Legislation – Mental Health Act 2025

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Introduction

1 Principles to inform decisions

2 Application of principles to Wales

3 Application of the Mental Health Act 1983: autism and learning disability

4 People with autism or learning disability

5 Grounds for detention

6 Grounds for community treatment orders

7 Grounds for discharge by tribunal

8 Appropriate medical treatment: therapeutic benefit

9 Remission or release of prisoners etc from hospital: treatment condition

10 Nomination of the responsible clinician

11 Making treatment decisions

12 Appointment of doctors to provide second opinions

13 Medicine etc: treatment conflicting with a decision by or on behalf of a patient

14 Medicine etc: treatment in other circumstances

15 Electro-convulsive therapy etc

16 Review of treatment

17 Urgent treatment to alleviate serious suffering

18 Urgent electro-convulsive therapy etc

19 Remote assessment for treatment

20 Capacity to consent to treatment

21 Care and treatment plans

22 Consultation of the community clinician

23 Conditions of community treatment orders

24 Nominated person

25 Applications for admission or guardianship: role of nominated person

26 Discharge of patients: role of nominated person

27 Community treatment orders: role of nominated person

28 Transfer of patients: role of nominated person

29 Detention periods

30 Periods for tribunal applications

31 References to tribunal

32 References: restricted patients subject to deprivation of liberty conditions

33 References: restricted patients not subject to deprivation of liberty conditions

34 Discharge: process

35 Conditional discharge subject to deprivation of liberty conditions

36 Transfers of prisoners and others to hospital: conditions

37 Transfers of prisoners and others to hospital: time limits

38 Transfer directions for persons detained in youth detention accommodation

39 Minor amendment

40 Independent mental health advocates

41 Information about complaints for detained patients

42 Information about complaints for community patients

43 Information for conditionally discharged patients

44 Advance choice documents

45 Tribunal power to recommend after-care

46 After-care services

47 Tribunal powers in guardianship cases: burden of proof

48 Removal of police stations and prisons as places of safety

49 Remand for a person’s own protection etc

50 Removal of interim remand patients to and from Channel Islands or Isle of Man

51 Human Rights Act 1998: extension to certain private care providers

52 Review of duty to notify incidents

53 Power of Secretary of State to make consequential provision

54 Power of Welsh Ministers to make consequential provision

55 Extent

56 Commencement

57 Short title

SCHEDULES

Schedule 1 Application of the 1983 Act to autism and learning disability: amendments and transitory provision

Schedule 2 Nominated persons

Schedule 3 Independent mental health advocates

Changes to legislation:

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Miscellaneous

47Tribunal powers in guardianship cases: burden of proof

In section 72(4) of the Mental Health Act 1983 (powers of tribunals in relation to guardianship cases)—

(a)

in the opening words, after “it is” insert “not”;

(b)

in paragraph (a) omit “not”;

(c)

in paragraph (b) omit “not”.

Annotations:
Commencement Information

I1S. 47 not in force at Royal Assent, see s. 56(3)

48Removal of police stations and prisons as places of safety

(1)

The Mental Health Act 1983 is amended as follows.

(2)

In section 55 (interpretation of Part 3), in subsection (1), for the definition of “place of safety” substitute—

““place of safety”—

(a)

in relation to a person who is not a child or young person, means any hospital the managers of which are willing temporarily to receive that person;

(b)

in relation to a child or young person, has the same meaning as in the Children and Young Persons Act 1933 except that it does not include a police station;”.

(3)

The amendment made by subsection (2) does not apply in relation to any directions given under sections 35(4), 36(3), 37(4), 38(4) or 45A(5) before the coming into force of that subsection.

(4)

In section 135 (warrant to search for and remove patients)—

(a)

in subsection (6) omit “a police station,”;

(b)

in subsection (7), before paragraph (a) insert—

“(za)

a police station may not be regarded as a suitable place;”;

(c)

(5)

In section 136 (removal etc of mentally disordered persons without a warrant) omit subsection (5).

(6)

Omit section 136A (use of police stations as places of safety).

(7)

In section 136B (extension of detention) omit subsection (3).

Annotations:
Commencement Information

I2S. 48 not in force at Royal Assent, see s. 56(3)

49Remand for a person’s own protection etc

(1)

Schedule 1 to the Bail Act 1976 (persons entitled to bail: supplementary provisions) is amended as follows.

(2)

In Part 1 of that Schedule (defendants accused or convicted of imprisonable offences), for paragraph 3 substitute—

“3

(1)

The defendant need not be granted bail if—

(a)

the defendant has attained the age of 18, and

(b)

the court is satisfied, otherwise than by reason only of concerns about the defendant’s mental health, that the defendant should be kept in custody for their own protection.

(2)

The defendant need not be granted bail if—

(a)

the defendant is a child or young person, and

(b)

the court is satisfied that the defendant should be kept in custody for their own welfare.”

(3)

In Part 1A of that Schedule (defendants accused or convicted of imprisonable offences to which Part 1 does not apply), for paragraph 5 substitute—

“5

(1)

The defendant need not be granted bail if—

(a)

the defendant has attained the age of 18, and

(b)

the court is satisfied, otherwise than by reason only of concerns about the defendant’s mental health, that the defendant should be kept in custody for their own protection.

(2)

The defendant need not be granted bail if—

(a)

the defendant is a child or young person, and

(b)

the court is satisfied that the defendant should be kept in custody for their own welfare.”

(4)

In Part 2 of that Schedule (defendants accused or convicted of non-imprisonable offences), for paragraph 3 substitute—

“3

(1)

The defendant need not be granted bail if—

(a)

the defendant has attained the age of 18, and

(b)

the court is satisfied, otherwise than by reason only of concerns about the defendant’s mental health, that the defendant should be kept in custody for their own protection.

(2)

The defendant need not be granted bail if—

(a)

the defendant is a child or young person, and

(b)

the court is satisfied that the defendant should be kept in custody for their own welfare.”

(5)

The amendments made by this section apply in relation to any person who is before a court after the coming into force of this section.

Annotations:
Commencement Information

I3S. 49 not in force at Royal Assent, see s. 56(3)

50Removal of interim remand patients to and from Channel Islands or Isle of Man

(1)

The Mental Health Act 1983 is amended as follows.

(2)

In section 83 (removal of patients to Channel Islands or Isle of Man) omit “(otherwise than by virtue of section 35, 36 or 38 above)”.

(3)

In section 85 (patients removed from Channel Islands or Isle of Man)—

(a)

in subsection (1) omit “(other than section 35, 36 or 38 above)”;

(b)

in subsection (2), after “shall” insert “(subject to subsection (2A))”;

(c)

after subsection (2) insert—

“(2A)

In relation to a patient treated by virtue of subsection (2) as liable to be detained under section 35, 36 or 38, this Act is to be read with the modifications set out in Schedule A2.”

(4)

In section 91 (general provisions as to patients removed from England and Wales), in subsection (1) omit “(other than section 35, 36 or 38 above)”.

(5)

After Schedule A1 (as inserted by Schedule 2 to this Act) insert—

“Schedule A2Interim remand patients from Channel Islands or Isle of Man: modifications of this Act

Section 85(2A)

Modifications of section 35

1

(1)

In relation to a patient who is treated by virtue of section 85(2) as admitted to hospital in pursuance of an order made under section 35(1) (remand to hospital for report on accused’s mental condition), section 35 applies with the modifications set out in this paragraph.

(2)

Subsection (2) is to be omitted.

(3)

References to an “accused person” are to be read as references to the patient referred to in sub-paragraph (1).

(4)

References to “the court” are to be read as references to whichever of—

(i)

the Crown Court, and

(ii)

a magistrates’ court,

has functions most closely corresponding to those of the court under whose order or direction the patient was liable to be detained immediately before the patient’s removal to England and Wales.

(5)

In subsection (5) for the words from the beginning to “him” there is to be substituted “The court may further remand an accused person”.

(6)

After subsection (5) there is to be inserted—

“(5A)

The court may also further remand an accused person if it has been notified by the Secretary of State that—

(a)

the person is the subject of criminal proceedings in any of the Channel Islands or the Isle of Man, and

(b)

the Secretary of State is considering exercising the power in section 83 in relation to the accused person.”

(7)

For subsection (7) there is to be substituted—

“(7)

A remand under this section has effect for 28 days.

(7A)

Further periods of remand by the court may not be for more than 28 days at a time and an accused person may not be remanded for more than 12 weeks in all.

(7B)

Where the court further remands an accused person it must notify the Secretary of State of the period for which the person is further remanded.

(7C)

The court may at any time recommend to the Secretary of State that the accused person be returned to the island from which the person was removed.”

(8)

In subsection (8), for “his remand to be terminated under subsection (7)” there is to be substituted “a recommendation to be made under subsection (7C)”.

(9)

In subsection (10), the words from “that remanded him” to the end are to be omitted.

Modifications of section 36

2

(1)

Section 36 (remand of accused person to hospital for treatment) applies—

(a)

in relation to a patient who is treated by virtue of section 85(2) as admitted to hospital in pursuance of an order made under section 35(1) (remand to hospital for report on accused’s mental condition), with the modifications set out in sub-paragraphs (2) to (8);

(b)

in relation to a patient who—

(i)

was treated by virtue of section 85(2) as admitted to hospital in pursuance of an order made under section 35(1), and

(ii)

is subsequently remanded under section 36(1) as it applies by virtue of paragraph (a),

with the modifications set out in sub-paragraphs (3) to (8);

(c)

in relation to a patient who is treated by virtue of section 85(2) as admitted to hospital in pursuance of an order made under section 36(1), with the modifications set out in sub-paragraphs (3) to (8).

(2)

In subsection (1), in the words before paragaph (a), for “, instead of remanding an accused person in custody, remand him” there is to be substituted “remand an accused person”.

(3)

Subsection (2) is to be omitted.

(4)

References to an “accused person” are to be read as references to the patient referred to in sub-paragraph (1)(a), (b) or (c).

(5)

In subsection (4), for “warranted” there is to be substituted “warranted—

(a)

because the court has been notified by the Secretary of State that—

(i)

the person is the subject of criminal proceedings in any of the Channel Islands or the Isle of Man, and

(ii)

the Secretary of State is considering exercising the power in section 83 in relation to the accused person, or

(b)

for other reasons”.

(6)

For subsection (6) there is to be substituted—

“(6)

A remand under this section has effect for 28 days.

(6A)

Further periods of remand by the court may not be for more than 28 days at a time and an accused person may not be remanded for more than 12 weeks in all.

(6B)

Where the court further remands an accused person it must notify the Secretary of State of the period for which the person is further remanded.

(6C)

The court may at any time recommend to the Secretary of State that the accused person be returned to the island from which the person was removed.”

(7)

In subsection (7) for “his remand to be terminated under subsection (6)” there is to be substituted “a recommendation to be made under subsection (6C);

(8)

Subsection (8) is to be read as applying subsection (10) of section 35 as modified by paragraph 1(9) of this Schedule.

Modifications of section 38

3

(1)

In relation to a patient who is treated by virtue of section 85(2) as admitted to hospital in pursuance of an order made under section 38(1) (interim hospital orders), section 38 applies with the modifications set out in this paragraph.

(2)

Subsection (2) is to be omitted.

(3)

References to “the court” are to be read as references to whichever of—

(i)

the Crown Court, and

(ii)

a magistrates’ court,

has functions most closely corresponding to those of the court under whose order or direction the patient was liable to be detained immediately before the patient’s removal to England and Wales.

(4)

In subsection (5)—

(a)

in paragraph (b), for “warranted” there is to be substituted “warranted—

(i)

because the court has been notified by the Secretary of State that—

(A)

the offender is the subject of criminal proceedings in any of the Channel Islands or the Isle of Man, and

(B)

the Secretary of State is considering exercising the power in section 83 in relation to the offender, or

(ii)

for other reasons”;

(b)

in the words after paragraph (b), the words from “and” to the end are to be omitted.

(5)

After subsection (5) there is to be inserted—

“(5A)

Where the court renews the interim hospital order it must notify the Secretary of State of the period for which it is renewed.

(5B)

The court may at any time recommend to the Secretary of State that the offender be returned to the island from which the offender was removed.”

(6)

In subsection (7), the words from “that made the order” to the end are to be omitted.

Modification of section 83

4

In relation to a patient referred to in paragraph 1(1), 2(1) or 3(1), in section 83 (removal of patients to Channel Islands or Isle of Man), for “in the interests of the patient” there is to be substituted “appropriate”.”

Annotations:
Commencement Information

I4S. 50 not in force at Royal Assent, see s. 56(3)

51Human Rights Act 1998: extension to certain private care providers

In the Mental Health Act 1983, after section 142B insert—

“142CHuman Rights Act 1998: extension to certain private care providers

(1)

A registered care provider is to be regarded for the purposes of section 6(3)(b) of the Human Rights Act 1998 as exercising a function of a public nature in providing any of the services mentioned in subsection (2) (to the extent that it would not otherwise be so regarded).

(2)

The services are—

(a)

after-care services provided in pursuance of arrangements made under section 117;

(b)

services provided in pursuance of arrangements made by a local authority in Scotland discharging its duty under section 25 of the Mental Health (Care and Treatment) (Scotland) Act 2003;

(c)

the provision of medical treatment for mental disorder or assessment in relation to mental disorder, for an in-patient at a hospital, but only where that treatment or assessment is arranged or paid for by an NHS body.

(3)

In this section—

hospital” means any institution for the reception and treatment of people—

(a)

suffering from mental disorder or other illness,

(b)

convalescing, or

(c)

requiring medical rehabilitation;

illness” includes any injury or disability requiring medical treatment or nursing;

NHS body”—

(a)

in relation to England, has the meaning given by section 275(1) of the National Health Service Act 2006;

(b)

in relation to Wales, has the meaning given by section 206(1) of the National Health Service (Wales) Act 2006;

(c)

in relation to Scotland, a health board constituted by order made under section 2 of the National Health Service (Scotland) Act 1978;

(d)

in relation to Northern Ireland means—

  1. (i)

    the Department of Health, or

  2. (ii)

    a Health and Social Care Trust;

registered care provider” means–

(a)

a person registered under Chapter 2 of Part 1 of the Health and Social Care Act 2008,

(c)

a person providing—

  1. (i)

    a care service which is registered under section 59 of the Public Services Reform (Scotland) Act 2010, or

  2. (ii)

    an independent health care service registered under section 10P of the National Health Service (Scotland) Act 1978, or

Annotations:
Commencement Information

I5S. 51 not in force at Royal Assent, see s. 56(3)

52Review of duty to notify incidents

(1)

The Secretary of State must carry out a review into—

(a)

whether regulation 18 of the Care Quality Commission (Registration) Regulations 2009 (S.I.2009/3112) (duty to notify incidents) ought to be extended to require a notification to be given in any other cases in which a person under the age of 18 is admitted to a hospital or registered establishment for medical treatment for, or assessment in relation to, mental disorder, and

(b)

whether the time period mentioned in regulation 18(2)(h) of those Regulations remains appropriate.

(2)

The Secretary of State must prepare and publish a report setting out the conclusions of the review.

(3)

The Secretary of State must lay a copy of the report before Parliament.

(4)

The report must be laid and published before the end of the period of 2 years beginning with the day on which this Act is passed.

(5)

In this section the following expressions have the meaning given by section 145 of the Mental Health Act 1983—

hospital”;

medical treatment”;

mental disorder”;

registered establishment”.

Annotations:
Commencement Information

I6S. 52 not in force at Royal Assent, see s. 56(3)