Amendments proposed to the Mental Capacity Bill - continued House of Commons

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Mr Tim Boswell

40

Clause     29,     page     16,     line     20,     leave out 'for any public office'.


   

Mr Tim Boswell

41

Clause     30,     page     16,     line     31,     after '31', insert—

'(aa) in conformity with an advance decision to permit the carrying out of research on P made while P had capacity, and'.

   

Mr Tim Boswell

42

Clause     30,     page     16,     line     37,     leave out subsection (3).

   

Mr Tim Boswell

43

Clause     30,     page     17,     line     1,     leave out subsection (5).


   

Mr Tom Clarke

178

Clause     31,     page     17,     line     17,     leave out subsection (3) and insert—

    '(3)   Research shall only be carried out if research of a similar nature cannot be carried out on an adult who is capable in relation to such a decision.'.

   

Mr Tom Clarke

179

Clause     31,     page     17,     line     21,     after 'to', insert 'provide real and direct.'.

   

Mr Tim Boswell

44

Clause     31,     page     17,     line     23,     leave out paragraph (b).

   

Mr Tom Clarke

180

Clause     31,     page     17,     line     27,     leave out paragraph (a), and insert 'that it entails no risk to P or that'.


   

Mr Tim Boswell

45

Clause     32,     page     18,     line     19,     leave out 'or is P's deputy'.

   

Mr Tom Clarke

181

Clause     32,     page     18,     line     20,     at end insert 'but a deputy shall not be able to consent to research under 31(4) unless the court has conferred on the deputy express authority to that effect.'.

   

Mr Tom Clarke

182

Clause     32,     page     18,     line     21,     leave out subsection (7).'.


   

Mr Tom Clarke

183

Clause     33,     page     19,     line     3,     at end insert 'or wishes expressed by P in a LPA.'.


   

Mr Paul Burstow
Paul Holmes

169

Clause     34,     page     19,     line     10,     leave out 'Independent consultee service' and insert 'Independent advocates'.

   

Mr Tom Clarke

184

Clause     34,     page     19,     line     10,     leave out 'consultee service' and insert 'advocates.'.

   

Mr Paul Burstow
Paul Holmes
Mr Tom Clarke

170

Clause     34,     page     19,     line     11,     leave out subsection (1) and insert—

    '34   Appointment of independent advocates

    (1)   The appropriate authority must arrange, to such an extent as he considers necessary to maintain the principles set out in section 1 of the Act for independent advocates to be available to assist a person ("P") when another person ("D") is considering doing an act, or making a decision to do an act.

    (2)   The assistance available under the arrangements must include—

(a) assistance to permit and encourage the individual to participate or improve his ability to participate, as fully as possible in the act proposed to be done or the decision to be made affecting him;

(b) assistance to express the individual's past and present wishes and feelings, beliefs and values and other factors which he would consider and are relevant to the decision or proposed action if he were able to do so;

(c) assistance to maintain the principles set out in section 1 of this Act.'.

   

Mr Paul Burstow
Paul Holmes
Mr Tom Clarke

171

Clause     34,     page     19,     line     16,     leave out 'of independent consultees' and insert 'or recognition of independent advocates for the purposes of this Act'.

   

Mr Tom Clarke

187

Clause     34,     page     19,     line     17,     leave out from 'of' to end of line 18 and insert 'advocates'.

   

Mr Paul Burstow
Paul Holmes

172

Clause     34,     page     19,     line     17,     leave out from 'independent' to end of line 18 and insert 'advocates'.

   

Mr Tim Boswell

46

Clause     34,     page     19,     line     18,     at end insert—

'(c) as to the conduct of independent consultees'.

   

Mr Paul Burstow
Paul Holmes
Mr Tom Clarke

173

Clause     34,     page     19,     line     20,     leave out 'consultee' and insert 'advocate'.

   

Mr Paul Burstow
Paul Holmes
Mr Tom Clarke

174

Clause     34,     page     19,     line     22,     leave out 'consultee' and insert 'advocate'.

   

Mr Paul Burstow
Paul Holmes
Mr Tom Clarke

175

Clause     34,     page     19,     line     25,     leave out 'advice' and insert 'support'.

   

Mr Tim Boswell

47

Clause     34,     page     19,     line     26,     leave out 'so far as practicable'.

   

Mr Tim Boswell

48

Clause     34,     page     19,     line     28,     leave out subsection (5).

   

Mr Paul Burstow
Paul Holmes
Mr Tom Clarke

176

Clause     34,     page     19,     line     42,     at end add—

    '(9)   The provision of assistance may result in the proposed decision or action not taking place under the provisions of this Act.

    (10)   Nothing in this section obliges P to accept the assistance offered by an independent advocate.'.


   

Mr Tom Clarke

203

Clause     35,     page     20,     leave out line 1 and insert 'Right to independent advocacy in connection with decisions on serious medical treatment'.

   

Mr Tom Clarke

204

Clause     35,     page     20,     line     2,     leave out subsection (1) and insert—

    '(1)   The specified circumstances in which independent advocacy must be made available shall include consideration by an NHS body of providing, withholding or withdrawing serious medical treatment for a person ("P") who lacks capacity to seek the treatment on his own behalf or to consent to it.'.

   

Mr Tim Boswell

49

Clause     35,     page     20,     line     2,     after 'body' insert 'or other registered medical practitioner'.

   

Mr Tom Clarke

205

Clause     35,     page     20,     line     8,     leave out subsection (2) and insert—

    '(2)   The NHS body must seek and take into account representations from an independent advocate.'.

   

Mr Tom Clarke

206

Clause     35,     page     20,     line     10,     leave out subsection (3) and insert—

    '(3)   Nothing in this section shall prevent the giving of urgently necessary medical treatment; but where such treatment is ongoing it shall be reviewed as soon as possible, taking into account any representations by the independent advocate.'.

   

Mr Tom Clarke

207

Clause     35,     page     20,     line     13,     leave out subsection (4).

   

Mr Tom Clarke

208

Clause     35,     page     20,     line     15,     leave out from second 'treatment' to 'of' in line 16.

   

Mr Tom Clarke

209

Clause     35,     page     20,     line     17,     at end insert—

    '(5A)   Regulations may specify treatments in which the advocate's representations are to be forwarded to the court for decision on the treatment issue; treatments in which the advocate's representations are to be forwarded to a doctor invited to give a second medical opinion; and treatments where the advocate's representations are to be considered by the NHS body without further consultation.'.

   

Mr Tim Boswell

50

Clause     35,     page     20,     line     20,     after 'State', insert '(subject to an affirmative resolution of both Houses of Parliament)'.


   

Mr Tom Clarke

192

Clause     36,     page     20,     line     23,     leave out subsection (1) and insert—

    '(1)   The specified circumstances in which independent advocacy must be made available shall include consideration of a major change in a person's accommodation and/or support arrangements where the accommodation or support is to be paid for in whole or in part from public funds, or would be but for the fact the person's resources exceed those set in regulations under section 22 of the National Assistance Act 1948.

    (1A)   A major change for the purposes of this section means any change to—

(a) accommodation for a continuous period intended to or likely to exceed 28 days, or

(b) any new contractual arrangements for providing support, for a person who lacks capacity to agree to the changes, where the accommodation or support is to be paid for in whole or in part from public funds, or

(c) where the arrangements need to be made a matter of urgency.'.

   

Mr Tom Clarke

193

Clause     36,     page     20,     line     30,     leave out subsection (2) and insert—

    '(2)   Any NHS body or local authority that is liable to provide an assessment or assessments under—

(a) section 47 of the National Health Service and Community Care Act 1990 (and for the avoidance of doubt this includes those assessments under section 3 of the Community Care (Delayed Discharges etc.) Act 2003,

(b) section 117 of the Mental Health Act 1983,

(c) section 1 and section 5 of the Carers and Disabled Children Act 2000,

(d) assessment under the Continuing Care (National Health Service Responsibilities) Directions 2004 or Delayed Discharge (Continuing Care) Directions 2004,

(e) any assessment for services which fall within the functions of a local housing authority (within the meaning of the Housing Act 1985) or any assessment for support under the Supporting People (England) Directions 2003, the Supporting People Grant (England) Guidance 2003 or assessment for charges under the Local Authorities (charges for Specified Welfare Services) (England) Regulations 2003 (S.I., 2003, No. 907), or

(f) any care planning for in-patient care following discharge or continuing care under the Care Programme Approach,

       must seek and take into account representations from an independent advocate.

    (2A)   Where emergency accommodation and support arrangements have to be made, these arrangements shall be reviewed as soon as possible, taking account of representations made by the independent advocate.'.



 
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