Because it has clinical, ethical and legal implications.

The current practice including teaching new doctors at induction.

To compare the two audits which are done three months apart after first audit was presented.

Capacity assessment forms were checked from the inpatients ‘notes from three general adult wards and one old age ward (Functional ward) at local psychiatric Hospital.• First audit was carried out in August 2010 and second audit was in November 2010. • Data gathered was reviewed and results of two audits were compared.

Among 66 inpatients in August 2010, 50 patients were General Adults and 16 were Old Aged Patients. 64 ((97%) completed the capacity assessment forms.In second audit in November 2010, 46 General Adults patients and 20 Old Aged patients made up the total 66 inpatients. All patients completed capacity assessment form.

The second audit revealed that 100% of total inpatients completed capacity assessment compared to 97% in first audit. The difference between the results of two audits was not significant. However assessment of patient capacity to consent to treatment is a fundamental component of shared psychiatrist-patient decision making. In addition, when the Care Quality Commission comes to check quality service of our psychiatric Hospital they expect 100% capacity assessment to consent to treatment for inpatients. Participation of mental capacity assessment at induction lecture to new doctors are effective. However regular audit and presentation may be able to meet the 100% target.