The Mental Health Act 1983 (the Act) provides for the Trust Board to appoint a sub-committee made up wholly or partly of Non-Executive Directors, or wholly of persons who are not directors of the Trust to exercise its powers under Section 23 of the Act to discharge a patient from detention.
To this end, the Trust has established a Hospital Managers' Committee, which consists of Non-executive Directors and people independent of the Trust, who are known as Associate Managers.
Amongst other duties, the Hospital Managers sit on panels to review the cases of patients detained under the Act.
Reviews are held following -
- a request from a patient
- the issuing of a certificate by the consultant barring the discharge of a detained patient by their nearest relative
- the renewal of a patients detention under the Act by their consultant
Additionally, the Hospital Managers can also hold a review at their discretion.
In conducting such reviews, Hospital Managers are expected to assimilate information provided by clinicians, social workers, nurses, patients and their representatives in a fair and impartial manner.
All hearings are approached with empathy but there is a requirement for the Hospital Managers to act objectively and without prejudice.
A detained patient may also ask to meet with the Hospital Managers in private, either in relation to a hearing or their stay in hospital.
The Trust expects Hospital Managers to commit to an induction program at the start of their appointment and to attend a minimum of two Hospital Managers Committees a year.
There will also need to be a willingness to attend continuing training programs to stay up to date with changes in the law.
The following documents support the appointment and training programs for Associate Managers