Does the person require independent support during the enquiry? To be completed by the team and/or the agency leading the enquiry( see guidance notes): Does the person have the mental capacity to be involved in the Enquiry Yes No If No do they have a representative? Is If Yes, name and contact details and a referral to the IMCA service needed? date of referral to the IMCA service: If No, explain why a referral has not been made to the IMCA service: Does the person have substantial difficulty being fully involved in the Enquiry? Yes No If Yes, do they have a representative? If Yes, enter name and contact details Is a referral to the Advocacy service and date referral made to the Advocacy needed? service: If NO, please explain why a referral has not been made to the Advocacy service: Other to be included in the enquiry? Source of referral: Y/N e.g. an interpreter: ( persons details) The Enquiry should be ceased at the if they have the mental capacity to make this decision and there is person’s request no vital / wider If this is the case, please explain below, and cease the enquiry: public’s interest.
Does the person require independent support during the enquiry? To be completed by the team and/or the agency leading the enquiry( see guidance notes): Does the person have the mental capacity to be involved in the Enquiry Yes No If No do they have a representative? Is a referral to the IMCA service needed? If Yes, name and contact details and date of referral to the IMCA service: If No, explain why a referral has not been made to the IMCA service: Does the person have substantial difficulty being fully involved in the Enquiry? Yes No If Yes, do they have a representative? Is a referral to the Advocacy service needed? If Yes, enter name and contact details and date referral made to the Advocacy service: If NO, please explain why a referral has not been made to the Advocacy service: Other to be included in the enquiry? Y/N e.g. an interpreter: ( persons details) Source of referral: The Enquiry should be ceased at the person’s request if they have the mental capacity to make this decision and there is no vital / wider public’s interest. If this is the case, please explain below, and cease the enquiry:
adult_enquiry_outcome_form_feb17.docx