This update intends to discuss some of the key issues around the needs of older people with mental illness in relation to administration of medicines; specifically consent and capacity issues. Given the UKCC’s recently published position statement on covert administration of medicines or disguising medicine in food and drink the issue is highly topical. In particular, this update will ask you to consider consent and capacity in relation to your own practice as a nurse and the overall wellbeing of the older person, not simply what is seen as being in the best interests of the older person from a clinical standpoint.