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Fluctuating capacity: anticipatory declarations authorising deprivation of liberty and BSL-competent capacity assessors in deaf adult care (Oldham MBC v KZ [2024] EWCOP 72, Court of Protection, England and Wales)

Published on: 29 January 2025

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Court of Protection issues anticipatory declarations on care where capacity fluctuates (Oldham MBC v KZ & Others)

Oldham Metropolitan Borough Council v KZ (by his litigation friend the Official Solicitor) and others [2024] EWCOP 72

What are the practical implications of this case?

The Court of Protection has, once more, considered how best to respond when an individual is assessed as having ‘fluctuating capacity’. Under section 2(1) of the Mental Capacity Act 2005 (MCA 2005), capacity is decision-specific and must be evaluated at the point the decision is taken. Fluctuation in capacity creates practical challenges. For instance, a care provider may need, in demanding circumstances, to judge whether a significant choice about care has been made with capacity. Where distinct periods of incapacity can be identified, the courts have been prepared to make anticipatory declarations authorising future measures, eg a care plan, which would otherwise amount to an unlawful deprivation of liberty. That course was followed here as the most appropriate way to provide a lawful foundation for KZ’s care while preserving his autonomy. The outcome turned on a revised capacity assessment that was critical of earlier evaluations of KZ. The judge went on to address...

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