Services for children and young people in Northamptonshire (aged 0-25) with special educational needs and disabilities.

Voiceability - Independent Mental Capacity Advocacy (IMCA)


Type of service:
Social Care Services
Doddridge Centre, Total Voice Northamptonshire, Northampton, NN5 5LD
Telephone number:
02033 558846
Email address:
Service description:
Our Total Voice programme provides an IMCA service for people who have been assessed as ‘lacking capacity’ to make specific decisions, primarily about serious medical treatment and long term accommodation needs.

The local authority/NHS decision maker MUST refer you if you have no ‘appropriate’ family and friends if you lack capacity to make a decision about either:
- Serious medical treatment
- Long term moves (more the 28 days in hospital/ 8 weeks in a care home)
- Deprivation of Liberty Safeguards

The local authority/NHS decision maker MAY refer you if you lack capacity to make a decision about either
- Care review - with no ‘appropriate’ family or friends
- Safeguarding referral - victim or alleged perpetrator, regardless of family and friends

How do you know if someone lacks capacity?

You may be assessed as lacking the ability to make a decision, and needing an IMCA, if you cannot do one or more of the following:
- Understand information given to you about the decision.
- Retain the information for long enough to make the decision.
- Use or weigh up the information as part of the decision making process.
- Communicate your decision (by any means, e.g. talking, sign language or blinking).

The assessment must be specific to the decision which needs to be made, for example your medical treatment, not a generic test of capacity. Whether and how such assessments are recorded may vary according to the seriousness of the decision made.
Not provided
Age range:
0 - 0
Eligibility criteria:
Special Educational Needs / Disabilities
Referral route:
  • Referral By Health Professional
  • Referral By Social Worker
Last updated on:
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