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1

 

House of Commons

 
 

Tuesday 15 January 2019

 

Public Bill Committee

 

New Amendments handed in are marked thus Parliamentary Star

 

Parliamentary Star - whiteAmendments which will comply with the required notice period at their next appearance

 

Amendments tabled since the last publication: 52 to 54

 

Mental Capacity (Amendment) Bill [Lords]


 

Note

 

This document includes all amendments tabled to date and includes any

 

withdrawn amendments at the end. The amendments have been arranged in

 

accordance with the Resolution of the Programming Sub-Committee.

 


 

Resolution of the Programming Sub-Committee

 

The Programming Sub-Committee appointed by the Speaker in respect of the Bill

 

agreed the following Resolution at its meeting on Monday 14 January (Standing Order

 

83C):

 

That—

 

(1)  

the Committee shall (in addition to its first meeting at 9.25 am on Tuesday 15

 

January) meet—

 

(a)  

at 2.00 pm on Tuesday 15 January;

 

(b)  

at 11.30 am and 2.00 pm on Thursday 17 January;

 

(c)  

at 9.25 am and 2.00 pm on Tuesday 22 January;

 

(d)  

at 11.30 am and 2.00 pm on Thursday 24 January;

 

(2)  

the proceedings shall be taken in the following order: Clause 1; Schedule 1;

 

Clauses 2 to 4; Schedule 2; Clause 5; new Clauses; new Schedules; remaining

 

proceedings on the Bill;

 

(3)  

the proceedings shall (so far as not previously concluded) be brought to a

 

conclusion at 5.00 pm on Thursday 24 January.

 

Caroline Dinenage has given notice of her intention to move a motion in the terms of

 

the Resolution of the Programming Sub-Committee [Standing Order No. 83C].

 



 
 

Public Bill Committee: 15 January 2019                  

2

 

Mental Capacity (Amendment) Bill-[Lords], continued

 
 

Caroline Dinenage

 

That, subject to the discretion of the Chair, any written evidence received by the

 

Committee shall be reported to the House for publication.

 


 

Caroline Dinenage

 

2

 

Schedule  1,  page  5,  line  19,  leave out “if a person objects to arrangements” and

 

insert “in certain cases”

 

Member’s explanatory statement

 

This amendment is consequential on Amendment 9.

 

Barbara Keeley

 

Paula Sherriff

 

Thangam Debbonaire

 

Alex Norris

 

19

 

Schedule  1,  page  8,  line  17,  at end insert—

 

“(aa)    

if the arrangements are for the cared-for person to be accommodated

 

in an independent hospital for the purpose of assessment or treatment

 

for mental disorder, and that care is commissioned by a clinical

 

commissioning group or Local Health Board, it is the clinical

 

commissioning group or Local Health Board, that is the responsible

 

body;”

 

Member’s explanatory statement

 

This amendment would mean that, where a person is accommodated in an independent hospital

 

for the assessment or treatment of a mental disorder, and their care is commissioned by a CCG or

 

Local Health Board, then the responsible body will be the CCG or Local Health Board.

 

Caroline Dinenage

 

3

 

Schedule  1,  page  8,  line  19,  leave out from “mainly” to “that” in line 21 and insert

 

“through—

 

(i)    

the provision of NHS continuing healthcare under

 

arrangements made by a clinical commissioning group, or

 

(ii)    

in Wales, the provision of an equivalent to NHS continuing

 

healthcare under arrangements made by a Local Health

 

Board,”

 

Member’s explanatory statement

 

“NHS continuing healthcare” is defined, for England, by paragraph 8 of new Schedule AA1. This

 

amendment provides that in the case of arrangements carried out through the equivalent of NHS

 

continuing healthcare, in Wales, the responsible body is the Local Heath Board making the

 

arrangements.

 

Steve McCabe

 

47

 

Schedule  1,  page  11,  line  17,  at end insert—

 

“(d)    

the arrangements are in the cared for person’s best interest,

 

(e)    

less restrictive options have been considered,


 
 

Public Bill Committee: 15 January 2019                  

3

 

Mental Capacity (Amendment) Bill-[Lords], continued

 
 

(f)    

appropriate weight has been given to the cared for person’s feelings

 

and wishes as best as these can be determined.”

 

Member’s explanatory statement

 

This amendment is designed to pursue the issue of a person being deprived of their liberty as a last

 

resort and only if it is in their best interest and a reasonable effort made to determine their wishes

 

and feelings.

 

Caroline Dinenage

 

4

 

Schedule  1,  page  11,  line  19,  leave out from beginning to end of line 7 on page 12

 

and insert—

 

“13(1)  

As soon as practicable after authorising arrangements, the responsible body

 

must ensure that a copy of the authorisation record is given to—

 

(a)    

the cared-for person,

 

(b)    

any independent mental capacity advocate appointed under paragraph

 

39 to represent and support the cared-for person,

 

(c)    

any person within paragraph 39(5) in respect of the cared-for person

 

(the “appropriate person”), and

 

(d)    

any independent mental capacity advocate appointed under paragraph

 

40 to support the appropriate person.

 

      (2)  

As soon as practicable after authorising arrangements, the responsible body

 

must take such steps as are practicable to ensure that the cared-for person and

 

any other person listed in sub-paragraph (1) understands—

 

(a)    

the effect of the authorisation,

 

(b)    

the right to make an application to the court to exercise its jurisdiction

 

under section 21ZA,

 

(c)    

the programme of regular reviews specified by the responsible body in

 

accordance with paragraph 35(2),

 

(d)    

the right to request a review under paragraph 35(3)(b),

 

(e)    

the circumstances in which a referral will be made to an Approved

 

Mental Capacity Professional under paragraph 35(4),

 

(f)    

the circumstances in which an independent mental capacity advocate

 

should be appointed under paragraph 39, and

 

(g)    

the effect of there being an appropriate person in relation to the cared-

 

for person.”

 

Member’s explanatory statement

 

This amendment substitutes a new paragraph 13 of the new Schedule AA1 to require that, as soon

 

as practicable after arrangements are authorised, the responsible body must provide to the cared-

 

for person and any other person listed in paragraph 13(1) a copy of the authorisation record and

 

take steps to ensure that those people understand the matters described in paragraph 13(2).

 

Barbara Keeley

 

Paula Sherriff

 

Thangam Debbonaire

 

Alex Norris

 

20

 

Schedule  1,  page  12,  line  12,  leave out paragraph 14(b)

 

Member’s explanatory statement

 

This amendment makes provision for the responsible body to take on all functions relating to

 

authorisation of deprivation of liberty in cases relating to care homes.


 
 

Public Bill Committee: 15 January 2019                  

4

 

Mental Capacity (Amendment) Bill-[Lords], continued

 
 

Barbara Keeley

 

Paula Sherriff

 

Thangam Debbonaire

 

Alex Norris

 

30

 

Schedule  1,  page  12,  line  29,  at end insert new sub-paragraph—

 

“(da)    

in the case of a cared-for person aged 16 or 17 (unless that person is

 

subject to a care order under section 31 of the Children Act 1989 or an

 

interim care order under section 38 of that Act) the responsible body

 

is satisfied that no person with parental responsibility objects to the

 

arrangements,”

 

Member’s explanatory statement

 

This amendment makes provision enabling parents to object to care arrangements that give rise to

 

their child’s deprivation of liberty.

 

Steve McCabe

 

51

 

Schedule  1,  page  12,  line  40,  at end insert—

 

“(h)    

the cared for person has access to an Approved Mental Capacity

 

Professional”

 

Member’s explanatory statement

 

This amendment is designed to probe that the responsible body could not authorise arrangements

 

for the deprivation of liberty under Clause 15 if the cared for person does not have access to

 

reasonable support and consideration by an Approved Mental Capacity Professional.

 

Barbara Keeley

 

Paula Sherriff

 

Thangam Debbonaire

 

Alex Norris

 

21

 

Schedule  1,  page  12,  line  41,  leave out paragraph 16 and 17

 

Member’s explanatory statement

 

This amendment is consequential on Amendment 20.

 

Barbara Keeley

 

Paula Sherriff

 

Thangam Debbonaire

 

Alex Norris

 

32

 

Schedule  1,  page  13,  line  46,  at end insert—

 

“(aa)    

a determination made on an assessment in respect of the cared-for

 

person as to whether the person’s capacity is likely to fluctuate, and”

 

Member’s explanatory statement

 

This amendment requires that an assessment of whether a person’s capacity is likely to fluctuate

 

is included within the initial capacity and medical assessments, and therefore seeks to ensure that

 

fluctuating capacity is reflected in the care plan of the cared-for person.


 
 

Public Bill Committee: 15 January 2019                  

5

 

Mental Capacity (Amendment) Bill-[Lords], continued

 
 

Barbara Keeley

 

Paula Sherriff

 

Thangam Debbonaire

 

Alex Norris

 

31

 

Schedule  1,  page  13,  leave out lines 47 and 48 and insert—

 

“(b)    

a determination made on an assessment by a registered medical

 

practitioner in respect of the cared-for person that the person has a

 

mental disorder.”

 

Member’s explanatory statement

 

This amendment would require the medical assessment to be carried out by a registered medical

 

practitioner.

 

Barbara Keeley

 

Paula Sherriff

 

Thangam Debbonaire

 

Alex Norris

 

33

 

Schedule  1,  page  14,  line  2,  after “appropriate” insert “skills,”

 

Member’s explanatory statement

 

This amendment would require the person carrying out a medical or capacity assessment to have

 

the appropriate skills to do so, as well as the appropriate experience and knowledge.

 

Caroline Dinenage

 

5

 

Schedule  1,  page  14,  line  6,  leave out “prescribed connection” and insert

 

“connection, of a kind prescribed by regulations,”

 

Member’s explanatory statement

 

This amendment is to make it clear that a regulation making power is being conferred by

 

paragraph 18(3) of the new Schedule AA1.

 

Barbara Keeley

 

Paula Sherriff

 

Thangam Debbonaire

 

Alex Norris

 

22

 

Schedule  1,  page  14,  line  27,  leave out from “means” to end of subparagraph (8)(b)

 

and insert “the responsible body”

 

Member’s explanatory statement

 

This amendment is consequential on Amendment 20.

 

Barbara Keeley

 

Paula Sherriff

 

Thangam Debbonaire

 

Alex Norris

 

23

 

Schedule  1,  page  14,  line  41,  leave out sub-paragraphs (3)(a) and (3)(b) and insert

 

“to the responsible body”

 

Member’s explanatory statement

 

This amendment is consequential on Amendment 20.


 
 

Public Bill Committee: 15 January 2019                  

6

 

Mental Capacity (Amendment) Bill-[Lords], continued

 
 

Caroline Dinenage

 

6

 

Schedule  1,  page  15,  line  4,  leave out “prescribed connection” and insert

 

“connection, of a kind prescribed by regulations,”

 

Member’s explanatory statement

 

This amendment is to make it clear that a regulation making power is being conferred by

 

paragraph 19(4) of the new Schedule AA1.

 

Barbara Keeley

 

Paula Sherriff

 

Thangam Debbonaire

 

Alex Norris

 

24

 

Schedule  1,  page  15,  line  14,  leave out from “out” to end of sub-paragraph (1)(b)

 

and insert “by the responsible body”

 

Member’s explanatory statement

 

This amendment is consequential on Amendment 20.

 

Barbara Keeley

 

Paula Sherriff

 

Thangam Debbonaire

 

Alex Norris

 

34

 

Schedule  1,  page  15,  line  34,  at end insert—

 

  “(3A)  

Where the person consulted under sub-paragraph (2) has parental

 

responsibility for the cared-for person, the consultation shall seek to ascertain

 

that person’s wishes and feelings in relation to the arrangements.”

 

Member’s explanatory statement

 

This amendment introduces a requirement to consult parents about their child’s care

 

arrangements.

 

Barbara Keeley

 

Paula Sherriff

 

Thangam Debbonaire

 

Alex Norris

 

25

 

Schedule  1,  page  15,  line  39,  leave out “or 16(d)”

 

Member’s explanatory statement

 

This amendment is consequential on Amendment 20.

 

Barbara Keeley

 

Paula Sherriff

 

Thangam Debbonaire

 

Alex Norris

 

35

 

Schedule  1,  page  15,  line  41,  after “is” insert “employed by an organisation”

 

Member’s explanatory statement

 

This amendment would prohibit the pre-authorisation review from being carried out by any person

 

employed by an organisation involved in the day-to-day care of the cared-for person, or involved

 

in providing any treatment to the cared-for person.


 
 

Public Bill Committee: 15 January 2019                  

7

 

Mental Capacity (Amendment) Bill-[Lords], continued

 
 

Caroline Dinenage

 

7

 

Schedule  1,  page  16,  line  1,  leave out “prescribed connection” and insert

 

“connection, of a kind prescribed by regulations,”

 

Member’s explanatory statement

 

This amendment is to make it clear that a regulation making power is being conferred by

 

paragraph 21(1)(b) of the new Schedule AA1.

 

Barbara Keeley

 

Paula Sherriff

 

Thangam Debbonaire

 

Alex Norris

 

36

 

Schedule  1,  page  16,  line  2,  at end insert “or independent hospital.”

 

Member’s explanatory statement

 

This amendment would ensure that the person conducting the pre-authorisation review does not

 

have a prescribed connection with an independent hospital.

 

Barbara Keeley

 

Paula Sherriff

 

Thangam Debbonaire

 

Alex Norris

 

38

 

Schedule  1,  page  16,  line  4,  after “if” insert “the cared-for person is aged 16 or 17

 

and in other cases if”

 

Member’s explanatory statement

 

This amendment makes provision for an AMCP to be involved in all cases involving 16 and 17 year

 

olds.

 

Caroline Dinenage

 

8

 

Schedule  1,  page  16,  line  8,  leave out “or”

 

Member’s explanatory statement

 

This amendment is consequential on Amendment 9.

 

Caroline Dinenage

 

9

 

Schedule  1,  page  16,  line  12,  at end insert—

 

“(c)    

the arrangements provide for the cared-for person to receive care or

 

treatment mainly in an independent hospital, or

 

(d)    

the case is referred by the responsible body to an Approved Mental

 

Capacity Professional and that person accepts the referral.”

 

Member’s explanatory statement

 

This provides for two additional situations where a pre-authorisation review must be carried out

 

by an Approved Mental Capacity Professional.

 

Barbara Keeley

 

Paula Sherriff

 

Thangam Debbonaire

 

Alex Norris

 

37

 

Schedule  1,  page  16,  line  12,  at end insert—

 

“(c)    

the arrangements include the use of physical restraint, or

 

(d)    

the arrangements include the use of sedating medication, or


 
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Revised 15 January 2019