A vulnerable person in Sefton waited more than five years for a decision on whether a carer would be allowed to make decisions on their behalf, new figures show. Across the country, thousands have experienced a prolonged wait for their deprivation of liberty applications, which allow a third party to act on behalf of those judged to be unable to make decisions for themselves. Care homes, hospitals, and other organisations must seek permission from the local authority to use the policy, which is generally only deployed for people with dementia or severe mental health issues. Charities said the delay that left thousands of people in limbo is a “public mental health scandal” and called on the Government to make sure the system is properly funded. NHS Digital figures show one vulnerable person in Sefton had to wait for four years and approximately 288 days for their carer to be able to make decisions on their behalf. This was the slowest completion in the area for the period 2022-23. The average time it took for an application to be completed in Sefton was 85 days. There were 3,165 applications, only 365 of which were processed within 21 days, which is the legal time limit. Those who faced the delays accounted for 89% of all people whose applications were received or completed in the year ending March 2023. The 21-day time frame was also exceeded the year before, when patients saw average waits of 89 days. Across England, the average wait time for all completed applications was 156 days, an increase of three days on the previous year. Rupen Gahir Kalsi, senior policy manager at VoiceAbility, a charity which advocates for patients, said: "These figures are shocking, but not surprising. This is wholly predictable and is why DoLS (deprivation of liberty safeguards) was due to be replaced by Liberty Protection Safeguards earlier this year – legislation which has now been shelved. "LPS is not the perfect solution, but implementing this would make a huge difference to people, the majority of whom are older people, stuck living in places they don’t want to be, separated from friends and family. They need urgent action from government now." Rheian Davies, head of legal at mental health charity Mind, said: “Even under existing legislation these waiting lists could come down if ringfenced money was given to local authorities to employ more specialist social workers, known as Best Interest Assessors, who decide if the placement where the patient is detained is in their best interests. “We call on the UK Government to take stock of these appalling figures and put in the resources needed to address what can only be called, a public mental health scandal.” Overall, there were 3,165 applications in Sefton, 1,945 of which were 'urgent'. They were completed for an average of 237 days — longer than applications classified as 'standard', which took 97 days to be granted. Over half (56%) of the 289,150 applications completed in England were not granted due to a change in the person’s circumstances or not meeting the assessment criteria. In Sefton, there were 2,415 DoLS not granted — 76% of all applications. A Department of Health and Social Care spokesperson said: “To assist local authorities, the Government is providing up to £7.5 billion of additional funding over two years to support adult social care and discharge. “Local authorities will have the flexibility to use this funding to meet local needs.”
