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Support providers have a whole range of legal and professional responsibilities to those to whom they provide services, to their employees and to their co‐workers. However, these responsibilities may be in conflict. Although the need to protect vulnerable service users from harm is important, it should be observed within a framework that protects human rights. This tension is further exacerbated by recognition that some vulnerable people are sometimes incapable of making their own decisions. Providers face the daily challenge of promoting autonomy while protecting the health and well‐being of service users.

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