Deprivation of Liberty Safeguards in England: implementation costs

Br J Psychiatry. 2011 Sep;199(3):232-8. doi: 10.1192/bjp.bp.110.089474. Epub 2011 Jun 27.

Abstract

Background: The Deprivation of Liberty Safeguards (DoLS), introduced into the Mental Capacity Act 2005, were fully implemented on 1 April 2009 in England and Wales. The government estimated 20 000 assessments for DoLS at a cost of £600 per assessment. Aims To estimate the costs likely to be incurred with the implementation of DoLS in England.

Method: The cost of conducting a single DoLS assessment was estimated using resource-utilisation data ascertained from 37 professionals, secretarial staff and independent mental capacity advocates involved with DoLS assessments in six diverse local DoLS offices.

Results: The estimated average cost of a single DoLS assessment was £1277.

Conclusions: The estimated average cost of a single DoLS assessment was significantly higher than the £600 estimated by the government. However, the allocated budget, based on 20 000 estimated DoLS assessments in the first year of its implementation, is likely to be adequate because a significantly lower number of assessments (only 5200) were conducted in the first 9 months after its implementation.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Codes of Ethics
  • Commitment of Persons with Psychiatric Disorders / economics*
  • Commitment of Persons with Psychiatric Disorders / legislation & jurisprudence
  • Commitment of Persons with Psychiatric Disorders / statistics & numerical data
  • Costs and Cost Analysis
  • England
  • Freedom
  • Government Regulation*
  • Health Plan Implementation / economics*
  • Health Plan Implementation / organization & administration
  • Humans
  • Mental Competency / legislation & jurisprudence*
  • Needs Assessment / economics
  • Needs Assessment / organization & administration
  • Needs Assessment / statistics & numerical data
  • Patient Advocacy / economics*
  • Patient Advocacy / legislation & jurisprudence
  • Patient Rights / legislation & jurisprudence*
  • Social Welfare / economics
  • Social Welfare / legislation & jurisprudence
  • Wales