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Deprivation of Liberty Safeguards (DoLS) - Implementation Arrangements MA Awareness Raising – 9th March 2009 Elijah Col PowerPoint Presentation
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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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Presentation Transcript
slide1

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
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
slide3

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

slide4

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)
dols and adult safeguarding
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
slide6

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
slide7

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
scoping demand using doh planning tool 2
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*
slide9

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
table to show how the back up rota will support wte bias
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
slide11

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
training and support
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)
summary of next steps sb
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
summary of next steps mas
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
slide17

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 ( “ “ )