(1)In this Act, unless the context otherwise requires—
“absent without leave” has the meaning given to it by section 18 above and related expressions [F1(including expressions relating to a patient's liability to be returned to a hospital or other place)] shall be construed accordingly;
“application for admission for assessment” has the meaning given in section 2 above;
“application for admission for treatment” has the meaning given in section 3 above;
[F2“the appropriate tribunal” has the meaning given by section 66(4) above;]
[F3“approved clinician” means a person approved by the Secretary of State [F4or another person by virtue of section 12ZA or 12ZB above] (in relation to England) or by the Welsh Ministers (in relation to Wales) to act as an approved clinician for the purposes of this Act;]
[F5“approved mental health professional” has the meaning given in section 114 above;]
[F6“care home”—
has the same meaning as in the Care Standards Act 2000 in respect of a care home in England; and
means a place in Wales at which a care home service within the meaning of Part 1 of the Regulation and Inspection of Social Care (Wales) Act 2016 is provided wholly or mainly to persons aged 18 or over;]
[F7“community patient” has the meaning given in section 17A above;]
[F8“community treatment order” and “the community treatment order” have the meanings given in section 17A above;]
[F9“the community treatment period” has the meaning given in section 20A above;]
F10. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
[F11“high security psychiatric services” has the same meaning as in the [F12section 4 of the National Health Service Act 2006 or section 4 of the National Health Service (Wales) Act 2006],]
“hospital” means—
any health service hospital within the meaning of the [F13National Health Service Act 2006 or the National Health Service (Wales) Act 2006]; and
any accommodation provided by a local authority and used as a hospital by or on behalf of the Secretary of State under that Act;[F14; and
any hospital as defined by section 206 of the National Health Service (Wales) Act 2006 which is vested in a Local Health Board;]
“hospital within the meaning of Part II of this Act” has the meaning given in section 34 above;
[F15“hospital direction” has the meaning given in section 45A(3)(a) above; ]
“hospital order” and “guardianship order” have the meanings respectively given in section 37 above;
[F16“independent hospital”—
in relation to England, means a hospital as defined by section 275 of the National Health Service Act 2006 that is not a health service hospital as defined by that section, and
in relation to Wales, has the same meaning as in the Care Standards Act 2000;]
“interim hospital order” has the meaning given in section 38 above;
[F15“limitation direction” has the meaning given in section 45A(3)(b) above;]
[F17“Local Health Board” means a Local Health Board established under section 11 of the National Health Services (Wales) Act 2006;]
[F18“local social services authority” means—
an authority in England which is a local authority for the purposes of Part 1 of the Care Act 2014, or
an authority in Wales which is a local authority for the purposes of the Social Services and Well-being (Wales) Act 2014.]
“the managers” means—
in relation to a hospital vested in the Secretary of State for the purposes of his functions under the [F19the National Health Service Act 2006, or in the Welsh Ministers for the purposes of their functions under the National Health Service (Wales) Act 2006,], and in relation to any accommodation provided by a local authority and used as a hospital by or on behalf of the Secretary of State under [F20the National Health Service Act 2006, or of the Welsh Ministers under the National Health Service (Wales) Act 2006,] [F21the Secretary of State where the Secretary is responsible for the administration of the hospital or]the F22... F23... [F24[F25Local Health Board] or Special Health Authority] responsible for the administration of the hospital;
F26. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
[F27in relation to a hospital vested in F28... a National Health Service trust,F29... the trust]
[F30 in relation to a hospital vested in an NHS foundation trust, the trust;]
[F31in relation to a hospital vested in a Local Health Board, the Board;]
[F32in relation to a registered establishment—
if the establishment is in England, the person or persons registered as a service provider under Chapter 2 of Part 1 of the Health and Social Care Act 2008 in respect of the regulated activity (within the meaning of that Part) relating to the assessment or medical treatment of mental disorder that is carried out in the establishment, and
if the establishment is in Wales, the person or persons registered in respect of the establishment under Part 2 of the Care Standards Act 2000;]
and in this definition “hospital” means a hospital within the meaning of Part II of this Act;
“medical treatment” includes nursing, [F33psychological intervention and specialist mental health habilitation, rehabilitation and care (but see also subsection (4) below);]
[F34“mental disorder” has the meaning given in section 1 above (subject to [F35section 86(4)]);]
F36. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
“nearest relative”, in relation to a patient, has the meaning given in Part II of this Act;
“patient”F37... means a person suffering or appearing to be suffering from mental disorder;
F38. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
[F39“registered establishment” has the meaning given in section 34 above;]
F40. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
[F41“the regulatory authority” means—
in relation to England, the Care Quality Commission;
in relation to Wales, the Welsh Ministers;]
[F42“the responsible hospital” has the meaning given in section 17A above;]
“restriction direction” has the meaning given to it by section 49 above;
“restriction order” has the meaning given to it by section 41 above;
[F43“Special Health Authority” means a Special Health Authority established under [F44section 28 of the National Health Service Act 2006, or section 22 of the National Health Service (Wales) Act 2006];]
F45. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
F46. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
F47. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
F48. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
“transfer direction” has the meaning given to it by section 47 above.
[F49(1AA)Where high security psychiatric services and other services are provided at a hospital, the part of the hospital at which high security psychiatric services are provided and the other part shall be treated as separate hospitals for the purposes of this Act.]
[F50(1AB)References in this Act to appropriate medical treatment shall be construed in accordance with section 3(4) above.]
[F51(1AC)References in this Act to an approved mental health professional shall be construed as references to an approved mental health professional acting on behalf of a local social services authority, unless the context otherwise requires.]
F52(1A). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
F53(2). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
(3)In relation to a person who is liable to be detained or subject to guardianship [F54or a community patient] by virtue of an order or direction under Part III of this Act (other than under section 35, 36 or 38), any reference in this Act to any enactment contained in Part II of this Act or in section 66 or 67 above shall be construed as a reference to that enactment as it applies to that person by virtue of Part III of this Act.
[F55(4)Any reference in this Act to medical treatment, in relation to mental disorder, shall be construed as a reference to medical treatment the purpose of which is to alleviate, or prevent a worsening of, the disorder or one or more of its symptoms or manifestations.]
Textual Amendments
F1Words in definition of "absent without leave" in s. 145(1) inserted (3.11.2008) by Mental Health Act 2007 (c. 12), ss. 32, 56, Sch. 3 para. 34(2) (with Sch. 10); S.I. 2008/1900, art. 2(i) (with art. 3, Sch.)
F2Words in s. 145(1) inserted (3.11.2008) by The Transfer of Tribunal Functions Order 2008 (S.I. 2008/2833), art. 6, Sch. 3 para. 66
F3Definition of "approved clinician" in s. 145(1) inserted (3.11.2008) by Mental Health Act 2007 (c. 12), ss. 14(5), 56 (with Sch. 10); S.I. 2008/1900, art. 2(b) (with art. 3, Sch.)
F4Words in definition of "approved clinician" in s. 145(1) inserted (1.4.2013) by Health and Social Care Act 2012 (c. 7), ss. 38(4), 306(4); S.I. 2013/160, art. 2(2) (with arts. 7-9)
F5Definition of "approved mental health professional" in s. 145(1) substituted (3.11.2008) for definition of "approved social worker" by Mental Health Act 2007 (c. 12), ss. 21, 56, Sch. 2 para. 11(2) (with Sch. 10); S.I. 2008/1900, art. 2(d) (with art. 3, Sch.); S.I. 2008/2561, art. 2(b) (with art. 3, Sch.)
F6Definition of "care home" in s. 145(1) substituted (2.4.2018) by The Regulation and Inspection of Social Care (Wales) Act 2016 (Consequential Amendments) Regulations 2018 (S.I. 2018/195), regs. 2(1), 6
F7Definition of "community patient" in s. 145(1) inserted (3.11.2008) by Mental Health Act 2007 (c. 12), ss. 32, 56, Sch. 3 para. 34(3) (with Sch. 10); S.I. 2008/1900, art. 2(i) (with art. 3, Sch.)
F8Definition of "community treatment order" in s. 145(1) inserted (3.11.2008) by Mental Health Act 2007 (c. 12), ss. 32, 56, Sch. 3 para. 34(3) (with Sch. 10); S.I. 2008/1900, art. 2(i) (with art. 3, Sch.)
F9Definition of "the community treatment period" in s. 145(1) inserted (3.11.2008) by Mental Health Act 2007 (c. 12), ss. 32, 56, Sch. 3 para. 34(3) (with Sch. 10); S.I. 2008/1900, art. 2(i) (with art. 3, Sch.)
F10Definition of "Health Authority" in s. 145(1) omitted (1.3.2007) by virtue of National Health Service (Consequential Provisions) Act 2006 (c. 43), ss. 2, 8(2), Sch. 1 para. 70(a) (with Sch. 3 Pt. 1)
F11Definition of "high security psychiatric services" in s. 145(1) inserted (1.4.2000) by 1999 c. 8, s. 65, Sch. 4, para. 69(2)(a); S.I. 1999/2793, art. 2(3)(a), Sch. 3
F12Words in definition of "high security psychiatric services" in s. 145(1) substituted (1.3.2007) by National Health Service (Consequential Provisions) Act 2006 (c. 43), ss. 2, 8(2), Sch. 1 para. 70(b) (with Sch. 3 Pt. 1)
F13Words in definition of "hospital" para. (a) in s. 145(1) substituted (1.3.2007) by National Health Service (Consequential Provisions) Act (c. 43), ss. 2, 8(2), ({Sch. 1 para. 70(c)} (with Sch. 3 Pt. 1)
F14Words in definition of "hospital" in s. 145(1) inserted (1.10.2007) by Mental Health Act 2007 (c. 12), ss. 46(3)(a), 56 (with Sch. 10); S.I. 2007/2798, art. 2(g)
F15Definitions of “hospital direction” and “limitation direction” inserted (E.W but unlimited in so far as it confers a power or imposes a duty on a court-martial or a Standing Civilian Court) (1.10.1997) by 1997 c. 43, s. 55, Sch. 4 para. 12(19) (with s. 57(4)(8); S.I. 1997/2200, art. 2
F16Definition of "independent hospital" in s. 145(1) substituted (1.10.2010) by The Health and Social Care Act 2008 (Consequential Amendments No.2) Order 2010 (S.I. 2010/813), arts. 1(1), 5(5)(a)
F17Definition of "Local Health Board" in s. 145(1) inserted (1.4.2007) by The References to Health Authorities Order 2007 (S.I. 2007/961), art. 3, Sch. para. 13(13)(i)
F18Definition "local social services authority" in s. 145(1) substituted (1.4.2015) by Care Act 2014 (c. 23), ss. 75(13), 127(1); S.I. 2015/993, art. 7(1)(a) (with art. 7(5)) (with transitional provisions in S.I. 2015/995)
F19Words in definition of "the managers" in s. 145(1) substituted (1.3.2007) by National Health Service (Consequential Provisions) Act 2006 (c. 43), ss. 2, 8(2), Sch. 1 para. 70(d)(i) (with Sch. 3 Pt. 1)
F20Words in definition of "the managers" in s. 145(1) substituted (1.3.2007) by National Health Service (Consequential Provisions) Act 2006 (c. 43), s. 2, Sch. 1 para. 70(d)(ii) (with Sch. 3 Pt. 1)
F21Words in definition of "the managers" in s. 145(1) inserted (1.4.2013) by Health and Social Care Act 2012 (c. 7), s. 306(4), Sch. 5 para. 31(1)(a)(i); S.I. 2013/160, art. 2(2) (with arts. 7-9)
F22Words in definition of "the managers" in s. 145(1) omitted (1.4.2013) by virtue of Health and Social Care Act 2012 (c. 7), s. 306(4), Sch. 5 para. 31(1)(a)(ii); S.I. 2013/160, art. 2(2) (with arts. 7-9)
F23Words in definition of "the managers" in s. 145(1) omitted (1.4.2013) by virtue of Health and Social Care Act 2012 (c. 7), s. 306(4), Sch. 5 para. 31(1)(a)(iii); S.I. 2013/160, art. 2(2) (with arts. 7-9)
F24Words in definition of “the managers” in s. 145(1) substituted (28.6.1995 for certain purposes, otherwise 1.4.1996) by 1995 c. 17, ss. 2(1)(3), 8, Sch. 1 para. 107(14)(b)
F25Words in definition of "the managers" in s. 145(1) substituted (1.4.2007) by The References to Health Authorities Order 2007 (S.I. 2007/961), art. 3, Sch. para. 13(13)(ii)
F26Definition of "the managers" para. (b) in s. 145(1) repealed (1.4.2000) by 1999 c. 8, ss. 41(2), 65(2), Sch. 5; S.I. 1999/2793, art. 2(3)(a), Sch. 3
F27Definition of “the managers” para. (bb) in s. 145(1) inserted by National Health Service and Community Care Act 1990 (c. 19, SIF 113:2), s. 66(1), Sch. 9 para. 24(9)
F28Words in definition of "the managers" in s. 145(1) omitted (1.4.2013) by virtue of Health and Social Care Act 2012 (c. 7), s. 306(4), Sch. 5 para. 31(1)(b); S.I. 2013/160, art. 2(2) (with arts. 7-9)
F29Words in definition of "the managers" in s. 145(1) repealed (E.W.) (14.4.1994) by 1994 c. 6, ss. 1, 2(2)(3)
F30S. 145(1)(bc) inserted (1.4.2004) by Health and Social Care (Community Health and Standards) Act 2003 (c. 43), ss. 34, 199, Sch. 4 para. 57; S.I. 2004/759, art.2
F31Words in definition of "the managers" in s.145(1) inserted (1.10.2007) by Mental Health Act 2007 (c. 12), ss. 46(3)(b), 56 (with Sch. 10); S.I. 2007/2798, art. 2(g)
F32Definition of "the managers" para. (c) in s. 145(1) substituted (1.10.2010) by The Health and Social Care Act 2008 (Consequential Amendments No.2) Order 2010 (S.I. 2010/813), arts. 1(1), 5(5)(b)
F33Words in definition of "medical treatment" in s. 145(1) substituted (3.11.2008) by Mental Health Act 2007 (c. 12), ss. 7(2), 56; S.I. 2008/1900, art. 2(b) (with art. 3, Sch.)
F34Definition of "mental disorder" in s. 145(1) substituted (3.11.2008) for the definitions of "mental disorder", "severe mental impairment", "mental impairment" and "psychopathic disorder" by Mental Health Act 2007 (c. 12), ss. 1, 56, Sch. 1 para. 17 (with Sch. 10); S.I. 2008/1900, art. 2(a) (with art. 3, Sch.)
F35Words in definition of "mental disorder" in s. 145(1) substituted (28.4.2013) by Mental Health (Discrimination) Act 2013 (c. 8), s. 4(1), Sch. para. 1(1)
F36Definition of "mental nursing home" in s 145(1) repealed (1.4.2002) by 2000 c. 14, s. 117(2), Sch. 6; S.I. 2001/4150, art. 3(3) (subject to art. 4); S.I. 2002/920, reg. 3(3)(g) (subject to transitional provisions in Schs. 1-3 and art. 3(5)-(10))
F37Words in definition of "patient" in s. 145(1) repealed (1.10.2007) by Mental Capacity Act 2005 (c. 9), ss. 67(1)(2), 68(1)-(3) (with ss. 27, 28, 29, 62), Sch. 6 para. 29(7),{ Sch 7}; S.I. 2007/1897, art. 2(d)
F38Definition "Primary Care Trust" in s. 145(1) omitted (1.4.2013) by virtue of Health and Social Care Act 2012 (c. 7), s. 306(4), Sch. 5 para. 31(1)(c); S.I. 2013/160, art. 2(2) (with arts. 7-9)
F39Definition of "registered establishment" in s. 145(1) inserted (1.4.2002) by 2000 c. 14, s. 116, Sch. 4 para. 9(10)(d); S.I. 2001/4150, art. 3(3) (subject to art. 4); S.I. 2002/920, reg. 3(3)(d) (subject to transitional provisions in Schs. 1-3 and art. 3(4)-(10))
F40Definition of "the responsible after-care bodies" in s. 145(1) repealed (3.11.2008) by Mental Health Act 2007 (c. 12), ss. 55, 56, Sch. 11 Pt. 5; S.I. 2008/1210, art. 2(d) (with art. 4)
F41Definition of "the regulatory authority" in s. 145(1) inserted (1.4.2009) by Health and Social Care Act 2008 (c. 14), ss. 52, 170, Sch. 3 para. 13; S.I. 2009/462, arts. 1(1)(b), 2, Sch. 1 para. 33
F42Definition of "the responsible hospital" in s. 145(1) inserted (3.11.2008) by Mental Health Act 2007 (c. 12), ss. 32, 56, Sch. 3 para. 34(3) (with Sch. 10); S.I. 2008/1900, art. 2(i) (with art. 3, Sch.)
F43Definition of “Special Health Authority” in s. 145(1) inserted (28.6.1995 for certain purposes, otherwise 1.4.1996) by 1995 c. 17, ss. 2(1)(3), 8, Sch. 1 para. 107(14)(c)
F44Words in definition of "Special Health Authority" in s. 145(1) substituted (1.3.2007) by National Health Service (Consequential Provisions) Act 2006 (c. 43), ss. 2, 8(2), Sch. 1 para. 70(f) (with Sch. 3 Pt. 1)
F45Definition of "special hospital" in s. 145(1) repealed (1.4.2000) by 1999 c. 8, s. 65, Sch. 4, para. 69(2)(b), Sch. 5; S.I. 1999/2793, art. 2(3)(a), Sch. 3
F46Definition "Strategic Health Authority" in s. 145(1) omitted (1.4.2013) by virtue of Health and Social Care Act 2012 (c. 7), s. 306(4), Sch. 5 para. 31(1)(d); S.I. 2013/160, art. 2(2) (with arts. 7-9)
F47Definition of "supervision application" in s. 145(1) repealed (3.11.2008) by Mental Health Act 2007 (c. 12), ss. 55, 56, Sch. 11 Pt. 5; S.I. 2008/1210, art. 2(d) (with art. 4)
F48Definition of "standard scale" in s. 145(1) repealed (5.11.1993) by 1993 c. 50, s. 1(1), Sch. 1 Pt. XIV Group. 2.
F49S. 145(1AA) inserted (1.4.2000) by 1999 c. 8, S. 65(1), Sch. 4, para. 69(3); S.I. 1999/2793, art. 2(3)(a), Sch. 3
F50S. 145(1AB) inserted (3.11.2008) by Mental Health Act 2007 (c. 12), ss. 4(10), 56; S.I. 2008/1900, art. 2(b) (with art. 3, Sch.)
F51S. 145(1AC) inserted (3.11.2008) by Mental Health Act 2007 (c. 12), ss. 21, 56, Sch. 2 para. 11(3) (with Sch. 10); S.I. 2008/1900, art. 2(d) (with art. 3, Sch.); S.I. 2008/2561, art. 2(b) (with art. 3, Sch.)
F52S. 145(1A) repealed (3.11.2008) by Mental Health Act 2007 (c. 12), ss. 55, 56, Sch. 11 Pt. 5; S.I. 2008/1210, art. 2(d) (with art. 4)
F53S. 145(2) repealed (5.11.1993) by 1993 c. 50, s. 1(1), Sch. 1 Pt. XIV Gp. 2.
F54Words in s. 145(3) inserted (3.11.2008) by Mental Health Act 2007 (c. 12), ss. 32, 56, Sch. 3 para. 34(4) (with Sch. 10); S.I. 2008/1900, art. 2(i) (with art. 3, Sch.)
F55S. 145(4) inserted (3.11.2008) by Mental Health Act 2007 (c. 12), ss. 7(3), 56 (with Sch. 10); S.I. 2008/1900, art. 2(b) (with art. 3, Sch.)