I said these posts would get shorter as WFH meets no- childcare… this is a super quick one to pose a question. As you’ll no doubt have seen by now, the new Coronavirus emergency legislation aims to take pressure of frontline health and social care workers by reducing or removing various statutory duties in community care legislation and the Mental Health Act. Some of these changes are truly alarming, others perhaps more understandable. But what puzzles me most is there is no reference at all to that most intensively bureaucratic of statutory processes: the Mental Capacity Act deprivation of liberty safeguards. This is really puzzling for two reasons; firstly the number of Dols applications vastly outstrips Mental Health Act detentions, and secondly it applies in the locations that will be most badly hit by the Covid 19 pandemic: care homes and acute hospitals.
My main theory is they’ve genuinely just forgotten about DoLS. But even more depressingly, perhaps the rationale is DoLS applications are piling up unprocessed anyway so a few thousand more won’t matter.
But this is something we need to think about. As care homes are on their way to becoming hyper-closed institutions, as CQC pares back inspections, restrictions increase across the board, staff come under unprecedented pressure and families and residents may resist restrictions or try to leave… some system of safeguards will be needed. So the question is, what flex is there in the system that we could cut and still retain some basic protection? And why isn’t the government looking at this…?