Amendments proposed to the Mental Capacity Bill - continued	House of Commons
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Mr David Lammy
Ms Rosie Winterton

221

*Clause     34,     page     19,     line     34,     leave out 'examine any record of a prescribed kind which' and insert ', at all reasonable times, examine and take copies of—

(i)	any health record,

(ii)	any record of, or held by, a local authority and compiled in connection with a social services function, and

(iii)

any record held by a person registered under Part 2 of the Care Standards Act 2000 (c.14),

which'.

   

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

220

Page     19,     line     11,     leave out Clause 34.

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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 Tim Boswell

49

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

   

Mr David Lammy
Ms Rosie Winterton

222

*Clause     35,     page     20,     line     3,     after 'provide', insert ', or secure the provision of,'.

   

Mr David Lammy
Ms Rosie Winterton

223

*Clause     35,     page     20,     line     7,     at end insert—

    '( )   But this section does not apply if P's treatment is regulated by Part 4 of the Mental Health Act.'.

   

Mr David Lammy
Ms Rosie Winterton

224

*Clause     35,     page     20,     line     9,     after 'interests', insert 'and, in particular, as to the matters mentioned in section 4(5)'.

   

Mr David Lammy
Ms Rosie Winterton

225

*Clause     35,     page     20,     line     14,     leave out 'treating' and insert 'providing, or securing the provision of, treatment for'.

   

Mr Tim Boswell

50

Clause     35,     page     20,     line     17,     after 'State', insert '(subject to an affirmative resolution of both Houses of Parliament)'.

   

Mr Tom Clarke

214

Page     20,     line     1,     leave out Clause 35.

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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 David Lammy
Ms Rosie Winterton

226

*Clause     36,     page     20,     line     29,     at end insert—

    '( )   But this section does not apply if P is accommodated as a result of an obligation imposed on him under the Mental Health Act.'.

   

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.'.

   

Mr David Lammy
Ms Rosie Winterton

227

*Clause     36,     page     20,     line     31,     after 'interests', insert 'and, in particular, as to the matters mentioned in section 4(5)'.

   

Mr David Lammy
Ms Rosie Winterton

228

*Clause     36,     page     20,     line     32,     leave out 'of less than 28 days' and insert 'which is less than the applicable period'.

   

Mr David Lammy
Ms Rosie Winterton

229

*Clause     36,     page     20,     line     34,     at end insert—

    '( )   If the NHS body—

(a)	did not seek advice from an independent consultee before making the arrangements because it was satisfied that subsection (2)(a) or (b) applied, but

(b)	subsequently has reason to believe that the accommodation is likely to be provided for a continuous period—

(i)	beginning with the day on which accommodation was first provided in accordance with the arrangements, and

(ii)	ending on or after the expiry of the applicable period,

it must seek advice from an independent consultee.'.

   

Mr David Lammy
Ms Rosie Winterton

230

*Clause     36,     page     21,     line     4,     at end insert—

    '( )   "Applicable period" means—

(a)	in relation to accommodation in a hospital, 28 days, and

(b)	in relation to accommodation in a care home, 8 weeks.'.

   

Mr Tom Clarke

212

Page     20,     line     22,     leave out Clause 36.

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Mr David Lammy
Ms Rosie Winterton

231

*Clause     37,     page     21,     line     14,     leave out from 'with' to end of line 14 and insert '—

(a)	section 21 or 29 of the National Assistance Act 1948 (c.29), or

(b)	section 117 of the Mental Health Act,

as the'.

   

Mr David Lammy
Ms Rosie Winterton

232

*Clause     37,     page     21,     line     16,     at end insert—

    '( )   This section does not apply if P is accommodated as a result of an obligation imposed on him under the Mental Health Act.'.

   

Mr David Lammy
Ms Rosie Winterton

233

*Clause     37,     page     21,     line     18,     after 'interests', insert 'and, in particular, as to the matters mentioned in section 4(5)'.

   

Mr David Lammy
Ms Rosie Winterton

234

*Clause     37,     page     21,     line     21,     at end insert—

    '( )   If the local authority—

(a)	did not seek advice from an independent consultee before making the arrangements because they were satisfied that subsection (3)(a) or (b) applied, but

(b)	subsequently have reason to believe that the accommodation is likely to be provided for a continuous period that will end 8 weeks or more after the day on which accommodation was first provided in accordance with the arrangements,

they must seek advice from an independent consultee.'.    

Mr Tim Boswell

51

Clause     37,     page     21,     line     24,     at end add 'and if they decline the advice must give reasons in writing for doing so'.

   

Mr Tom Clarke

199

Clause     37,     page     21,     line     24,     at end add—

'(a)	when an agreement between person "P" and "D" cannot be reached about a decision or action and where D is employed by an NHS body or local authority social services or D is contracted by an NHS body or local authority social services in respect of the provision of care and treatment for P,

(b)	when there is a difference in view between person "P" and any person who is consulted under section 4(6) and the decision or action is the responsibility of an NHS or local authority social services or organisation contracted by NHS body or local authority social services.'.

   

Mr Tom Clarke

197

Page     21,     line     5,     leave out Clause 37.

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Mr Tom Clarke

198

Clause     38,     page     21,     line     26,     leave out beginning to end of line 32 and insert—

       'The duty to identify and consult an independent advocate in relation to serious treatment or major changes in accommodation and support arrangements for P shall be considered discharged by the relevant authority where that authority has consulted and accepted the representations of either—

(a)	a donee of a relevant lasting power of attorney created by P, or

(b)	a deputy appointed for relevant purposes by the court for P, or

(c)	a donee of a relevant enduring power of attorney (within the meaning of Schedule 4) created by P, or

(d)	an independent advocate already recognised by the relevant authority as representing the interests of P'.

Prepared 26 Oct 2004