Independent Mental Capacity Advocate (IMCA)

The Mental Capacity Act 2005 introduced the role of the independent mental capacity advocate (IMCA).

IMCAs are a legal safeguard for people who lack the capacity to make specific important decisions: including making decisions about where they live and about serious medical treatment options. IMCAs are mainly instructed to represent people where there is no one independent of services, such as a family member or friend, who is able to be consulted about the best interests decision.


IMCA Report Writing Evaluation Tool

A tool for IMCAs, IMCA Managers and Commissioners to support best practice in IMCA report writing.

IMCA Guides

The following guidance was developed at Action for Advocacy by Jakki & Sue whilst they managed the IMCA Support Project. The project was funded by the Department of Health to develop and publish national best practice, this includes ‘serious medical treatment’ guidance to support IMCAs and anyone else who is involved in the welfare, care and/or treatment of someone being considered for and/or going through specific medical treatment.

Specific Serious Medical Treatment Guidance
The following guidance offers an overview of the relevant treatment along with questions to ask the person in order for them to be able to participate as fully as possible in the decision.  Questions to ask those that know the person in order to inform the decision maker’s final decision. The role of an advocate in being able to represent the person and  questions to ask of the decision maker to ensure the best interests process is as robust as possible.
IMCA Guidance from the Social Care Institute of Excellence (SCIE)


Department of Health: IMCA Reports


 Court of Protection Handbook website

This site accompanies the Court of Protection Handbook,  the first book to address in detail the practice and processes of the Court of Protection – across the whole range of its work – in terms that are aimed not solely at lawyers but also to the increasing numbers of people who either by choice or otherwise are involved in proceedings before the Court of Protection without legal help.

Court of Protection Handbook website


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