It is a fundamental aspect of patient management to seek consent before treatment. It is not only about applying procedures. It is also about information given to the patients to make valid and inform consent (Lake and Harvey 2008). Patients can give consent to treatment through various means, example, it can either be through verbal, written or implied. On the other hand, patients have the right to refuse or withdraw consent in the same way (RCN, 2011). In most cases Implied and verbal consent will be enough evidence but written consent should be obtained in the case of risky, complex and lengthy treatment (Dimond,2009).The discussions that occur between health professionals and the patient before they consent or refusing treatment should be recorded (NMC 2010). There are the duty to seek consent before any medical intervention under National Health Service (NHS) contract of employment, the NMC Code of professional Conduct and the duty under the law (Griffith and Tengnah, 2009).

According to the (NMC 2008) Code of Conduct nurses have three over riding professional responsibilities to ensure that patients understand their options to help them make an informed consent. They should put care of patients their first concern make sure seek consent before any medical intervention or care. As process showing consent is hard nurses should determine a crystal clear level of professional accountability. They should record correctly any discussions and decisions when obtained consent (RCN, 2011). For instance after the doctor has spoken with the patient, ask them open ended questions to ascertain their understanding. (What did the doctor tell you about the procedure?) If the nurse thinks there are unanswered questions or she/he thinks the patient has misconceptions about what they were told, it is the nurse responsibility to alert the doctor prior to them signing.

A competent patient should not treat without consent. It is clearly because protecting their autonomy and their bodily integrity. The law in the UK states all competent adults have the right to refuse medical intervention and care, even though they have nonsense and unacceptable reason for it and health professional must respect their decision (Jackson, 2010). If a patient admitted to hospital as conscious and the capacity to make the