Consideration of Bill: 18th June 2007

1335

Mental Health Bill–[Lords], continued

(i)	the protection of others from serious harm, or

(ii)	the protection of the patient from suicide or serious harm to

himself that he should receive treatment for his mental disorder;

(d)	subject to his being liable to be recalled to hospital for medical treatment

such treatment can be provided without his continuing to be detained in

a hospital;

(e)	the patient has on at least one occasion within five years previous to the

present admission under section 3 refused to accept medical treatment for

mental disorder;

(i)	when appropriate medical treatment has been refused there has

been a significant relapse in his mental or physical condition

justifying compulsory admission to hospital; (whether or not

there has been such an admission); and

(ii)	medical treatment was then provided to him which alleviated or

prevented a worsening of his condition, its symptoms or other

manifestations of his condition.

(f)	it is necessary for the protection of others from serious harm, or the

protection of the patient from suicide or serious harm to himself, that he

should be liable to be recalled to hospital for medical treatment; and”.’.

Sandra Gidley

Tim Loughton

Angela Browning

Mr Tim Boswell

Mr Charles Walker

James Duddridge

Total signatories: 7

84

Page  19,  line  37  [Clause  29],  at end insert—

‘( )	The following persons have been consulted about the making of a

community treatment order:

(i)	the patient;

(ii)	any person with parental responsibility;

(iii)

any person who the responsible clinician believes will play a

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

but will not be professionally concerned with the after-care

services to be provided to him; and

(iv)	(where practicable) the person (if any) appearing to be the

nearest relative of the patient.

and the responsible clinician has taken into account any views expressed

by the persons consulted.’.

Consideration of Bill: 18th June 2007

1336

Mental Health Bill–[Lords], continued

Sandra Gidley

Tim Loughton

Angela Browning

Mr Tim Boswell

Mr Charles Walker

James Duddridge

Total signatories: 7

85

Page  20,  line  9  [Clause  29],  at end insert—

‘“parental responsibility” has the same meaning as in the Children Act

1989.’.

Ms Secretary Hewitt

22

Page  20,  line  11  [Clause  29],  leave out subsections (2) and (3) and insert—

‘(2)	But, subject to subsection (3) below, the order may specify conditions

only if the responsible clinician, with the agreement of the approved

mental health professional mentioned in section 17A(4)(b) above, thinks

them necessary or appropriate for one or more of the following

purposes—

(a)	ensuring that the patient receives medical treatment;

(b)	preventing risk of harm to the patient’s health or safety;

(c)	protecting other persons.

(3)	The order shall specify—

(a)	a condition that the patient make himself available for

examination under section 20A below; and

(b)	a condition that, if it is proposed to give a certificate under Part

4A of this Act in his case, he make himself available for

examination so as to enable the certificate to be given.’.

Ms Secretary Hewitt

23

Page  20,  line  30  [Clause  29],  after ‘order’, insert ‘by virtue of subsection (2)

above’.

Tim Loughton

Angela Browning

Mr Tim Boswell

Mr Charles Walker

James Duddridge

Andrew Rosindell

103

Page  20,  line  33  [Clause  29],  at end insert—

‘(8)	A community patient or his nearest relative may make an application to the

Mental Health Review Tribunal to vary or suspend any or all of the conditions

imposed under subsection (3)(a), (aa), (c) and (d) above within the relevant period

or if substantial variations have been made by the responsible clinician under

subsection (4) above.

(9)	In subsection 8 above “the relevant period” means—

(i)	six months beginning with the day on which the community treatment

order is made; and

Consideration of Bill: 18th June 2007

1337

Mental Health Bill–[Lords], continued

(ii)	the period or periods for which the community treatment period is

extended by virtue of the report.

(10)	Where application is made to a Mental Health Review Tribunal by or in respect

of a community patient under subsection (8) above the tribunal—

(i)	may recommend that the responsible clinician consider whether to vary

or suspend any or all of the conditions imposed under subsections 3(a),

(aa), (c) and (d) above; and

(ii)	may further consider the patient’s case if the responsible clinician does

not make all or some of the changes recommended.

(11)	Nothing in this section restricts the power to make applications to tribunals under

section 66’.

Ms Secretary Hewitt

24

Page  21,  line  25  [Clause  29],  leave out ‘imposed under section 17B(3)(d)’ and

insert ‘specified under section 17B(3)’.

Tim Loughton

Angela Browning

Mr Tim Boswell

Mr Charles Walker

James Duddridge

Andrew Rosindell

87

Page  23,  line  14  [Clause  29],  at end insert ‘for a maximum of three years in total.’.

Tim Loughton

Dr John Pugh

Angela Browning

Sandra Gidley

Mr Tim Boswell

Mr Charles Walker

Total signatories: 8

100

Page  24,  line  15,  leave out Clause 30.

Consideration of Bill: 18th June 2007

1338

Mental Health Bill–[Lords], continued

Angela Browning

Tim Loughton

Dr John Pugh

Sandra Gidley

Mr Tim Boswell

Mr Charles Walker

Total signatories: 8

92

Page  26,  line  10,  leave out Clause 32.

Tim Loughton

Angela Browning

Mr Tim Boswell

Mr Charles Walker

James Duddridge

Andrew Rosindell

97

Page  29,  line  2  [Clause  32],  leave out ‘or 64G’.

Tim Loughton

Angela Browning

Mr Tim Boswell

Mr Charles Walker

James Duddridge

Andrew Rosindell

99

Page  29,  line  19  [Clause  32],  leave out from ‘treatment’ to end of line 22.

Mr Andrew Dismore

Dr Evan Harris

74

Page  29,  line  25  [Clause  32],  at end insert—

‘(6)	The fifth condition is that giving the treatment does not conflict with a refusal

made on the patient’s behalf by a person with parental responsibility in relation

to that patient.’.

Sandra Gidley

Tim Loughton

Angela Browning

Mr Tim Boswell

Mr Charles Walker

James Duddridge

Total signatories: 7

86

Page  29,  line  25  [Clause  32],  at end insert—

‘(6)	The fifth condition is that a person with parental responsibility for the patient

consents to the provision of such treatment.

(7)	In this section “parental responsibility” has the same meaning as in the Children

Act 1989 (c. 41).’.

Consideration of Bill: 18th June 2007

1339

Mental Health Bill–[Lords], continued

Tim Loughton

Angela Browning

Mr Tim Boswell

Mr Charles Walker

James Duddridge

Andrew Rosindell

98

Page  29,  line  28  [Clause  32],  leave out ‘or 64E(6)(b)’.

Mr Andrew Dismore

Dr Evan Harris

75

Page  31,  line  16  [Clause  32],  at end insert—

‘(2A)

References to a patient who lacks competence are to a patient under the age of 16

years who lacks the maturity and understanding to be able to understand and

retain, or to weigh in the balance, information relevant to the treatment decision,

or to a patient under the age of 16 years who lacks the ability to communicate a

decision by any means.’.

Mr Andrew Dismore

Dr Evan Harris

76

Page  31,  line  17  [Clause  32],  leave out ‘accordingly’ and insert ‘in accordance

with subsection (2).’.

Mr Andrew Dismore

Dr Evan Harris

77

Page  31,  line  17  [Clause  32],  at end insert—

‘(3A)

References to a patient who has competence are to be read in accordance with

subsection (2A).’.

Mr Andrew Dismore

Dr Evan Harris

78

Page  31,  line  30  [Clause  32],  at end insert—

‘(9)	References to a person with parental responsibility are to a person with parental

responsibility within the meaning of sections 2 to 4A of the Children Act 1989.’.

Mr Andrew Dismore

Dr Evan Harris

79

Page  63,  line  27  [Schedule  3],  at end insert—

‘(2A)

After subsection (2) of section 72 insert—

“(2A)

The tribunal may remove or vary any condition as to behaviour imposed

on a community patient.”’.

Consideration of Bill: 18th June 2007

1340

Mental Health Bill–[Lords], continued

Tim Loughton

Angela Browning

Mr Tim Boswell

Mr Charles Walker

James Duddridge

Andrew Rosindell

90

Page  63,  line  27  [Schedule  3],  at end insert—

‘(d)	Where application is made to the tribunal by or in respect of a community

patient and the tribunal does not direct that the patient be discharged, the

tribunal—

(i)	may recommend that the responsible clinician consider whether

to vary or suspend any or all of the conditions imposed under

subsections (3)(a), (aa), (c) and (d) above; and

(ii)	may further consider the patient’s case if the responsible

clinician does not make all or some of the changes

recommended.’.

Mr Andrew Dismore

Dr Evan Harris

80

Page  79,  line  9  [Schedule  6],  at end insert—

‘2A	Where a managing authority deprives P of his liberty within the meaning of

paragraph 1(2), the supervisory body which has authorised the detention shall

make arrangements for the provision of the accommodation with care and

treatment and it shall be free of charge.’.

Mr Andrew Dismore

Dr Evan Harris

81

Page  93,  line  7  [Schedule  6],  at end insert—

‘(3)	A duly completed standard authorisation shall constitute sufficient authority for

the patient to be taken and conveyed to the place where residential

accommodation is to be provided pursuant to the authorisation.’.

Ms Secretary Hewitt

59

Page  123,  line  10  [Schedule  6],  at end insert—

‘187	The following table contains an index of provisions defining or otherwise

explaining expressions used in this Schedule—

Consideration of Bill: 18th June 2007

1341

Mental Health Bill–[Lords], continued

	age assessment		paragraph 34
	age requirement		paragraph 13
	age review assessment		paragraph 112(3)
	appointment regulations		paragraph 138
	assessment under this Schedule		paragraph 127
	assessor (except in Part 8)		paragraph 33
	assessor (in Part 8)		paragraphs 33 and 128
	authorisation under this Schedule		paragraph 10
	best interests (determination of)		section 4
	best interests assessment		paragraph 38
	best interests requirement		paragraph 16
	best interests review assessment		paragraph 112(6)
	care home		paragraph 177
	change of reason ground		paragraph 106
	complete (in relation to a review		paragraph 118
	of a standard authorisation)
	deprivation of a person’s liberty		section 64(5) and (6)
	deputy		section 16(2)(b)
	detained resident		paragraph 6
	disposed of (in relation to a		paragraph 66
	request for a standard
	authorisation)
	eligibility assessment		paragraph 46
	eligibility requirement		paragraph 17
	eligibility review assessment		paragraph 112(7)
	eligible person (in relation to		paragraph 68
	paragraphs 68 to 73)
	eligible person (in relation to Part		paragraph 102(3)
	8)
	expiry (in relation to an existing		paragraph 125(b)
	authorisation)
	existing authorisation (in Part 8)		paragraph 125(a)
	hospital		paragraph 174
	IMCA		paragraph 157
	in force (in relation to a standard		paragraphs 63 and 64
	authorisation)
	in force (in relation to an urgent		paragraphs 88 and 89
	authorisation)
	ineligible (in relation to the		Schedule 1A
	eligibility requirement)
	interested person		paragraph 184
	interested person consulted by the		paragraph 185
	best interests assessor
	lack of capacity		section 2
	lasting power of attorney		section 9
	managing authority (in relation to		paragraph 178
	a care home)
	managing authority (in relation to		paragraph 175 or 176
	a hospital)
	maximum authorisation period		paragraph 42
	mental capacity assessment		paragraph 37
	mental capacity requirement		paragraph 15
	mental capacity review		paragraph 112(5)
	assessment
	mental health assessment		paragraph 35
	mental health requirement		paragraph 14
	mental health review assessment		paragraph 112(4)
	negative conclusion		paragraph 112(2)(a)
	new supervisory body		paragraph 99(b)
	no refusals assessment		paragraph 48
	no refusals requirement		paragraph 18
	no refusals review assessment		paragraph 112(8)
	non-qualification ground		paragraph 105
	old supervisory body		paragraph 99(a)
	positive conclusion		paragraph 112(2)(b)
	purpose of a standard		paragraph 11(1)
	authorisation
	purpose of an urgent authorisation		paragraph 11(2)
	qualifying requirements		paragraph 12
	refusal (for the purposes of the no		paragraphs 19 and 20
	refusals requirement)
	relevant care or treatment		paragraph 7
	relevant hospital or care home		paragraph 7
	relevant managing authority		paragraph 26(4)
	relevant person		paragraph 7
	relevant person’s representative		paragraph 137
	relevant procedure		paragraph 128
	review assessment		paragraph 112(1)
	reviewable		paragraph 104
	section 39A IMCA		paragraph 155
	section 39C IMCA		paragraph 156
	section 39D IMCA		paragraph 156A
	standard authorisation		paragraph 8
	supervisory body (except in Part		paragraph 179, 180 or 181
	8)
	supervisory body (in Part 8)		paragraph 128 and paragraph
			179, 180 or 181
	unauthorised deprivation of		paragraph 67
	liberty (in relation to paragraphs
	68 to 73)
	urgent authorisation		paragraph 9
	variation of conditions ground		paragraph 107’.

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Revised 18 June 2007