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

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Mental Health (Care and Treatment) (Scotland) Act 2003, Chapter 3 is up to date with all changes known to be in force on or before 28 March 2024. There are changes that may be brought into force at a future date. Changes that have been made appear in the content and are referenced with annotations. Help about Changes to Legislation

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Chapter 3SDetention in conditions of excessive security

State hospitalsS

264Detention in conditions of excessive security: state hospitalsS

(1)This section applies where a patient’s detention in a state hospital is authorised by—

(a)a compulsory treatment order;

(b)a compulsion order;

(c)a hospital direction; or

(d)a transfer for treatment direction;

and whether or not a certificate under section 127(1) (either as enacted or as applied by section 179(1) of this Act) or 224(2) of this Act has effect in relation to the patient.

(2)On the application of any of the persons mentioned in subsection (6) below, the Tribunal may, if satisfied that the patient does not require to be detained under conditions of special security that can be provided only in a state hospital, make an order—

(a)declaring that the patient is being detained in conditions of excessive security; and

(b)specifying a period, not exceeding 3 months and beginning with the making of the order, during which the duties under subsections (3) to (5) below shall be performed.

(3)Where the Tribunal makes an order under subsection (2) above in respect of a relevant patient, the relevant Health Board shall identify a hospital—

(a)which is not a state hospital;

(b)which the Board and the Scottish Ministers, and its managers if they are not the Board, agree is a hospital in which the patient could be detained in appropriate conditions; and

(c)in which accommodation is available for the patient.

(4)Where the Tribunal makes an order under subsection (2) above in respect of a patient who is not a relevant patient, the relevant Health Board shall identify a hospital—

(a)which is not a state hospital;

(b)which the Board considers, and its managers if they are not the Board agree, is a hospital in which the patient could be detained in appropriate conditions; and

(c)in which accommodation is available for the patient.

(5)Where the Tribunal makes an order under subsection (2) above in respect of a patient, the relevant Health Board shall, as soon as practicable after identifying a hospital under subsection (3) or, as the case may be, (4) above, give notice to the managers of the state hospital of the name of the hospital so identified.

(6)The persons referred to in subsection (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; and

(e)the Commission.

(7)An application may not be made under subsection (2) above—

(a)if the compulsory treatment order that authorises the patient’s detention in hospital has not been extended;

(b)during the period of 6 months beginning with the making of the compulsion order that authorises the patient’s detention in hospital; or

(c)before the expiry of the period of 6 months beginning with the making of—

(i)the hospital direction; or

(ii)the transfer for treatment direction,

that authorises the patient’s detention in hospital.

[F1(7A)An application may not be made under subsection (2) above unless it is accompanied by a report prepared by [F2an approved medical] practitioner which—

(a)states that in the practitioner's opinion the patient does not require to be detained under conditions of special security that can be provided only in a state hospital, and

(b)sets out the practitioner's reasons for being of that opinion.]

(8)No more than one application may be made under subsection (2) above in respect of the same patient—

(a)during the period of 12 months beginning with the day on which the order, or direction, authorising the patient’s detention in hospital is made;

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

(9)Before determining an application under subsection (2) above, the Tribunal shall—

(a)afford the persons mentioned in subsection (10) below the opportunity—

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

(ii)of leading, or producing, evidence; and

(b)whether or not any such representations are made, hold a hearing.

(10)Those persons are—

(a)the patient;

(b)the patient’s named person;

(c)the relevant Health Board;

(d)the patient’s responsible medical officer;

(e)the managers of the state hospital in which the patient is detained;

(f)the mental health officer;

(g)any guardian of the patient;

(h)any welfare attorney of the patient;

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

(j)the Commission;

(k)in the case of a relevant patient, the Scottish Ministers; and

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

Textual Amendments

Commencement Information

I1Part 17 Chapter 3 (ss. 264 - 273) in force 1.5.2006 or such earlier day as the Scottish Ministers may by order appoint, see s. 333(2)

I2S. 264 in force at 1.5.2006 or such earlier day as the Scottish Ministers may by order appoint, see s. 333(2)

265Order under section 264: further provisionS

(1)This section applies where—

(a)an order is made under section 264(2) of this Act in respect of a patient; and

(b)the order is not recalled under section 267 of this Act;

and whether or not a certificate under section 127(1) (either as enacted or as applied by section 179(1) of this Act) or 224(2) of this Act has effect in relation to the patient.

(2)If the relevant Health Board fails, during the period specified in the order, to give notice to the Tribunal that the patient has been transferred to another hospital, there shall be a hearing before the Tribunal.

(3)Where such a hearing is held, the Tribunal may, if satisfied that the patient does not require to be detained under conditions of special security that can be provided only in a state hospital, make an order—

(a)declaring that the patient is being detained in conditions of excessive security; and

(b)specifying—

(i)a period of 28 days; or

(ii)such longer period not exceeding 3 months as the Tribunal thinks fit,

beginning with the day on which the order is made during which the duties under subsections (4) to (6) below shall be performed.

(4)Where the Tribunal makes an order under subsection (3) above in respect of a relevant patient, the relevant Health Board shall identify a hospital—

(a)which is not a state hospital;

(b)which the Board and the Scottish Ministers, and its managers if they are not the Board, agree is a hospital in which the patient could be detained in appropriate conditions; and

(c)in which accommodation is available for the patient.

(5)Where the Tribunal makes an order under subsection (3) above in respect of a patient who is not a relevant patient, the relevant Health Board shall identify a hospital—

(a)which is not a state hospital;

(b)which the Board considers, and its managers if they are not the Board agree, is a hospital in which the patient could be detained in appropriate conditions; and

(c)in which accommodation is available for the patient.

(6)Where the Tribunal makes an order under subsection (3) above in respect of a patient, the relevant Health Board shall, as soon as practicable after identifying a hospital under subsection (4) or, as the case may be, (5) above, give notice to the managers of the state hospital of the name of the hospital so identified.

(7)Before making an order under subsection (3) above, the Tribunal shall afford the persons mentioned in section 264(10) of this Act the opportunity—

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

(b)of leading, or producing, evidence.

Commencement Information

I3Part 17 Chapter 3 (ss. 264 - 273) in force 1.5.2006 or such earlier day as the Scottish Ministers may by order appoint, see s. 333(2)

I4S. 265 in force at 1.5.2006 or such earlier day as the Scottish Ministers may by order appoint, see s. 333(2)

F3266Order under section 265: further provisionS

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Textual Amendments

267[F4Order under section 264 or 265: recall]S

(1)This section applies where an order is made under section 264(2) [F5or 265(3)] of this Act in respect of a patient.

(2)On the application of any of the persons mentioned in subsection (4) below, the Tribunal—

(a)shall, if satisfied that the patient requires to be detained under conditions of special security that can be provided only in a state hospital, recall the order;

(b)may, on any other grounds, recall the order.

(3)Where the order is recalled, the relevant Health Board ceases to be subject to the duties under section 264(3) to (5) [F6or 265(4) to (6)] to which it became subject by virtue of the making of the order.

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

(a)the relevant Health Board;

(b)in the case of a relevant patient, the Scottish Ministers;

(c)in the case of a patient who is not a relevant patient, the patient’s responsible medical officer.

(5)Before determining an application under subsection (2) above, the Tribunal shall—

(a)afford the persons mentioned in section 264(10) of this Act the opportunity—

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

(ii)of leading, or producing, evidence; and

(b)whether or not any such representations are made, hold a hearing.

Textual Amendments

F4S. 267 title substituted (16.11.2015) by virtue of Mental Health (Scotland) Act 2015 (asp 9), ss. 15(4), 61(2); S.S.I. 2015/361, art. 2 (with arts. 4-6)

F5Words in s. 267(1) substituted (16.11.2015) by Mental Health (Scotland) Act 2015 (asp 9), ss. 15(3)(a), 61(2); S.S.I. 2015/361, art. 2 (with arts. 4-6)

F6Words in s. 267(3) substituted (16.11.2015) by Mental Health (Scotland) Act 2015 (asp 9), ss. 15(3)(b), 61(2); S.S.I. 2015/361, art. 2 (with arts. 4-6)

Commencement Information

I5Part 17 Chapter 3 (ss. 264 - 273) in force 1.5.2006 or such earlier day as the Scottish Ministers may by order appoint, see s. 333(2)

I6S. 267 in force at 1.5.2006 or such earlier day as the Scottish Ministers may by order appoint, see s. 333(2)

Other hospitalsS

268Detention in conditions of excessive security: hospitals other than state hospitalsS

(1)This section applies where a F7... patient’s detention in a qualifying hospital is authorised by—

(a)a compulsory treatment order;

(b)a compulsion order;

(c)a hospital direction; or

(d)a transfer for treatment direction;

and whether or not a certificate under section 127(1) (either as enacted or as applied by section 179(1) of this Act) or 224(2) of this Act has effect in relation to the patient.

(2)On the application of any of the persons mentioned in subsection (6) below, the Tribunal may, if satisfied that [F8the test specified in regulations made under section 271A(2) of this Act is met in relation to the patient], make an order—

(a)declaring that the patient is being detained in conditions of excessive security; and

(b)specifying a period, not exceeding 3 months and beginning with the making of the order, during which the duties under subsections (3) to (5) below shall be performed.

(3)Where the Tribunal makes an order under subsection (2) above in respect of a relevant patient, the relevant Health Board shall identify a hospital—

(a)which is not a state hospital;

(b)which the Board and the Scottish Ministers, and its managers if they are not the Board, agree is a hospital in which the patient could be detained in conditions that would not involve the patient being subject to a level of security that is excessive in the patient’s case; and

(c)in which accommodation is available for the patient.

(4)Where the Tribunal makes an order under subsection (2) above in respect of a patient who is not a relevant patient, the relevant Health Board shall identify a hospital—

(a)which is not a state hospital;

(b)which the Board considers, and its managers if they are not the Board agree, is a hospital in which the patient could be detained in conditions that would not involve the patient being subject to a level of security that is excessive in the patient’s case; and

(c)in which accommodation is available for the patient.

(5)Where the Tribunal makes an order under subsection (2) above in respect of a patient, the relevant Health Board shall, as soon as practicable after identifying a hospital under subsection (3) or, as the case may be, (4) above, give notice [F9of the name of the hospital so identified to the managers of the hospital in which the patient is detained].

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

(a)the F10... patient;

(b)the F10... patient’s named person;

(c)any guardian of the F10... patient;

(d)any welfare attorney of the F10... patient; and

(e)the Commission.

(7)An application may not be made under subsection (2) above—

(a)if the compulsory treatment order that authorises the patient’s detention in hospital has not been extended;

(b)during the period of 6 months beginning with the making of the compulsion order that authorises the patient’s detention in hospital; or

(c)before the expiry of the period of 6 months beginning with the making of—

(i)the hospital direction; or

(ii)the transfer for treatment direction,

that authorises the patient’s detention in hospital.

[F11(7A)An application may not be made under subsection (2) above unless it is accompanied by a report prepared by [F12an approved medical] practitioner which—

(a)states that in the practitioner's opinion the test specified in regulations made under section 271A(2) of this Act is met in relation to the patient, and

(b)sets out the practitioner's reasons for being of that opinion.]

(8)No more than one application may be made under subsection (2) above in respect of the same patient—

(a)during the period of 12 months beginning with the day on which the order, or direction, authorising the patient’s detention in hospital is made;

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

(9)Before determining an application under subsection (2) above, the Tribunal shall—

(a)afford the persons mentioned in subsection (10) below the opportunity—

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

(ii)of leading, or producing, evidence; and

(b)whether or not any such representations are made, hold a hearing.

(10)Those persons are—

(a)the F13... patient;

(b)the F13... patient’s named person;

(c)the relevant Health Board;

(d)the F13... patient’s responsible medical officer;

(e)the managers of the [F14hospital in which the patient is detained];

(f)the mental health officer;

(g)any guardian of the F15... patient;

(h)any welfare attorney of the F15... patient;

(i)any curator ad litem appointed by the Tribunal in respect of the F15... patient;

(j)the Commission;

(k)in the case of a relevant patient, the Scottish Ministers; and

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

F16(11). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

F16(12). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

F16(13). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

F16(14). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Textual Amendments

F8Words in s. 268(2) substituted (16.11.2015) by Mental Health (Scotland) Act 2015 (asp 9), ss. 16(2)(b), 61(2); S.S.I. 2015/361, art. 2

F9Words in s. 268(5) substituted (16.11.2015) by Mental Health (Scotland) Act 2015 (asp 9), ss. 16(2)(c), 61(2); S.S.I. 2015/361, art. 2

F13Word in s. 268(10)(a)-(d) repealed (16.11.2015) by Mental Health (Scotland) Act 2015 (asp 9), ss. 16(2)(e)(i), 61(2); S.S.I. 2015/361, art. 2

F14Words in s. 268(10)(e) substituted (16.11.2015) by Mental Health (Scotland) Act 2015 (asp 9), ss. 16(2)(e)(ii), 61(2); S.S.I. 2015/361, art. 2

F15Word in s. 268(10)(f)-(l) repealed (16.11.2015) by Mental Health (Scotland) Act 2015 (asp 9), ss. 16(2)(e)(i), 61(2); S.S.I. 2015/361, art. 2

Commencement Information

I7Part 17 Chapter 3 (ss. 264 - 273) in force 1.5.2006 or such earlier day as the Scottish Ministers may by order appoint, see s. 333(2)

I8S. 268 in force at 6.1.2006 for specified purposes by S.S.I. 2005/161, art. 4, Sch. 2

I9S. 268 in force at 1.5.2006 or such earlier day as the Scottish Ministers may by order appoint, see s. 333(2)

269Order under section 268: further provisionS

(1)This section applies where—

(a)an order is made under section 268(2) of this Act in respect of a F17... patient; and

(b)the order is not recalled under section 271 of this Act;

and whether or not a certificate under section 127(1) (either as enacted or as applied by section 179(1) of this Act) or 224(2) of this Act has effect in relation to the patient.

(2)If the relevant Health Board fails, during the period specified in the order, to give notice to the Tribunal that the F17... patient has been transferred to another hospital, there shall be a hearing before the Tribunal.

(3)Where such a hearing is held, the Tribunal may, if satisfied that [F18the test specified in regulations made under section 271A(2) of this Act is met in relation to the patient], make an order—

(a)declaring that the patient is being detained in conditions of excessive security; and

(b)specifying—

(i)a period of 28 days; or

(ii)such longer period not exceeding 3 months as the Tribunal thinks fit,

beginning with the day on which the order is made during which the duties under subsections (4) to (6) below shall be performed.

(4)Where the Tribunal makes an order under subsection (3) above in respect of a relevant patient, the relevant Health Board shall identify a hospital—

(a)which is not a state hospital;

(b)which the Board and the Scottish Ministers, and its managers if they are not the Board, agree is a hospital in which the patient could be detained in conditions that would not involve the patient being subject to a level of security that is excessive in the patient’s case; and

(c)in which accommodation is available for the patient.

(5)Where the Tribunal makes an order under subsection (3) above in respect of a patient who is not a relevant patient, the relevant Health Board shall identify a hospital—

(a)which is not a state hospital;

(b)which the Board considers, and its managers if they are not the Board agree, is a hospital in which the patient could be detained in conditions that would not involve the patient being subject to a level of security that is excessive in the patient’s case; and

(c)in which accommodation is available for the patient.

(6)Where the Tribunal makes an order under subsection (3) above in respect of a patient, the relevant Health Board shall, as soon as practicable after identifying a hospital under subsection (4) or, as the case may be, (5) above, give notice [F19of the name of the hospital so identified to the managers of the hospital in which the patient is detained].

(7)Before making an order under subsection (3) above, the Tribunal shall afford the persons mentioned in section 268(10) of this Act the opportunity—

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

(b)of leading, or producing, evidence.

Textual Amendments

F18Words in s. 269(3) substituted (16.11.2015) by Mental Health (Scotland) Act 2015 (asp 9), ss. 16(3)(b), 61(2); S.S.I. 2015/361, art. 2

F19Words in s. 269(6) substituted (16.11.2015) by Mental Health (Scotland) Act 2015 (asp 9), ss. 16(3)(c), 61(2); S.S.I. 2015/361, art. 2

Commencement Information

I10Part 17 Chapter 3 (ss. 264 - 273) in force 1.5.2006 or such earlier day as the Scottish Ministers may by order appoint, see s. 333(2)

I11S. 269 in force at 1.5.2006 or such earlier day as the Scottish Ministers may by order appoint, see s. 333(2)

F20270Order under section 269: further provisionS

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Textual Amendments

271[F21Order under section 268 or 269: recall]S

(1)This section applies where an order is made under section 268(2) [F22or 269(3)] of this Act in respect of a F23... patient.

(2)On the application of any of the persons mentioned in subsection (4) below, the Tribunal—

(a)shall, if satisfied that [F24the test specified in regulations made under section 271A(2) of this Act is not met in relation to the patient], recall the order;

(b)may, on any other grounds, recall the order.

(3)Where the order is recalled, the relevant Health Board ceases to be subject to the duties under section 268(3) to (5) [F25or 269(4) to (6)] to which it became subject by virtue of the making of the order.

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

(a)the relevant Health Board;

(b)in the case of a relevant patient, the Scottish Ministers;

(c)in the case of a patient who is not a relevant patient, the patient’s responsible medical officer.

(5)Before determining an application under subsection (2) above, the Tribunal shall—

(a)afford the persons mentioned in section 268(10) of this Act the opportunity—

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

(ii)of leading, or producing, evidence; and

(b)whether or not any such representations are made, hold a hearing.

Textual Amendments

F21S. 271 title substituted (16.11.2015) by virtue of Mental Health (Scotland) Act 2015 (asp 9), ss. 15(7), 61(2); S.S.I. 2015/361, art. 2 (with arts. 4-6)

F22Words in s. 271(1) substituted (16.11.2015) by Mental Health (Scotland) Act 2015 (asp 9), ss. 15(6)(a), 61(2); S.S.I. 2015/361, art. 2 (with arts. 4-6)

F24Words in s. 271(2)(a) substituted (16.11.2015) by Mental Health (Scotland) Act 2015 (asp 9), ss. 16(4)(b), 61(2); S.S.I. 2015/361, art. 2

F25Words in s. 271(3) substituted (16.11.2015) by Mental Health (Scotland) Act 2015 (asp 9), ss. 15(6)(b), 61(2); S.S.I. 2015/361, art. 2 (with arts. 4-6)

Commencement Information

I12Part 17 Chapter 3 (ss. 264 - 273) in force 1.5.2006 or such earlier day as the Scottish Ministers may by order appoint, see s. 333(2)

I13S. 271 in force at 1.5.2006 or such earlier day as the Scottish Ministers may by order appoint, see s. 333(2)

[F26Process for orders: further provisionS

Textual Amendments

F26S. 271A and cross-heading inserted (16.11.2015) by Mental Health (Scotland) Act 2015 (asp 9), ss. 16(5), 61(2); S.S.I. 2015/361, art. 2

271ARegulation-making powersS

(1)A hospital is a “qualifying hospital” for the purposes of sections 268 to 271 of this Act if—

(a)it is not a state hospital, and

(b)it is specified, or is of a description specified, in regulations.

(2)Regulations may specify the test for the purposes of sections 268(2), 269(3) and 271(2)(a) of this Act.

(3)Regulations under subsection (2) above specifying the test—

(a)must include as a requirement for the test to be met in relation to a patient that the Tribunal be satisfied that detention of the patient in the hospital in which the patient is being detained involves the patient being subject to a level of security that is excessive in the patient's case, and

(b)may include further requirements for the test to be met in relation to a patient.

(4)Regulations may make provision about when, for the purposes of—

(a)any regulations made under subsection (2) above, and

(b)sections 268 to 271 of this Act,

a patient's detention in a hospital is to be taken to involve the patient being subject to a level of security that is excessive in the patient's case.

(5)Regulations may modify sections 264 and 268 of this Act so as to provide that a person must meet criteria besides being a medical practitioner in order to prepare a report for the purpose of subsection (7A) in each of those sections.]

Enforcement: civil proceedingsS

272Proceedings for specific performance of statutory dutyS

(1)The duties imposed by virtue of—

[F27(a)an order under section 264(2) of this Act, or

(c)an order under section 268(2) of this Act,]

shall not be enforceable by proceedings for specific performance of a statutory duty under section 45(b) of the Court of Session Act 1988 (c. 36).

(2)Without prejudice to the rights of any other person, the duties imposed by virtue of—

[F28(a)an order under section 265(3) of this Act, or

(c)an order under section 269(3) of this Act,]

shall be enforceable by proceedings by the Commission for specific performance of a statutory duty under section 45(b) of that Act of 1988.

Textual Amendments

F27S. 272(1)(a)(c) substituted for s. 272(1)(a)-(d) (16.11.2015) by Mental Health (Scotland) Act 2015 (asp 9), ss. 15(8)(a), 61(2); S.S.I. 2015/361, art. 2 (with arts. 4-6)

F28S. 272(2)(a)(c) substituted for s. 272(2)(a)-(d) (16.11.2015) by Mental Health (Scotland) Act 2015 (asp 9), ss. 15(8)(b), 61(2); S.S.I. 2015/361, art. 2 (with arts. 4-6)

Commencement Information

I14Part 17 Chapter 3 (ss. 264 - 273) in force 1.5.2006 or such earlier day as the Scottish Ministers may by order appoint, see s. 333(2)

I15S. 272 in force at 1.5.2006 or such earlier day as the Scottish Ministers may by order appoint, see s. 333(2)

Interpretation of ChapterS

273Interpretation of ChapterS

[F29(1)]In this Chapter—

  • relevant Health Board” means, in relation to a patient of such description as may be specified in regulations, the Health Board, or Special Health Board—

    (a)

    of such description as may be so specified; or

    (b)

    determined under such regulations; and

  • [F30relevant patient” means a patient whose detention in hospital is authorised by—

    (a)

    if the patient is also subject to a restriction order, a compulsion order,

    (b)

    a hospital direction, or

    (c)

    a transfer for treatment direction.]

[F31(2)In this Chapter, a reference to a hospital may be read as a reference to a hospital unit.

(3)For the purposes of this Chapter, “hospital unit” means any part of a hospital which is treated as a separate unit.]

Textual Amendments

F29Words in s. 273 renumbered as s. 273(1) (16.11.2015) by Mental Health (Scotland) Act 2015 (asp 9), ss. 18(2)(a), 61(2); S.S.I. 2015/361, art. 2

Commencement Information

I16Part 17 Chapter 3 (ss. 264 - 273) in force 1.5.2006 or such earlier day as the Scottish Ministers may by order appoint, see s. 333(2)

I17S. 273 in force at 6.1.2006 for specified purposes by S.S.I. 2005/161, art. 4, Sch. 2

I18S. 273 in force at 1.5.2006 or such earlier day as the Scottish Ministers may by order appoint, see s. 333(2)

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