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Consideration of Bill: 18th June 2007                  

1328

 

Mental Health Bill[Lords], continued

 
 

Ms Secretary Hewitt

 

6

 

Page  8,  line  33  [Clause  12],  before ‘person’, insert ‘responsible clinician (if there is

 

one) or the’.

 

Ms Secretary Hewitt

 

7

 

Page  8,  line  35  [Clause  12],  leave out from ‘(3),’ to end of line 37 and insert ‘for the

 

words from “, and of those persons” to the end substitute “but, of those persons—

 

(a)    

one shall be a nurse and the other shall be neither a nurse nor a

 

registered medical practitioner; and

 

(b)    

neither shall be the responsible clinician (if there is one) or the

 

person in charge of the treatment in question.”’.

 

Ms Secretary Hewitt

 

8

 

Page  8,  line  44  [Clause  12],  before ‘approved’, insert ‘responsible clinician or the’.

 


 

Ms Secretary Hewitt

 

9

 

Page  9,  line  1  [Clause  12],  leave out from ‘(4),’ to end of line 3 and insert ‘for the

 

words from “, and of those persons” to the end substitute “but, of those persons—

 

(a)    

one shall be a nurse and the other shall be neither a nurse nor a

 

registered medical practitioner; and

 

(b)    

neither shall be the responsible clinician or the approved

 

clinician in charge of the treatment in question.”’.

 

Mr Andrew Dismore

 

Dr Evan Harris

 

73

 

Page  9,  line  38  [Clause  13],  at end insert—

 

‘(3)    

In section 72 (powers of tribunals) after subsection (1) insert—

 

“(1A)    

In determining whether they are not satisfied that a patient is suffering

 

from mental disorder of the requisite nature or degree for the purposes of

 

subsections (1)(a)(i), (1)(b)(i), (1)(c)(i) or (4)(a) a tribunal must hear

 

evidence from a registered medical practitioner approved for the

 

purposes of section 12 of this Act or, in an appropriate case, from a

 

chartered clinical psychologist.”.’.

 



 
 

Consideration of Bill: 18th June 2007                  

1329

 

Mental Health Bill[Lords], continued

 
 

Tim Loughton

 

Dr John Pugh

 

Angela Browning

 

Sandra Gidley

 

Mr Tim Boswell

 

Mr Charles Walker

 

Total signatories: 8

 

95

 

Page  14,  line  23  [Clause  22],  at end insert—

 

‘(c)    

an approved clinician shall not make a report for the purposes of renewal

 

of detention under section 20’.

 


 

Ms Secretary Hewitt

 

13

 

Page  17,  line  32  [Clause  27],  after ‘being’, insert ‘the responsible clinician (if there

 

is one) or’.

 


 

Ms Secretary Hewitt

 

15

 

Page  18,  line  4  [Clause  27],  leave out from ‘treatment’ to end of line 7 and insert

 

‘but, of those persons—

 

(a)    

one shall be a nurse and the other shall be neither a nurse nor a

 

registered medical practitioner; and

 

(b)    

neither shall be the responsible clinician (if there is one) or the

 

approved clinician in charge of the treatment in question.’.

 


 

Ms Secretary Hewitt

 

35

 

Page  27,  line  19  [Clause  32],  leave out ‘approved clinician’ and insert ‘responsible

 

clinician or the person’.

 


 

Ms Secretary Hewitt

 

38

 

Page  28,  line  7  [Clause  32],  leave out ‘approved clinician in charge of the

 

treatment’ and insert ‘person in charge of the treatment and an approved clinician’.

 



 
 

Consideration of Bill: 18th June 2007                  

1330

 

Mental Health Bill[Lords], continued

 
 

Ms Secretary Hewitt

 

40

 

Page  29,  line  24  [Clause  32],  leave out ‘approved clinician in charge of the

 

treatment’ and insert ‘person in charge of the treatment and an approved clinician’.

 


 

Ms Secretary Hewitt

 

44

 

Page  30,  line  21  [Clause  32],  after ‘clinician’, insert ‘or the person in charge of the

 

treatment in question’.

 

Ms Secretary Hewitt

 

47

 

Page  30,  line  34  [Clause  32],  leave out ‘approved clinician’ and insert ‘person’.

 

Ms Secretary Hewitt

 

48

 

Page  30,  line  38  [Clause  32],  leave out ‘approved clinician’ and insert ‘person’.

 


 

Mrs Madeleine Moon

 

Chris Bryant

 

Dr Doug Naysmith

 

Dr Brian Iddon

 

Ann Coffey

 

Dr Ian Gibson

 

Total signatories: 14

 

4

 

Page  33,  line  44  [Clause  34],  leave out ‘16’ and insert ‘18’.

 


 

Sandra Gidley

 

83

 

Page  38,  line  22  [Clause  40],  at end insert—

 

‘(2A)    

Subsections (3) and (4) below shall also apply in the case of a patient who has not

 

attained the age of 16 years who is competent to consent to the making of the

 

arrangements set out in subsection (1) above.’.

 



 
 

Consideration of Bill: 18th June 2007                  

1331

 

Mental Health Bill[Lords], continued

 
 

New Clauses and amendments relating to supervised community

 

treatment; amendments relating to part 2 (other than those relating to

 

advocacy)

 

Authority to treat community patients

 

Angela Browning

 

Tim Loughton

 

Dr John Pugh

 

Sandra Gidley

 

Mr Tim Boswell

 

Mr Charles Walker

 

Total signatories: 8

 

NC13

 

To move the following Clause:—

 

‘(1)    

The 1983 Act is amended as follows.

 

(2)    

In section 58(3), after first “patient”, insert “who is liable to be detained under this

 

Act”.

 

(3)    

After section 58 of the 1983 Act, insert—

 

“58A  

Consent to treatment of community patients

 

(1)    

Subject to section 62A below, a community patient who has not been

 

recalled to hospital shall not be given any form of treatment to which this

 

section applies unless—

 

(a)    

he has consented to that treatment and either the approved

 

clinician in charge of that treatment or a registered medical

 

practitioner appointed for the purposes of this Part of this Act has

 

certified in writing that the patient is capable of understanding its

 

nature, purpose and likely effect and has consented to it; or

 

(b)    

a registered medical practitioner appointed as aforesaid (not

 

being the approved clinician in charge of the treatment in

 

question) has certified in writing that—

 

(i)    

the patient is not capable of understanding the nature,

 

purpose or likely effects of that treatment; and

 

(ii)    

he has either no reason to believe that the patient objects

 

to being given the treatment, or he does have reason to

 

believe that patient so objects, but it is not necessary to

 

use force against the patient in order to give the

 

treatment; and

 

(iii)    

he is satisfied that the treatment does not conflict with a

 

valid and applicable advance decision, or a decision

 

made by a donee or deputy or the Court of Protection;

 

and

 

(iv)    

it is appropriate for the treatment to be given.

 

(2)    

Where a patient who has been liable to detention under this Act has been

 

administered medication for mental disorder to which this section applies

 

for less than three months prior to becoming a community patient, the

 

period mentioned in section 58(1)(b) above shall be read to extend for no

 

longer than one month beginning with the day on which the community

 

treatment order is made.


 
 

Consideration of Bill: 18th June 2007                  

1332

 

Mental Health Bill[Lords], continued

 
 

(3)    

The Secretary of State may by order vary the length of the period

 

mentioned in subsection (2).

 

(4)    

Certification under subsection (1)(b) above may take place whilst a

 

patient remains liable to be detained, but will not come into force until

 

the responsible clinician discharges the patient from detention in hospital

 

under the terms of section 17A(1) above.

 

(5)    

Before giving a certificate under section 58(3A)(b) above the registered

 

medical practitioner shall consult two other persons, who have been

 

professionally concerned with the patient’s treatment, but of those

 

persons—

 

(a)    

at least one shall be a person who is not a registered medical

 

practitioner; and

 

(b)    

neither shall be the patient’s responsible clinician or the

 

approved clinician in charge of the treatment in question.

 

(6)    

In section 61(1), leave out “or “58(3)(b)” ” and insert “58(3)(b), or

 

58A(1)(b)”.

 

(7)    

In section 61(1)(a) after “20(3)”, insert “20A(4)”.

 

(8)    

In section 61(3) for “responsible medical officer” substitute “approved

 

clinician in charge of the treatment in questions”.

 

(9)    

In section 61(3), leave out “or “58(3)(b)” ” and insert “58(3)(b), or

 

58A(1)(b)” ”.

 

(4)    

After section 62(2) insert—

 

“(2A)    

Section 62A below shall not preclude the continuation of any treatment

 

or of treatment under any plan pending compliance with section 58 above

 

where a community patient is recalled to hospital or a community

 

treatment order is revoked and

 

(a)    

the patient is capable of understanding the nature, purpose and

 

likely effect of that treatment and has consented to it; or

 

(b)    

the patient is not capable of understanding its nature, purpose and

 

likely effect of that treatment, but it is not necessary to restrain

 

the patient in order to give the treatment.”.

 

(5)    

After section 62 (Urgent Treatment) insert—

 

“62A  

Treatment on recall of community patient or revocation or order

 

(1)    

This section applies where—

 

(a)    

a community patient is recalled to hospital under section 17E

 

above; or

 

(b)    

a patient is liable to be detained under this Act following the

 

revocation of a community treatment order under section 17F

 

above in respect of him.

 

(2)    

Subject to section 62 above, a patient to whom this section applies shall

 

not be given any form of treatment to which section 58 applies without

 

its certification under section 58(3)(e) following that recall or

 

revocation.”.

 

(6)    

In section 64 (supplementary provisions for Part IV), after subsection (2) insert—

 

“(3)    

In this Part of this Act, references to ‘not capable of understanding the

 

nature, purpose and likely effects of treatment’ are to be read in


 
 

Consideration of Bill: 18th June 2007                  

1333

 

Mental Health Bill[Lords], continued

 
 

accordance with the test established at section 3 of the Mental Capacity

 

Act 2005 (c. 9).

 

(4)    

References to a donee are to a donee of a lasting power of attorney

 

(within the meaning a section 9 of the Mental Capacity Act 2005) created

 

by a the patient, where the donee is acting within the scope of his

 

authority and in accordance with that Act.

 

(5)    

References to a deputy are to a deputy appointed for the patient by the

 

Court of Protection under section 16 of the Mental Capacity Act 2005,

 

where the deputy is acting within the scope of this authority and in

 

accordance with that Act.

 

(6)    

Reference to the responsible clinician shall be construed as a reference to

 

the responsible clinician within the meaning of Part 2 of this Act.

 

(7)    

For the purpose of this section, a person restrains the patient if he—

 

(a)    

uses, or threatens to use, force to require the doing of an act

 

which the patient resists, or

 

(b)    

restricts the patients liberty of movement, whether or not the

 

patient resists.

 

(8)    

References to a hospital include a registered establishment.”.

 

(7)    

In section 119 (practitioners approved for Part 4 and section 118)—

 

(a)    

in subsection (2)(a) for “in a registered establishment” substitute

 

“hospital or registered establishment or any community patient in a

 

hospital or establishment of any description or (if access is granted) other

 

place”,

 

(b)    

in subsection (2)(b), leave out “in that home” and insert “there”,

 

(c)    

after subsection (2) insert—

 

“(3)    

In this section ‘establishment of any description’ shall be

 

construed in accordance with section 4(8) of the Care Standards

 

Act 2000.”.’.

 


 

Authority to treat community patients (Mental Capacity Act)

 

Angela Browning

 

Tim Loughton

 

Dr John Pugh

 

Sandra Gidley

 

Mr Tim Boswell

 

Mr Charles Walker

 

Total signatories: 8

 

NC14

 

To move the following Clause:—

 

‘(1)    

The Mental Capacity Act 2005 (c. 9), is amended as follows.


 
 

Consideration of Bill: 18th June 2007                  

1334

 

Mental Health Bill[Lords], continued

 
 

(2)    

In section 28 (Mental Health Act matters) after subsection (1) insert “(1A)

 

Section 5 does not apply to an act to which section 58A of the Mental Health Act

 

2007 (c) applies.”.’.

 


 

Dr Richard Taylor

 

Lynne Jones

 

89

 

Page  19,  line  24  [Clause  29],  at end insert—

 

‘(c)    

the following persons have been consulted about the making of the order

 

under section 17A and the conditions to which the patient is subject

 

specified under 17B—

 

(i)    

the patient;

 

(ii)    

the nearest relative of the patient;

 

(iii)    

any carer who the responsible clinician believes will play a

 

substantial part in the care of the patient after he leaves hospital;

 

and

 

(iv)    

any person with parental responsibility; and

 

    

the responsible clinician has taken into account any views expressed by

 

the person concerned.

 

(d)    

in this section “parental responsibility” has the same meaning as in the

 

Children Act 1989 (c. 41).’.

 

Dr John Pugh

 

Tim Loughton

 

Sandra Gidley

 

Angela Browning

 

Mr Tim Boswell

 

Mr Charles Walker

 

Total signatories: 8

 

101

 

Page  19,  line  24  [Clause  29],  at end insert—

 

‘(c)    

after subsection (3) insert—

 

“(4)    

Subsections (1)(b), (c) and (d) above shall not apply if the

 

treatment is electro-convulsive therapy.”.’.

 

Tim Loughton

 

Dr John Pugh

 

Angela Browning

 

Sandra Gidley

 

Mr Tim Boswell

 

Mr Charles Walker

 

Total signatories: 8

 

96

 

Page  19,  line  27  [Clause  29],  leave out paragraphs (b) to (d) and insert—

 

‘(b)    

if the patient is not under Part III of the Act, (a patient concerned in

 

criminal proceedings or under sentence), the patient’s ability to make

 

decisions about the provision of medical treatment is significantly

 

impaired because of his mental disorder;

 

(c)    

it is necessary for—


 
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