Abstract

<p>R (on the application of CS) v Mental Health Review Tribunal; Managers of Homerton Hospital (East London and the City Mental Health NHS Trust) (Interested Party)</p><p>Queen’s Bench Division, (Administrative Court), Pitchford J., 6 December 2004</p><p>EWHC (Admin) 2958</p><p><em>The decision of a Mental Health Review Tribunal under section 72(1) Mental Health Act 1983 not to discharge a patient on section 17 leave from hospital was not unlawful. The link between hospital and treatment may be “gossamer thin” but still a “significant component” to justify renewal of detention</em></p>

Highlights

  • CS was a patient liable to be detained on leave of absence from hospital

  • The court, whilst restating that hospital treatment must be “a significant component” of the treatment plan to be lawful under the Mental Health Act 1983, found that, the Responsible Medical Officer’s (RMO) grasp on the patient was “gossamer thin”, it was a “significant component” sufficient to justify continuing detention

  • As a patient liable to be detained, CS could be recalled to hospital for treatment if she refused or failed to take her medication in the community which introduced an element of compulsion that she accept treatment in the community

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Summary

Introduction

CS was a patient liable to be detained on leave of absence from hospital (leave). She challenged the decision of the Tribunal which had confirmed the lawfulness of her detention following renewal on the grounds that she was no longer receiving hospital treatment which justified continued detention. CS was a patient liable to be detained on leave of absence from hospital (leave).. CS was a patient liable to be detained on leave of absence from hospital (leave).2 She challenged the decision of the Tribunal which had confirmed the lawfulness of her detention following renewal on the grounds that she was no longer receiving hospital treatment which justified continued detention. The court, whilst restating that hospital treatment must be “a significant component” of the treatment plan to be lawful under the Mental Health Act 1983 (the Act), found that, the Responsible Medical Officer’s (RMO) grasp on the patient was “gossamer thin”, it was a “significant component” sufficient to justify continuing detention. As a patient liable to be detained, CS could be recalled to hospital for treatment if she refused or failed to take her medication in the community which introduced an element of compulsion that she accept treatment in the community

The Facts
Journal of Mental Health Law
The issue
The Argument
The Decision
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