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Activities and engagement

Eating and drinking

Future care planning

Hearing

Mobility

Phone accessibility

Sleep

What is a Independent Mental Capacity Advocate (IMCA)?

When someone who cannot make decisions for themselves has no one appointed to support them, it becomes necessary to appoint an Independent Mental Capacity Advocate (IMCA). 

 

If you still have capacity consider appointing a Lasting Power of Attorney.

If you a caring for someone who has lost capacity you may want to apply to be a Deputy.

Key points

 

  • An IMCA (Independent Mental Capacity Advocate) is appointed to support someone who has lost the capacity to make their own decisions.
  • There are three main ways to support a person without capacity: a lasting power of attorney, a court‑appointed deputy, or, when neither is available, an IMCA.
  • An IMCA is only appropriate when a specific decision is needed about health or placement.
  • The team needing to make the decision, e.g. District Nurse or GP, would contact the local borough authority or council directly to obtain a trained IMCA.
  • An IMCA is the last option and is only used when a person has no trusted person, no family or friends, no attorney, and no deputy, and is vulnerable or alone.
  • The role of an IMCA is to protect the person’s human rights and ensure their best interests are represented.
Printable information sheet

Meet our experts

Dr Ros Taylor MBE

Dr Ros Taylor has over 30 years of experience in palliative care and was awarded an MBE for Services to Hospice Care following a nomination by a patient. She was Clinical Director at Hospice UK, a national umbrella organisation for the hospice/ palliative movement, advocating for improved access to palliative care in all settings including care homes. In January 2020, she took on the medical leadership role to re-open Michael Sobell Hospice in West London. She has contributed to the Lancet Commission on the Value of Death on topics such as the ‘will to live’, power and gender issues. She is a Senior Advisor to the Montreal International Congress on Palliative Care, and has most recently developed a new resource, HPAL, which curates essential palliative information for both family and professional caregivers.

 

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The resources available are not, and are not intended to be, medical advice, which should be tailored to your individual circumstances.  The resources are for your information only, and we advise that you exercise your own judgment before deciding to use the information provided. Professional medical advice should be obtained before taking action. Full terms and conditions