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SCOTTISH STATUTORY INSTRUMENTS
2005 No. 464
MENTAL HEALTH
The Mental Health (Safety and Security) (Scotland) Regulations 2005
|
Made |
26th September 2005 | |
|
Coming into force |
5th October 2005 | |
The Scottish Ministers, in exercise of the powers conferred by section 286(1), (2) and (3) of the Mental Health (Care and Treatment) (Scotland) Act 2003[1], and of all other powers enabling them in that behalf, and after having consulted such persons as they considered appropriate, hereby make the following Regulations, a draft of which has, in accordance with section 326(4)(c) of that Act, been laid before and approved by resolution of the Scottish Parliament:
Citation, commencement and interpretation
1.
—(1) These Regulations may be cited as the Mental Health (Safety and Security) (Scotland) Regulations 2005 and shall come into force on 5th October 2005.
(2) In these Regulations–
"the measures" means the measures authorised by regulation 4.
Specified persons
2.
—(1) For the purposes of section 286(1) of the Mental Health (Care and Treatment) (Scotland) Act 2003, a person detained in hospital by virtue of that Act or the Criminal Procedure (Scotland) Act 1995[2] is a specified person if either of the conditions specified in paragraph (2) and both of the conditions in paragraphs (3) and (4) are met.
(2) The conditions specified in this paragraph are–
(a) the person is detained in a state hospital or the Orchard Clinic in Royal Edinburgh Hospital, Morningside Terrace, Edinburgh; or
(b) it is less than 6 months starting with the date of recording since the person's responsible medical officer has recorded a reasoned opinion that the person has sought to acquire or is likely to seek to acquire, any item which is likely to be prejudicial to the health or safety of any person or to the security or good order of the hospital.
(3) The hospital managers have informed the person detained, unless to do so would, in the opinion of the patient's responsible medical officer, be prejudicial to the person's health or treatment, that person's named person and the Commission–
(a) that the person detained is to be a specified person; and
(b) where applicable to the person in question, the date of the recording of the opinion mentioned in paragraph (2)(b).
(4) The hospital managers have informed the person detained, unless to do so would, in the opinion of the patient's responsible medical officer, be prejudicial to the person's health or treatment, and that person's named person–
(a) that, subject to the conditions mentioned in regulation 4, specified persons are subject to the measures; and
(b) that a specified person has the right to the review mentioned in regulation 3 and the re-assessment mentioned in regulation 5(b).
Review of the reasoned opinion
3.
—(1) Where the responsible medical officer has recorded a reasoned opinion as mentioned in regulation 2(2)(b), the specified person shall, on request, be entitled to one review of that opinion by that officer during the period of 6 months mentioned in that regulation.
(2) On such a review, after considering any representations made by the specified person or that person's named person, the responsible medical officer shall review the opinion mentioned in regulation 2(2)(b) and decide whether or not to confirm it for the remainder of the period.
(3) The responsible medical officer shall inform the specified person who is the subject of the review, unless to do so would, in the opinion of that person's responsible medical officer, be prejudicial to the person's health or treatment, and that person's named person and the Commission of the outcome of the review.
Authority for measures
4.
Subject to the general conditions in regulation 5 and the particular conditions in regulations 6 to 11, the following measures are authorised–
General conditions
5.
The general conditions are that–
(a) the measures may only be applied in respect of any specified person where, in the opinion of that person's responsible medical officer, not to apply them would pose a significant risk to the health, safety or welfare of any person in the hospital or the security or good order of the hospital;
(b) the responsible medical officer shall, at the request of a specified person, or that person's visitor in any case where a measure is applied to that visitor, re-assess the risk mentioned in paragraph (a) and may as a result of such re-assessment reverse the decision to apply the measure to that person or that person's visitor or may have the measure applied in a different way;
(c) where a measure is applied to any specified person, the reasons for and the outcome of applying that measure shall be recorded in that person's medical records and a separate record shall be made by the managers of the hospital; and
(d) the specified person and that person's named person shall be given notice of the entry in the medical records unless, in the case of the specified person, to do so would, in the opinion of the specified person's responsible medical officer, be prejudicial to the specified person's health or treatment.
Conditions for searching specified persons
6.
—(1) The search of specified persons and of anything they have with them as mentioned in regulation 4(a) is subject to the conditions in paragraph (2).
(2) The conditions are that–
(3) In this regulation–
Conditions for taking of samples
7.
—(1) The taking of samples such as is mentioned in regulation 4(b) is subject to the conditions in paragraph (2).
(2) The conditions are that–
Condition for articles to be restricted
8.
—(1) The placing of restrictions on having certain kinds of things in hospital and the removal of articles mentioned in regulation 4(c) are subject to the condition in paragraph (2).
(2) The condition is that restrictions shall be placed on having any article or class of article either generally or in terms of the number of, access to or use of such article or class of article so as to minimise the impact on the freedom of the specified person compatible with the general condition in regulation 5(a).
Condition for restrictions on visitors
9.
—(1) The placing of prohibitions and restrictions such as is mentioned in regulation 4(d) is subject to the condition in paragraph (2).
(2) The condition is that visits may be prohibited or restricted if the visitor refuses consent to a search such as is mentioned in regulation 4(f).
Condition for searching visitors
10.
—(1) The search such as is mentioned in regulation 4(f) is subject to the conditions in paragraph (2).
(2) The conditions are that–
Conditions for surveillance
11.
—(1) Surveillance such as is mentioned in regulation 4(e) is subject to the conditions in paragraph (2).
(2) The conditions are that–
Statements from hospital managers
12.
—(1) All classes of hospital are specified for the purpose of the managers of those hospitals providing–
(2) Such statements shall be provided to the Commission by keeping them available for inspection by the Commission at the hospital and sending them to the Commission on request.
Power conferred on the Commission
13.
Power is conferred on the Commission, by direction–
LEWIS MACDONALD
Authorised to sign by the Scottish Ministers
St Andrew's House, Edinburgh
26th September 2005
EXPLANATORY NOTE
(This note is not part of the Regulations)
These Regulations authorise measures listed in section 286(1)(a) to (f) of the Mental Health (Care and Treatment) Act 2003 and provide for the designation of specified persons who are to be subject to the measures to protect the safety and security of themselves and others.
Regulation 2 provides that persons detained in hospital are specified persons if they are patients in a state hospital or the Orchard Clinic in Edinburgh or their responsible medical officer has reason to believe that they have tried or will try to obtain any item which could threaten health and safety or the security or good order of the hospital. The person detained must be informed of the specification and its implications, the right to a review of specification and to a re-assessment of risk when measures are imposed.
Regulation 3 provides for a review of specification at the request of the specified person.
Regulation 4 gives authority for specified persons to be subject to the following measures; searching, the taking of samples of body tissue or fluid, restriction of possessions in hospital and removal of restricted items, restrictions or prohibition of visitors and the searching of visitors and the surveillance of specified persons and their visitors. The implementation of the measures is subject to general and particular conditions.
Regulation 5 imposes general conditions on the exercise of the measures. The responsible medical officer must consider the risk to health, safety and welfare of any person or the risk to the security or good order of the hospital of not applying the measures. The specified person or visitor may ask for the re-assessment of that risk. A record must be made of the implementation of the measures.
Regulations 6 to 11 impose particular conditions on the exercise of individual measures.
Regulation 12 specifies all hospitals as being required to provide statements about the implementation of the Regulations to the Scottish Ministers and the Mental Welfare Commission for Scotland ("the Commission"). Statements must be made available to the Commission at the hospital and sent to them on request.
Regulation 13 confers power on the Commission to make a direction. Such a direction may prohibit the implementation of the regulations in respect of certain patients for a period of up to 6 months unless implemented under the supervision of or with the permission of the Commission. The type of patient who can be the subject of a direction is one in respect of whom the Commission has reviewed the implementation of the regulations. The Commission may also direct that the patient's named person has to be notified that a regulation has been implemented in this way.
Notes:
[1]
2003 asp 13; see section 329 for the definition of "regulations".back
[2]
1995 c.46.back
ISBN
0 11 069720 0
© Crown copyright 2005
Prepared
5 October 2005
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