October 2020 update
This page is automatically generated: it will only be complete at the end of the month. All monthly updates are available here: Archive of monthly updates.
Website
- Magic Book. The Magic Book is a database of contact details. The main idea is to add the hospitals and other places you visit (not just your own place of work). To create/edit contacts, there is no need to log in and the process is very quick and simple. See Magic Book
- Mental Health Law Online CPD scheme: 12 points for £60. Obtain 12 CPD points online by answering monthly questionnaires. The scheme is an ideal way to obtain your necessary hours, or to evidence your continued competence. It also helps to support the continued development of this website, and your subscriptions (and re-subscriptions) are appreciated. For full details and to subscribe, see CPD scheme.
- Cases. By the end of this month, Mental Health Law Online contained 2078 categorised cases
- Chronology. See October 2020 chronology for this month's changes to the website in date order.
Cases
- Case (Inherent jurisdiction - dispensing with service). A Local Authority v B [2020] EWHC 2741 (Fam) — It was proper to dispense with service of proceedings on B's father in relation to inherent jurisdiction proceedings seeking a declaration authorising the deprivation of B's liberty at a community therapeutic placement following discharge from section 2 detention in hospital.
- Case (Inherent jurisdiction and DOL). Lancashire County Council v G [2020] EWHC 2828 (Fam) — A 16-year-old girl was inappropriately placed on an adult mental health ward, there was no secure placement or regulated non-secure placement was available in the UK, the only placement was an unregulated placement that was not prepared to apply to OFSTED for registration, and the alternative was discharge with nowhere to go and a very high risk of fatal self-harm. The judge authorised deprivation of liberty at the unauthorised placement but noted grave reservations about whether the court was really exercising its welfare jurisdiction or simply being forced by mere circumstance to make an order irrespective of welfare considerations. The judge directed the judgment be sent to the Children's Commissioner for England, the Secretary of State for Education, the Chair of the Residential Care Leadership Board, the Minister for Children, the Chief Social Worker, OFSTED and SWCU.
- Case (Inherent jurisdiction). Mazhar v Birmingham Community Healthcare Foundation NHS Trust [2020] EWCA Civ 1377 — Mr Mazhar was removed from his home to hospital without warning by police and paramedics in the middle of the night under the High Court's inherent jurisdiction on the basis of an out-of-hours application. (1) The Trust's application for, and the granting of, the order for which there was no proper evidence and without giving Mr Mazhar the opportunity to be heard amounted to a clear breach of his Article 6 rights and was a flagrant denial of justice. (2) It was unnecessary to decide whether the inherent jurisdiction extends to the making of an order that has the effect of depriving a vulnerable adult of liberty provided the provisions of Article 5 are met. (3) The President of Family Division was invited to consider whether fresh guidance should be given to practitioners and judges about applications of this sort, and the court set out a list of seven clear lessons to be learnt.
- Case (Case removed). Re E [2020] MHLO 52 (FTT) —
- Case (Video tribunal hearing set aside). Re D [2020] MHLO 51 (FTT) — (1) The decision in this case was set aside because it was not clear whether or not the patient had a reasonable opportunity to hear all the evidence that was given at the hearing: it was not possible to be sure that the patient had a fair hearing. (2) The patient's microphone had been muted for much of the time after giving her evidence at the outset because she "would not stop talking", but this did not amount to exclusion under Tribunal rule 38. [First-tier tribunal decisions are useful but not binding.]
- Case (Deprivation of liberty during conditional discharge). Birmingham City Council v SR [2019] EWCOP 28 — (1) Both patients supported but lacked capacity in relation to the proposed care plans, which involved deprivation of liberty concurrently with a conditional discharge, and those plans were in their best interests. (2) Obiter, the division in the MOJ's post-MM guidance (MCA DOL for incapacitous patients whose risk is to themselves, but MHA s17 leave for incapacitous patients whose risk is to others and for capacitous patients) did not withstand scrutiny as it is in patients' best interests to be kept "out of mischief" and therefore out of psychiatric hospital.
Legislation
- Legislation. Mental Health (Hospital, Guardianship and Treatment) (England) (Amendment) Regulations 2020 — These Regulations amend Mental Health (Hospital, Guardianship and Treatment) (England) Regulations 2008 to provide for the service of documents by electronic communication.
- Legislation. Coronavirus Act 2020 (Expiry of Mental Health Provisions) (England and Wales) Regulations 2020 — This legislation expires most of the mental health amendments in sch 8 Coronavirus Act 2020 in relation to England, and some in relation to Wales. None of the expired provisions had commenced. Some other amendments will continue in Wales (mainly those relating to the MHRT) and transitional provisions will remain in force in both countries.
Resources
- Mental capacity law newsletter. 39 Essex Chambers, 'Mental Capacity Report' (issue 108, October 2020) — "Highlights this month include: (1) In the Health, Welfare and Deprivation of Liberty Report: updated DHSC MCA/DoLS COVID-19 guidance, the CRPD in the Court of Protection and spotting the signs of abuse; (2) In the Property and Affairs Report: two important cases about deputies and fixed costs and how to get financial deputyship applications right; (3) In the Practice and Procedure Report: s.21A applications and interim declarations; the limits of the court’s jurisdiction; contempt proceedings and when not to recognise a foreign order; (4) In the Wider Context Report: new GMC consent guidance, Sir James Munby returns to the inherent jurisdiction, new CQC publications and relevant ECHR developments; (5) In the Scotland Report: a new Chief Executive for the Mental Welfare Commission, MWC publications, and what COVID-19 has revealed about ageism and disability discrimination."
- DOLS case law summaries. Aasya Mughal and Steven Richards, 'Deprivation of Liberty Safeguards - case law summary' (October 2020 edition, 22/10/20) — This four-page document summarises selected domestic and European caselaw on deprivation of liberty. There is a newer version: Aasya Mughal and Steven Richards, 'Deprivation of Liberty Safeguards - case law summary' (Edge Training, July 2021 edition).
- Social distancing and mental capacity. Sian Davies et al, 'Rapid response guidance note: COVID-19, social distancing and mental capacity' (39 Essex Chambers, 6/10/20) — "This guidance note provides an overview of the framework within which decisions need to be taken in England relating to social distancing and self-isolation in the context of those with impaired decision-making capacity, including about considerations of deprivation of liberty."
- Sentencing proposals. Ministry of Justice, 'A Smarter Approach to Sentencing' (CP 292, 16/9/20) — This document mentions mental health several times, in particular in relation to Community Sentence Treatment Requirements.
News
- MHLO forum launched. An online forum is now available: see the forum itself for full details and to get involved.
Events
- Event. Event:Edge Training: Level 3 Safeguarding Adults (online, 1-2 Feb 2021) — A single training course delivered in two sessions via live webinar. This Level 3 Safeguarding Adults webinar offers delegates the opportunity to explore the legal framework, which underpins safeguarding adults work, and to explore the key challenges that may arise in practice. It will guide the delegates through the safeguarding adults process and focus on making safeguarding personal. Speaker: Dawn Revell. Cost: £150 plus VAT. See Edge website for further details and booking information.
Social media
Judgment has been handed down this morning by video link in the case of Ecila Henderson (A Protected Party, by her Litigation Friend, The Official Solicitor) (Appellant) v Dorset Healthcare University NHS Foundation Trust (Respondent) – UKSC 2018/0200 https://t.co/vfWpg0EXJD pic.twitter.com/ZVTy95lZeF
— UK Supreme Court (@UKSupremeCourt) October 30, 2020
Case (Inherent jurisdiction - dispensing with service). A Local Authority v B [2020] EWHC 2741 (Fam) — It was proper to dispense with service of proceedings on B's father in relation to inherent jurisdiction proceedings seeking a declaration authorising… https://t.co/uZLayNeYPm
— Mental Health Law Online (@MHLonline) October 29, 2020
Case (Inherent jurisdiction and DOL). Lancashire County Council v G [2020] EWHC 2828 (Fam) — A 16-year-old girl was inappropriately placed on an adult mental health ward, there was no secure placement or regulated non-secure placement was available in t… https://t.co/J58XWwE7sY
— Mental Health Law Online (@MHLonline) October 29, 2020
Case (Inherent jurisdiction). Mazhar v Birmingham Community Healthcare Foundation NHS Trust [2020] EWCA Civ 1377 — Mr Mazhar was removed from his home to hospital without warning by police and paramedics in the middle of the night under the High Court's… https://t.co/9bvqzzCn21
— Mental Health Law Online (@MHLonline) October 29, 2020
Legislation. Mental Health (Hospital, Guardianship and Treatment) (England) (Amendment) Regulations 2020 — These Regulations amend Mental Health (Hospital, Guardianship and Treatment) (England) Regulations 2008 to provide for the service of documents by… https://t.co/kPNHxc8nU3
— Mental Health Law Online (@MHLonline) October 28, 2020
Legislation. Coronavirus Act 2020 (Expiry of Mental Health Provisions) (England and Wales) Regulations 2020 — When in force, this draft legislation will expire most of the mental health amendments in sch 8 Coronavirus Act 2020 in relation to England, an… https://t.co/0YoD5PmpUT
— Mental Health Law Online (@MHLonline) October 28, 2020
Mental capacity law newsletter. 39 Essex Chambers, 'Mental Capacity Report' (issue 108, October 2020) — "Highlights this month include: (1) In the Health, Welfare and Deprivation of Liberty Report: updated DHSC MCA/DoLS COVID-19 guidance, the CRPD in th… https://t.co/hr3Tfumewv
— Mental Health Law Online (@MHLonline) October 28, 2020
MHLO forum launched — An online forum is now available: see the forum itself for full details and to get involved. https://t.co/DysKjiAuUM
— Mental Health Law Online (@MHLonline) October 26, 2020
Court of Protection: The Health Service Executive of Ireland v IM & Anor [2020] EWCOP 51 (26 October 2020) https://t.co/h4tNzz7mQv
— Mental Health Law Online (@MHLonline) October 26, 2020
DOLS case law summaries. Aasya Mughal and Steven Richards, 'Deprivation of Liberty Safeguards - case law summary' (October 2020 edition, 22/10/20) — This four-page document summarises selected domestic and European caselaw on deprivation of liberty. https://t.co/MmrFenVxgA
— Mental Health Law Online (@MHLonline) October 24, 2020
We continued to find poor care in inpatient wards for people with a learning disability and/or autistic people.
The overall proportion inadequate services rose from 4% to 13% – almost entirely based on deterioration in independent services. https://t.co/11TYYDAUno#StateOfCare pic.twitter.com/84QIpeN3uM— Care Quality Commission - gov.uk/coronavirus (@CareQualityComm) October 19, 2020
We have published an update on work we carried out in 2018 looking at the quality of mental health services for children and young people, as well as the access to these services ???? https://t.co/yQZQIqhvt2
— CQCProf (@CQCProf) October 21, 2020
We have published Out of sight - who cares?
The report looks at the use of restraint, seclusion and segregation in care services for people with a mental health condition, a learning disability or autistic people. https://t.co/apgbO1YTZR#OutOfSight pic.twitter.com/KSlkMkUJMu— CQCProf (@CQCProf) October 22, 2020
CQC report: Care of people with learning disabilities 'inhumane' https://t.co/sTzGwGsL8h
— BBC News (UK) (@BBCNews) October 22, 2020
????Published today, Govt's response to our 2019 & 2020 reports on detention of young people who are autistic &/or have learning disabilities. 1/2 @HarrietHarman https://t.co/TwQyZ4ABER
— UK Parliament Human Rights Committee (@HumanRightsCtte) October 22, 2020
Particularly proud of our new article out today in the Medical Law Review. We reconfigure how judges ought to reason about the best interests of adults lacking capacity, in light of the multiple, incommensurable values at stake in Court of Protection cases https://t.co/nqyEhAtmfb pic.twitter.com/iFThu5d7lL
— Mikey Dunn (@ethical_mikey) October 22, 2020
39 Essex Chambers Mental Capacity October Report now out – and walkthrough https://t.co/wYo6hAqwKX
— Alex Ruck Keene (@Capacitylaw) October 19, 2020
Case (Condition removed from conditional discharge). Re E [2020] MHLO 52 (FTT) — The tribunal added a condition to the written reasons which was not stated at the hearing: "Abide by the rules applicable to such accommodation in particular to sleep there… https://t.co/VcKsmPB6I5
— Mental Health Law Online (@MHLonline) October 20, 2020
Case (Video tribunal hearing set aside). Re D [2020] MHLO 51 (FTT) — (1) The decision in this case was set aside because it was not clear whether or not the patient had a reasonable opportunity to hear all the evidence that was given at the hearing: it … https://t.co/Jum88VfA0e
— Mental Health Law Online (@MHLonline) October 20, 2020
Event. Edge Training: Level 3 Safeguarding Adults (online, 1-2 Feb 2021) —A single training course delivered in two sessions via live webinar. This Level 3 Safeguarding Adults webinar offers delegates the opportunity to explore the legal framework, whi… https://t.co/mFicp9NAqa
— Mental Health Law Online (@MHLonline) October 20, 2020
Case (Deprivation of liberty during conditional discharge). Birmingham City Council v SR [2019] EWCOP 28 — (1) Both patients supported but lacked capacity in relation to the proposed care plans, which involved deprivation of liberty concurrently with a … https://t.co/2OwsyHKEAc
— Mental Health Law Online (@MHLonline) October 17, 2020
Important guidance from the VP, Mr Justice Hayden, regarding crucial exceptions to the new regulations (Tier 3 restrictions) in respect of visiting persons in hospices and care homes. A must read! pic.twitter.com/GEMNcbxvFI
— CoPPA (@CoPPA17) October 15, 2020
"Dementia patient restrained by security guards 18 times to be forcibly treated" https://t.co/FUuq0Ddy7w
— Mental Health Law Online (@MHLonline) October 16, 2020
A discussion of the recent case of FS v RS and JS, an adult son's claim to the High Court for maintenance from his parents after the Bank of Mum and Dad said "no"https://t.co/dF0qpg0OC1https://t.co/l1VBsPvABJ
— Barbara Rich (@BarbaraRich_law) October 11, 2020
Social distancing and mental capacity. Sian Davies et al, 'Rapid response guidance note: COVID-19, social distancing and mental capacity' (39 Essex Chambers, 6/10/20) — "This guidance note provides an overview of the framework within which decisions nee… https://t.co/MN2n0Tn0xt
— Mental Health Law Online (@MHLonline) October 7, 2020
Sentencing proposals. Ministry of Justice, 'A Smarter Approach to Sentencing' (CP 292, 16/9/20) — This document mentions mental health several times, in particular in relation to Community Sentence Treatment Requirements. https://t.co/3IevJWxd1X
— Mental Health Law Online (@MHLonline) October 7, 2020
What's happening next with the Liberty Protection Safeguards? Well, the @DHSCgovuk has provided some clues https://t.co/Sy0PrCJYQl
— Community Care (@CommunityCare) October 6, 2020
Members of Chambers @SteveBroach, Neil Allen and Sian Davies have written a note on adult social care, providing an overview of the @DHSCgovuk (non-statutory) guidance issued on 18 September 2020 concerning social care in England. Read the full note below #socialcare #publiclaw
— 39 Essex Chambers (@39EssexChambers) October 5, 2020
The Mental Health (Hospital, Guardianship and Treatment) (England) (Amendment) Regulations 2020 - coming into force on 1st December 2020! - Mental Health Act forms are changing, some can be administered by email whilst others must still be in hard copy ! https://t.co/ScMPMiYBtq
— Dr Kevin Stone ???? (@DrKevinstone) October 2, 2020
Court of Protection: Penntrust Ltd v West Berkshire District Council & Anor [2020] EWCOP 48 (28 September 2020) https://t.co/DwX6JhKnXv
— Mental Health Law Online (@MHLonline) October 2, 2020
Court of Protection: P v Griffith [2020] EWCOP 46 (02 October 2020) https://t.co/GCTwKu9vVb
— Mental Health Law Online (@MHLonline) October 2, 2020
New guidance for doctors from @gmcuk on decision making and consent, comes into force in November. Really good clear summary of legal principles (quite a challenge for cross-jurisdictional guidance!) https://t.co/4E6rRMkJGD
— Lucy Series (@TheSmallPlaces) October 1, 2020
Other items
- Oct 2020: BBC - CQC report: Care of people with learning disabilities 'inhumane'
- Oct 2020: GMC - Decision making and consent
- Oct 2020: 39 Essex Chambers - ADULT SOCIAL CARE: COVID-19 WINTER PLAN 2020 – 2021 This note provides an overview of the Department of Health and Social Care (non-statutory) guidance issued on 18 September 2020 concerning social care in England.
- Oct 2020: Community Care - Single code of practice planned for Mental Capacity Act and deprivation of liberty Long-awaited update of Mental Capacity Act code will be combined with new statutory guidance on Liberty Protection Safeguards, government confirms
- Oct 2020: Barbara Rich - The Prodigal Son in Modern Life FS v RS and JS [2020] EWFC 63M
- Oct 2020: "Important guidance from the VP, Mr Justice Hayden, regarding crucial exceptions to the new regulations (Tier 3 restrictions) in respect of visiting persons in hospices and care homes." (COPPA) Court of Protection, 'COVID-19 restrictions and the Court of Protection' (15/10/20)
- Oct 2020: 39 Essex Chambers Mental Capacity October Report now out – and walkthrough
- Oct 2020: Medical Law Review - An Aide Memoire for a Balancing Act? Critiquing The ‘Balance Sheet’ Approach to Best Interests Decision-Making
- Oct 2020: Gov.uk - Policy paper: JCHR reports on the detention of young people with learning disabilities or autism: government response Response to the Joint Committee on Human Rights (JCHR) recommendations on the rights of people with a learning disability or autistic young people in inpatient settings.
- Oct 2020: Court of Protection: The Health Service Executive of Ireland v IM & Anor [2020] EWCOP 51B (26 October 2020)
- Oct 2020: CQC - Out of sight – who cares?: Restraint, segregation and seclusion review
- Oct 2020: CQC - CQC reports on local action to improve mental health care for children and young people Today (21 October) we have published an update on work we carried out in 2018 looking at the quality of mental health services for children and young people, as well as the access to these services.
- Oct 2020: CQC - State of Care 2019/20
- Oct 2020: Henderson v Dorset Healthcare University NHS Foundation Trust [2020] UKSC 43M (30 October 2020)
- Oct 2020: Court of Protection: P v Griffith [2020] EWCOP 46M (02 October 2020)
- Oct 2020: Court of Protection: Penntrust Ltd v West Berkshire District Council & Anor [2020] EWCOP 48B (28 September 2020)
- Oct 2020: Telegraph - Dementia patient restrained by security guards 18 times to be forcibly treated The 77-year-old had a cloth held over his head while nurses inserted a catheter, an investigation found
=Has been added to MHLO
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