Help to make decisions about your life

This page provides information about mental capacity, advocacy and Deprivation of Liberty Safeguards (DoLS).

To report an adult at risk of abuse, call 0121 704 8007 or submit a form online.

Understanding mental capacity 

Mental capacity means being able to understand and make your own decisions. 

Most people can make their own decisions, but some people may need support. Sometimes a person is unable to make their own decisions because of an illness, disability, injury or treatment. This may include people who have: 

  • dementia 
  • a learning disability 
  • a mental health condition 
  • had a stroke 
  • a brain injury 
  • been unconscious because of an accident, coma or general anaesthetic 

Having one of these conditions does not automatically mean someone cannot make their own decisions. 

Mental Capacity Act (2005)

The Mental Capacity Act (2005) protects and supports people who may have difficulty making their own decisions.

The Act states that you should be treated as if you have capacity, unless there is evidence that you do not.

People who are unable to make decisions for themselves may be more vulnerable to abuse or neglect, which is why legal safeguards are in place.

Before medical professionals decide you do not have capacity, you must be supported to make your own decisions.

If you lack mental capacity, any decisions made for you must be in your best interests and protect your rights and freedoms. 

Advocacy

The Mental Capacity Act makes it a legal requirement for anyone assessed as lacking mental capacity to receive advocacy when they are unable to communicate their wishes. 

You may also choose someone to make decisions for you through a Lasting Power of Attorney (LPA).  

Power of attorney

A Lasting Power of Attorney (LPA) is a legal document that lets you (the ‘donor’) appoint one or more people (known as ‘attorneys’) to help you make decisions or to make decisions on your behalf. 

There are two types of LPA: 

  • health and welfare to help with decisions such as where you live, what you eat and your healthcare treatment
  • property and financial affairs to help with things like paying your bills, managing your bank accounts, buying or selling your property and handling your benefits   

You can find out how to make an LPA on the GOV.UK website. You can also receive advice by visiting one of our Community Advice Hubs. 

Deprivation of Liberty Safeguards (DoLS) 

If a person who has been assessed does not have the capacity to make their own decisions: 

  • a decision can be made by someone else on their behalf, taking their best interests into account
  • any treatment and care provided must be suitable and provided in the least restrictive way possible 

There are times when adults who lack capacity may need restrictions as part of their care arrangements to keep them safe and meet their needs.

These restrictions may result in a 'deprivation of liberty'. This depends on the circumstances including the nature and effect of any restrictions and the person's wishes and feelings.

The Deprivation of Liberty Safeguards (DoLS) protects people aged 18 and over who lack capacity to consent to their care arrangements in hospitals and care homes. It ensures that any restrictions are:

  • necessary
  • proportionate
  • in the person's best interests, and
  • limit their freedom as little as possible 

The legal definition of deprivation of liberty changed following a UK Supreme Court judgement in June 2026. National guidance is being updated, and local practice will continue to reflect current law and Department of Health and Social Care guidance.

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