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Deprivation of Liberty Safeguards (DoLS) - Implementation Arrangements

Deprivation of Liberty Safeguards (DoLS) - Implementation Arrangements MA Awareness Raising – 9th March 2009 Elijah Collins Mental Capacity Act and Deprivation of Liberty Safeguards Project Manager. What this presentation will do. Explain the Worcestershire approach to DoLS

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Deprivation of Liberty Safeguards (DoLS) - Implementation Arrangements

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  1. Deprivation of Liberty Safeguards (DoLS) - • Implementation Arrangements • MA Awareness Raising – 9th March 2009 • Elijah Collins • Mental Capacity Act and • Deprivation of Liberty Safeguards Project Manager

  2. What this presentation will do • Explain the Worcestershire approach to DoLS • Highlight work taking place to support implementation of DoLS • High-light arrangements MAs will need to have in place by 1st April 09 • Highlight-support available from to MA’s

  3. We have a multi-agency, partnership project approach Mental Capacity Act and Deprivation of Liberty Implementation Group Lead Managers Dr. Steve Choong – Medical Director - MHP Trust Kathryn Downton – Adult & Community Services Andrea Cook – Adult & Community Services Vicky Preece – Associate Director PCT Sue Reynolds – Older Adult Mental Health Service Helen Reynolds – Mental Health Act Manager Simon Hall – Training Manager A&CS Elijah Collins – Project Manager A&CS/PCT Steve Medley – Project Support A&CS

  4. DELIVERY MODEL • Funding being pooled across PCT and ACS • ACS host the functions • -Using Framework-i • -Aligned to Adults Safeguarding • -Host DoLS office base • Single point of referral for the LA, PCT & Indep. Providers • - The Access Centre (ACS)

  5. DoLS and Adult Safeguarding • Deprivation of Liberty and Adult Safeguarding are linked • Pre April 2009 deprivation will be dealt with via Adult Safeguarding • Post April 2009 any unauthorised deprivation will be dealt with via the Adult Safeguarding process

  6. AWARENESS RAISING (Managing Authorities and other staff) • DOLS awareness days in Oct and Nov 2008 • 205 Attendees • *70 Care Homes (Approx. 40) *46 A&CS • *13 MHP *13 Acute • *22 PCT • Equivalent to approx. 40% of MAs… • Further awareness raising sessions arranged for 9 &16 March 09

  7. SCOPING DEMAND USING DoH PLANNING TOOL (1) Year 1 – 2009/2010 • Relevant population 5491 (Hosp. and Care placements) • - Care Home placements – 4,279 • - Hospital Admissions – 1,212 • 549 likely assessments (Using 10% assumption of relevant population) • 137 authorisations (using DoH assumption of 25%) • + 139 reviews 3-6 monthly

  8. SCOPING DEMAND USING DoH PLANNING TOOL (2) • Assumptions: • 10% of the relevant population will require a DoLS Assessment • 50% Authorisations reviewed 3mnthly/50% reviewed 6-monthly • Proportion of reviews planned in yr. 1 to take place in DoLS Yr. 2 • 25% of assessments will result in Authorisations being issued • There will be a steady/consistent flow of assessments*

  9. DEPARTMENT of HEALTH ESTIMATES Per assessment • 3 hours - Supervisory Body Administrator • 8 hours Best Interest Assessor • 8 hours – IMCA requirements • 2+ hours - Mental Health Assessors – Doctors

  10. Table to show how the back-up rota will support (WTE) BIAs Staffing requirements for meeting estimated demand (assessments and reviews (Yr. 1) • With a team of 3 WTE BIAs, there is a shortfall of 20.5 hours (per wk) to undertake required assessments this equates to 2.5 assessments (per wk.) or 11 assessments per month / 132 assessments per year. Following an appraisal of options agreed to develop an ‘on-call rota’ • Following an option appraisal MCA Implementation Group agreed an ‘on-call rota’ system for supporting the WTE BIA arrangement

  11. STAFFING ARRANGEMENTS • 1 year MCA/DoLS Project Manager post • Three, WTE 1 year, Best Interest Assessors • ‘On-call’ BIAs (rota) to support with ‘overflow’ assessments • 1 Service Administrator • Section 12 Drs time required (est.) • *Considerations: • Scoping of all ‘eligible Doctors’ available • Locality & speciality rota of Doctors • Additional locum to assist with demands

  12. Deprivation of Liberty Safeguards structure chart

  13. Overview of the DoLS Process

  14. TRAINING AND SUPPORT • Best Interest Assessors already trained • Section 12 Doctors Training 27th March 09 • Support from Ralph Hall – Regional CSIP DoLS Lead • Awareness Raising event for MAs on 9th &16th March • Cycle of MA DoLS awareness raising events • Draft MA policy/procedure available (WCC website)

  15. Summary of Next Steps (SB) • Arrangements re: MH Assessors to be finalised • Operating procedures to be further developed • Final agreements re: On-call BIAs • Ensure information systems are sufficiently developed • Finalise arrangements with IMCA/Representative service • Distribute forms and referral process material

  16. Summary of next steps (MAs) • Further training for MAs (next on 26th March) • Develop and implement policy and procedure (draft docs on-line) • Ensure all staff are DoLS aware • Undertake assessment of likely DoLS issues/applications • DoLS goes live on 1st April

  17. The End. QUESTIONS? Contact: Elijah Collins, MCA/DoLS Project Manager dols@worcestershire.gov.uk www.worcestershire.whub.org.uk/home/wcc-social-dols 01905 766968 (New contact details soon to be posted on web-site) Applications: Tel. 01905 768058 (Access Centre) Fax. 01905 768056 ( “ “ )

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