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Posted on 30/10/2018

What is an advocate in health and social care?

What is an advocate in health and social care?: The role

The role of an advocate in health and social care is to support a vulnerable or disadvantaged person and ensure that their rights are being upheld in a healthcare context.

This may include individuals who are physically disabled or wheelchair-bound, or those with age-associated degenerative diseases such as dementia.

The ultimate objectives in health and social care advocacy are to ensure that:

  • The client’s voice, views and experiences are heard and treated with appropriate respect
  • The client is receiving equal and fair treatment and is not on the receiving end of ableism
  • The client is fully aware of their rights under current legislation and can make informed decisions based on the advice provided

An advocate in health and social care will provide practical assistance with:

  • Accessing necessary social services, including those provided by social workers
  • Registering formal complaints regarding the conduct of health and social care professionals
  • Discussing changes in health and social care, including ongoing care and discharge from hospitals and other institutions
  • Providing support during Community Care Assessments and Care Programme Approach (CPA) meetings
  • Liasing with the Community Mental Health Team (CMHT) on behalf of patients, where necessary
  • Accompanying patients to medical appointments

What is an advocate in health and social care?: The law

The Care Act of 2014 states that a patient should:

  • Be able to take part as fully as possible in any discussion in which decisions are being made about their social care
  • Have their views, wishes, feelings and beliefs considered and respected
  • Have all their relevant circumstances taken into consideration

An advocate is therefore required when a patient has difficulty understanding, retaining and weighing significant information, and/or communicating relevant views, wishes, feelings and beliefs.

The local authority does not have to provide an advocate if the patient is happy for an ‘appropriate person’ – such as a friend, family member or unpaid carer – to support them.

The following factors disqualify a person from standing as a patient’s appropriate person:

  • The patient does not consent to their standing as advocate
  • They are the patient’s paid and/or professional carer
  • The local authority does not deem their advocacy to be in the patient’s best interest
  • The patient does not have the capacity to make decisions regarding their appropriate person (in this situation a professionally appointed advocate is necessary)

How to find an advocate in health and social care

If you or someone you know is in need of a health and social care advocate, it can be difficult to know where to seek this kind of help.

Mind.org.uk has a useful list of resources designed to enabling those with mental health difficulties to find an advocate for this very reason. More locally, Hertfordshire County Council offer support with sourcing a suitable advocate.

Bear in mind that if you are entitled to advocacy, you cannot be told that there are no available advocates in your area. Your local authority is legally obliged to provide you with one and if you are told differently, you should not accept this.

For more information about legality in health and social care or the range of care services that we provide at ENA, please get in touch with us.