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Independent Mental Capacity Advocacy Service

The purpose of the IMCA service is to help vulnerable people who can not make important decisions about serious medical treatment and changes of accommodation, and have no family or friends who can help them.

People will be eligible for the IMCA service if they:

  • are facing decisions about long term accommodation and/or serious medical treatment, and
  • lack capacity to make these decisions, and
  • have no appropriate family or friends to consult.

People must fit all of these criteria to receive the IMCA service.

The role of IMCA

When a health or social care professional (decision maker) needs to make a decision about someone and the IMCA service becomes involved, the advocate will:

  • make representations about a person’s wishes, feelings, beliefs and values in relation to the decision being made
  • enable the person to participate as fully as they can in the decision making process
  • obtain and evaluate the relevant information to the decision
  • ascertain any alternative courses of action that may be available
  • obtain a further medical opinion if necessary
  • bring all factors relevant to the decision to the attention of the decision maker(s)
  • challenge decisions if appropriate
  • produce a report commenting on the decision to be made and how the individual’s best interests can be promoted

North Somerset has appointed Friend in North Somerset to provide the Independent Mental Capacity Advocacy (IMCA) service.

If you need to instruct an IMCA you can get more detailed guidance and information on the IMCA service from:

Alternatively you can download an IMCA Leaflet which provides more information on the service in Bristol.

An IMCA Referral Form (pdf, 55k, April 2007) is also available if you wish to download it, fill it out and send the completed form to Friend in North Somerset. 

A copy of the First Annual Report of the IMCA Service covering the period April 2007 - March 2008 is also available.