Deprivation of Liberty Safeguards in England: implementation costs.


Shah, A; Pennington, M; Heginbotham, C; Donaldson, C; (2011) Deprivation of Liberty Safeguards in England: implementation costs. The British journal of psychiatry, 199 (3). pp. 232-8. ISSN 0007-1250 DOI: https://doi.org/10.1192/bjp.bp.110.089474

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Abstract

BACKGROUND: The Deprivation of Liberty Safeguards (DoLS), introduced into the Mental Capacity Act 2005, were fully implemented on 1 April 2009 in England and Wales. The government estimated 20 000 assessments for DoLS at a cost of £600 per assessment. Aims To estimate the costs likely to be incurred with the implementation of DoLS in England. METHOD: The cost of conducting a single DoLS assessment was estimated using resource-utilisation data ascertained from 37 professionals, secretarial staff and independent mental capacity advocates involved with DoLS assessments in six diverse local DoLS offices. RESULTS: The estimated average cost of a single DoLS assessment was £1277. CONCLUSIONS: The estimated average cost of a single DoLS assessment was significantly higher than the £600 estimated by the government. However, the allocated budget, based on 20 000 estimated DoLS assessments in the first year of its implementation, is likely to be adequate because a significantly lower number of assessments (only 5200) were conducted in the first 9 months after its implementation.

Item Type: Article
Faculty and Department: Faculty of Public Health and Policy > Dept of Health Services Research and Policy
PubMed ID: 21708879
Web of Science ID: 294934100011
URI: http://researchonline.lshtm.ac.uk/id/eprint/24787

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