Deprivation of Liberty Safeguards – Data published by NHS information centre


The Deprivation of Liberty Safeguards, which were introduced as amendments to the Mental Capacity Act 2005 on 1 April 2009, are designed to protect vulnerable people against overly restrictive care while they are in hospitals or care homes.

This second annual report on Deprivation of Liberty Safeguards uses data provided every three months by English Primary Care Trusts (PCTs) and Local Authorities (LAs), the organisations responsible for managing the process for authorising requests to deprive someone of their liberty in 2010/11. Requests from care homes are handled by LAs and requests from hospitals are handled by PCTs.

Key findings:

    The total number of applications made was still much lower than expected for the second year (8,982 in England compared with the number predicted for in England and Wales which was around 18,600). This compares to the 7,157 applications made in 2009/10; just over 34 per cent of the predicted number for that year.
    The number of successful applications resulting in an authorisation to deprive a person of their liberty was about the expected number (4,951 in England compared to the 5,000 predicted for in England and Wales), though a much higher percentage of applications than expected were successful (55% compared with the predicted 25%). In the previous year 3,297 applications were approved – a 46% approval rate compared to the 25% expected.
    About 2% of applications that were not authorised involved situations where the person was nevertheless judged as being in a situation that amounted to a deprivation of liberty. In these cases the hospitals and care homes could be acting illegally, if that person was not swiftly cared for or treated in less restrictive circumstances. This is half the percentage in 2009/10 (4%).
    Of those authorisations that were granted, more then half (55%) were for a person who lacked capacity because of dementia.
    From quarter 2 in 2011, there was a change to recording, whereby it was only possible to have one disability per person. The number of applications for learning disabilities in quarters 2 to 4 represented 14% of the total.
    57% of those applications made to a Local Authority were granted when applying for a deprivation of liberty compared to 50% in Primary Care Trusts.
    Authorisations granted for people in care homes were generally for longer periods than for people in hospitals (62% of authorisations granted by Local Authorities were for more than 90 days compared with 23% of Primary Care Trust authorisations).
    There is a big difference in the number and rate of applications in different parts of England, with the highest number and rate of applications being made in the East Midlands (1,644 applications and 46 applications per 100,000 population) compared to the England rate (22 applications per 100,000 population) and the lowest number of applications made in the North East (579) with the lowest rate being in the East of England with just 13 applications per 100,000 population.

Mental Capacity Act 2005, Deprivation of Liberty Safeguards Assessments (England) – Second report on annual data, 2010/11. The Health and Social Care Information Centre, 20th July 2011.

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John Northfield

After qualifying as a social worker, John worked in community learning disability teams before getting involved in a number of long-stay hospital closure programmes, working to develop individual plans for people moving into their own homes. He worked for BILD, helping to develop the Quality Network and was editorial lead for the NHS electronic library learning disabilities specialist collection. This led him to found the Learning Disabilities Elf site with Andre Tomlin as a way of making the evidence accessible to practitioners in health and social care. Most recently he has worked as part of Mencap's national quality team and also been involved in a number of national website developments, including the General Medical Council's learning disabilities site.

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