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This review suggests how improved selection and involvement of the 'Nearest Relative' might better enable them to provide support, through information sharing, respecting confidentiality and maintaining relationships with family and carers.

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Liz Shaw, Michael Nunns, Simon Briscoe, Rob Anderson, Jo Thompson Coon ,*

Exeter Health Services and Delivery Research Evidence Synthesis Centre, College of Medicine and Health, Exeter, UK
* Corresponding author Email:

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Responses to this report

Response by Brian Murphy on 8 December 2018 at 3:34 PM
A parent's view
The hierarchy of choosing who it should be is ridiculous and does not serve any useful purpose. As my wife is older than me no-one would speak to me or give me any information about my daughter, even after she had expressed a wish for both of us to be involved in her care. At 2am after she had taken another overdose the AMHP refused to speak with me when I was in the hospital and I had to wake my wife and get her consent for information to be given to me. I would drive my daughter to appointments but was not allowed to be told when or where they were to be held.The nearest relative should be allowed to include more than one person where there is no conflict between them.


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