Mental Health (Approval Functions) Bill

Baroness Murphy Excerpts

Wednesday 31st October 2012 Lords Chamber

[Baroness Murphy]

My Lords, I give my general wholehearted support to this. I am very sympathetic to the difficulties in which the Government find themselves and I wholly understand the need for the emergency legislation. It seems to me quite astonishing that these four health authorities should have made this decision. I say that because at that time in 2002, I also became chairman of a strategic health authority. I want to reassure the noble Baroness, Lady Jolly, that we had a very long list of our legal obligations, of which one was clearly the approval of Section 12 approved doctors. It was discussed. It is very difficult and time consuming to set up the training programmes to ensure that the right wisdom is in place and to supervise those being approved by the authority itself. I quite understand that people might have thought that it would be easier to delegate it but the 1983 Act is so clear that I cannot understand how these four authorities could have thought that they could delegate that.

Speaking as a former vice-chair of the Mental Health Act Commission in the 1990s, I would like to ask why that commission did not pick up that these Section 12 approved doctors were being approved by the wrong authorities. I find that quite astonishing. While I can see the need for this legislation and the reason for the emergency, I hope that we will look carefully at how they got this so wrong.

I have a suspicion that the difficulty may arise because of an attitude in some authorities to treating with less gravity the detention of mental health patients than perhaps it is in others. As you travel around the country, regrettably it is true that this appears to be a lesser function for some authorities than they want to undertake, which is seriously worrying.

I share the anxieties that the noble Lord, Lord Pannick, has outlined that there could still be quacks or quite unsuitable doctors who have discharged the functions of an approved doctor; yet in this catch-all Bill their decisions would not allow patients to challenge them. After all, we are talking about right up to the present day. Therefore, we are talking about patients who perhaps are coming out of hospital in the next month or two and still want to challenge the legality of the detention because of the approval of the Section 12 approval. We are going to be ruling that out. I wonder how that sits well with our assurances that we will take this process more seriously, and as seriously as Parliament intended when it passed the 1983 Act.