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Mental Health (Care and Treatment) (Scotland) Act 2003

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Chapter 2SReview of compulsion orders

Mandatory reviews by responsible medical officerS

139First review of compulsion orderS

(1)This section applies where a relevant compulsion order is made in respect of a patient.

(2)The patient’s responsible medical officer shall, during the appropriate period, carry out a review in respect of the compulsion order (such review being referred to in this Part of this Act as the “first review”) by complying with the requirements in subsection (3) below.

(3)Those requirements are—

(a)to—

(i)carry out a medical examination of the patient; or

(ii)make arrangements for an approved medical practitioner to carry out such a medical examination;

(b)to consider—

(i)whether the conditions mentioned in subsection (4) below continue to apply in respect of the patient; and

(ii)whether it continues to be necessary for the patient to be subject to the compulsion order; and

(c)to consult—

(i)the mental health officer;

(ii)such persons as are mentioned in subsection (5) below as the responsible medical officer considers appropriate; and

(iii)such other persons as the responsible medical officer considers appropriate.

(4)Those conditions are—

(a)that the patient has a mental disorder;

(b)that medical treatment which would be likely to—

(i)prevent the mental disorder worsening; or

(ii)alleviate any of the symptoms, or effects, of the disorder,

is available for the patient; and

(c)that if the patient were not provided with such medical treatment there would be a significant risk—

(i)to the health, safety or welfare of the patient; or

(ii)to the safety of any other person.

(5)The persons referred to in subsection (3)(c)(ii) above are—

(a)persons who appear to the responsible medical officer to provide medical treatment of the kind that is recorded in the Part 9 care plan;

(b)if any community care services or relevant services are set out in that plan, persons who appear to the responsible medical officer to provide services of that kind;

(c)if any other treatment, care or service is set out in that plan, persons who appear to the responsible medical officer to provide treatment, care or a service of that kind.

(6)In subsection (2) above, “appropriate period” means the period of 2 months ending with the day on which the relevant compulsion order ceases to authorise the measures specified in it.

140Further reviews of compulsion orderS

(1)This section applies where a relevant compulsion order is extended by virtue of an order under section 167 of this Act.

(2)The patient’s responsible medical officer shall, during the period mentioned in subsection (3) below, carry out a review in respect of the compulsion order (such review being referred to in this Part of this Act as a “further review”) by complying with the requirements in section 139(3) of this Act.

(3)The period referred to in subsection (2) above is the period of 2 months ending with the day on which the compulsion order, as extended by virtue of the order, ceases to authorise the measures specified in it.

Revocation of order by responsible medical officer or CommissionS

141Responsible medical officer’s duty to revoke compulsion order: mandatory reviewsS

(1)This section applies where a patient’s responsible medical officer is carrying out—

(a)the first review of the relevant compulsion order to which the patient is subject; or

(b)a further review of that order.

(2)If, having regard to any views expressed by persons consulted under section 139(3)(c) of this Act for the purpose of the review being carried out, the responsible medical officer is not satisfied—

(a)that the conditions mentioned in section 139(4) of this Act continue to apply in respect of the patient; or

(b)that it continues to be necessary for the patient to be subject to the compulsion order,

the responsible medical officer shall make a determination revoking the compulsion order.

(3)A determination under this section shall be made as soon as practicable after the duty to make it arises.

142Revocation of compulsion order: responsible medical officer’s duty to keep under reviewS

(1)This section applies where a patient is subject to a relevant compulsion order.

(2)Without prejudice to the duties imposed on the patient’s responsible medical officer by sections 139(2), 140(2), 141(2) and 159(2) of this Act, the responsible medical officer shall from time to time consider—

(a)whether the conditions mentioned in section 139(4) of this Act continue to apply in respect of the patient; and

(b)whether it continues to be necessary for the patient to be subject to a compulsion order.

(3)If, having considered the matters mentioned in paragraphs (a) and (b) of subsection (2) above, the responsible medical officer is not satisfied—

(a)that the conditions mentioned in section 139(4) of this Act continue to apply in respect of the patient; or

(b)that it continues to be necessary for the patient to be subject to a compulsion order,

the responsible medical officer shall make a determination revoking the compulsion order.

143Commission’s power to revoke compulsion orderS

(1)This section applies where a patient is subject to a relevant compulsion order.

(2)If the Commission is satisfied—

(a)that not all of the conditions mentioned in section 139(4) of this Act continue to apply in respect of the patient; or

(b)that it does not continue to be necessary for the patient to be subject to a compulsion order,

it may make a determination revoking the compulsion order.

144Revocation of compulsion order: notificationS

(1)Where a patient’s responsible medical officer makes a determination under section 141 or 142 of this Act, the responsible medical officer shall—

(a)give notice of the determination; and

(b)send a statement of the reasons for it,

to the Commission and to the persons mentioned in subsection (3) below.

(2)Where the Commission makes a determination under section 143 of this Act it shall—

(a)give notice of the determination; and

(b)send a statement of the reasons for it,

to the patient’s responsible medical officer and to the persons mentioned in subsection (3) below.

(3)The persons referred to in subsections (1) and (2) above are—

(a)the patient;

(b)the patient’s named person;

(c)any guardian of the patient;

(d)any welfare attorney of the patient;

(e)the mental health officer; and

(f)the Tribunal.

(4)Notice under subsection (1) or (2) above—

(a)to the persons mentioned in subsection (3)(a) to (d) above shall be given as soon as practicable after the determination is made and, in any event, before the expiry of the period of 7 days beginning with the day on which the determination is made; and

(b)to—

(i)the Commission;

(ii)the patient’s responsible medical officer; and

(iii)the persons mentioned in subsection (3)(e) and (f) above,

shall be given before the expiry of the period of 7 days beginning with the day on which the determination is made.

Further steps to be taken where order not revokedS

145Mandatory reviews: further steps to be taken where compulsion order not revokedS

(1)This section applies where a patient’s responsible medical officer is carrying out—

(a)the first review of the relevant compulsion order to which the patient is subject; or

(b)a further review of that order.

(2)If, having regard to any views expressed by persons consulted under section 139(3)(c) of this Act for the purpose of the review being carried out, the patient’s responsible medical officer is satisfied—

(a)that the conditions mentioned in section 139(4) of this Act continue to apply in respect of the patient; and

(b)that it continues to be necessary for the patient to be subject to a compulsion order,

the responsible medical officer shall comply with the requirements in subsection (3) below.

(3)Those requirements are—

(a)to consider whether it will continue to be necessary for the patient to be subject to a compulsion order after the day on which the order to which the patient is subject will cease (unless extended) to authorise the measures specified in it;

(b)to assess the needs of the patient for medical treatment;

(c)to consider—

(i)whether the compulsion order should be varied by modifying the measures specified in it;

(ii)if the order should be varied, what modification is appropriate; and

(d)to consider any views expressed on the matters mentioned in paragraphs (a) to (c) above by persons consulted under section 139(3)(c) of this Act.

Extension of order following first reviewS

146First review: responsible medical officer’s duty where extension proposedS

(1)This section applies where a patient’s responsible medical officer is carrying out the first review of the relevant compulsion order to which the patient is subject.

(2)If, having regard to any views expressed by persons consulted under section 139(3)(c) of this Act, it appears to the responsible medical officer—

(a)that it will continue to be necessary for the patient to be subject to a compulsion order after the day on which the order will cease (unless extended) to authorise the measures specified in it; and

(b)that the compulsion order should not be varied by modifying the measures specified in it,

the responsible medical officer shall give notice to the mental health officer that the responsible medical officer is proposing to make an application under section 149 of this Act for an order under section 167 extending the compulsion order for the period of 6 months beginning with the day on which the compulsion order will cease (unless extended) to authorise the measures specified in it.

147Proposed extension on first review: mental health officer’s dutiesS

(1)The mental health officer shall, as soon as practicable after receiving notice under section 146(2) of this Act, comply with the requirements in subsection (2) below.

(2)Those requirements are—

(a)subject to subsection (3) below, to interview the patient;

(b)to inform the patient—

(i)that the patient’s responsible medical officer is proposing to make an application under section 149 of this Act for an order under section 167 of this Act;

(ii)of the patient’s rights in relation to such an application; and

(iii)of the availability of independent advocacy services under section 259 of this Act;

(c)to take appropriate steps to ensure that the patient has the opportunity of making use of those services; and

(d)to inform the patient’s responsible medical officer—

(i)as to whether the mental health officer agrees, or disagrees, that the proposed application should be made;

(ii)if the mental health officer disagrees, of the reason why that is the case; and

(iii)of any other matters that the mental health officer considers relevant.

(3)If it is impracticable for the mental health officer to comply with the requirement in subsection (2)(a) above, the mental health officer need not do so.

148First review: responsible medical officer’s duty to apply for extension of compulsion orderS

(1)This section applies where a patient’s responsible medical officer is carrying out the first review of the relevant compulsion order to which the patient is subject.

(2)If, having regard to—

(a)any views expressed by persons consulted under section 139(3)(c) of this Act; and

(b)any views expressed by the mental health officer under section 147(2)(d) of this Act,

the responsible medical officer is satisfied as to the matters mentioned in section 146(2)(a) and (b) of this Act, the responsible medical officer shall comply with the requirement mentioned in subsection (3) below.

(3)The requirement referred to in subsection (2) above is to make an application to the Tribunal under section 149 of this Act for an order extending the compulsion order for the period of 6 months beginning with the day on which the order to which the patient is subject will cease (unless extended) to authorise the measures specified in it.

149Application to Tribunal for extension of order following first reviewS

An application under this section to the Tribunal by a patient’s responsible medical officer—

(a)shall state—

(i)the name and address of the patient;

(ii)the name and address of the patient’s named person; and

(iii)whether the mental health officer agrees, or disagrees, that the application should be made, or has failed to comply with the duty imposed by section 147(2)(d)(i) of this Act; and

(b)shall be accompanied by such documents as may be prescribed by regulations.

Extension of order following further reviewS

150Further review: responsible medical officer’s duty where extension proposedS

(1)This section applies where a patient’s responsible medical officer is carrying out a further review of the relevant compulsion order to which the patient is subject.

(2)If, having regard to any views expressed by persons consulted under section 139(3)(c) of this Act for the purpose of the review being carried out, it appears to the responsible medical officer—

(a)that it will continue to be necessary for the patient to be subject to a compulsion order after the day on which the order will cease (unless extended) to authorise the measures specified in it; and

(b)that the compulsion order should not be varied by modifying the measures specified in it,

the responsible medical officer shall give notice to the mental health officer that the responsible medical officer is proposing to make a determination under section 152 of this Act extending the order.

151Proposed extension of order on further review: mental health officer’s dutiesS

(1)The mental health officer shall, as soon as practicable after receiving notice under section 150(2) of this Act, comply with the requirements in subsection (2) below.

(2)Those requirements are—

(a)subject to subsection (3) below, to interview the patient;

(b)to inform the patient—

(i)that the patient’s responsible medical officer is proposing to make a determination under section 152 of this Act extending the compulsion order to which the patient is subject for the period mentioned in section 152(3) of this Act that applies in the patient’s case;

(ii)of the patient’s rights in relation to such a determination; and

(iii)of the availability of independent advocacy services under section 259 of this Act;

(c)to take appropriate steps to ensure that the patient has the opportunity of making use of those services; and

(d)to inform the patient’s responsible medical officer—

(i)as to whether the mental health officer agrees, or disagrees, that the determination that is proposed should be made;

(ii)if the mental health officer disagrees, of the reason why that is the case; and

(iii)of any other matters that the mental health officer considers relevant.

(3)If it is impracticable for the mental health officer to comply with the requirement in subsection (2)(a) above, the mental health officer need not do so.

152Further review: responsible medical officer’s duty to extend compulsion orderS

(1)This section applies where a patient’s responsible medical officer is carrying out a further review of the relevant compulsion order to which the patient is subject.

(2)If, having regard to—

(a)any views expressed by persons consulted under section 139(3)(c) of this Act for the purpose of the review being carried out; and

(b)any views expressed by the mental health officer under section 151(2)(d) of this Act for the purpose of that review,

the responsible medical officer is satisfied as to the matters mentioned in section 150(2)(a) and (b) of this Act, the responsible medical officer shall make a determination extending the compulsion order for the period mentioned in subsection (3) below.

(3)The period referred to in subsection (2) above is—

(a)where a determination is made in respect of the first further review, the period of 12 months beginning with the expiry of the period for which the order is extended by virtue of an order under section 167 of this Act;

(b)where a determination is made in respect of a subsequent further review, the period of 12 months beginning with the expiry of the period of 12 months for which the order is extended as a result of the immediately preceding further review.

153Determination extending compulsion order: notificationS

(1)Where a patient’s responsible medical officer makes a determination under section 152 of this Act, the responsible medical officer shall, as soon as practicable after the determination is made and, in any event, before the day on which the compulsion order will cease (unless extended) to authorise the measures specified in it, comply with the requirements in subsection (2) below.

(2)Those requirements are—

(a)to prepare a record stating—

(i)the determination;

(ii)the reasons for it;

(iii)whether the mental health officer agrees, or disagrees, with the determination or has failed to comply with the duty imposed by section 151(2)(d)(i) of this Act;

(iv)if the mental health officer disagrees with the determination, the reasons for the disagreement;

(v)(by reference to the appropriate paragraph (or paragraphs) of the definition of “mental disorder” in section 328(1) of this Act) the type (or types) of mental disorder that the patient has; and if there is a difference between that type (or types) and the type (or types) of mental disorder recorded in the compulsion order in respect of which the determination is made, what that difference is; and

(vi)such other matters as may be prescribed by regulations;

(b)to submit the record to the Tribunal; and

(c)at the same time as the responsible medical officer submits the record to the Tribunal, to give notice of the determination and send a copy of the record—

(i)subject to subsection (3) below, to the patient;

(ii)to the patient’s named person;

(iii)to the mental health officer; and

(iv)to the Commission.

(3)Where the responsible medical officer considers that there would be a risk of significant harm to the patient, or to others, if a copy of the record were sent to the patient, that officer need not send a copy to the patient.

(4)At the same time as the responsible medical officer submits the record to the Tribunal the responsible medical officer shall send to the Tribunal, and to the persons mentioned in subsection (2)(c)(ii) to (iv) above, a statement of the matters mentioned in subsection (5) below.

(5)Those matters are—

(a)whether the responsible medical officer is sending a copy of the record to the patient; and

(b)if the responsible medical officer is not sending a copy of the record to the patient, the reason for not doing so.

Extension and variation of orderS

154Responsible medical officer’s duty where extension and variation proposedS

(1)This section applies where a patient’s responsible medical officer is carrying out—

(a)the first review of the relevant compulsion order to which the patient is subject; or

(b)a further review of that order.

(2)If, having regard to any views expressed by persons consulted under section 139(3)(c) of this Act for the purpose of the review being carried out, it appears to the responsible medical officer—

(a)that it will continue to be necessary for the patient to be subject to a compulsion order after the day on which the order will cease (unless extended) to authorise the measures specified in it; but

(b)that the compulsion order should be varied by modifying the measures specified in it,

the responsible medical officer shall comply with the requirement in subsection (3) below.

(3)The requirement is to give notice to the mental health officer—

(a)that the responsible medical officer is proposing to make an application to the Tribunal under section 158 of this Act for an order under section 167 of this Act—

(i)extending the compulsion order for the period mentioned in subsection (4) below; and

(ii)varying the order by modifying the measures specified in it; and

(b)of the modification of the measures specified in that order that the responsible medical officer is proposing.

(4)The period referred to in subsection (3)(a)(i) above is—

(a)where the application is made in respect of the first review, the period of 6 months beginning with the day on which the compulsion order will cease (unless extended) to authorise the measures specified in it;

(b)where the application is made in respect of the first further review, the period of 12 months beginning with the expiry of the period mentioned in paragraph (a) above;

(c)where the application is made in respect of a subsequent further review, the period of 12 months beginning with the expiry of the period of 12 months for which the order is extended as a result of the immediately preceding further review.

155Mental health officer’s duties: extension and variation of compulsion orderS

(1)The mental health officer shall, as soon as practicable after receiving notice under section 154(3) of this Act, comply with the requirements in subsection (2) below.

(2)Those requirements are—

(a)subject to subsection (3) below, to interview the patient;

(b)to inform the patient of the matters mentioned in subsection (4) below;

(c)to inform the patient of the availability of independent advocacy services under section 259 of this Act;

(d)to take appropriate steps to ensure that the patient has the opportunity of making use of those services; and

(e)to inform the patient’s responsible medical officer—

(i)of whether the mental health officer agrees, or disagrees, that the application that is proposed should be made;

(ii)if the mental health officer disagrees, of the reason why that is the case; and

(iii)of any other matters that the mental health officer considers relevant.

(3)If it is impracticable for the mental health officer to comply with the requirement in subsection (2)(a) above, the mental health officer need not do so.

(4)The matters referred to in subsection (2)(b) above are—

(a)that the patient’s responsible medical officer is proposing to make an application to the Tribunal under section 158 of this Act for an order—

(i)extending the compulsion order to which the patient is subject for the period mentioned in section 154(4) of this Act that applies in the patient’s case; and

(ii)varying the compulsion order by modifying the measures specified in it;

(b)the modification of the measures specified in that order that the responsible medical officer is proposing; and

(c)the patient’s rights in relation to such an application.

156Responsible medical officer’s duty to apply for extension and variation of compulsion orderS

(1)If, having regard to—

(a)any views expressed by persons consulted under section 139(3)(c) of this Act for the purpose of the review being carried out; and

(b)any views expressed by the mental health officer under section 155(2)(e) of this Act for the purpose of that review,

the responsible medical officer is satisfied as to the matters mentioned in section 154(2)(a) and (b) of this Act, the responsible medical officer shall comply with the requirement in subsection (2) below.

(2)That requirement is to make an application to the Tribunal under section 158 of this Act for an order—

(a)extending the compulsion order for the period mentioned in section 154(4) of this Act that applies in the patient’s case; and

(b)varying that order by modifying the measures specified in it.

157Application for extension and variation of compulsion order: notificationS

Where, by virtue of section 156(1) of this Act, an application is to be made under section 158 of this Act, the patient’s responsible medical officer shall, as soon as practicable after the duty to make the application arises (and, in any event, before making the application), give notice that the application is to be made to—

(a)the patient;

(b)the patient’s named person;

(c)any guardian of the patient;

(d)any welfare attorney of the patient;

(e)the mental health officer; and

(f)the Commission.

158Application to Tribunal for extension and variation of compulsion orderS

An application under this section to the Tribunal by a patient’s responsible medical officer for an order extending and varying a compulsion order—

(a)shall state—

(i)the name and address of the patient;

(ii)the name and address of the patient’s named person;

(iii)the modification of the measures authorised by the compulsion order that is proposed by the responsible medical officer;

(iv)the reasons for seeking that modification; and

(v)whether the mental health officer agrees, or disagrees, that the application should be made, or has failed to comply with the duty imposed by section 155(2)(e)(i) of this Act; and

(b)shall be accompanied by such documents as may be prescribed by regulations.

Variation of orderS

159Responsible medical officer’s duties: variation of compulsion orderS

(1)This section applies where a patient is subject to a relevant compulsion order.

(2)Without prejudice to the duties imposed on the patient’s responsible medical officer by sections 139(2), 140(2) and 145(2) of this Act, the responsible medical officer shall from time to time consider whether the compulsion order should be varied by modifying the measures specified in it.

(3)If it appears to the responsible medical officer that the compulsion order should be varied by modifying the measures specified in it, the responsible medical officer shall, as soon as practicable, comply with the requirements in subsection (4) below.

(4)Those requirements are—

(a)to assess the needs of the patient for medical treatment;

(b)to consider what modification, if any, of the measures specified in the compulsion order is appropriate; and

(c)to consult—

(i)the mental health officer; and

(ii)such other persons as the responsible medical officer considers appropriate.

(5)If, having regard to any views expressed by persons consulted under subsection (4)(c) above, the responsible medical officer is satisfied that the compulsion order should be varied by modifying the measures specified in it, the responsible medical officer shall make an application to the Tribunal under section 161 of this Act for an order under section 167 of this Act varying the compulsion order in that way.

160Application for variation of compulsion order: notificationS

Where, by virtue of section 159(5) of this Act, an application is to be made under section 161 of this Act, the patient’s responsible medical officer shall, as soon as practicable after the duty to make the application arises (and, in any event, before making the application), give notice that the application is to be made to the persons mentioned in section 157(a) to (f) of this Act.

161Application to Tribunal by responsible medical officerS

An application under this section to the Tribunal by a patient’s responsible medical officer for an order varying a compulsion order—

(a)shall state the matters mentioned in section 158(a) of this Act; and

(b)shall be accompanied by such documents as may be prescribed by regulations.

Reference to Tribunal by CommissionS

162Commission’s power to make reference to TribunalS

(1)This section applies where a patient is subject to a relevant compulsion order.

(2)If it appears to the Commission that it is appropriate to do so, it may make a reference to the Tribunal in respect of the compulsion order to which the patient is subject.

(3)Where a reference is to be made under subsection (2) above, the Commission shall, as soon as practicable, give notice that a reference is to be made to—

(a)the patient’s responsible medical officer; and

(b)the persons mentioned in section 157(a) to (e) of this Act.

(4)A reference under subsection (2) above shall state—

(a)the name and address of the patient;

(b)the name and address of the patient’s named person; and

(c)the reason for making the reference.

Applications to Tribunal by patient etc.S

163Application to Tribunal by patient etc. for revocation of determination extending compulsion orderS

(1)Subject to subsection (2) below, where a patient’s responsible medical officer makes a determination under section 152 of this Act—

(a)the patient; or

(b)the patient’s named person,

may make an application under this section to the Tribunal for an order under section 167 of this Act revoking the determination.

(2)Subsection (1) above does not apply where the Tribunal is required, by virtue of section 165 of this Act, to review the determination.

164Application to Tribunal by patient etc. for revocation or variation of compulsion orderS

(1)This section applies where a patient is subject to a relevant compulsion order.

(2)Either of the persons mentioned in subsection (3) below may, subject to subsections (4) to (6) below, make an application under this section to the Tribunal for an order under section 167 of this Act—

(a)revoking the compulsion order; or

(b)varying that order by modifying the measures specified in it.

(3)The persons referred to in subsection (2) above are—

(a)the patient; and

(b)the patient’s named person.

(4)An application under this section may not be made—

(a)in respect of a compulsion order that has not been extended;

(b)during the period of 3 months beginning with the making of—

(i)an order in respect of the compulsion order made under section 166 of this Act; or

(ii)an order in respect of the compulsion order made, by virtue of section 149 or 158 of this Act, under section 167 of this Act.

(5)If—

(a)an application under this section for revocation of a compulsion order is refused; or

(b)an application is made under this section for variation of a compulsion order,

the person who made the application shall not be entitled to make more than one further application under this section in respect of the compulsion order during the period mentioned in subsection (7) below.

(6)If an application under section 163 of this Act for revocation of a determination under section 152 of this Act is refused, the person who made that application shall not be entitled to make more than one application under this section in respect of the compulsion order which is the subject of the determination during the period mentioned in subsection (7) below.

(7)The period referred to in subsections (5) and (6) above is—

(a)where the application is made during the period of 6 months beginning with the expiry of the initial period, that period of 6 months; or

(b)any subsequent period of 12 months that begins with, or with an anniversary of, the expiry of the period of 6 months mentioned in paragraph (a) above.

(8)In subsection (7)(a) above, “initial period” means the period of 6 months beginning with the day on which the compulsion order is made.

Review by Tribunal of determination extending orderS

165Tribunal’s duty to review determination under section 152S

(1)This section applies where a patient’s responsible medical officer makes a determination under section 152 of this Act.

(2)If—

(a)the record submitted to the Tribunal under section 153 of this Act states—

(i)that there is a difference between the type (or types) of mental disorder that the patient has and the type (or types) of mental disorder recorded in the compulsion order in respect of which the determination is made; or

(ii)that the mental health officer disagrees with the determination or has failed to comply with the duty imposed by section 151(2)(d)(i) of this Act; or

(b)no decision has been made by the Tribunal under this section or section 167 of this Act in respect of the compulsion order to which the determination relates during the period of 2 years ending with the day on which the order, had it not been extended by the determination, would have ceased to authorise the measures specified in it,

the Tribunal shall review the determination.

Powers of TribunalS

166Powers of Tribunal on review under section 165S

(1)On the review of a determination under section 165 of this Act, the Tribunal may make an order under this section—

(a)revoking the determination;

(b)revoking both the determination and the compulsion order;

(c)confirming the determination; or

(d)confirming the determination and varying the compulsion order by modifying the measures specified in it.

(2)Before making a decision under subsection (1) above, the Tribunal shall allow the persons mentioned in subsection (3) below the opportunity—

(a)of making representations (whether orally or in writing); and

(b)of leading, or producing, evidence.

(3)Those persons are—

(a)the patient;

(b)the patient’s named person;

(c)any guardian of the patient;

(d)any welfare attorney of the patient;

(e)the mental health officer;

(f)the patient’s responsible medical officer;

(g)the patient’s primary carer;

(h)any curator ad litem appointed in respect of the patient by the Tribunal; and

(i)any other person appearing to the Tribunal to have an interest in the determination.

167Powers of Tribunal on application under section 149, 158, 161, 163 or 164S

(1)Where an application is made under section 149 of this Act, the Tribunal may make an order—

(a)extending the compulsion order to which the application relates for the period mentioned in section 146(2) of this Act;

(b)refusing the application; or

(c)refusing the application and revoking the compulsion order.

(2)Where an application is made under section 158 of this Act, the Tribunal may make an order—

(a)extending the compulsion order to which the application relates for the period mentioned in section 154(4) of this Act and varying the compulsion order by modifying the measures specified in it;

(b)extending the compulsion order for that period;

(c)refusing the application; or

(d)refusing the application and revoking the compulsion order.

(3)Where an application is made under section 163 of this Act, the Tribunal may make an order—

(a)revoking the determination to which the application relates;

(b)revoking—

(i)the determination; and

(ii)the compulsion order to which the determination relates;

(c)confirming the determination; or

(d)confirming the determination and varying the compulsion order by modifying the measures specified in it.

(4)Where an application is made under section 164(2)(a) of this Act, the Tribunal may make an order—

(a)revoking the compulsion order to which the application relates;

(b)varying the compulsion order by modifying the measures specified in it; or

(c)refusing the application.

(5)Where an application is made under section 161 or 164(2)(b) of this Act, the Tribunal may make an order—

(a)varying the compulsion order to which the application relates by modifying the measures specified in it;

(b)refusing the application; or

(c)refusing the application and revoking that order.

(6)Before making a decision under any of subsections (1) to (5) above, the Tribunal shall afford the persons mentioned in subsection (7) below the opportunity—

(a)of making representations (whether orally or in writing); and

(b)of leading, or producing, evidence.

(7)Those persons are—

(a)the persons mentioned in section 166(3) of this Act; and

(b)any other person appearing to the Tribunal to have an interest in the application.

168Interim extension etc. of order: application under section 149S

(1)This section applies where an application is made under section 149 of this Act.

(2)Subject to section 170 of this Act, on the application of any person having an interest in the proceedings, or ex proprio motu, the Tribunal may, if it considers—

(a)that it will be unable to determine the application before the compulsion order to which the application relates ceases to authorise the measures specified in it; and

(b)that it is appropriate, pending its determining the application, to—

(i)extend the order; or

(ii)extend and vary the order by modifying the measures specified in it,

make an interim order extending, or extending and varying, the compulsion order for such period not exceeding 28 days as may be specified in the order of the Tribunal.

169Interim variation of order following application, reference or review under ChapterS

(1)This section applies where—

(a)an application is made under section 149, 158, 161, 163 or 164 of this Act;

(b)a reference is made under section 162 of this Act; or

(c)the Tribunal is reviewing a determination under section 165 of this Act.

(2)Subject to section 170 of this Act, on the application of any person having an interest in the proceedings, or ex proprio motu, the Tribunal may, if it considers that it is appropriate to do so pending its—

(a)determining the application or reference; or

(b)making its decision on the review,

make an interim order varying the compulsion order by modifying the measures specified in it for such period not exceeding 28 days as may be specified in the order of the Tribunal.

170Limit on power of Tribunal to make interim orderS

The Tribunal may not make an interim order under section 168 or 169 of this Act if the effect of making the order would be that interim orders under either, or both, of those sections would be in force for a continuous period of more than 56 days.

171Powers of Tribunal on reference under section 162S

(1)Where a reference is made under section 162 of this Act, the Tribunal may make an order—

(a)varying the compulsion order in respect of which the reference is made by modifying the measures specified in it; or

(b)revoking the compulsion order.

(2)Before making an order under subsection (1) above, the Tribunal shall allow the persons mentioned in subsection (3) below the opportunity—

(a)of making representations (whether orally or in writing); and

(b)of leading, or producing, evidence.

(3)Those persons are—

(a)the persons mentioned in section 166(3) of this Act; and

(b)any other person appearing to the Tribunal to have an interest in the reference.

172Tribunal’s order varying compulsion orderS

Subject to subsection (2) below, where the Tribunal makes an order under section 166, 167 or 171 of this Act varying a compulsion order, the Tribunal—

(a)shall specify in its order the modifications made by its order to the measures specified in the compulsion order; and

(b)may specify in its order measures other than those set out in the application to which its order relates.

173Applications to Tribunal: ancillary powersS

(1)This section applies where—

(a)an application is made to the Tribunal under section 149, 158, 161, 163 or 164 of this Act; or

(b)the Tribunal is, under section 165 of this Act, reviewing a determination.

(2)Regulations may prescribe circumstances in which the Tribunal may require—

(a)the patient’s responsible medical officer; or

(b)the mental health officer,

to prepare and submit to the Tribunal reports on such matters as may be prescribed.

Effect of interim orders: calculation of time periods in ChapterS

174Effect of interim orders: calculation of time periods in ChapterS

(1)Subject to subsection (2) below, in calculating, for the purpose of this Chapter of this Act, the day on which a relevant compulsion order—

(a)ceases;

(b)will cease; or

(c)would have ceased,

to authorise the measures specified in it, there shall be left out of account any period for which the order is extended (or extended and varied) by an interim order under section 168 of this Act.

(2)Subsection (1) above does not apply as respects calculating that day for the purpose of that section.

Meaning of “modify”S

175Meaning of “modify”S

In this Chapter any reference to modifying measures specified in a relevant compulsion order includes a reference to—

(a)amending those measures;

(b)removing from the order any measure;

(c)adding to the order any measure.

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