Appendix 13

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 17E
Forms: CT03 – Community Treatment Order – notice of recall to hospital
Patient’s Name: / Date Of Section:
Do you have the correct form for the section? / ☐ / Yes / ☐ / No
Has the RC entered the patient’s full name on the form? / ☐ / Yes / ☐ / No
Has the RC entered the name and address of the hospital the patient is recalled to? / ☐ / Yes / ☐ / No
Has the patient been ‘admitted’ to the hospital entered on the recall notice? / ☐ / Yes / ☐ / No
Has the RC completed A or B of the form and deleted the one that does not apply? / ☐ / Yes / ☐ / No
Where the RC completed A – has he stated the grounds for his opinion? / ☐ / Yes / ☐ / No
Where the RC has completed B has he deleted
(1) or (2) as appropriate? / ☐ / Yes / ☐ / No
Has the RC signed, printed his/her name and put the date and time on the form? / ☐ / Yes / ☐ / No
Section 17E
Forms: CT04 – Record of patient’s detention in hospital after recall
Patient’s Name: / Date Of Section:
Do you have the correct form for the section? / ☐ / Yes / ☐ / No
Has the patient’s full name and address been entered on the form? / ☐ / Yes / ☐ / No
Has the name and address of the hospital the patient is detained in following recall been entered? / ☐ / Yes / ☐ / No
Has the patient been ‘admitted’ to the hospital entered on the recall notice? / ☐ / Yes / ☐ / No
Has the date and time at which the patient’s detention in hospital following recall been entered? (Where the CTO is revoked - this date/time should be consistent with the date/time entered on Part 3 of the CTO5?) / ☐ / Yes / ☐ / No
Have the signature requirements of the form been completed? (signed, name printed, date and time) / ☐ / Yes / ☐ / No
Has the CTO4L been completed? / ☐ / Yes / ☐ / No
Section 17F (4) (only complete where CTO is revoked)
Forms: CT05 – Revocation of community treatment order
Patient’sName:Date OfSection:

Part 1

Do you have the correct form for the section? / ☐ / Yes / ☐ / No
Has the RC entered their full name and address? / ☐ / Yes / ☐ / No
Is the full name and address of the patient completed? / ☐ / Yes / ☐ / No
Is the name and address of the hospital where the patient is detained completed? / ☐ / Yes / ☐ / No
Has The RC entered the reasons for his opinion? / ☐ / Yes / ☐ / No
Has the RC signed and dated part 1 of the form? / ☐ / Yes / ☐ / No
Is the date within the 72 hour recall period? / ☐ / Yes / ☐ / No

Part 2

Has the AMHP completing Part 2 entered their full name and address? / ☐ / 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 signed and dated Part 2 of the form? / ☐ / Yes / ☐ / No
Is the date within the 72 hour recall period and on or after the date of Part 1? / ☐ / Yes / ☐ / No

Part 3

Is the time and date (indicating the time/date the patient was detained in hospital having been recalled) the same time/date as that entered on the CTO4 detailing that event? / ☐ / Yes / ☐ / No
Has the RC signed and dated the form (and is date within 72 hour period)? / ☐ / 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 / ☐ / ☐
Go through authority to treat with RC (at recall/revoke) / ☐ / ☐
Consent to Treatment table* updated (*Where CTO revoked) / ☐ / ☐
Renewal flagging (*remove CTO flag/add new section 3 flag where applicable)
(*Where CTO revoked) / ☐ / ☐
*Advise hearing administrator of the need to refer to the Tribunal/check referral made
(*Where CTO revoked) / ☐ / ☐
H3L checked (prompted if not available) / ☐ / ☐
Letter to patient (*letter should be sent even where CTO is not revoked) / ☐ / ☐
Letter to NR (unless patient objects) – please state if this is the case (*see above) / ☐ / ☐
CTT Capacity assessment/consent prompted (part C) (if not already completed) / ☐ / ☐
Signature:
Date completed:

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

SA/MHA/Scrutiny/ S17E/V1/12/08/2015