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| Mental Health Bill [Lords], As Amended
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| Amendments relating to clause 7 |
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| Page 4, line 16 [Clause 7], leave out ‘In section 145(1) of the 1983 Act |
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| (interpretation)’ and insert— |
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| | ‘(1) | Section 145 of the 1983 Act (interpretation) is amended as follows. |
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| Page 4, line 18 [Clause 7], after ‘care’ insert ‘(but see also subsection (4) below)’. |
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| Page 4, line 18 [Clause 7], at end insert— |
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| | ‘(3) | After subsection (3) insert— |
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| | “(4) | Any reference in this Act to medical treatment, in relation to mental |
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| | disorder, shall be construed as a reference to medical treatment the |
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| | purpose of which is to alleviate, or prevent a worsening of, the disorder |
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| | or one or more of its symptoms or manifestations.”.’. |
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| New Clauses and amendments relating to impaired decision-making |
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| | Negatived on division NC12 |
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| To move the following Clause:— |
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| | ‘( ) | The 1983 Act is amended as follows. |
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| | ( ) | In section 3 (admission for treatment) after subsection 2(a) insert— |
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| | “(aa) | that because of his mental disorder, his ability to make decisions about |
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| | the provision of medical treatment is significantly impaired.”.’. |
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| Amendments relating to clause 3; new clauses and new amendments |
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| relating to places of safety; remaining proceedings on consideration |
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| | Assessment of needs for community care services |
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| To move the following Clause:— |
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| | ‘After section 1 of the 1983 Act insert— |
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| | Assessment of needs for community care services |
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| | 1A | Assessment of needs for community care services |
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| | (a) | it appears to an approved mental health professional that any |
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| | person with a mental disorder within the meaning of this Act |
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| | should be assessed under section 47 of the National Health |
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| | Service and Community Care Act 1990 (c 19); and |
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| | (b) | that professional notifies the local authority that the patient may |
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| | be in need of community care services, |
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| | | the patient shall for the purposes of that section be deemed to appear to |
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| | the local authority to be a person who may be in need of any such |
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| | (i) | a local authority receives a request in writing for the |
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| | needs of a person to be assessed under section 47 of the |
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| | National Health Service and Community Care Act 1990; |
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| | (ii) | a health authority receives a request in writing for the |
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| | needs of a person for services which are provided by the |
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| | health authority in respect of mentally disordered |
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| | persons to be assessed; and |
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| | (b) | any of the circumstances mentioned in paragraphs (a) to (c) of |
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| | subsection (3) below apply, |
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| | | the local authority or, as may be the case, the health authority shall |
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| | comply with the requirement in subsection (4) below. |
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| | (3) | The circumstances referred to in subsection (2)(b) are— |
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| | (a) | that the request bears— |
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| | (i) | to be made by a mentally disordered person; and |
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| | (ii) | to be a request for the needs of that person to be |
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| | (b) | that the request bears— |
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| | (i) | to be made by the primary carer, or nearest relative, of a |
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| | mentally disordered person; and |
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| | (ii) | to be a request for the needs of the mentally disordered |
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| | (c) | though the request does not bear to be made as mentioned in |
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| | paragraph (a) or (b) above, it appears to the local authority or, as |
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| | the case may be, the health authority that the request— |
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| | (i) | is a request for the needs of the mentally disordered |
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| | person to be assessed; and |
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| | (ii) | is made by that person, or by that person’s carer or |
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| | (4) | The requirement referred to in subsection (2) above is to give notice, |
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| | before the expiry of the period of 14 days beginning with the day on |
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| | which the request is received, to the person who made the request— |
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| | (i) | the local authority intends or |
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| | (ii) | the health authority intends, |
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| | | to undertake the assessment; and |
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| | (b) | if the intention is not to undertake the assessment, of the reason |
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| | why that is the case.”.’. |
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| | Warrant to search for and remove patients |
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| To move the following Clause:— |
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| | ‘(1) | Section 135 of the 1983 Act is amended as follows. |
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| | (2) | In subsection 1(a) leave out “for neglected or kept otherwise than under proper |
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| | control” and substitute “and neglected”. |
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| | (3) | After subsection 1(b) insert “or (c) may be in need of treatment or care for his |
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| | mental disorder and is living in any such place, and, access to that place is |
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| | necessary for the purpose of establishing whether or not he is in need of treatment |
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| | or care, and it has not been possible to gain such access without a warrant.”.’. |
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| | Membership of Mental Health Review Tribunals |
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| To move the following Clause:— |
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| | ‘In Section 78 of the 1983 Act after subsection (9) insert— |
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| | “(10) | The Lord Chancellor must provide for the membership of Mental Health |
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| | Review Tribunals to include the following groups— |
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| | (a) | people from diverse cultural communities; |
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| Page 2, line 24 [Clause 3], leave out from ‘Act)’ to end of line 26 and insert ‘after |
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| | “(2) | Nothing in this section shall be construed to cover paedophilia. |
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| | (3) | For the purposes of subsection (2) above a person shall not be considered to have |
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| | a mental disorder as defined in this section solely on the grounds of the |
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| | (a) | his substance misuse (including dependence upon, or use of, alcohol or |
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| | (b) | his sexual preference or gender identity; |
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| | (c) | his commission, or likely commission, of illegal or disorderly acts; |
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| | (d) | his cultural, religious or political beliefs.”.’. |
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| Page 2 [Clause 3], leave out lines 25 and 26 and insert— |
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| | ‘(3) | A person shall not be considered to be suffering from a mental disorder for the |
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| | purposes of this Act solely on the grounds of— |
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| | (a) | his substance misuse (including dependence on alcohol or drugs); |
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| | (b) | his sexual orientation or gender reassignment; |
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| | (c) | his commission or likely commission of illegal or disorderly acts; or |
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| | (d) | his cultural, religious or political beliefs.’. |
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| Page 39, line 20 [Clause 41], at end insert— |
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| | ‘(4) | In section 135(6) for the words from “means” to the end of that subsection |
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| | (i) | residential accommodation provided by a local social |
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| | services authority under Part III of the National |
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| | Assistance Act 1948 (c. 29), |
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| | (ii) | a hospital as defined by this Act, |
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| | (iii) | an independent hospital or care home for mentally |
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| | (iv) | any other suitable place the occupier of which is willing |
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| | temporarily to receive the patient or, if, in the |
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| | circumstances of the case it is impracticable to use any |
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| | (5) | In section 136 (Mentally disordered persons found in public places) of the 1983 |
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| | Act after subsection (2) insert— |
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| | “(3) | Where a police station is used as the place of safety the person may not |
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| | be detained there for a period longer than 24 hours.”’. |
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| Page 44, line 14 [Clause 51], leave out ‘or different areas’ and insert ‘(including |
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| different provision for different areas and different provision for different descriptions of |
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| Page 48, line 44 [Schedule 1], leave out sub-paragraphs (2) to (4) and insert— |
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| | ‘(2) | For subsections (1) to (6) substitute— |
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| | “(2) | Where a member of the House of Commons is authorised to be detained |
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| | under a relevant enactment on the ground (however formulated) that he |
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| | is suffering from mental illness mental disorder, it shall be the duty of the |
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| | person in charge of the hospital or other place in which the member is |
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| | authorised to be detained, to notify the Speaker of the House of |
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| | Commons that the detention has been authorised. |
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| | (a) | remains a member of the House of Commons, and |
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| | (b) | remains liable to detention under the powers of this Act |
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| | | after six months have expired from the receipt of a notification under |
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| | subsection (2) above, the Speaker must determine the extent to which the |
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| | circumstances of the member’s liability to detention under this Act is |
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| | likely to affect his ability to attend the House. |
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| | (4) | In making a determination under subsection (3) above the Speaker must |
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| | consult an approved mental health professional and an approved |
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| | (5) | If the Speaker determines that the circumstances of the member’s |
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| | liability to detention under this Act is likely to affect to a significant |
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| | extent his ability to attend the House, the Speaker must forthwith lay |
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| | before the House a report to that effect. |
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| | (6) | As soon as a report under subsection (5) in respect of a member is laid |
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| | before the House, the member’s seat becomes vacant.”.’. |
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| | Bill read the third time, and passed on division, with Amendments. |
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