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An overview of the MCA DoLS process. Hospital managers identify those at risk of deprivation of liberty and request authorisation from PCT or local authority. In urgent situations, hospital can give an urgent authorisation for seven days while obtaining a standard authorisation.

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an overview of the mca dols process
An overview of the MCA DoLS process

Hospital managers identify those at risk of deprivation of liberty and request authorisation from PCT or local authority

In urgent situations, hospital can give an urgent authorisation for seven days while obtaining a standard authorisation

Six assessments commissioned by PCT or local authorityIMCA instructed for anyone without representation

Age Assessment

Mental Health Assessment

Mental Capacity Assessment

Best Interests Assessment

Eligibility Assessment

No Refusals Assessment

Request for Authorisation declined

Any Assessment says “No”

All Assessments support Authorisation

Best Interests Assessor recommends period for which DoL should be authorised

Best Interests Assessor recommends person to be appointed as RPR

Authorisation expires and hospital requests further authorisation

Person or their RPR applies to Court of Protection which has powers to terminate authorisation or vary conditions

Authorisation is given and RPR appointed

Authorisation implemented by Hospital

Hospital requests review because circumstances change

Person or their RPR requests review

Review