by 1996 c. 46, ss. Chapter 21 Standardised criteria for hospital admission 9. 2(a) (with art. 58(2), 60, Sch. 2 (with Sch. Examples of specialist mental health inpatient settings include high-dependence units or specialised rehabilitation units within the NHS or independent services. (5)In relation to an emergency application, section 11 below shall have effect as if in subsection (5) of that section for the words “the period of 14 days ending with the date of the application” there were substituted the words “the previous 24 hours”. follow-up requirements following discharge, including method of communication for follow-up. 10); S.I. 2008/1900, art. appropriate medical treatment is available for him. People admitted to an inpatient mental health setting have access to independent advocacy services. Guidance: Staff members: Changes and effects are recorded by our editorial team in lists which can be found in the ‘Changes to Legislation’ area. This might happen if you don't have capacity to consent, but don't meet the criteria to be sectioned. a) Level of satisfaction with support following discharge from inpatient mental health settings. Subject to the provisions of section 29(4) below, a patient admitted to hospital in pursuance of an application for admission for assessment may be detained for a period not exceeding 28 days beginning with the day on which he is admitted, but shall not be detained after the expiration of that period unless before it has expired he has become liable to be detained by virtue of a subsequent application, order or direction under the following provisions of this Act. Access essential accompanying documents and information for this legislation item from this tab. offering alternatives to admission. Court order This would only be because of exceptional circumstances where neither the MHA nor DoLS can be applied. Sessions typically start while the person is in hospital and run beyond discharge so the person can test approaches in their home setting. However, most patient files have been destr… This NICE Pathway covers the period before, during and after a person is admitted to, and discharged from, a mental health hospital. All rights reserved. 11; S.I. In some cases the first date is 01/02/1991 (or for Northern Ireland legislation 01/01/2006). Having an advocate helps people to make their views and wishes heard. 2005/579, art. ), F3S. may also experience some issues with your browser, such as an alert box that a script is taking a (5)A record made under subsection (4) above shall be delivered by the nurse (or by a person authorised by the nurse in that behalf) to the managers of the hospital as soon as possible after it is made; and where a record is made under that subsection the period mentioned in subsection (2) above shall begin at the time when it is made. 1 Admission to hospital. The Whole Local commissioners and providers of healthcare have a responsibility to enable the guideline to be applied when individual professionals and people using services wish to use it. 3(4) inserted (3.11.2008) by Mental Health Act 2007 (c. 12), ss. 8 Benefits of Voluntary Mental Health Admission. The registered medical practitioner or approved clinician in charge of the treatment of a patient in a hospital may nominate one (but not more than one) person to act for him under subsection (2) above in his absence. . 3, Sch. Legal and policy developments that have influenced practice. 2005/579, art. In any case of urgent necessity, an application for admission for assessment may be made in respect of a patient in accordance with the following provisions of this section, and any application so made is in this Act referred to as “, An emergency application may be made either by an. This date is our basedate. 2 (with Sch. . The recommendations in this interactive flowchart represent the view of NICE, arrived at after careful consideration of the evidence available. When exercising their judgement, professionals and practitioners are expected to take this guideline fully into account, alongside the individual needs, preferences and values of their patients or the people using their service. Find out whether your hospital stay affects your benefits. 2(a) (with Sch. in the case of an application other than an emergency application, the period of 14 days beginning with the date on which the patient was last examined by a registered medical practitioner before giving a medical recommendation for the purposes of the application; in the case of an emergency application, the period of 24 hours beginning at the time when the patient was examined by the practitioner giving the medical recommendation which is referred to in section 4(3) above, or at the time when the application is made, whichever is the earlier. (c)it is necessary for the health or safety of the patient or for the protection of other persons that he should receive such treatment and it cannot be provided unless he is detained under this section[F3; and, (d)appropriate medical treatment is available for him. (3)An emergency application shall be sufficient in the first instance if founded on one of the medical recommendations required by section 2 above, given, if practicable, by a practitioner who has previous acquaintance with the patient and otherwise complying with the requirements of section 12 below so far as applicable to a single recommendation, and verifying the statement referred to in subsection (2) above. The Whole [F5(4)In this Act, references to appropriate medical treatment, in relation to a person suffering from mental disorder, are references to medical treatment which is appropriate in his case, taking into account the nature and degree of the mental disorder and all other circumstances of his case. that recommendation and the recommendation referred to in subsection (3) above together comply with all the requirements of section 12 below (other than the requirement as to the time of signature of the second recommendation). a) Evidence of local arrangements to provide independent advocacy services for people admitted to an inpatient mental health setting. . (2)An application for admission for assessment may be made in respect of a patient on the grounds that—, (a)he is suffering from mental disorder of a nature or degree which warrants the detention of the patient in a hospital for assessment (or for assessment followed by medical treatment) for at least a limited period; and. . 3(2)(d) and preceding word inserted (3.11.2008) by Mental Health Act 2007 (c. 12), ss. 2(i) (with art. B. Numerator – the number in the denominator in which the person’s care plan is sent within 24 hours to everyone identified in it as involved in their ongoing care. Denominator – the number of out-of-area placements in specialist inpatient mental health settings lasting longer than 3 months. Commissioners and/or providers have a responsibility to implement the recommendations, in their local context, in light of their duties to have due regard to the need to eliminate unlawful discrimination, advance equality of opportunity, and foster good relations. 2(d) (with art. If, in the case of a patient who is an in-patient in a hospital, it appears to the registered medical practitioner. Introduction and location The COVID 19 pandemic introduces local and national challenges to … by 1996 c. 46, ss. People discharged from an inpatient mental health setting have their care plan sent within 24 hours to everyone identified in the plan as involved in their ongoing care. Referral may be made by your GP or consultant. Everyone discharged from an inpatient mental health setting should receive follow-up, which should be within 48 hours for people who have a suicide risk identified. The first date in the timeline will usually be the earliest date when the provision came into force. These facilities may be a state psychiatric hospital, a private psychiatric hospital, or a general hospital with a designated psychiatric floor. 9(2)(a), 56 (with Sch. Albany Hospital Acute Psychiatric Unit . by 1996 c. 46, ss. In most cases when people are treated in hospital or another mental health facility, they have agreed or volunteered to be there. You 58(2), 60, Sch. ), F9Words in s. 5(4) inserted (3.11.2008) by Mental Health Act 2007 (c. 12), ss. Follow-up may be more difficult for people who are homeless. (7)In subsection (4) above “prescribed” means prescribed by an order made by the Secretary of State. . They should do so in light of their duties to have due regard to the need to eliminate unlawful discrimination, to advance equality of opportunity and to reduce health inequalities. You may be referred to as a voluntary patient. by 1968 c. 20, s. 23(4) (as substituted (prosp.) 2, para. (2)Where a patient is admitted within the said period to the hospital specified in such an application as is mentioned in subsection (1) above, or, being within that hospital, is treated by virtue of section 5 above as if he had been so admitted, the application shall be sufficient authority for the managers to detain the patient in the hospital in accordance with the provisions of this Act. Outcomes No of Participants (studies) Follow up Quality of the evidence (GRADE) Relativ e effect (95% CI) Anticipated absolute effects Risk with Control The dates will coincide with the earliest date on which the change (e.g an insertion, a repeal or a substitution) that was applied came into force. People admitted to specialist inpatient mental health settings outside the area in which they live have a review of their placement at least every 3 months. 11; S.I. Advocates and advocacy schemes work in partnership with the people they support and take their side. a) Evidence of local arrangements to identify people at risk of suicide at preparation for discharge from an inpatient mental health setting and to record the risk for 48-hour follow-up. (Act applied (prosp.) ), (1)An application for the admission of a patient to a hospital under this Part of this Act, duly completed in accordance with the provisions of this Part of this Act, shall be sufficient authority for the applicant, or any person authorised by the applicant, to take the patient and convey him to the hospital at any time within the following period, that is to say—. (3A)For the purposes of subsection (3) above—, (a)the registered medical practitioner may nominate another registered medical practitioner, or an approved clinician, on the staff of the hospital; and, (b)the approved clinician may nominate another approved clinician, or a registered medical practitioner, on the staff of the hospital. Subject to Notice of rights. . 1 which said amending provision was repealed (31.3.2005) by Domestic Violence, Crime and Victims Act 2004 (c. 28), ss. Self-admission is likely to confer other benefits including increased autonomy, self-efficacy and quality of life, which rely on self-reported measures. 2008/1900, art. If a person needs treatment in hospital a referral is usually made by their GP or CMHT. ], F1Words in s. 3(2)(a) substituted (3.11.2008) by Mental Health Act 2007 (c. 12), ss. 8, 36(2), Sch. 2(b) (with art. ], (3)An application for admission for treatment shall be founded on the written recommendations in the prescribed form of two registered medical practitioners, including in each case a statement that in the opinion of the practitioner the conditions set out in subsection (2) above are complied with; and each such recommendation shall include—, (a)such particulars as may be prescribed of the grounds for that opinion so far as it relates to the conditions set out in paragraphs (a) and [F4(d)] of that subsection; and. 3, Sch. 1, 56, Sch. There are changes that may be brought into force at a future date. 11; S.I. 2008/1900, art. . 2} (with Sch. by 1996 c. 46, ss. Number of suicides of people recently discharged from inpatient mental health settings. 1 Admission to hospital. 3. An emergency application shall be sufficient in the first instance if founded on one of the medical recommendations required by section 2 above, given, if practicable, by a practitioner who has previous acquaintance with the patient and otherwise complying with the requirements of section 12 below so far as applicable to a single recommendation, and verifying the statement referred to in subsection (2) above. Dependent on the legislation item being viewed this may include: This timeline shows the different points in time where a change occurred. You may also experience some issues with your browser, such as an alert box that a script is taking a long time to run. 2, para. . From 3/11/08, the admission criteria are: 1. (2)If, in the case of a patient who is an in-patient in a hospital, it appears to the registered medical practitioner [F7or approved clinician] in charge of the treatment of the patient that an application ought to be made under this Part of this Act for the admission of the patient to hospital, he may furnish to the managers a report in writing to that effect; and in any such case the patient may be detained in the hospital for a period of 72 hours from the time when the report is so furnished. Standards Standards for inpatient mental health services Standards for inpatient mental health services 5 Standards 4 2 First 12 hours of admission 2.1 1 On admission to the ward/unit, patients feel welcomed by staff 4, 5, 10, 11 members . Proportion of discharges from an inpatient mental health setting where the person’s care plan is sent within 24 hours to everyone identified in it as involved in their ongoing care. [F8(3)The registered medical practitioner or approved clinician in charge of the treatment of a patient in a hospital may nominate one (but not more than one) person to act for him under subsection (2) above in his absence. Admissions to our geriatric unit will be considered for senior adults age 50 and older. 2007 reform of MHA widening definition of mental disorder and of treatment. Unplanned admissions to hospital are distressing and disruptive for patients, carers and families. without Nothing in this guideline should be interpreted in a way that would be inconsistent with complying with those duties. Sending providers are to determine if a placement is classed as an out-of-area placement. After careful assessment of the patient, our admissions team makes recommendations and provides resources for patients that do not meet inpatient criteria. Nothing in this interactive flowchart should be interpreted in a way that would be inconsistent with compliance with those duties. 10); S.I. 2008/1900, art. 10); S.I. 8, 36(2), Sch. When exercising their judgement, healthcare professionals are expected to take these recommendations fully into account. If, in the case of a patient who is receiving treatment for mental disorder as an in-patient in a hospital, it appears to a nurse of the prescribed class—, that the patient is suffering from mental disorder to such a degree that it is necessary for his health or safety or for the protection of others for him to be immediately restrained from leaving the hospital; and, that it is not practicable to secure the immediate attendance of a practitioner. But there are cases when a person can be detained, also known as sectioned, under the Mental Health Act (1983) and treated without their agreement. 2 para. An application for the admission of a patient to a hospital may be made under this Part of this Act notwithstanding that the patient is already an in-patient in that hospital or, in the case of an application for admission for treatment that the patient is for the time being liable to be detained in the hospital in pursuance of an application for admission for assessment; and where an application is so made the patient shall be treated for the purposes of this Part of this Act as if he had been admitted to the hospital at the time when that application was received by the managers.
2020 mental hospital admission criteria uk