№ lp_2_1_20550
File format: docx
Character count: 3297
File size: 459 KB
Administrative referral form used by NHS bodies or local authorities within Hywel Dda and Swansea Bay University Health Board areas to request the instruction of an Independent Mental Capacity Advocate under Deprivation of Liberty Safeguards provisions.
Region:
Hywel Dda and Swansea Bay University Health Board Areas
Type of Document:
IMCA Referral Form
Subject:
Deprivation of Liberty Safeguards (DoLS)
Relevant Legislation:
Mental Capacity Act 2005
Referring Bodies:
NHS Body or Local Authority
Receiving Organisation:
Advocacy Support Cymru
Receiving Address:
Charterhouse 1, Links Business Park, Fortran Road, St. Mellons, Cardiff, CF3 0LT
Contact Telephone:
029 2054 0444
Contact Email:
[email protected]
Applicable Sections:
39A, 39C, 39D
Related Roles:
Relevant Person’s Representative; Litigation Friend
Price: 8 / 10 USD
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The product description is provided for reference. Actual content and formatting may differ slightly.
Year:
2023
Region / City:
Hywel Dda, Swansea Bay University Health Board Areas
Topic:
Deprivation of Liberty Safeguards (DoLS) Referral
Document Type:
Referral Form
Organization / Institution:
Advocacy Support Cymru
Author:
IMCA Team
Target Audience:
DoLS Team, Healthcare Providers, Local Authorities
Period of Effectiveness:
Ongoing
Approval Date:
Not specified
Date of Changes:
Not specified
Purpose of Referral:
Deprivation of Liberty Safeguards
Nature of Impairment:
Cognitive Impairment, Mental Health, Dementia, Learning Disability
Decision Maker:
Not specified
Contact Person for Access to Records:
Not specified
Deadline for Decision:
Not specified
Additional Contacts:
Family, Caregivers
Contact Information:
[email protected]
Description:
A referral form for Deprivation of Liberty Safeguards requests, detailing personal, medical, and placement information for individuals requiring legal advocacy in healthcare settings.
Year:
2021
Region / City:
St. Peter, Minnesota
Theme:
Personal History, Immigration, Welsh Heritage
Document Type:
Interview
Organization / Institution:
N/A
Author:
Hywel Roberts
Target Audience:
General Public
Effective Period:
N/A
Approval Date:
N/A
Date of Last Revision:
N/A
Year:
2026
Organization:
Hywel Dda University Health Board
Document Type:
Questionnaire
Department:
Workforce & Organisational Development
Author:
Rob Blake, Senior Organisational Development Manager
Target Audience:
Staff leaving the Health Board
Period of Application:
During employment and at exit
Date of Interview Completion:
Specified per respondent
Confidentiality:
Responses treated in strict confidence
Year:
2018
Region / City:
South West Wales
Subject:
Healthcare, Regional Planning
Document Type:
Response to Consultation
Organization:
Abertawe Bro Morgannwg University Health Board
Author:
Hywel Dda University Health Board, ABMU
Target Audience:
Public, Patients, Healthcare Professionals
Period of Validity:
Consultation Period
Approval Date:
19 April 2018
Modification Date:
None
Year:
2023
Region / City:
Hywel Dda, Swansea Bay University Health Board Areas
Topic:
Deprivation of Liberty Safeguards (DoLS) Referral
Document Type:
Referral Form
Organization / Institution:
Advocacy Support Cymru
Author:
IMCA Team
Target Audience:
DoLS Team, Healthcare Providers, Local Authorities
Period of Effectiveness:
Ongoing
Approval Date:
Not specified
Date of Changes:
Not specified
Purpose of Referral:
Deprivation of Liberty Safeguards
Nature of Impairment:
Cognitive Impairment, Mental Health, Dementia, Learning Disability
Decision Maker:
Not specified
Contact Person for Access to Records:
Not specified
Deadline for Decision:
Not specified
Additional Contacts:
Family, Caregivers
Contact Information:
[email protected]
Description:
A referral form for Deprivation of Liberty Safeguards requests, detailing personal, medical, and placement information for individuals requiring legal advocacy in healthcare settings.
Note:
Year
Topic:
Deprivation of Liberty Safeguards (DOLS)
Document Type:
Guidelines
Year:
2023
Region / City:
Surrey, Merton, Sutton
Subject:
Deprivation of Liberty Safeguards (DoLS), Mental Capacity, Patient Consent
Document Type:
Checklist
Organization:
Adult Safeguarding Team
Author:
Unknown
Target Audience:
Healthcare professionals
Period of Validity:
Indefinite
Approval Date:
Unknown
Modification Date:
Unknown
Note:
Year
Region / City:
Somerset
Topic:
Deprivation of Liberty Safeguards, Mental Capacity Act
Document Type:
Report
Organization / Institution:
Somerset Council
Author:
Somerset Council’s DoLS Team
Target Audience:
Professionals in adult social care, local authorities, legal and healthcare practitioners
Effective Period:
Ongoing
Keywords:
Deprivation of Liberty Safeguards, Mental Capacity Act, BIA assessments, legal proceedings, advocacy
Year:
2024
Month:
March
Region:
West Midlands
Commissioning body:
West Midlands ADASS
Endorsing body:
ADASS
Author:
Lorraine Currie
Subject:
Deprivation of Liberty Safeguards (DoLS)
Document type:
Screening and prioritisation guidance
Intended users:
Councils and local authorities
Legal framework referenced:
Mental Capacity Act (MCA), Mental Health Act (MHA), Court of Protection
Scope:
Prioritisation of new DoLS authorisation requests and principles for renewals
Purpose:
Allocation of assessment resources according to risk and urgency
Jurisdiction:
England
Legislation:
Mental Capacity Act 2005
Legal Framework:
Deprivation of Liberty Safeguards (DoLS)
Related Convention:
European Convention on Human Rights
Relevant Articles:
Article 5; Article 8
Subject:
Deprivation of liberty in care homes and hospitals
Document Type:
Informational guidance
Responsible Authority:
Local Authority
Institutions Involved:
Care homes; Hospitals; Local Authority supervisory bodies
Target Group:
Adults aged 18 and over lacking capacity
Key Roles:
Managing Authority; Supervisory Body
Purpose:
Identification, authorisation, and legal basis for deprivation of liberty in care settings
Key Procedures:
Standard authorisation; Urgent authorisation
Authorisation Duration (Urgent):
Up to 7 days
Application Timing for Standard Authorisation:
Up to 28 days in advance
Assessment Topic:
Mental capacity assessment and criteria for deprivation of liberty
Examples of Restrictive Practices:
Locked exits; supervision outside; medication to calm; physical restraint; bedrails; wheelchair straps; vehicle restraints; splints
Contact Information:
[email protected]
Related Resource:
www.rochdalesafeguarding.com
Year:
2023
Region / City:
Hywel Dda, Swansea Bay University Health Board Areas
Topic:
Deprivation of Liberty Safeguards (DoLS) Referral
Document Type:
Referral Form
Organization / Institution:
Advocacy Support Cymru
Author:
IMCA Team
Target Audience:
DoLS Team, Healthcare Providers, Local Authorities
Period of Effectiveness:
Ongoing
Approval Date:
Not specified
Date of Changes:
Not specified
Purpose of Referral:
Deprivation of Liberty Safeguards
Nature of Impairment:
Cognitive Impairment, Mental Health, Dementia, Learning Disability
Decision Maker:
Not specified
Contact Person for Access to Records:
Not specified
Deadline for Decision:
Not specified
Additional Contacts:
Family, Caregivers
Contact Information:
[email protected]
Description:
A referral form for Deprivation of Liberty Safeguards requests, detailing personal, medical, and placement information for individuals requiring legal advocacy in healthcare settings.