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Report Stage Proceedings: 18th June 2007                

402

 

Mental Health Bill [Lords], continued

 
 

(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

 

Not called  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.’.

 


 

Sandra Gidley

 

Tim Loughton

 

Angela Browning

 

Mr Tim Boswell

 

Mr Charles Walker

 

James Duddridge

 

Not called  85

 

Page  20,  line  7  [Clause  29],  at end insert—

 

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

 

1989.’.

 

Ms Secretary Hewitt

 

Agreed to  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


 
 

Report Stage Proceedings: 18th June 2007                

403

 

Mental Health Bill [Lords], continued

 
 

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

 

Agreed to  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

 

Not called  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

 

(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

 

Agreed to  24

 

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


 
 

Report Stage Proceedings: 18th June 2007                

404

 

Mental Health Bill [Lords], continued

 
 

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

 


 

Tim Loughton

 

Angela Browning

 

Mr Tim Boswell

 

Mr Charles Walker

 

James Duddridge

 

Andrew Rosindell

 

Not called  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

 

Not called  100

 

Page  24,  line  15,  leave out Clause 30.

 


 

Angela Browning

 

Tim Loughton

 

Dr John Pugh

 

Sandra Gidley

 

Mr Tim Boswell

 

Mr Charles Walker

 

Not called  92

 

Page  26,  line  10,  leave out Clause 32.

 


 

Tim Loughton

 

Angela Browning

 

Mr Tim Boswell

 

Mr Charles Walker

 

James Duddridge

 

Andrew Rosindell

 

Not called  97

 

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


 
 

Report Stage Proceedings: 18th June 2007                

405

 

Mental Health Bill [Lords], continued

 
 

Tim Loughton

 

Angela Browning

 

Mr Tim Boswell

 

Mr Charles Walker

 

James Duddridge

 

Andrew Rosindell

 

Not called  99

 

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

 

Mr Andrew Dismore

 

Dr Evan Harris

 

Not called  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

 

Not called  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).’.

 

Tim Loughton

 

Angela Browning

 

Mr Tim Boswell

 

Mr Charles Walker

 

James Duddridge

 

Andrew Rosindell

 

Not called  98

 

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

 


 

Mr Andrew Dismore

 

Dr Evan Harris

 

Not called  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.’.


 
 

Report Stage Proceedings: 18th June 2007                

406

 

Mental Health Bill [Lords], continued

 
 

Mr Andrew Dismore

 

Dr Evan Harris

 

Not called  76

 

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

 

with subsection (2).’.

 

Mr Andrew Dismore

 

Dr Evan Harris

 

Not called  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

 

Not called  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

 

Not called  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.”’.

 

Tim Loughton

 

Angela Browning

 

Mr Tim Boswell

 

Mr Charles Walker

 

James Duddridge

 

Andrew Rosindell

 

Not called  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.’.

 



 
 

Report Stage Proceedings: 18th June 2007                

407

 

Mental Health Bill [Lords], continued

 
 

Mr Andrew Dismore

 

Dr Evan Harris

 

Not called  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

 

Not called  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

 

Agreed to  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—

 

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’.

 

 
 

Report Stage Proceedings: 18th June 2007                

410

 

Mental Health Bill [Lords], continued


 
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