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What is mediation?

Mediation is a form of Alternative Dispute Resolution used to settle a dispute away from court. It can be used to settle many different disputes including those concerning arrangement for children following a separation and financial matters. It is entirely voluntary and requires both parties to engage in the process with an open mind. The parties would often provide each other with some preliminary information, in the case of a financial matter, this may be an exchange of financial disclosure, and then the role of the mediator is to facilitate discussions to help the parties reach a mutually acceptable settlement. Mediation can be tailored to fit the situation so if the parties are willing everybody can all sit in the same room to discuss matters or there may be shuttle mediation whereby the couples sit in separate rooms and the mediator moves between them relaying messages and opening up the discussion.

Mediation can be advantageous in many ways as it can be quicker and less expensive than court based resolution and it allows the couple to reach an agreement they both want rather than a decision being imposed on them by a court. However, they do require co-operation and openness from both parties. Couples can attend mediation without solicitors but solicitors can attend if both parties agree. It is also common to have solicitors representing clients in the background so that they understand their legal positon and consequences of the settlement they are negotiating.

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What is the guidance in relation to the Mental Capacity Act 2005 and Deprivation of Liberty Safeguards during the Covid-19 pandemic?

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In many scenarios created or affected by the pandemic, decision makers in hospitals and care homes will need to decide:

  • if new arrangements constitute a ‘deprivation of liberty’ (most will not), and
  • if the new measures do amount to a deprivation of liberty, whether a new DoLS authorisation will be required (in most cases it will not be).

If a new authorisation is required, decision makers should follow their usual DoLS processes, including those for urgent authorisations.

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Use of the MCA and DoLS due to Covid-19

  • During the pandemic, the principles of the MCA and the safeguards provided by DoLS still apply.
  • It may be necessary to change the usual care and treatment arrangements, for example to provide treatment for people with Covid-19, to move them to a new hospital or care home to better utilise resources or to protect them from becoming infected.
  • All decision makers are responsible for implementing the emergency Government health advice  and any decision made under the MCA must be made in relation to a particular individual, it cannot be made in relation to groups of people.

Best interest decisions

  • In many cases, a best interests decision will be sufficient to provide the necessary care and treatment for a person who lacks the capacity to consent to the care and/or treatment arrangements during this emergency period.
  • If an individual has made a valid and applicable advance decision to refuse the treatment in question, then the relevant treatment, even for Covid-19, cannot be provided.

Delivering life-saving treatment

  • Where life-saving treatment is being provided in care homes or hospitals, including for the treatment of Covid-19, then the person will not be deprived of liberty as long as the treatment is the same as would normally be given to any person without a mental disorder.
  • The DoLS will therefore not apply to the vast majority of patients who need life-saving treatment who lack the mental capacity to consent to that treatment, including treatment to prevent the deterioration of a person with Covid-19.

The full guidance can be found here.

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