Criminal Procedure (Insanity and Unfitness to Plead) Act 1991

Section 5(3).

SCHEDULE 2E+W Supervision and Treatment Orders

Part IE+W Preliminary

1(1)In this Schedule “supervision and treatment order” means an order requiring the person in respect of whom it is made (“the supervised person”)—E+W

(a)to be under the supervision of a social worker or [F1an officer of a local probation board] (“the supervising officer”) for a period specified in the order of not more than two years; and

(b)to submit, during the whole of that period or such part of it as may be specified in the order, to treatment by or under the direction of a registered medical practitioner with a view to the improvement of his mental condition.

(2)The Secretary of State may by order direct that sub-paragraph (1) above shall be amended by substituting, for the period specified in that sub-paragraph as originally enacted or as previously amended under this sub-paragraph, such period as may be specified in the order.

(3)An order under sub-paragraph (2) above may make in paragraph 8(2) below any amendment which the Secretary of State thinks necessary in consequence of any substitution made by the order.

(4)The power of the Secretary of State to make orders under sub-paragraph (2) above shall be exercisable by statutory instrument which shall be subject to annulment in pursuance of a resolution of either House of Parliament.

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Amendments (Textual)

Commencement Information

I1Sch. 2 para. 1 wholly in force at 1.1.1992 see s. 9(2) and S.I. 1991/2488, art. 2.

Part IIE+W Making and Effect of Orders

Circumstances in which orders may be madeE+W

2(1)The court shall not make a supervision and treatment order unless it is satisfied—E+W

(a)that, having regard to all the circumstances of the case, the making of such an order is the most suitable means of dealing with the accused or appellant; and

(b)on the written or oral evidence of two or more registered medical practitioners, at least one of whom is duly approved, that the mental condition of the accused or appellant—

(i)is such as requires and may be susceptible to treatment; but

(ii)is not such as to warrant the making of an admission order within the meaning of Schedule 1 to this Act, or the making of a guardianship order within the meaning of the 1983 Act.

(2)The court shall not make a supervision and treatment order unless it is also satisfied—

(a)that the supervising officer intended to be specified in the order is willing to undertake the supervision; and

(b)that arrangements have been made for the treatment intended to be specified in the order (including arrangements for the reception of the accused or appellant where he is to be required to submit to treatment as a resident patient).

(3)Subsections (2) and (3) of section 54 of the 1983 Act shall have effect with respect to proof of a person’s mental condition for the purposes of sub-paragraph (1) above as they have effect with respect to proof of an offender’s mental condition for the purposes of section 37(2)(a) of that Act.

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Commencement Information

I2Sch. 2 para. 2. wholly in force at 1.1.1992 see s. 9(2) and S.I. 1991/2488, art. 2.

Making of orders and general requirementsE+W

3(1)A supervision and treatment order shall either—E+W

(a)specify the local social services authority area in which the supervised person resides or will reside, and require him to be under the supervision of a social worker of the local social services authority for that area; or

(b)specify the petty sessions area in which that person resides or will reside, and require him to be under the supervision of [F2an officer of a local probation board] appointed for or assigned to that area.

(2)Before making such an order, the court shall explain to the supervised person in ordinary language—

(a)the effect of the order (including any requirements proposed to be included in the order in accordance with paragraph 5 below); and

(b)that a magistrates’ court has power under paragraphs 6 to 8 below to review the order on the application either of the supervised person or of the supervising officer.

(3)After making such an order, the court shall forthwith give copies of the orde r to [F2an officer of a local probation board] assigned to the court, and he shall give a copy—

(a)to the supervised person;

(b)to the supervising officer; and

(c)to the person in charge of any institution in which the supervised person is required by the order to reside.

(4)After making such an order, the court shall also send to the [F3justices’ chief executive] for the petty sessions area in which the supervised person resides or will reside (“the petty sessions area concerned”)—

(a)a copy of the order; and

(b)such documents and information relating to the case as it considers likely to be of assistance to a court acting for that area in the exercise of its functions in relation to the order.

(5)Where such an order is made, the supervised person shall keep in touch with the supervising officer in accordance with such instructions as he may from time to time be given by that officer and shall notify him of any change of address.

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Amendments (Textual)

Commencement Information

I3Sch. 2 para. 3 wholly in force at 1.1.1992 see s. 9(2) and S.I. 1991/2488, art. 2.

Obligatory requirements as to medical treatmentE+W

4(1)A supervision and treatment order shall include a requirement that the supervised person shall submit, during the whole of the period specified in the order or during such part of that period as may be so specified, to treatment by or under the direction of a registered medical practitioner with a view to the improvement of his mental condition.E+W

(2)The treatment required by any such order shall be such one of the following kinds of treatment as may be specified in the order, that is to say—

(a)treatment as a resident patient in a [F4independent hospital or care home within the meaning of the Care Standards Act 2000 or in a hospital], not being a [F5hospital at which high security psychiatric services within the meaning of the National Health Service Act 1977 are provided];

(b)treatment as a non-resident patient at such institution or place as may be specified in the order; and

(c)treatment by or under the direction of such registered medical practitioner as may be so specified;

but the nature of the treatment shall not be specified in the order except as mentioned in paragraph (a), (b) or (c) above.

(3)While the supervised person is under treatmen t as a resident patient in pursuance of a requirement of a supervision and treatment order, the supervising officer shall carry out the supervision to such extent only as may be necessary for the purpose of the revocation or amendment of the order.

(4)Where the medical practitioner by whom or under whose direction the supervised person is being treated for his mental condition in pursuance of a supervision and treatment order is of the opinion that part of the treatment can be better or more conveniently given in or at an institution or place which—

(a)is not specified in the order; and

(b)is one in or at which the treatment of the supervised person will be given by or under the direction of a registered medical practitioner,

he may, with the consent of the supervised person, make arrangements for him to be treated accordingly.

(5)Such arrangements as are mentioned in sub-paragraph (4) above may provide for the supervised person to receive part of his treatment as a resident patient in an institution or place notwithstanding that the institution or place is not one which could have been specified for that purpose in the supervision and treatment order.

(6)Where any such arrangements as are mentioned in sub-paragraph (4) above are made for the treatment of a supervised person—

(a)the medical practitioner by whom the arrangements are made shall give notice in writing to the supervising officer, specifying the institution or place in or at which the treatment is to be carried out; and

(b)the treatment provided for by the arrangements shall be deemed to be treatment to which he is required to submit in pursuance of the supervision and treatment order.

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Amendments (Textual)

F4Words in Sch. 2 para. 4(2)(a) substituted (1.4.2002) by 2000 c. 14, ss. 116, 122, Sch. 4 para. 16; S.I. 2001/4150, art. 3(3)(a) (subject to transitional provisions in art. 4 and S.I. 2002/1493, art. 4); S.I. 2002/920, art. 3(2)(3)(d)(subject to transitional provisions in art. 3(4)-(10), Schs. 1-3)

F5Words in Sch. 2 para. 4(2)(a) substituted (1.4.2000) by S.I. 2000/90, arts. 1, 3(2), Sch. 2 para. 6 Pt. I (with art. 2(5))

Commencement Information

I4Sch. 2 para. 4 wholly in force at 1.1.1992 see s. 9(2) and S.I. 1991/2488, art. 2.

Optional requirements as to residenceE+W

5(1)Subject to sub-paragraphs (2) and (3) below, a supervision and treatment order may include requirements as to the residence of the supervised person.E+W

(2)Before making such an order containing any such requirement, the court shall consider the home surroundings of the supervised person.

(3)Where such an order requires the supervised person to reside in an approved hostel or any other institution, the period for which he is so required to reside shall be specified in the order.

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Commencement Information

I5Sch. 2 para. 5. wholly in force at 1.1.1992 see s. 9(2) and S.I. 1991/2488, art. 2.

Part IIIE+W Revocation and Amendment of Orders

Revocation of order in interests of health or welfareE+W

6Where a supervision and treatment order is in force in respect of any person and, on the application of the supervised person or the supervising officer, it appears to a magistrates’ court acting for the petty sessions area concerned that, having regard to circumstances which have arisen since the order was made, it would be in the interests of the health or welfare of the supervised person that the order should be revoked, the court may revoke the order.E+W

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Commencement Information

I6Sch.2 para. 6 wholly in force at 1.1.1992 see s. 9(2) and S.I. 1991/2488, art. 2.

Amendment of order by reason of change of residenceE+W

7(1)This paragraph applies where, at any time while a supervision and treatment order is in force in respect of any person, a magistrates’ court acting for the petty sessions area concerned is satisfied that the supervised person proposes to change, or has changed, his residence from the area specified in the order to another local social services authority area or petty sessions area.E+W

(2)Subject to sub-paragraph (3) below, the court may, and on the application of the supervising officer shall, amend the supervision and treatment order by substituting the other area for the area specified in the order.

(3)The court shall not amend under this paragraph a supervision and treatment order which contains requirements which in the opinion of the court, cannot be complied with unless the supervised person continues to reside in the area specified in the order unless, in accordance with paragraph 8 below, it either—

(a)cancels those requirements; or

(b)substitutes for those requirements other requirements which can be complied with if the supervised person ceases to reside in that area.

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Commencement Information

I7Sch. 2 para. 7 wholly in force at 1.1.1992 see s. 9(2) and S.I. 1991/2488, art. 2.

Amendment of requirements of orderE+W

8(1)Without prejudice to the provisions of paragraph 7 above, but subject to sub-paragraph (2) below, a magistrates’ court for the petty sessions area concerned may, on the application of the supervised person or the supervising officer, by order amend a supervision and treatment order—E+W

(a)by cancelling any of the requirements of the order; or

(b)by inserting in the order (either in addition to or in substitution for any such requirement) any requirement which the court could include if it were the court by which the order was made and were then making it.

(2)The power of a magistrates’ court under sub-paragraph (1) above shall not include power to amend an order by extending the period specified in it beyond the end of two years from the date of the original order.

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Commencement Information

I8Sch. 2 para. 8 wholly in force at 1.1.1992 see s. 9(2) and S.I. 1991/2488, art. 2.

Amendment of requirements in pursuance of medical reportE+W

9(1)Where the medical practitioner by whom or under whose direction the supervised person is being treated for his mental condition in pursuance of any requirement of a supervision and treatment order—E+W

(a)is of the opinion mentioned in sub-paragraph (2) below; or

(b)is for any reason unwilling to continue to treat or direct the treatment of the supervised person,

he shall make a report in writing to that effect to the supervising officer and that officer shall apply under paragraph 8 above to a magistrates’ court for the petty sessions area concerned for the variation or cancellation of the requirement.

(2)The opinion referred to in sub-paragraph (1) above is—

(a)that the treatment of the supervised person should be continued beyond the period specified in the supervision and treatment order;

(b)that the supervised person needs different treatment, being treatment of a kind to which he could be required to submit in pursuance of such an order;

(c)that the supervised person is not susceptible to treatment; or

(d)that the supervised person does not require further treatment.

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Commencement Information

I9Sch. 2 para. 9 wholly in force at 1.1.1992 see s. 9(2) and S.I. 1991/2488, art. 2.

SupplementalE+W

10(1)On the making under paragraph 6 above of an order revoking a supervision and treatment order, the [F6justices’ chief executive for] the court shall forthwith give copies of the revoking order to the supervising officer.E+W

(2)A supervising officer to whom in accordance with sub-paragraph (1) above copies of a revoking order are given shall give a copy to the supervised person and to the person in charge of any institution in which the supervised person was required by the order to reside.

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Amendments (Textual)

Commencement Information

I10Sch. 2 para. 10 wholly in force at 1.1.1992 see s. 9(2) and S.I. 1991/2488, art. 2.

11(1)On the making under paragraph 7 or 8 above of an order amending a supervision and treatment order, the clerk to the court shall forthwith—E+W

(a)if the order amends the supervision and treatment order otherwise than by substituting a new area or a new place for the one specified in the supervision and treatment order, give copies of the amending order to the supervising officer;

(b)if the order amends the supervision and treatment order in the manner excepted by paragraph (a) above, send to the [F7justices’ chief executive] for the new petty sessions area concerned—

(i)copies of the amending order; and

(ii)such documents and information relating to the case as he considers likely to be of assistance to a court acting for that area in exercising its functions in relation to the order;

and in a case falling within paragraph (b) above, the [F7justices’ chief executive] for that area shall give copies of the amending order to the supervising officer.

[F8(1A)Where the justices’ chief executive for the court making the order is also the justices’ chief executive for the new petty sessions area—

(a)sub-paragraph (1)(b) above does not apply; but

(b)the justices’ chief executive shall give copies of the amending order to the supervising officer.]

(2)Where in accordance with sub-paragraph (1) [F9or (1A)] above copies of an order are given to the supervising officer, he shall give a copy to the supervised person and to the person in charge of any institution in which the supervised person is or was required by the order to reside.

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Amendments (Textual)

Commencement Information

I11Sch. 2 para. 11 wholly in force at 1.1.1992 see s. 9(2) and S.I. 1991/2488, art. 2.