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

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Schedules

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

Section 3(4)

Amendments of Part 2 of the Mental Health Act 1983

1

Part 2 of the Mental Health Act 1983 (compulsory admission to hospital and guardianship) is amended as follows.

Annotations:
Commencement Information

I1Sch. 1 para. 1 not in force at Royal Assent, see s. 56(3)

2

In section 3 (admission for treatment), in subsection (2), for paragraph (a) substitute—

“(a)

the patient is suffering from psychiatric disorder of a nature or degree which makes it appropriate for the patient to receive medical treatment in a hospital,”.

Annotations:
Commencement Information

I2Sch. 1 para. 2 not in force at Royal Assent, see s. 56(3)

3

In section 7 (application for guardianship), in subsection (2), for paragraph (a) substitute—

“(a)

the patient is suffering from—

(i)

psychiatric disorder,

(ii)

autism, or

(iii)

learning disability which has serious behavioural consequences,

of a nature or degree which warrants the patient’s reception into guardianship under this section, and”.

Annotations:
Commencement Information

I3Sch. 1 para. 3 not in force at Royal Assent, see s. 56(3)

4

(1)

Section 17A (community treatment orders) is amended as follows.

(2)

In subsection (5), for paragraph (a) substitute—

“(a)

the patient is suffering from psychiatric disorder of a nature or degree which makes it appropriate for the patient to receive medical treatment,”.

(3)

In subsection (6), for “mental”, in both places it occurs, substitute “psychiatric”.

Annotations:
Commencement Information

I4Sch. 1 para. 4 not in force at Royal Assent, see s. 56(3)

5

In section 17E (power to recall community patient to hospital), in subsection (1)(a), for “mental” substitute “psychiatric”.

Annotations:
Commencement Information

I5Sch. 1 para. 5 not in force at Royal Assent, see s. 56(3)

6

(1)

Section 20 (renewal of authority in relation to admission for treatment and guardianship) is amended as follows.

(2)

In subsection (4) (admission for treatment), for paragraph (a) substitute—

“(a)

the patient is suffering from psychiatric disorder of a nature or degree which makes it appropriate for the patient to receive medical treatment in a hospital,”.

(3)

In subsection (7) (guardianship), for paragraph (a) substitute—

“(a)

the patient is suffering from—

(i)

psychiatric disorder,

(ii)

autism, or

(iii)

learning disability which has serious behavioural consequences,

of a nature or degree which warrants the patient’s reception into guardianship, and”.

Annotations:
Commencement Information

I6Sch. 1 para. 6 not in force at Royal Assent, see s. 56(3)

Amendments of Part 3 of the Mental Health Act 1983

7

Part 3 of the Mental Health Act 1983 (patients concerned in criminal proceedings or under sentence) is amended as follows.

Annotations:
Commencement Information

I7Sch. 1 para. 7 not in force at Royal Assent, see s. 56(3)

8

Before the italic heading before section 35 insert—

“Application of Part 3: “relevant disorder”

34AApplication of Part 3: “relevant disorder”

In this Part “relevant disorder” means—

(a)

psychiatric disorder,

(b)

autism, or

(c)

learning disability which has serious behavioural consequences.”

Annotations:
Commencement Information

I8Sch. 1 para. 8 not in force at Royal Assent, see s. 56(3)

9

In the following places, for “mental” substitute “relevant”

  • section 35(3)(a) (remand to hospital for report);

  • section 36(1)(a) (remand to hospital for treatment);

  • section 37(2)(a) (orders for hospital admission or guardianship), in each place it occurs;

  • section 38(1)(a) and (b) (interim hospital orders);

  • section 45A(2)(a) and (b) (conditions on hospital admission);

  • section 47(1)(a) and (b) (removal to hospital of prisoners under sentence, etc);

  • section 48(1)(a) (removal to hospital of other prisoners);

  • section 50(1) (sentenced prisoners: power to remit or release);

  • section 51(3)(a), (4)(a) and (6)(a) (detainees: powers to remit or release);

  • section 52(5)(a) (accused persons: magistrates’ court’s power);

  • section 53(2)(a) (civil prisoners and immigration detainees).

Annotations:
Commencement Information

I9Sch. 1 para. 9 not in force at Royal Assent, see s. 56(3)

10

In section 55 (interpretation)—

(a)

in subsection (1), at the appropriate place insert—

““relevant disorder” has the meaning given by section 34A;”;

(b)

in subsection (4), after “69(1)” insert “or 72(1ZA).

Annotations:
Commencement Information

I10Sch. 1 para. 10 not in force at Royal Assent, see s. 56(3)

11

(1)

In Schedule 1 (application of certain provisions to patients subject to hospital and guardianship orders), Part 1 (patients not subject to special restrictions) is amended as follows.

(2)

In paragraph 1—

(a)

for “to 17C, 17E, 17F,” substitute “, 17B, 17C,”;

(b)

omit “20A,”.

(3)

In paragraph 2—

(a)

for “17D, 17G,” substitute “17A, 17D to 17G,”;

(b)

for “2A” substitute “2ZA”;

(c)

omit “20,”.

(4)

After paragraph 2 insert—

“2ZA

In section 17A—

(a)

in subsection (5)(a), for “psychiatric disorder” there is to be substituted “relevant disorder (within the meaning given by section 34A)”;

(b)

in subsection (6), for “psychiatric disorder”, in both places it occurs, there is to be substituted “relevant disorder (within the meaning given by section 34A)”.

2ZB

In section 17E, in subsection (1)(a), for “psychiatric disorder” there is to be substituted “relevant disorder (within the meaning given by section 34A)”.”

(5)

After paragraph 2A insert—

“2AA

In section 17F, after subsection (4) there is to be inserted—

“(4A)

Section 3(2) as it applies for the purposes of subsection (4)(a) is to be read as if the reference to psychiatric disorder were a reference to relevant disorder (within the meaning given by section 34A).”

(6)

In paragraph 5B (as inserted by section 29 of this Act), after sub-paragraph (2) insert—

“(3)

In section 20(4)(a), for “psychiatric disorder” there is to be substituted “relevant disorder (within the meaning given by section 34A)”.”

(7)

In paragraph 5C (as inserted by section 29 of this Act), after sub-paragraph (3) insert—

“(4)

In section 20(4)(a), for “psychiatric disorder” there is to be substituted “relevant disorder (within the meaning given by section 34A)”.”

(8)

In paragraph 5D (as inserted by section 29 of this Act), after sub-paragraph (2) insert—

“(3)

In section 20(4)(a), for “psychiatric disorder” there is to be substituted “relevant disorder (within the meaning given by section 34A)”.”

(9)

In paragraph 6 (as substituted by section 29 of this Act), after sub-paragraph (3) insert—

“(4)

In section 20(4)(a), for “psychiatric disorder” there is to be substituted “relevant disorder (within the meaning given by section 34A)”.”

(10)

After paragraph 6 insert—

“6ZA

In section 20A, after subsection (10) there is to be inserted—

“(11)

Section 17A(5) as it applies for the purposes of subsection (4)(b) is to be read as if the reference to psychiatric disorder were a reference to relevant disorder (within the meaning given by section 34A).”

Annotations:
Commencement Information

I11Sch. 1 para. 11 not in force at Royal Assent, see s. 56(3)

Amendments of Part 4 of the Mental Health Act 1983

12

Part 4 of the Mental Health Act 1983 (consent to treatment) is amended as follows.

Annotations:
Commencement Information

I12Sch. 1 para. 12 not in force at Royal Assent, see s. 56(3)

13

In section 56 (patients to whom Part 4 applies)—

(a)

for the heading substitute “Application of Part 4: patients and disorders”;

(b)

after subsection (5) insert—

“(6)

In this Part “relevant disorder”—

(a)

in relation to—

(i)

a patient falling within subsection (3) where the patient is liable to be detained by virtue of section 3,

(ii)

a patient falling within subsection (3), where the patient is liable to be detained by virtue of section 20(4), otherwise than as that provision applies by virtue of Part 1 of Schedule 1, or

(iii)

a patient falling within subsection (4),

means psychiatric disorder;

(b)

in relation to any other patient, means mental disorder.”

Annotations:
Commencement Information

I13Sch. 1 para. 13 not in force at Royal Assent, see s. 56(3)

14

In the following places, for “mental”, substitute “relevant”

  • section 58(1)(b) (administration of medicine requiring consent or a second opinion);

  • section 63 (treatment not requiring consent).

Annotations:
Commencement Information

I14Sch. 1 para. 14 not in force at Royal Assent, see s. 56(3)

Amendments of Part 4A of the Mental Health Act 1983

15

In Part 4A of the Mental Health Act 1983 (treatment of community patients not recalled to hospital), for section 64A substitute—

“64AMeaning of “relevant treatment”

(1)

In this Part of this Act “relevant treatment”—

(a)

in relation to a Part 3 community patient, means medical treatment which—

(i)

is for the relevant disorder from which the patient is suffering, and

(ii)

is not a form of treatment to which section 57 applies, and

(b)

in relation to any other community patient, means medical treatment which—

(i)

is for the psychiatric disorder from which the patient is suffering, and

(ii)

is not a form of treatment to which section 57 applies.

(2)

In subsection (1)(a)—

Part 3 community patient” means a person who is a community patient by virtue of a community treatment order under section 17A as applied by Part 1 of Schedule 1;

relevant disorder” has the meaning given by section 34A.”

Annotations:
Commencement Information

I15Sch. 1 para. 15 not in force at Royal Assent, see s. 56(3)

Amendments of Part 5 of the Mental Health Act 1983

16

Part 5 of the Mental Health Act 1983 (tribunals) is amended as follows.

Annotations:
Commencement Information

I16Sch. 1 para. 16 not in force at Royal Assent, see s. 56(3)

17

(1)

Section 72 (grounds for discharge by tribunal) is amended as follows.

(2)

After subsection (1) insert—

“(1ZA)

In relation to a patient admitted to hospital in pursuance of a hospital order (see section 55(4)), section 20(4) is to be read, for the purposes of subsection (1)(b), as if the reference to psychiatric disorder were a reference to relevant disorder (within the meaning given by section 34A).”

(3)

In subsection (1A), for “mental”, in both places it occurs, substitute “psychiatric”.

(4)

After subsection (1A) insert—

“(1B)

In relation to a person who is a community patient by virtue of a community treatment order under section 17A as applied by Part 1 of Schedule 1—

(a)

for the purposes of subsection (1)(c), section 17A(5) is to be read as if the reference to psychiatric disorder were a reference to relevant disorder (within the meaning given by section 34A), and

(b)

subsection (1A) is to be read as if the references to psychiatric disorder were references to relevant disorder (within the meaning given by section 34A).”

(5)

In subsection (4) (guardianship), in paragraph (a), for “mental disorder” substitute—

“(i)

psychiatric disorder,

(ii)

autism, or

(iii)

learning disability which has serious behavioural consequences”.

Annotations:
Commencement Information

I17Sch. 1 para. 17 not in force at Royal Assent, see s. 56(3)

18

In section 73 (power to discharge restricted patients), after subsection (8) insert—

“(9)

Subsection (4) of section 20 is to be read, for the purposes of this section, as if the reference to psychiatric disorder in paragraph (a) of that subsection were a reference to relevant disorder (within the meaning given by section 34A).”

Annotations:
Commencement Information

I18Sch. 1 para. 18 not in force at Royal Assent, see s. 56(3)

19

In section 74 (restricted patients subject to restriction directions), in subsection (6), for “(8)” substitute “(9)”.

Annotations:
Commencement Information

I19Sch. 1 para. 19 not in force at Royal Assent, see s. 56(3)

Transitory modifications of the Mental Health Act 1983

20

Pending the coming into force of section 6(3)(b) of this Act, section 20A(6)(a) of the Mental Health Act 1983 is to be read as if—

(a)

in relation to a patient admitted to hospital in pursuance of a hospital order (read in accordance with section 55(4) of the Mental Health Act 1983), as if for “mental” there were substituted “relevant”;

(b)

in relation to any other patient, for “mental” there were substituted “psychiatric”.

Annotations:
Commencement Information

I20Sch. 1 para. 20 not in force at Royal Assent, see s. 56(3)

21

(1)

Pending the coming into force of section 7(2) of this Act, section 72(1)(b) and (c) and (1A) of the Mental Health Act 1983 are to be read—

(a)

in relation to a patient admitted to hospital in pursuance of a hospital order (read in accordance with section 55(4) of the Mental Health Act 1983) or a Part 3 community patient, as if, for “mental”, in each place it occurs, there were substituted “relevant”;

(b)

in relation to any other patient as if for “mental”, in each place it occurs, there were substituted “psychiatric”.

(2)

In sub-paragraph (1)(a) “Part 3 community patient” means a person who is a community patient by virtue of a community treatment order under section 17A as applied by Part 1 of Schedule 1 to the Mental Health Act 1983.

Annotations:
Commencement Information

I21Sch. 1 para. 21 not in force at Royal Assent, see s. 56(3)

22

Pending the coming into force of section 7(3) of this Act, section 72(1)(b) of the Mental Health Act 1983 is to be read, for the purposes of section 73 of that Act, as modified by paragraph 21(1)(a) of this Schedule.

Annotations:
Commencement Information

I22Sch. 1 para. 22 not in force at Royal Assent, see s. 56(3)

23

Pending the coming into force of section 8(8) of this Act, section 64(3) of the Mental Health Act 1983 is to be read as if for “mental” there were substituted “relevant”.

Annotations:
Commencement Information

I23Sch. 1 para. 23 not in force at Royal Assent, see s. 56(3)

24

Pending the coming into force of section 13(3)(b) of this Act, section 58(1) of the Mental Health Act 1983 is to be read as if, in the words before paragraph (a), for “mental”, there were substituted “relevant”.

Annotations:
Commencement Information

I24Sch. 1 para. 24 not in force at Royal Assent, see s. 56(3)

25

Pending the coming into force of section 29(5)(d) and (e) of this Act, section 20 of the Mental Health Act 1983 is to be read as if for “psychiatric” there were substituted “relevant”.

Annotations:
Commencement Information

I25Sch. 1 para. 25 not in force at Royal Assent, see s. 56(3)