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:

There are currently no known outstanding effects for the Mental Health Act 2025, Section 12. Help about Changes to Legislation

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Treatment

12Appointment of doctors to provide second opinions

(1)

The Mental Health Act 1983 is amended as follows.

(2)

After section 56A (as inserted by section 11 of this Act) insert—

“56BAppointment of doctors to provide second opinions

(1)

Where, in relation to a patient, a function under this Part is to be performed by a “second opinion appointed doctor” (whether because this Part requires it to be so performed or because a decision has been made under this Part that it will be so performed)—

(a)

the relevant person must request that the regulatory authority appoint a person to perform the function in relation to the patient, and

(b)

on receiving the request, the regulatory authority must, as soon as reasonably practicable (subject to section 62ZA(8)), appoint a person to perform the function in relation to the patient.

(2)

The person appointed by the regulatory authority—

(a)

must be a registered medical practitioner, and

(b)

must not be the patient’s responsible clinician or the person in charge of the treatment that is to be given to the patient.

(3)

In this section “the relevant person” means—

(a)

if there is a responsible clinician for the patient, the responsible clinician;

(b)

otherwise, the person in charge of the treatment that is to be given to the patient.”

(3)

In section 57 (treatment requiring consent and a second opinion)—

(a)

in subsection (2)(a), for the words from the beginning to “question)” substitute “a second opinion appointed doctor”;

(b)

in subsection (2)(b), for the words from the beginning to “above” substitute “the second opinion appointed doctor”;

(c)

in subsection (3), for “the registered medical practitioner concerned” substitute “the second opinion appointed doctor”.

(4)

In section 58 (treatment requiring consent or a second opinion)—

(a)

in subsection (3)(a), for the words from “a registered” to “authority” substitute “a second opinion appointed doctor”;

(b)

in subsection (3)(b), for the words from the beginning to “question)” substitute “a second opinion appointed doctor”.

(5)

In section 58A (electro-convulsive therapy etc)—

(a)

in subsection (3)(c), for the words from “a registered” to “above” substitute “a second opinion appointed doctor”;

(b)

in subsection (4)(c), for the words from the beginning to “treatment)” substitute “a second opinion appointed doctor”;

(c)

in subsection (6), in the words before paragraph (a), for “the registered medical practitioner” substitute “the second opinion appointed doctor”.

(6)

In section 64 (supplementary provisions for Part 4), in subsection (1) (as substituted by section 10 of this Act), at the appropriate place insert—

““second opinion appointed doctor” is to be read in accordance with section 56B”.

(7)

In section 64C (section 64B: supplemental)—

(a)

in subsection (4)(a), for the words from the beginning to “treatment)” substitute “a second opinion appointed doctor”;

(b)

after subsection (9) insert—

“(10)

In this section “second opinion appointed doctor” has the same meaning as in Part 4 (see section 64).”

(8)

In section 119 (practitioners approved for Part 4 and section 118), in subsection (1), after “Act” insert “(see section 56B)”.

Annotations:
Commencement Information

I1S. 12 not in force at Royal Assent, see s. 56(3)