(1)Where—
(a)a medical practitioner carries out a medical examination of a patient;
(b)the patient does not fall within subsection (2) below; and
(c)subsection (3) below applies,
the medical practitioner may, before the expiry of the appropriate period, grant an emergency detention certificate authorising, if the condition mentioned in subsection (7) below is satisfied, the measures mentioned in subsection (8) below.
(2)The patient falls within this subsection if, immediately before the medical examination mentioned in subsection (1)(a) above is carried out, the patient is detained in hospital under authority of—
(a)an emergency detention certificate;
(b)a short-term detention certificate;
(c)an extension certificate;
(d)section 68 of this Act; or
(e)a certificate granted under section 114(2) or 115(2) of this Act.
(3)Subject to subsection (6) below, this subsection applies where—
(a)there is no conflict of interest in relation to the medical examination;
(b)the medical practitioner considers that it is likely that the conditions mentioned in subsection (4) below are met in respect of the patient;
(c)the medical practitioner is satisfied that the conditions mentioned in subsection (5) below are met in respect of the patient; and
(d)the medical practitioner has consulted a mental health officer and that mental health officer has consented to the grant of an emergency detention certificate.
(4)The conditions referred to in subsection (3)(b) above are—
(a)that the patient has a mental disorder; and
(b)that, because of the mental disorder, the patient’s ability to make decisions about the provision of medical treatment is significantly impaired.
(5)The conditions referred to in subsection (3)(c) above are—
(a)that it is necessary as a matter of urgency to detain the patient in hospital for the purpose of determining what medical treatment requires to be provided to the patient;
(b)that if the patient were not detained in hospital 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; and
(c)that making arrangements with a view to the grant of a short-term detention certificate would involve undesirable delay.
(6)If it is impracticable for the medical practitioner to consult or seek consent under paragraph (d) of subsection (3) above, that paragraph need not be satisfied for the subsection to apply.
(7)The condition referred to in subsection (1) above is that the measure mentioned in subsection (8)(b)(i) below is authorised by the certificate only if, before the patient is admitted under authority of the certificate to a hospital, the certificate is given to the managers of that hospital.
(8)The measures referred to in subsection (1) above are—
(a)the removal, before the expiry of the period of 72 hours beginning with the granting of the emergency detention certificate, of the patient to a hospital or to a different hospital; and
(b)the detention of the patient in hospital for the period of 72 hours beginning with—
(i)if, immediately before the certificate is granted, the patient is not in hospital, the first admission under authority of the certificate of the patient to hospital;
(ii)if, immediately before the certificate is granted, the patient is in hospital, the granting of the certificate.
(9)Regulations may specify—
(a)the circumstances in which there is to be taken to be; and
(b)the circumstances in which there is not to be taken to be,
a conflict of interest in relation to the medical examination.
(10)The emergency detention certificate—
(a)shall state the medical practitioner’s reasons for believing the conditions mentioned in subsections (4) and (5) above to be met in respect of the patient; and
(b)shall be signed by the medical practitioner.
(11)If a medical practitioner grants an emergency detention certificate in respect of a patient who, immediately before the certificate is granted, is in hospital, the medical practitioner shall, as soon as practicable after granting the certificate, give the certificate to the managers of that hospital.
(12)In subsection (1) above “appropriate period” means—
(a)in a case where the medical examination of the patient is completed at least 4 hours before the end of the day (or, if it takes place on two days, the later of the days) on which it is carried out, the period beginning with completion of the examination and ending with the end of that day;
(b)in any other case, the period of 4 hours beginning with the completion of the medical examination.
(1)Subject to subsection (3) below, a medical practitioner who grants an emergency detention certificate shall, when the certificate is given to the managers of the hospital in which the patient is to be detained under authority of the certificate, give notice to them of the matters mentioned in subsection (2) below.
(2)Those matters are—
(a)the reason for granting the certificate;
(b)whether consent of a mental health officer was obtained to the granting of the certificate;
(c)if the certificate was granted without consent to its granting having been obtained from a mental health officer, the reason why it was impracticable to consult a mental health officer;
(d)the alternatives to granting the certificate that were considered by the medical practitioner; and
(e)the reason for the medical practitioner determining that any such alternative was inappropriate.
(3)If it is impracticable for notice to be given when the certificate is given to the managers, the medical practitioner shall give notice as soon as practicable after that time.