Trust Board Febuary 2010 - Sandwell & West Birmingham Hospitals

SWBTB (2/10) 037 (a)
Lasting Power of Attorney. However, some people who lack capacity may have no-one to support
them (other than paid staff) with major, potentially life-changing decisions. The Act created an
Independent Mental Capacity Advocate (IMCA) who will represent and support these patients. An
IMCA is a specific type of advocate that must be involved if there is no other appropriate person who
can be consulted. An IMCA will not be the decision-maker, but the decision-maker will have a duty to
take into account the information given by the IMCA.
An Independent Mental Capacity Advocate will only be involved if:
• the decision is about serious medical treatment provided by the NHS
• it is proposed that the person be moved into long-term care of more than 28 days in a
hospital or 8 weeks in a care home
• a long-term move (8 weeks or more) to different accommodation is being considered, for
example, to a different hospital or care home
• in England, local authorities and the NHS have been given powers to extend the IMCA service
to specific situations if they are satisfied that an IMCA would provide particular benefit, these
are care reviews about accommodation and decisions about protection issues.
The duties of an Independent Mental Capacity Advocate are to:
• support the person who lacks capacity and represent their views and interests to the
decision-maker
• obtain and evaluate information – an IMCA can talk to the patient in private and examine,
and where appropriate, take copies of health and social care records such as clinical records,
card plans or social care assessment documents
• as far as possible, ascertain the person’s wishes and feelings, beliefs and values
• ascertain alternative courses of action
• obtain a further medical opinion, if necessary
• prepare a report for the person who instructed them. If an IMCA disagrees with the decision
made, they can also challenge the decision-maker
IMCA contact details:
City - Advocacy Matters (IMCA), 198 Boldmere Road, Sutton Coldfield, B73 5UE
Tele: 0121 321 2377Fax No: 0121 321 2396
Sandwell - POhWER IMCA, iBIC Holt Court South, Jennens Road Aston Science Park, B7 4EJ
Tele No: 0845 233 0438 Fax No: 0845 337 3052
Further advice can be obtained from the Trust Vulnerable Adults lead in working hours and from the
Night Practitioners out of hours.
12 Tissue
The legal position regarding the use of human tissue (including blood samples and other bodily fluids
provided for testing) raises some difficult issues and is currently under review. Such tissue can be
very valuable in education and research, and its use may lead to developments in medical knowledge
16