Appendix 10

MENTAL HEALTH ACT DOCUMENT SCRUTINY CHECKLIST

NOTE:Requirements of Chapter 35.11 MHA Code of Practice (2015) “Where the receiving officer is not also authorised by the hospital managers to agree to the rectification of a defective admission document, the documents should be scrutinised by a person who is authorised to do so.(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 3
Forms: A5 or A6 + 1 x A7 or 2 x A8 + H3
Patient’s Name: / Date Of Section:
Has the patient been recently discharged by the MH Tribunal or Managers Panel? / ☐ Yes ☐ No
Do you have the correct forms for the section? / ☐ Yes ☐ No
Has the application and both medical recommendations been signed and dated? / ☐ Yes ☐ No
Is there a name of a hospital on the application? / ☐ Yes ☐ No
Has the patient been admitted to the hospital named on the application? / ☐ Yes ☐ No
Is the hospital where the patient has been admitted, the hospital (or one of the hospitals) named on the medical recommendations as having appropriate medical treatment available? / ☐ Yes ☐ No
Has the applicant signed their application within 14 days of seeing the patient? / ☐ Yes ☐ No
Has the applicant (AMHP) clearly indicated whether or not they have consulted with the patient’s nearest relative? / ☐ Yes ☐ No
Where the applicant has stated that it was not reasonably practicable/would involve unreasonable delay have they given adequate reasons why this is the case? / ☐ Yes ☐ No☐ N/A
Has the patient’s admission (detention) taken place within 14 days of the date of the last examination by a doctor making a recommendation? / ☐ Yes ☐ No
Have the medical recommendations been signed on or before the date of the application? / ☐ Yes ☐ No
If the doctors making the recommendations examined the patient separately has the examination taken place within no more than 5 clear days of each other? / ☐Yes ☐ No☐ N/A
Where a joint medical recommendation has been used is the date of the examination by both doctors the same? / ☐Yes ☐ No☐ N/A
Is the name and address of the patient correct and correctly spelt on all of the papers? / ☐ Yes ☐ No
Has the applicant and both doctors given their full name and address? / ☐ Yes ☐ No
Have the doctors completing medical recommendations clearly indicated whether or not they are S12 approved and/or had previous acquaintance with the patient? / ☐ Yes ☐ No
Is at least one of the medical recommendations provided by a Section 12 approved doctor? / ☐ Yes ☐ No
Where neither of the doctors had previous acquaintance with the patient before making their recommendations has the applicant recorded (on form A5 or A6) the reason why this is the case? / ☐ Yes ☐ No☐ N/A
Have all the necessary deletions been made? / ☐ Yes ☐ No
Does the application or medical recommendations contain any omissions? / ☐ Yes ☐ No

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 / ☐ / ☐
Sent for medical scrutiny / ☐ / ☐
Consent to Treatment table updated / ☐ / ☐
Renewal flagging / ☐ / ☐
Tribunal referral flagging (remember to count from start of section 2 if applicable) / ☐ / ☐
H3L checked (prompted if not completed) / ☐ / ☐
Letter to patient / ☐ / ☐
Letter to NR (unless patient objects) –please state if this is the case / ☐ / ☐
CTT Capacity assessment/consent prompted (if not already completed) / ☐ / ☐
Signature:
Date completed:

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

Discharge from Section 3

Discharge Processes / (Admin) / MHL Lead
Check H23L on RiO / ☐ / ☐
Update RiO with discharge / ☐ / ☐
Remove from renewal flagging / ☐ / ☐
Remove from consent flagging / ☐ / ☐
Remove from referral to the MHT flagging / ☐ / ☐
Send letter to patient / ☐ / ☐
Send letter to NR (subject to patient not objecting) / ☐ / ☐
Edit H23L (save letters/associated documents and lock) / ☐ / ☐
Check whether any Tribunals/Hearings pending – if so advise hearing administrator to cancel any current arrangements Requests for reports, venues etc) / ☐ / ☐
Update RiO with outcome of hearing
(if any pending) / ☐ / ☐
Remove file to discharge store –input into archive spreadsheet / ☐ / ☐
Signature:
Date completed:

SA/MHA/Scrutiny/ S3/V1/12/08/2015

Northumberland, Tyne and Wear NHS Foundation Trust1

Appendix 10 –Checklist Section 3 - V01 – Issue 1 – Issued Feb16

Part of MHA-PGN-08 – Scrutiny of MHA Documents (NTW(C)55- MHA Policy)