The supervisory body:
Place a cross in either box A or box B Ø
A is satisﬁ eld that, apart from professionals and other people who are paid to provide care
or treatment, this person has no one whom it is appropriate to consult about what is in
their best interests. An IMCA is therefore being instructed under section 39A of the Mental
Capacity Act 2005.
B is satisﬁ ed that there is someone whom it is appropriate to consult about what is in the
person’s best interests who is neither a professional nor is being paid to provide care or
treatment. An IMCA is not therefore being instructed.
PART D — DECISION THAT AN ASSESSMENT IS NOT REQUIRED
The supervisory body has decided that an assessment is not required because it appears to it that:
Place a cross in box D1 or D2, or both Ø
D1 The request is frivolous or vexatious.
D2 (a) The question of whether or not there is an unauthorised deprivation of liberty has
already been decided; AND
(b) Since that decision was made, there has been no change of circumstances that
merits the question being decided again.
PART E — REASONS FOR THE SUPERVISORY BODY’S DECISION
The supervisory body’s reasons for its decision are as follows:
(Give reasons for deciding that, for example, the request is frivolous or vexatious, or that circumstances
have not changed since the question was last decided.)
GFSB-Liberty Form 16.indd 3 19/2/09 11:37:48
Please Use Continuation Sheet