I have into account the conclusions of the mental health assessor as to how the person’s mental health is likely to be affected by being deprived of liberty I have taken into account any assessments of the person’s needs in connection with accommodating the person in the hospital or care home I have taken into account any care plan that sets out how the person’s needs are to be metwhile the person is accommodated in the hospital or care home In carrying out this assessment, I have taken into account any information given to me, or submissions made, by any of the following: any relevant person’s representative appointed for the person any IMCA instructed for the person in relation to deprivation of liberty BACKGROUND INFORMATION Background and historical information relating to the current or potential deprivation of liberty. For a review look at previous conditions and include comments on previous conditions set. VIEWS OF THE RELEVANT PERSON Provide details of their past and present wishes, values, beliefs and matters they would consider if able to do so: VIEWS OF OTHERS THE PERSON IS DEPRIVED OF THEIR LIBERTY In my opinion the person is, or is to be, kept in the hospital or care home for the YES purpose of given care or treatment in circumstances that amount to depriving them of liberty NO Note: if the answer is No then the person does not satisfy this requirement
I have into account the conclusions of the mental health assessor as to how the person’s mental health is likely to be affected by being deprived of liberty I have taken into account any assessments of the person’s needs in connection with accommodating the person in the hospital or care home I have taken into account any care plan that sets out how the person’s needs are to be metwhile the person is accommodated in the hospital or care home In carrying out this assessment, I have taken into account any information given to me, or submissions made, by any of the following: any relevant person’s representative appointed for the person any IMCA instructed for the person in relation to deprivation of liberty BACKGROUND INFORMATION Background and historical information relating to the current or potential deprivation of liberty. For a review look at previous conditions and include comments on previous conditions set. VIEWS OF THE RELEVANT PERSON Provide details of their past and present wishes, values, beliefs and matters they would consider if able to do so: VIEWS OF OTHERS THE PERSON IS DEPRIVED OF THEIR LIBERTY In my opinion the person is, or is to be, kept in the hospital or care home for the purpose of given care or treatment in circumstances that amount to depriving them of liberty Note: if the answer is No then the person does not satisfy this requirement YES NO
DoLS-Form-3-BIA-Combined-Assessments.docx