Official Report 147KB pdf
Good morning and welcome to today's meeting of the Health and Community Care Committee. We are again discussing the Mental Health (Scotland) Bill. The Deputy Minister for Health and Community Care, Mrs Mary Mulligan, and her team join us.
Section 92—Mentally disordered persons subject to criminal proceedings: assessment and treatment
Amendment 888 is grouped with amendments 891 and 1034.
Amendment 888 will ensure that persons who are charged in a district court with an imprisonable offence and who appear to have a mental disorder must be remitted to a sheriff court. That court can then deal with them in the same manner as though the charge had originally been raised there. That would include, but not be restricted to, the granting of a mental health disposal. That retains the general effect of section 58(10) of the Criminal Procedure (Scotland) Act 1995, which will be repealed by amendment 1034.
Amendment 888 agreed to.
Amendment 889 is grouped with amendments 892 to 894, 920, 927, 930, 931, 937, 940, 942, 966, 967, and 973.
Amendments 889, 892, 920, 930, 931, 937, 940, 942, 966, 967, and 973 are technical amendments that will remove the word ‘final' in relation to certain disposals and replace it with the term ‘relevant', which is more apt.
Amendment 889 agreed to.
Amendment 890 is grouped with amendments 897, 909, 910, 941, 945, 954, 955, 985 and 1033.
This group of amendments will tidy up the provisions regarding who should be informed of an application for, the making of, or the revocation of assessment orders, treatment orders and interim compulsion orders.
Amendment 890 agreed to.
Amendments 891 to 894 moved—[Mrs Mary Mulligan]—and agreed to.
Amendment 895 is grouped with amendments 896, 898, 913, 914, 916, 943, 944, 946, 957, 958, and 960.
This group of amendments is intended to simplify the drafting of the provisions without changing their effect.
Amendment 895 agreed to.
Amendments 896 to 898 moved—[Mrs Mary Mulligan]—and agreed to.
Amendment 899 is grouped with amendments 900, 904, 905, 948, 977, 852, and 836.
Amendment 899 will correct proposed new section 52C(3) of the 1995 act so that, before it can make an assessment order, the court must be satisfied
Given that someone would be sent for assessment, would anything in that assessment disallow treatment that was deemed necessary?
The simple answer is no.
That is a change from current legislation.
The current position is uncertain. The bill clarifies the position.
I wanted clarification because I have a constituent who is in that situation. My constituent has been held for four weeks and cannot commence treatment.
Amendment 899 agreed to.
Amendment 900 moved—[Mrs Mary Mulligan]—and agreed to.
Amendment 901 is grouped with amendments 907, 949, 952, 981, 982, 859, 860 and 840.
Amendments 901, 949, 982 and 860 will make references to hospitals refer more precisely to "the specified" hospital. Amendments 907 and 952 will provide that a person who is subject to an assessment order or treatment order can be removed to a place of safety pending admission to hospital.
Amendment 901 agreed to.
Amendment 902 is grouped with amendments 903, 912, 950, 983, 861 and 1009.
Amendments 902, 950 and 1009 will clarify the provisions that concern the medical treatment that is authorised while a patient is subject to an assessment order, a treatment order or a transfer for treatment direction. In every case, treatment is authorised if it is given in accordance with part 13.
The minister touched on the purpose of amendment 903, which is to ensure that a person who is transferred to hospital under an assessment order has the benefit of additional protection if medical treatment is required. The bill does not ensure that, but I am happy that the minister recognised that the amendment would add to the bill and I am happy to accept stage 3 amendments.
Amendment 902 agreed to.
Amendment 903 not moved.
Amendments 904 and 905 moved—[Mrs Mary Mulligan]—and agreed to.
Amendment 906 is grouped with amendments 951, 984 and 998 to 1000.
The amendments will provide for when it might be inappropriate or impracticable for the person to be in court when the court is making an order—for example, because the patient is not well enough to attend court. In that situation, the person's legal representative must be present and have an opportunity to be heard.
Amendment 906 agreed to.
Amendment 907 moved—[Mrs Mary Mulligan]—and agreed to.
Amendment 908 is grouped with amendments 953, 1013, 1014, 1018 and 1019.
Amendments 908 and 953 will provide that additional restrictions may be imposed when an assessment order or treatment order is granted. Currently, additional restrictions are imposed automatically when a remanded prisoner is transferred to hospital under section 70 of the Mental Health (Scotland) Act 1984, but not when a court commits an accused person to hospital under section 52 of the Criminal Procedure (Scotland) Act 1995.
Amendment 908 agreed to.
Amendments 909 and 910 moved—[Mrs Mary Mulligan]—and agreed to.
Amendment 911 is grouped with amendment 956.
Amendments 911 and 956 will ensure that the time that the person spends in hospital because of an assessment order or treatment order counts towards the time limits before an indictment is served or a trial must commence. The amendments will retain the position for remanded prisoners who are committed to hospital.
Amendment 911 agreed to.
Amendments 912 to 914 moved—[Mrs Mary Mulligan]—and agreed to.
Amendment 915 is grouped with amendments 926, 959 and 1001.
Amendments 915, 926, 959 and 1001 are all technical amendments. Amendments 915 and 959 will clarify that when a court makes an assessment order or treatment order without an application being placed before it, the references in the appropriate sections should be altered to reflect that fact.
Amendment 915 agreed to.
Amendment 916 moved—[Mrs Mary Mulligan]—and agreed to.
Amendment 917 is grouped with amendments 961, 990 and 991.
The amendments in the group will implement policy on the notification of other persons, should the court or the Scottish ministers make a direction that, because of an emergency or other special circumstances, provides for the patient to be admitted to a hospital other than that which is specified in the original order. They include a requirement that the notice should be given as soon as reasonably practicable. Amendments 917 and 961 will also add provision for notice to be given to the prosecutor when the person has not yet been convicted.
Amendment 917 agreed to.
Amendment 918 is grouped with amendments 962, 964, 988, 992, 993, 1004, 1005, 1008, 885 and 886.
The amendments in this group are technical amendments that will make it clear that, throughout the various sections, the references to "the court" are to the court that made the original order. Amendment 962 will also clarify the drafting of proposed new section 52N of the 1995 act to include "relevant disposal". Amendment 988 will remove unnecessary wording that repeats the provision that is already made in section 53(1).
Amendment 918 agreed to.
Amendment 919 is grouped with amendments 921, 963 and 995.
Amendments 919 and 995 will make it clear that the report from the responsible medical officer at the expiry of the assessment order and interim compulsion order respectively should contain any information that the court required on the making of the order.
Amendment 919 agreed to.
Amendments 920 and 921 moved—[Mrs Mary Mulligan]—and agreed to.
Amendment 922 is grouped with amendments 925, 929, 996 and 997.
Amendments 922 and 925 will clarify the workings of proposed new section 52F(3) of the 1995 act. Amendment 922 will pave the way for amendment 925 by inserting some necessary text, and amendment 929 is a technical amendment that is consequential on amendment 925.
Amendment 922 agreed to.
Amendment 923 is grouped with amendments 924, 1002 and 1003.
Amendments 923 and 924 will pave the way for amendment 925, which was discussed in the previous grouping, by removing the unnecessary text.
Amendment 923 agreed to.
Amendments 924 to 927 moved—[Mrs Mary Mulligan]—and agreed to.
Amendment 928 is grouped with amendments 965, 1010, 1015 and 1020.
Amendments 928 and 965 will tidy up the definition of responsible medical officer that is used in sections 52F and 52P respectively.
Amendment 928 agreed to.
Amendments 929 to 931 moved—[Mrs Mary Mulligan]—and agreed to.
Amendment 932 is grouped with amendments 933 to 936 and 968 to 972.
Amendments 932, 934, 935, 968, 970 and 971 are all minor amendments that will improve the drafting of the relevant sections.
Amendment 932 agreed to.
Amendments 933 to 937 moved—[Mrs Mary Mulligan]—and agreed to.
Amendment 938 is grouped with amendments 939, 974, 975, 1006 and 1007.
Amendments 938, 974 and 1006 are minor drafting amendments that will replace "other" with "otherwise". Proposed new section 52H of the Criminal Procedure (Scotland) Act 1995 will provide for the court's powers where an assessment order ceases by simple operation of time. It will do that by excluding from its scope the other means by which an assessment order will terminate. Amendment 939 will add the provision that proposed new section 52H will not apply where the court revokes an assessment order. That is necessary because proposed new section 52F of the 1995 act will provide for the court's powers in that eventuality. Amendment 975 will achieve the same result for treatment orders under proposed new section 52S of the 1995 act.
Amendment 938 agreed to.
Amendments 939 to 946 moved—[Mrs Mary Mulligan]—and agreed to.
Amendment 947 is grouped with amendments 976, 979, 850, 854, 855, 1029 and 1032.
Amendments 947, 976 and 850 are technical amendments that deal with the doctors whose evidence is required before treatment orders, interim compulsion orders and compulsion orders can be made. The requirement that at least one of the medical practitioners who gives evidence to the court be an approved medical practitioner is now to be dealt with in section 61 of the Criminal Procedure (Scotland) Act 1995. Section 61 makes a number of general provisions regarding medical evidence in relation to mental health disposals and amendment 1029 will broaden its effect to cover the new disposals that are being introduced by the bill.
Amendment 947 agreed to.
Amendments 948 to 975 moved—[Mrs Mary Mulligan]—and agreed to.
Section 92, as amended, agreed to.
Section 93—Mentally disordered offenders: interim compulsion orders
Amendments 976 and 977 moved—[Mrs Mary Mulligan]—and agreed to.
Amendment 978 is grouped with amendments 853 and 870.
Amendment 978 is a technical amendment to interim compulsion orders that will make clear the statutory basis of the disposal that is referred to in proposed new section 53(6)(a) of the 1995 act. Amendments 853 and 870 are technical amendments to compulsion orders. They make it clear that the reference to detention in a hospital is to detention that is authorised by the measure in proposed new section 57A(7)(b) of the 1995 act.
Amendment 978 agreed to.
Amendment 979 moved—[Mrs Mary Mulligan]—and agreed to.
Amendment 980 is grouped with amendments 856, 839 and 887.
Amendments 980, 856 and 839 will amend the criteria that must be met before a patient who is to be subject to an interim compulsion order, a compulsion order or transfer for treatment direction may be detained in a state hospital. The amendment will make that provision consistent with earlier amendments to section 89.
Amendment 980 agreed to.
Amendments 981 to 985 moved—[Mrs Mary Mulligan]—and agreed to.
Amendment 986 is grouped with amendments 987, 989, 874 and 875.
Amendment 986 will remove a reference to "an order for detention", which will instead be inserted into the definition of a "sentence of imprisonment" by amendment 989.
Amendment 986 agreed to.
Amendments 987 to 993 moved—[Mrs Mary Mulligan]—and agreed to.
Amendment 994 is in a group on its own.
Amendment 994 will remove proposed new section 53B of the 1995 act, which concerns patients who abscond. Provision for absconding patients is generally dealt with elsewhere in the bill and it is intended that part 16 be extended to interim compulsion orders. Amendments to that effect will be lodged at stage 3.
Amendment 994 agreed to.
Amendments 995 to 1008 moved—[Mrs Mary Mulligan]—and agreed to.
Section 93, as amended, agreed to.
Section 94 agreed to.
Section 95—Mentally disordered offenders: compulsion orders
Amendment 850 moved—[Mrs Mary Mulligan]—and agreed to.
Amendment 851 is grouped with amendment 857.
Amendment 851 is a technical amendment. It clarifies that, once a compulsion order without an accompanying restriction order is made, the compulsory measures in proposed new section 57A(7) of the 1995 act are authorised for six months.
Amendment 851 agreed to.
Amendments 852 to 857 moved—[Mrs Mary Mulligan]—and agreed to.
Amendment 858 is grouped with amendments 862, 863, 864, 871, 872, 873 and 880.
Amendment 858 is a drafting amendment to section 95 that will more clearly link proposed new section 57A(7) of the 1995 act to proposed new section 57A(2) of the 1995 act.
Amendment 858 agreed to.
Amendments 859 to 864 moved—[Mrs Mary Mulligan]—and agreed to.
Amendment 865 is grouped with amendments 866, 867, 868, 869, 843 and 844.
Amendments 865, 866 and 867 will clarify the drafting of proposed new section 57A(8) of the 1995 act to make it clear that a compulsion order cannot be made unless the medical practitioners who are giving evidence have specified the same type, or at least one of the same types, of mental disorder from which the offenders suffers.
Amendment 865 agreed to.
Amendments 866 to 875 moved—[Mrs Mary Mulligan]—and agreed to.
Amendment 876 is grouped with amendments 877, 878 and 879.
Amendments 876, 877, 878 and 879 are drafting amendments that will add to proposed new section 57A of the 1995 act definitions of "community care services" and "relevant service", and remove definitions that are no longer necessary.
Amendment 876 agreed to.
Amendments 877 to 880 moved—[Mrs Mary Mulligan]—and agreed to.
Amendment 881 is grouped with amendments 882, 883 and 884.
Amendments 881, 882, 883 and 884 seek to clarify policy in relation to proposed new section 57B of the 1995 act, concerning the mental health officer's report that is necessary before a compulsion order can be made.
Amendment 881 agreed to.
Amendments 882 to 886 moved—[Mrs Mary Mulligan]—and agreed to.
Section 95, as amended, agreed to.
Section 96 agreed to.
Section 97—Transfer of prisoners for treatment for mental disorder
Amendment 834 is grouped with amendments 835, 837, 838, 845, 846, 847, 848 and 849.
Amendments 835 and 837 seek to implement the policy that Scottish ministers must, before they make the decision to authorise a transfer for treatment direction, be satisfied by written reports, not oral evidence, from two medical practitioners.
Amendment 834 agreed to.
Amendments 835 to 840 moved—[Mrs Mary Mulligan]—and agreed to.
Amendment 1009 moved—[Mrs Mary Mulligan]—and agreed to.
Amendment 842 is in a group on its own.
Section 97(6) of the bill details the measures that can be authorised in a transfer for treatment direction. Amendment 842 will delete section 97(6)(d), which would have given Scottish ministers the power by way of regulations to impose requirements on a transferred prisoner who was under a direction. That power has been removed following an undertaking that was given to the Subordinate Legislation Committee.
Amendment 842 agreed to.
Amendments 843 to 847 moved—[Mrs Mary Mulligan]—and agreed to.
Section 97, as amended, agreed to.
Section 98—Transfer for treatment direction: supplementary
Amendment 848 moved—[Mrs Mary Mulligan]—and agreed to.
Section 99—Restriction direction
Amendment 849 moved—[Mrs Mary Mulligan]—and agreed to.
That concludes stage 2 consideration of the Mental Health (Scotland) Bill for today.
Meeting closed at 10:50.