Appendix 15 MENTAL HEALTH ACT DOCUMENT SCRUTINY CHECKLIST

NOTE: “This scrutiny should happen at the same time as the documents are received or as soon as possible afterwards (and certainly no later than the next working day)”.

Section 20A
Forms: CT07 – Community Treatment Order – report extending the community treatment period
Patient’s Name: / Date Of CTO:

Part 1

Do you have the correct form for the extension of the CTO? / □Yes / ☐ / No
Has the form been made out to the managers of the *responsible hospital? (*name and address of the hospital where the patient was before the CTO was made)?
Note: (*unless responsibility was subsequently assigned to the managers of a different hospital) / □Yes / ☐ / No
Has the RC completing the form entered their name and address on the form? / □Yes / ☐ / No
Has the full name and address of the patient been entered on the form? / □Yes / ☐ / No
Has the correct date the CTO was made been entered on the form? / □Yes / ☐ / No
Has the person providing the report given reasons why it appears to them that an application ought to be made including why informal admission is no longer appropriate? / □Yes / ☐ / No
Has the RC entered the date of examination on the form? / □Yes / ☐ / No
Is the date of examination within 2 months of the date the CTO would expire if not renewed? / □Yes / ☐ / No
Has the RC entered the reasons for his/her opinion that the patient is suffering from a mental disorder of a nature or degree which makes it appropriate for the pt to receive medical treatment as a CTO patient? / □Yes / ☐ / No
Has part 1 of the form been signed and dated by the RC? / □Yes / ☐ / No
Is the date of the RCs signature prior tothedate☐Yes
the CTO would expire if not extended? / ☐ / No

Part 2

Has the AMHP completing part 2 entered their full name and address on the form? / ☐ / Yes / ☐ / No
Has the AMHP entered the name of the authority on whose behalf they are acting? / ☐ / Yes / ☐ / No
Where the AMHP is not approved by that authority (above) have they entered the name of the local authority that approved them (and made the necessary deletion)? / ☐ / Yes / ☐ / No
Has the AMHP completing the form signed and dated the form? / ☐ / Yes / ☐ / No
Is the date of the AMHPs signature the same or later than the date or the RCs signature in Part 1 and prior to the date the CTO would expire if not extended? / ☐ / Yes / ☐ / No

Part 3

Has the RC entered the name and profession of the person theyhave consulted? / ☐ / Yes / ☐ / No
Is the person that was consulted by the RC different to the person completing part 2? / ☐ / Yes / ☐ / No
Has the RC indicated how he/she is furnishing the report by deleting the phrase that does not apply? / ☐ / Yes / ☐ / No
Has Part 3 been signed and dated by the RC? / ☐ / Yes / ☐ / No
Is the date of the RCs signature in this part the same or later than the signatures at Part 1 & 2 of the form and prior to the date the CTO would expire if not extended? / ☐ / Yes / ☐ / No

Part 4

Has Part 4 beencompletedincluding☐Yes☐No
signed, name printed and dated?
Has the necessary deletion been made?
□Yes☐No
Is the date on this part of the form the same
or later than the dates of all ofthesignatures☐Yes☐No
in parts 1, 2 and 3?

Please complete following scrutiny

Name of person carrying out scrutiny / Date of scrutiny / Signature

NOTES (The Scrutiny Administrator should record any remedial action taken including outcome)

Additional Processes / (Admin) / MHL Lead
Section Papers (MHL Lead check) / ☐
RiO updated / ☐ / ☐
Scanned on to RiO / ☐ / ☐
Copies x 2 of CTO7 given to hearing administrator / ☐ / ☐
Section 61 review of treatment received and sent to CQC (where applicable) - see
24.48 to 24.50 Reference Guide for when and in what circumstances need to do – (if in doubt ask) / ☐ / ☐
Signature:
Date completed:

NOTES (The MHL Lead should record any observations from the quality check here including outcome)

SA/MHA/Scrutiny/ 20a/V1/12/08/2015