?
  • Distinction between treatment refusal and treatment request
  • Applicability of an Advance Healthcare Directive
  • Is there any liability if an Advance Healthcare Directive is not followed?
  • What to do if there is not an advanced care plan in place and someone gets a stroke or other sudden illness

Informed Consent
Speaker: Professor Deirdre Madden, Professor of Law, University College Cork

  • Why is consent important?
  • What is informed consent?
  • Refusal of consent for adults with capacity
  • Underpinning principles
  • Disclosure of information – who, what, when and why?
  • Importance of good communication
  • Is consent always necessary?
  • Documentation of consent

Consent in Vulnerable Adults & those with Mental Health Issues
Speaker: Ciara Johnson, Barrister-at-Law, The Law Library – Lecturer in law, St. Angela’s College, Sligo

Vulnerable Adults

  • What is a vulnerable adult?
  • In what circumstances are they unable to provide legal consent?
  • How does the practitioner resolve such a challenge?
  • Proposals for Reform

Adults with mental health issues

  • Rights based approach
  • The interaction of consent & capacity  with the Mental Health Act 2001
  • Proposals for Reform

Assisted Decision Making (Capacity) Act 2015
Speaker: Mary Kirwan, Barrister & Lecturer, RCSI


  • Draft guidelines from the HSE
  • How it is to be defined and assessed
  • The functional approach to decision making capacity
  • Presuming and maximising decision making capacity
  • Principles that will apply in relation to any intervention where capacity is in question
  • Declarations as to Capacity
  • Categories of decision-making
  • Functions of the Decision Support Service
  • Review of Wards of Court

Enduring Power of Attorney

  • Formalities for the execution of an Enduring Power of Attorney
  • Suitability of a person to be an attorney
  • Scope of authority under an Enduring Power of Attorney
  • Registration and reporting requirements
  • Functions of the Court in relation to an Enduring Power of Attorney

Hague Convention on International Protection of Adults

Consent & children / adolescents
Speaker: Asim A. Sheikh, Barrister-at-Law, The Law Library

  • Basic principles of consent particularly with Children / adolescents
  • The Gillick competence test and the Irish position
  • Refusal of treatment by Under 16s
  • Parents refusal of treatment of children
  • Where parents differ on treatment
  • Minor’s consent to psychiatric treatment

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

Mary Kirwan

Mary Kirwan

Barrister-at-Law, Lecturer in 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.

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.

Dr. Jack Nagle

Dr. Jack Nagle

CEO, Alpha Healthcare

Jack is the founder and CEO of Alpha Healthcare, an Irish company dedicated to providing business and management support to Clinicians and healthcare professionals in Ireland and the UK.

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The company specialises in benchmarking and healthcare change management and has worked with more than 100 primary care centres. The company won an award for primary care centre initiatives in 2011.

In 2009, the company established Alpha Primary Care (APC) in the UK and has worked in practices in Manchester, Newcastle and London. APC formed a strategic partnership with the NHS Alliance in 2010 focused on practice standards and key performance indicators for general practice. The company has done extensive work in supporting practices in London, with a combined list of 350,000 patients supporting them with registration and compliance to the Care Quality Commission’s standards and in setting up Quality Management Systems.

Jack has been approved by the Institute of Leadership & Management to give training in the areas of practice business management in healthcare.

Jack has a keen interest in all healthcare system related matters and a particular interest in Total Quality Management, Quality Management Systems and implementing Kaizen events and change management in healthcare.

He is a non-executive Board Member of the National Treatment Purchase Fund (NTPF).

Royal Marine Hotel, Dun Laoghaire, Co. Dublin

EARLY BIRD RATE €335 + VAT per Person – (Closing Friday 1st September) Normal Rate @ €435 + 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

  • 15% 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 Rate is €335.00 + VAT (Normal rate €435.00 + 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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