Department of Elderly Medicine, Calderdale and Huddersfield NHS Foundation Trust, Huddersfield, UK.
Department of Elderly Medicine, Bradford Teaching Hospitals NHS Foundation Trust, Bradford, UK.
Br J Hosp Med (Lond). 2020 Jun 2;81(6):1-6. doi: 10.12968/hmed.2020.0071. Epub 2020 Jun 12.
Established as an amendment to the Mental Capacity Act 2005, the deprivation of liberty safeguards were introduced to ensure that anyone who lacks capacity to consent to their care, and was being deprived of their liberty, has rights equivalent to those held under the Mental Health Act 1983. These rights include someone to oversee any deprivation of liberty, the right of appeal and the guarantee of review of appeal in a timely manner. This article outlines how deprivation of liberty safeguards work, how a deprivation of liberty safeguards is applied for and obtained, what to discuss with the next of kin, and some special circumstances to consider. It also provides information about the criteria by which deprivation of liberty safeguards applications are assessed and the process by which this is done. This provides an overview for junior doctors working in secondary care, to increase their knowledge and confidence when patients require a deprivation of liberty safeguards application.
作为 2005 年《精神能力法案》的修正案,剥夺自由保障措施的引入是为了确保任何缺乏同意其护理能力且被剥夺自由的人都享有与 1983 年《精神卫生法案》相同的权利。这些权利包括有人监督任何剥夺自由的行为、上诉权以及保证及时审查上诉。本文概述了剥夺自由保障措施的运作方式、如何申请和获得剥夺自由保障措施、与近亲讨论的内容以及一些需要考虑的特殊情况。它还提供了有关剥夺自由保障措施申请评估标准以及评估过程的信息。这为在二级保健机构工作的初级医生提供了一个概述,以增加他们在患者需要剥夺自由保障措施申请时的知识和信心。