The Mental Capacity Act (2005) amended by the Mental Health Act 2007 introduced new deprivation of liberty safeguards. From 1 April 2009 healthcare professionals and managers working in the NHS, independent hospitals and care homes must have clear procedures in place to comply with the new Deprivation of Liberty Safeguards (DoLS) introduced under the Mental Capacity Act (MCA). A code of practice is available here. The safeguards provide a framework for approving the deprivation of liberty for people who lack the capacity to consent to treatment or care in either a hospital or care home that, in their own best interests, can only be provided in circumstances that amount to a deprivation of liberty. There is a written application for authorisation required. The PCT must commission 6 assessments including age, mental health (undertaken by a doctor approved under s12 MHA or has special expertise in mental disorder) , mental capacity, and “best interests” assessments (assessor must have specified qualification including social work). The assessment must be carried out within 21 days of the application.
Ensuring that a person receives the type of care that makes them feel respected as an individual and helps them develop or maintain self-esteem and take pride in themselves. This should take place in every setting whether in the community or in the acute sector. The Dignity in Care Campaign launched in 2006 across health and social care, aims to stimulate a national debate around dignity in care and create a care system where there is zero tolerance of abuse and disrespect of adults. Key areas are care for older people and people with mental health problems. There are now four thousand dignity champions. http://www.dh.gov.uk/en/SocialCare/Socialcarereform/Dignityincare/index.htm and http://www.dhcarenetworks.org.uk/dignityincare/index.cfm
Ensuring that a person receives the type of care that makes them feel respected as an individual and helps them develop or maintain self-esteem and take pride in themselves. This should take place in every setting whether in the community or in the acute sector.
The Dignity in Care Campaign launched in 2006 across health and social care, aims to stimulate a national debate around dignity in care and create a care system where there is zero tolerance of abuse and disrespect of adults. Key areas are care for older people and people with mental health problems. There are now four thousand dignity champions. http://www.dh.gov.uk/en/SocialCare/Socialcarereform/Dignityincare/index.htm and http://www.dhcarenetworks.org.uk/dignityincare/index.cfm
Direct Payments are means-tested payments made instead of receiving social care. The money received should be enough to meet your care needs. Direct Payments have been available since 1997 and are made to a wide variety of people, including carers, adult service users and people with short-term needs. Direct Payments should not be confused with direct payment; this is the method in which Personal Budgets and Individual Budgets are paid.
(DES) click here.
shortness of breath/distressing breathing. May or may not be associated with a low oxygen level in the blood (hypoxia/hypoxaemia).
Related Words Hypoxia/hypoxaemia
The last printed version (please note the online version is more up to date) of the IMPRESS NHS Jargon Buster (pdf) is available to download here
Appendix 1
Appendix 2