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DOLS IMCA Advocacy Service

From April 2009 Advocacy Services @ The Care Forum is providing the Deprivation of Liberty Safeguards (DOLS) IMCA service for South Gloucestershire. 

  What are DOLS?

DOLS were introduced by the Mental Capacity Act 2005 and came into effect in April 2009.  They provide a legal framework and right to appeal for vulnerable people to ensure they are not deprived of their liberty unless it is in their best interests.   They do not apply to anyone who is subject to the Mental Health Act except in rare circumstances. DOLS only apply within care homes and hospitals, to people who are 18 and over and who

  • lack capacity to agree to care or treatment, and
  • are suffering from a disorder of the mind, and
  • their carers believe it is in their best interests to deprive them of their liberty to protect them from harm.

If someone is going through the DOLS process and does not have someone who is appropriate to consult, under the Mental Capacity Act they have the legal right to an IMCA.  There are three IMCA roles in the DOLS process:

1. IMCA DOLS Advocate (S39 A IMCA)


       The IMCA DOLS has a very similar role to the original IMCA role.

       The advocate will;

  • make representations about a person's wishes, feelings, beliefs and values in relation to the decision being made
  • enable the person to participate as fully as they can in the decision making process
  • obtain and evaluate the relevant information to the decision
  • ascertain any alternative courses of action that may be available
  • obtain a further medical opinion if necessary
  • bring all factors relevant to the decision to the attention of the decision maker(s)
  • challenge decisions if appropriate
  • produce a report commenting on the decision to be made and how the individual's best interests can be promoted

The IMCA DOLS must be instructed by the supervisory body if the person subject to the DOLS has no-one who is appropriate to consult, namely family or significant friends. 

The S39A IMCA has additional rights and responsibilities to the original IMCA role.  The S39A IMCA should be given the relevant paperwork concerning the case, for instance assessments from the supervisory body.   They also have the right to apply to the Court of Protection for permission to take the person's DOLS case to court.

2.  Paid Representative Role and the S39C IMCA 

If the DOLS are authorised, a representative must be appointed by the supervisory body to remain in contact with the person and represent them in all matters relating to the DOLS.  There are two instances when an IMCA may be instructed:

  • If a representative cannot be identified, then a paid representative can be nominated. This can be an IMCA.

An IMCA can also be nominated if there is a gap while a representative is being replaced.  This is called a S39C IMCA.

3.IMCA support for the person and their representative (S39 D IMCA)

The person who is subject to DOLS and / or their representative have the right to access an IMCA if they wish.  The IMCA can provide information and support around the DOLS process and how to access a care review or the Court of Protection.  This service is not available to a paid representative.

How to refer

All of these IMCA roles have to be instructed through the supervisory body (the local authority or PCT DOLS office).  Anyone else who is aware that an IMCA is required should direct their concerns to the supervisory body DOLS office. 

In South Gloucestershire this is:

DOLS Team

South Gloucestershire CC&H Department

St Lukes Close

Emerson Way

Emersons Green

South Gloucestershire

BS16 7AL

 

Tel: 01454 868 007

For further information

  • Download our IMCA/DOLS leaflet       
  • In Contact information sheet produced by The Care Forum (link to In Contact information sheet on DOLS)
  • Department of Health web pages on DOLS. (link to http://tinyurl.com/cfg45d)

Other Contacts

DOLSteam@southglos.gov.uk


E-mail us at imca@thecareforum.org.uk

Telephone 0117 9654444 us Monday to Friday between 9am and 5pm to speak to a member of the team.

Write to us at IMCA @ The Care Forum, The Vassall Centre, Gill Avenue, Fishponds, Bristol, BS16 2QQ.