Authorisation for CSOs to provide medical consent - advice

This advice provides information about CSOs’ authorisation to provide consent for medical treatment for children in out-of-home care.

Document ID number 2128, version 4, 26 August 2019.

For related tasks see procedure Consent for medical examination and treatment.



Each registered CSO providing out-of-home care for children or case management services for child protection clients placed in care services has been issued with an Instrument of Authorisation – Medical Consents (the instrument), signed by the area director, or director child protection.

Instrument of authorisation

The instrument enables the authorised persons within CSOs to provide consent for medical treatment, surgery, or other operations and admission to hospital if a registered medical practitioner advises it is necessary. This applies to a child in out-of-home care as a result of:

  • being taken into emergency care
  • an interim accommodation order
  • a family reunification order
  • a care by Secretary order
  • a long-term care order
  • a therapeutic treatment (placement order).

The instrument specifies by role, the person in the CSO, such as executive director, chief executive officer, director, manager, who can give medical consent and this person, must personally consent.

An authorised person cannot delegate the authorisation to a person in another position within the organisation.

Prior to providing consent to medical treatment, the authorised person must satisfy themselves the treatment has been recommended by a registered medical practitioner as necessary, is appropriate treatment and that all reasonable effort has been made to obtain the views and, where possible, the consent of a parent.

Prior to providing consent to treatment, the authorised person will consider the appropriateness of seeking advice from child protection. The authorised person will ensure that there is appropriate documentation of the consent process.