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This document is used to request a review of the deprivation of liberty of an individual, outlining the necessary information regarding the person, the managing authority, and the grounds for review.
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How to fill out deprivation of liberty form

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How to fill out Deprivation of Liberty Form No. 19

01
Begin by obtaining Deprivation of Liberty Form No. 19 from the appropriate regulatory body.
02
Fill in the personal details of the individual subject to deprivation of liberty, including their full name and date of birth.
03
Provide information about the person's current living situation and care arrangements.
04
Clearly state the reasons for the deprivation of liberty and any relevant medical or psychological assessments.
05
Include information about the relevant legal framework or authority under which the deprivation of liberty is being requested.
06
Ensure that all supporting documents are attached, including any family or guardian consent forms if applicable.
07
Review the form for accuracy and completeness before submission.
08
Submit the completed form to the relevant authority for review and processing.

Who needs Deprivation of Liberty Form No. 19?

01
Individuals who are being deprived of their liberty in a care or medical setting.
02
Care providers or institutions responsible for the care of individuals who may lack capacity and require restrictions on their liberty.
03
Legal representatives or advocates acting on behalf of individuals subject to deprivation of liberty.
04
Health and social care professionals involved in the assessment and management of individuals with capacity issues.
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People Also Ask about

A deprivation of liberty is when a person has their freedom limited in some way. This is common for a person with dementia receiving care who may have decisions made for them or on their behalf. This could include: Limitations on where they are allowed to go.
Deprivation of liberty safeguards (DoLS) conditions DoLS should only be used to lawfully deprive you of your liberty if: You're age 18 or over. You lack capacity to agree to the restrictions. You're staying in a care home or hospital, and they've successfully applied for an authorisation from the local authority.
Deprivation of liberty safeguards (DoLS) conditions DoLS should only be used to lawfully deprive you of your liberty if: You're age 18 or over. You lack capacity to agree to the restrictions. You're staying in a care home or hospital, and they've successfully applied for an authorisation from the local authority.
The Mental Capacity Act (MCA) 2005 applies to everyone involved in the care, treatment and support of people aged 16 and over living in England and Wales who are unable to make all or some decisions for themselves.
The Deprivation of Liberty Safeguards (DoLS) can only apply to people who are in a care home or hospital. This includes where there are plans to move a person to a care home or hospital where they may be deprived of their liberty. The care home or hospital is called the managing authority in the DoLS.
A supervisory body can only authorise a deprivation of liberty if it takes place in a care home or hospital. If it takes place elsewhere, it can only be authorised by the Court of Protection.
There are two types of authorisations: a standard and urgent.
About this factsheet. This factsheet looks at the Deprivation of Liberty Safeguards (DoLS). These relate to people who lack the mental capacity to make decisions about their care and treatment, and who are deprived of their liberty in a care home or hospital.

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Deprivation of Liberty Form No. 19 is a legal document used to formally record instances where an individual's liberty is restricted or removed, typically in a healthcare or residential setting.
Healthcare providers, social workers, or institutions responsible for the care of individuals who may be deprived of their liberty are required to file Deprivation of Liberty Form No. 19.
To fill out Deprivation of Liberty Form No. 19, one must provide accurate details regarding the individual's identification, the reason for deprivation, the duration, and the circumstances surrounding the event.
The purpose of Deprivation of Liberty Form No. 19 is to ensure that individuals who are deprived of their liberty do so under appropriate legal frameworks, safeguarding their rights and ensuring accountability.
The information that must be reported includes the individual's name, date of birth, reason for deprivation, specific details of the liberty restriction, duration of the restriction, and the names of involved personnel.
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