“1.5 A decision as to whether or not deprivation of liberty arises will depend on all the circumstances of the case...It is neither necessary nor appropriate to apply for a deprivation of liberty authorisation for everyone who is in hospital or a care home simply because the person concerned lacks capacity to decide whether or not they should be there. In deciding whether or not an application is necessary, a managing authority should carefully consider whether any restrictions that are, or will be, needed to provide ongoing care or treatment amount to a deprivation of liberty when looked at together… 1.21Under the Human Rights Act 1998 , the duty to act in accordance with the ECHR applies only to public authorities. However, all states that have signed up to the ECHR are obliged to make sure that the rights set out in the ECHR apply to all of their citizens.The Mental Capacity Act 2005 therefore makes it clear that the deprivation of liberty safeguards apply to both publicly and privately arranged care or treatment. There is no simple definition of deprivation of liberty. The question of whether the steps taken by staff or institutions in relation to a person amount to a deprivation of that person’s liberty is ultimately a legal question, and only the courts can determine the law… Further legal developments may occur after this guidance has been issued, and healthcare and social care staff need to keep themselves informed of legal developments that may have a bearing on their practice.”
“We envisage more assessments being undertaken in the first year, with progressively fewer in subsequent years as all parties become familiar with the safeguards. The proportion of deprivation of liberty authorisations would remain fairly constant, with numbers of authorisations ranging from around 5,000 in the first year, to approximately 1,700 each year after 2015/16. The costs of 21,000 assessments in the first year are estimated to be£13.6M and of approximately 7,000 assessments in 2015/16 to be£4.3M .”
“46…it seems to me, what it means to be deprived of liberty must be the same for everyone, whether or not they have physical or mental disabilities. If it would be a deprivation of my liberty to be obliged to live in a particular place, subject to constant monitoring and control, only allowed out with close supervision, and unable to move away without permission even if such an opportunity became available, then it must also be a deprivation of the liberty of a disabled person. The fact that my living arrangements are comfortable, and indeed make my life as enjoyable as it could possibly be, should make no difference. A gilded cage is still a cage. 48…So what are the particular features of their “concrete situation” on which we need to focus? 49 The answer, as it seems to me, lies in those features which have consistently been regarded as “key” in the jurisprudence which started with HL v United Kingdom 40 EHRR 761: that the person concerned “was under continuous supervision and control and was not free to leave.”
“There has been a good deal of consensus around how the response should be handled. It was clear to many local authorities that the clarified Supreme Court deprivation of liberty test could not be fully implemented overnight. It is equally clear however that a ‘do nothing’ approach is not acceptable. Best practice has been to rapidly identify those individuals who may be potentially subject to deprivation of liberty and then work through this list, assessing first those individuals who stand to benefit most from the safeguards. Many authorities and supervisory bodies need to have a plan as to how they will move forwards with compliance with the law but it is clear that this action should be undertaken in a proportionate manner that does not for example result in a decline in the level of care and support provided to service users.”
“It is clear that implementing the Supreme Court judgment is a journey - such a significant change in frontline practice could never be brought about over night. The Department and our partners….are clear however, that providers and local authorities should have a plan in force for how to respond to the judgment. A ‘do nothing’ approach is not acceptable. 15. This plan will inevitably involve an element of prioritisation to ensure that those individuals most likely to benefit from a DoLS application and assessment are afforded attention in a timely manner. ADASS has developed a prioritisation tool that will help in this. It is particularly important, given the level of applications made, that robust procedures are in place to ensure that particularly vulnerable individuals can be identified rapidly and appropriate action taken. 16. Health and care providers will understandably be concerned should applications made to local authorities not be assessed with the statutory time limit. Whilst this is not ideal, this is an inevitable consequence of the unexpected large increase in applications that local authorities are now charged with processing. Providers should not delay in sending DoLS applications to local authorities for individuals whose circumstances they believe may meet the Supreme Court’s acid test. 17. Fundamentally it is the Department’s view that providers that can demonstrate that they are providing good quality care/treatment for individuals in a manner compliant with the principles of the MCA, and who follow DH and other national guidance should not be harshly treated for technical DoLS breaches.” (Emphasis added)
“The Government decides how much it can afford to spend and reviews its expenditure priorities through regular Spending Reviews, which typically determine Departmental spending plans for up to four years. The most recent Spending Review took place in the Autumn of 2015. Decisions were made in the Spending Review about the available level of funding across Government as a whole. There are many competing demands for resources, and difficult decisions needed to be made.”
“48 That is a thoughtful and challenging analysis. It will be apparent from what I have said above, however, that I do not subscribe to the entirety of the judge's conclusion. In so far as he puts Munjaz to one side, I agree with him. Where I disagree with him is in the use he makes of the other authorities. First, I would also put Gillick to one side. It was concerned with the reviewability of guidance on the ground that it was erroneous in law and would therefore lead to unlawful decisions. That is a materially different issue from the issue of procedural unfairness that arises here, in relation to which the decision in the Refugee Legal Centre case is directly in point. I have explained how I read the decision in that case. It concentrates on whether the system established by the relevant policy is inherently unfair. It does not reject the test of “unacceptable risk” of unfairness but effectively equates an unacceptable risk of unfairness with a risk of unfairness inherent in the system itself. The material part of the decision of the Court of Appeal in the Medical Justice case goes no further than to hold that the first instance judge in that case applied the approach in the Refugee Legal Centre case that he said he would apply. The reference by the first instance judge to “a very high risk if not an inevitability” of infringement was not a formulation of the legal test and was not endorsed as such by the Court of Appeal. 49 In summary, I take issue with the detail of Cranston J's analysis and think that he expressed the test erroneously when he said that “[w]hat the authorities demand is that the policy must lead to unlawful action, or that there be a very high risk or an inevitability of that occurring”
“The Refugee and Tabbakh cases…..were both concerned with whether there was an unacceptable risk of procedural unfairness effectively equated with a risk of unfairness inherent in the system established by the policies under challenge.”
“During the course of argument it became clear that the essential issue raised by this question was whether charging the full cost involves a real….risk that the interest of vulnerable children would be jeopardised by the policy.”
“Reviews may conclude that costs turned out to differ from the original new burdens estimate. This ought not to be surprising nor a cause for criticism; nor will there be an automatic assumption that departments must make good on their estimates or indeed recoup over estimates.” (Emphasis added)