Putting our residents first
Top menu
Search our website: Search

Deprivation of liberty safeguards request

LB Hillingdon has adapted forms 1, 2 and 10 of the ADASS Deprivation of Liberty Safeguards (DoLS) forms into online forms.

Professionals working in a hospital, residential home, nursing home or hospice must determine whether people who are resident in these establishments are, or might be, being deprived of their liberty and therefore need to ask:

  1. Does the person in question have an impairment of the mind or brain?
  2. Is there any question mark about whether that person has the mental capacity to consent to remain there and receive care/support/treatment? In real terms they could be forgetful, unrealistic about their abilities, confused or not sure where they are, or simply non-communicative. This isn't an exhaustive list.

If the answer to both of these questions is yes then the hospital, residential home, nursing home or hospice must complete a DoLS authorisation request and inform the person and their supporters (family, friends, etc) about what is being done and why.

DoLS authorisation request

The test for identifying whether a person is being deprived of their liberty is called the "Acid Test" which is described below:

  1. Is the person under continuous supervision and control? Key prompts for determining this are: are there people on-site 24 hours a day, seven days a week for the purpose of providing care/support/treatment? (NB: this doesn't mean it has to be one-to-one care, but one-to-one support is counted).
  2. Is the person free to leave? In reality, if the person attempted to leave (or if they cannot walk asked to leave) would they be allowed to leave unsupervised, or if they cannot walk would they be taken to wherever they wish to go?

The following is a quick guide (though please see ADASS guidance for a detailed explanation of each form):

  • for all new applications where a person is currently thought to be deprived of their liberty please complete an urgent and standard authorisation

Urgent and standard authorisation

  • when planning to move a person to a place where they may be deprived of their liberty please complete a standard authorisation

Standard authorisation

  • for cases where the relevant assessments have not been completed during the seven day urgent authorisation period complete an extension of a urgent authorisation

Extension of a urgent authorisation

  • when a standard authorisation is one month away from expiry please complete a request for a further standard authorisation

Request for a further standard authorisation

If the notice period is missed (i.e. the DoLS expires), then please complete an urgent and standard authorisation form.

Urgent and standard authorisation

  • if a person's circumstances change within a DoLS authorisation period (i.e. the restrictions change) please complete a review authorisation form

Complete a review authorisation form

Further information

Is there anything wrong with this page?

* What would you like to report?
Broken link
Out of date information
Missing information
Report a problem with a service

* Please provide further details:


Please include your email in case we need further details (optional):

This feedback tool is for improving our pages. To report a problem with a service, please email: contact@hillingdon.gov.uk

Your feedback could not be sent - please ensure you have completed all fields.

Thank you for your feedback.

Article utilities:  Bookmark and Share Print Print this page Last updated: 08 Sep 2017 at 10:06