By Celia Kitzinger, 10th October 2024
Update: The judgment has now been published (click on the link in the title of the case): Bury Metropolitan Borough Council v EM & Ors [2024] EWCOP 76 (T2). The judge refers to the protected party as “Emma” in that judgment, so I’ve amended this blog to reflect that. The published judgment provides a lot more detail about Emma’s background and history that we’ve covered in our blog posts and also sets out, in detail, the judge’s concern about the language and conceptualisation of deprivation of liberty. The key issue of being “on a DOLS” is addressed in paragraphs 45-62 of the judgment. I highly recommend reading those paragraphs in conjunction with this blog post.
This is a follow-up report on the case already blogged earlier (by Hita Jadeja): COP 14216532 before HHJ Burrows sitting in Preston: A Puzzling Application, Breach of Court Orders and Draconian Restrictions. The “puzzling application” in that hearing was the Local Authority’s application to withdraw from proceedings, since they no longer considered it necessary for the court to authorise a deprivation of liberty for the person at the centre of the case. Neither the Official Solicitor, nor the protected party’s parents (both of whom are also parties), agreed: parties other than the LA believe that the care plan (which meets the criteria for ‘deprivation of liberty’) should continue – for now – in a modified version of its current form, a modified version that would continue to meet the criteria for ‘deprivation of liberty’. I watched the subsequent hearing in this case, around a month later, on 9th October 2024. The interaction in court very much revolved around the meaning and impact of ‘deprivation of liberty’ orders and their intersection with care plans.
I’ve not tried to be comprehensive about what happened in this hearing because the judge has said he will shortly be publishing a judgment, and that his judgment will focus on the meaning of Deprivation of Liberty: “I think it’s necessary for me to make some comments about understanding of what this court does and what its orders mean and what they do not mean”. In reporting on this hearing, I’ve concentrated on what I think it was about this case that led the judge to consider such a judgment “necessary” – in particular the to-and-fro interaction between the judge and counsel for the LA, and the apparent cross-purposes at which they found themselves. The judgment will be the single authoritative voice of the judge, in a considered written form. The value of a blog post like this (in my view) is in capturing the live interaction which sparked that judgment. I’ll link to the judgment when it’s published.
Summary of the hearing
Briefly, the protected party, “Emma” (not her real name), is a young woman with diagnoses of “Autistic Spectrum Disorder” and “Attention Deficit Hyperactivity Disorder” – and possibly “Emotionally Unstable Personality Disorder” too (this was disputed). She’s clearly very vulnerable with a history of self-harm and suicide attempts. She’s subject to a restrictive package of care at her current placement which amounts to a deprivation of liberty which is currently authorised by the court.
At the last hearing, the local authority (Bury Metropolitan Borough Council) sought the court’s permission to withdraw their substantive application (to deprive Emma of her liberty) on the grounds that her social worker has conducted a capacity assessment and found that her mental health has improved significantly at her current placement, and she now has capacity to make her own decisions about where she lives. She’s keen to leave her current placement (with locked doors and windows and no freedom to go out unescorted) and to go to a less restrictive placement. The judge found the evidence concerning Emma’s capacity to be insufficient and (after considering whether an expert should be appointed, but finding this would take too long), he directed a capacity report from Emma’s treating psychiatrist.
At the hearing I watched on 9th October 2024, the treating psychiatrist’s report on Emma’s capacity was now before the court. It says (in essence) that Emma has capacity to conduct the proceedings, and to make decisions about her care, and contact with her family, but does not have capacity to make decisions about contact with others. On that basis, the local authority sought (again) to withdraw its application so that Emma could move to a new placement which would allow her considerable freedom (including leaving the placement unescorted): two possibilities have been located but neither (said counsel) would accept Emma if she were “under a DOLS”.
The Official Solicitor (Emma’s litigation friend, Francesca Gardner) does not accept the adequacy of the report from the treating psychiatrist: the assessment doesn’t set out the information provided to Emma or what she said during the course of the assessment; it doesn’t address her capacity to make decisions about where she lives; it doesn’t address the extent to which her capacity fluctuates. Furthermore, at a subsequent Round Table Meeting at which the report was discussed, the treating psychiatrist gave additional information not included in the LA’s submissions. She considers Emma’s capacity to fluctuate and that there are times that she lacks it; and she doesn’t consider that Emma is ready to move on from her current placement – that would be “premature” and “jumping the gun”.[1]
As an “inquisitorial” rather than “adversarial” court, counsel in the Court of Protection seem often to be working in harmony, even across differences in perspective. In this case, though, there was some obvious antagonism and the Official Solicitor made clear that she has “significant concerns as to the conduct of this local authority, and the impact that that conduct is having on the decisions that are being made for [Emma]”. She at one point interrupted her own complaint that “the Local Authority has not informed OS or the court that [the treating psychiatrist] has significant concerns”, to comment sharply on the LA’s barrister’s facial expression (“My Learned Friend may pull faces, but I ask her to reflect”). The LA had also (oddly!) objected to the treating psychiatrist being asked to assess Emma’s capacity to conduct proceedings, saying that this task fell to Emma’s legal representatives (even making an application for this to be considered “urgently” by the court!). This, said the Official Solicitor, was “misconceived, obstructive and unreasonable”: on the basis of what I’ve seen in other hearings (s.49 – and expert – instructions to assess capacity to conduct proceedings are absolutely routine), I have to agree.
The Official Solicitor asked (again) for an independent expert to be instructed – and this time the judge approved the appointment of Independent Social Worker, Mental Capacity and Best Interests Assessor, Eleanor Tallon, to address the care plan and Emma’s capacity on all relevant matters. (I noted that he also mentioned at some point that Emma is a vulnerable person entitled to rely on the inherent jurisdiction of the High Court even if she does have capacity for some decisions.)
What is a ‘deprivation of liberty’ order? Some cross-purpose interactions
A lot of the hearing was spent with the judge questioning Julie Waring, counsel for Bury Metropolitan Borough Council, about why the local authority was asking to withdraw their application to deprive Emma of her liberty. There was a series of questions at which the judge and counsel seemed to be at cross-purposes – and it is these exchanges, I imagine, that will have motivated the judge to produce a written, public judgment. I reproduce them here as best I can, based on contemporaneous touch-typed notes, since we are not allowed to audio-record hearings: note that they are unlikely to be 100% accurate.
LA: The local authority is seeking permission to withdraw the application. That is opposed by Official Solicitor who has requested permission to submit a further assessment of Emma – with a report that would not be available until the beginning of December, so we’re looking at another 12 weeks. So Emma would be subject to restrictions and DOLS for a significant period of time.
Judge: In what way would Emma’s care plan be affected by the decision I make?
LA: If our application is not withdrawn, the care plan would remain in situ.
Judge: So what does DOLS add to or subtract from the care plan?
LA: The restrictions.
Judge: But aren’t they part of the care plan?
LA: They are. That’s why we’re seeking to withdraw.
Judge: I’m having a déjà vu experience. Didn’t we have the same conversation at the last hearing? Forget “DOLS “ (it’s an ugly acronym) and think about the care plan. Is Emma allowed to come and go as she wishes?
LA: No.
Judge: And is that because it’s assessed to be not in her best interests to come and go because she may be putting herself at risk? In other words, forgetting the DOLS aspect, is it the position of the LA that it’s in her best interests to be escorted, or supported, when she leaves the placement?
LA: Yes, but the care plan has been prepared because she’s under a DOLS
Judge: But hang on, care planning should be the other way round. Forget the DOLS for a moment. Is it necessary for this very vulnerable young woman with a history of extreme dysregulation, is it necessary for her to be subject to restrictions preventing her from leaving or not?
LA: The LA adopt the position that it’s not necessary. She’s made significant progress at [Placement]. [Runs through history of dysregulation incidents to illustrate diminishing severity and frequency] It’s the LA’s position that, having considered the report of [treating psychiatrist], it’s not necessary, because she no longer lacks capacity.
Judge: I’m trying to avoid capacity at the moment. What I’m looking at is the care plan. I appreciate a care plan may be predicated on the need to make decisions for a P who lacks capacity. But the current restrictions are that medications are locked up, windows and doors are locked, and she’s not free to leave – those are the restrictions LA feels no longer necessary?
LA: Yes.
Judge: So, regardless of any order I make, if the LA thinks doors should be open and she should come and go as she pleases, is that what’s going to happen whatever I decide?
LA: In the event that you accede to the LA’s request to withdraw the DOLS application, yes.
Judge: I don’t like the acronym DOLS it trivialises something extremely important. The deprivation of liberty this court authorises is a permissive not mandatory order. It means the local authority is able to deprive Emma of her liberty if it is necessary and proportionate and in accordance with the care plan. If I grant a DOLS it does not require the LA or anybody else to deprive that person of their liberty. That is something that has to be decided by the MDTs responsible for the care plan – including those responsible for looking after Emma on the ground.
Later there was this exchange:
Judge: So, most of the time, when she isn’t triggered by anything like a difficult episode with a co-resident, not only is she not challenging or injurious to herself, but she is also able to have reasonably frank and insightful conversations into her own circumstances. But there are situation – reduced by being at [current Placement] – in which she can become dysregulated and pose risks to herself?
LA: They are very few incidents now.
Judge: That’s because the care plan’s working, isn’t it. The care plan that’s going to be changed.
LA: And the therapy and the work Emma has invested in herself.
Judge: I can’t make a longitudinal declaration, but I could make an anticipatory declaration of lack of capacity authorising those looking after her to use proportionate means. You’re not inviting me to do that?
LA: The LA is not inviting you to do that because it would hold Emma back in her aspiration to move on [to new placement which is not able – it has said – to implement these restrictions].
Judge: I’m not interested in that, to be blunt with you. I’m interested in keeping her safe. I’m simply saying that, when she needs to be, she can be deprived of her liberty. It’s not mandatory but permissive. Why can’t she be subject to court authorisation which says if she is in need of restraint (like being kept in a particular place for a particular time) that can happen. You’re saying if I made that order, she can’t move on.
LA: Maybe we can make enquiries of [candidate new placements] and they may be willing to take her on that basis.
Judge: We don’t know, do we. Also, [her treating psychiatrist] thinks, notwithstanding everything else, that Emma does lack capacity to make decisions about other people. What’s going to happen about that?
LA: Other professionals will work with Emma on that.
Judge: What does that involve?
LA: Social skills training.
Judge: If she meets someone who is likely to cause her harm, they can stop her from having contact with that person?
LA: No.
Judge: Yes, they can.
LA: Only if it’s in the care plan.
Judge: Well, the restrictions follow the care plan.
The judge was clearly concerned about Emma’s own perception of being “on a DOLS”. He said she “needs to understand she’s being looked after by professionals who I’m quite sure want to see her flourish” and being “’on a DOLS” is not her being put in a small envelope and filed away until someone makes enough fuss that she’s got out and had a look at”.
Judge: My concern is that the court is stigmatising her in her own mind – as if by the court making a permissive order it’s somehow acting as a jailer in the prison cell she doesn’t want to be.
OS: That is a fundamental misunderstanding of the function of the court – as though while this order is in place Emma must be deprived of her liberty. That is wrong in law. It is surely not beyond the wit of those involved to deal with an Order permitting them to provide care at the times when she needs it and to adopt the least restrictive approach. It is that which the Official Solicitor asks the court to approve.
Judge: It goes further than that. I’ve been told the identified placement won’t take her if she is quotes “on a DOLS”. Well do THEY understand what that means?
OS: I suspect not. There is a good deal of misunderstanding and miscommunication. If you were satisfied that Emma’s capacity fluctuates and that when she lost capacity she could receive appropriate care, that would simply be legal protection for the care provider. It would be to assist care providers. That seems to be totally misunderstood. The Official Solicitor’s concern has been – I can’t stress enough the concern about the LA’s understanding in these procedures. They repeatedly say Emma is “on a DOLS”. She’s not “on a DOLs”. If permission were given tomorrow for door code so she could leave the placement, or a key to unlock the door, that doesn’t require amendment to the Order. The Order provides for it. And there’s been a background of disagreement and dissenting voices relating to Emma – we didn’t know [the treating psychiatrist’s] views until the Round Table Meeting, or her mother’s views until this hearing. The LA hasn’t- It’s the LA’s role to put that information before the Official Solicitor and before the court and it has not. We’re having to search for it.
Judge: What order would you like me to make? What do I say about the restrictions on Emma. She’s under constant supervision and control and not free to leave: it meets the Cheshire West test.
OS: The OS position is that there are reasonable grounds to believe that Emma lacks capacity, and the up-to-date view of [the treating psychiatrist] is that Emma’s capacity fluctuates. We invite you to continue the Deprivation of Liberty Order but to make recitals on the face of the Order that it’s permissive and not prescriptive. On the evidence of [treating psychiatrist] and Emma’s mother, you can’t remove the Order. And we invite you to instruct the Independent Social Worker and to require substantive and detailed evidence from the LA including risk assessment and a care plan and evidence that necessary conversations have taken place concerning what “deprivation of liberty” means.
Judge: As far as the DOLS issue is concerned, this is not a problem of the creation of social workers. This is a problem of the creation of lawyers, who use the term in what I regard as a flippant manner. It is simply approval of a care plan which the court regards as in best interests of the person. If a care plan is put before me, the Order would be led by care plan not by my own wish to incarcerate an 18-year-old girl – a wish I emphasise that I do not have. It’s very important to get back to care planning . The social worker is committed and has had conversations with Emma’s mother but what is lacking here is a proper legal hand on the tiller of this litigation This litigation is about care planning.
Judical decision
The judge authorised the current care plan and Emma’s deprivation of liberty (“because the care plan does amount to a deprivation of liberty”) and appointed the independent social worker to carry out an expert assessment. Picking up on a point from Emma’s mother, he also queried the contact restrictions between Emma and her family members: “Emma enjoys contact with her family and enjoys being out. If there are to be restrictions – formal or informal – they have to be very properly risk assessed and explained. If there is over-restriction on contact, then should be returned to me with some urgency. I was asked at the beginning of this hearing to remove ALL restrictions and let Emma come and go as she pleases, with whomever she pleases, so I can’t see how restrictions on contact with members of her family can possibly be sustainable”.
Celia Kitzinger is co-director of the Open Justice Court of Protection Project. She has observed more than 560 hearings since May 2020 and written more than 100 blog posts. She is on LinkedIn (here), and also on X (@KitzingerCelia) and Bluesky @kitzingercelia.bsky.social)
[1] Emma’s mother, also in court, expressed considerable anxiety about her daughter being in a residence with no restrictions at all: she’s “easily led”, “quite giddy”, “thinks in black and white”, finds it “difficult to ask for help from people she doesn’t know” and there’s a risk of her daughter ending up “back at Square One”. By contrast, the social worker in court expressed the view that Emma was happier, more confident and ready to move on.





