S.C.A.

Amendment Paper as at
Thursday 28th October 2004

STANDING COMMITTEE A

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MENTAL CAPACITY BILL

NOTE

The Amendments have been arranged in accordance with the Programme Orders of the Committee [19th and 26th October 2004].

   

Mr Paul Burstow
Paul Holmes

99

Clause     24,     page     14,     line     9,     leave out from 'Decisions' to end of line and insert 'statements on treatment'.

   

Mr Tim Boswell

240

Clause     24,     page     14,     line     10,     after 'refuse', insert 'or request'.

   

Mr Tim Boswell

241

Clause     24,     page     14,     line     19,     after 'not', insert 'or is'.

   

Mr Tim Boswell

36

Clause     24,     page     14,     line     21,     at end insert 'provided that the decision is not voided by uncertainty'.

   

Mr Paul Burstow
Paul Holmes

100

Page     14,     line     10,     leave out Clause 24.

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Mr Paul Burstow
Paul Holmes

101

Clause     25,     page     14,     line     24,     leave out 'decisions' and insert 'statements'.

   

Mr Tim Boswell

37

Clause     25,     page     14,     line     37,     at end insert—

    '(2A)   An advance decision is not valid unless it is made in writing and witnessed by one independent person of standing, except in case of urgent necessity'.

   

Mrs Claire Curtis-Thomas
Ann Winterton

215

Clause     25,     page     14,     line     37,     at end insert—

    '( )   is unable to prove he was not suicidal at the time the advance decision was made.'.

   

Mrs Claire Curtis-Thomas
Ann Winterton

216

Clause     25,     page     14,     line     37,     at end insert—

    '( )   was not made aware of the consequences of the advance decision when it was made.'.

   

Mr Tim Boswell

242

Clause     25,     page     15,     line     4,     leave out subsection (5).

   

Mr Tim Boswell

38

Clause     25,     page     15,     line     5,     at end insert 'and is not valid if the advance decision has been made by P with the intention of terminating his life or is being implemented on P by any person giving or withholding treatment with the intention of terminating P's life'.

   

Mr Tim Boswell

243

Clause     25,     page     15,     line     5,     at end insert 'and does not extend to any request that nourishment or hydration should be withheld or withdrawn.'.

   

Mr Paul Burstow
Paul Holmes

102

Clause     25,     page     15,     line     8,     at end add—

    '(7)   An advance statement shall normally be recorded in writing and witnessed by a third party.'.

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Mr Tim Boswell

39

Clause     27,     page     15,     line     35,     at end insert—

'(aa)

applying for the issue of a gender recognition certificate'.

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Mr Tim Boswell

40

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

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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).

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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'.

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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).'.

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Mr Tom Clarke

183

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

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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 Paul Burstow
Paul Holmes
Mr Tom Clarke

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 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'.

Prepared 28 Oct 2004