Section 37 - Hospital Order without restriction

If you are detained under Section 37 Mental Health Act 1983 (as amended) (MHA 1983) you have been convicted of an imprisonable offence (other than murder and certain other offences where the sentence is fixed by law) and you have been handed down a hospital order by either the Magistrates or Crown Court. The hospital order requires you to be detained in hospital for treatment rather than serving a custodial sentence in prison.

Duration

If you or your relative are detained under Section 37 MHA 1983, you can initially be detained for a period of up to 6 months beginning from the date of your admission to hospital under Section. If it is considered that you continue to meet the criteria for detention under Section 37 towards the end of this initial 6 month period, your doctor can renew the Section for a further 6 months. If it is considered that you continue to meet the criteria for detention under Section 37 towards the end of the second 6 month period, your doctor can renew your Section for a 1 year period. Your Section then can continue to be renewed annually.

Rights

You should be informed of your rights by a member of hospital staff as soon as possible into your admission.  You have the right to:

• Information about your Section and the reasons for detention
• Information about consent to treatment
• Information about your rights of appeal to the Mental Health Tribunal
• Information about how to contact a suitably qualified solicitor
• Information about your right to appeal to the hospital managers
• Information on how to obtain the help and support of an Independent Mental Health Advocate (IMHA)
• Information about correspondence and visitors
• Information on how to make a complaint
• Information about safeguarding
• Information about the Care Quality Commission

Consent to Treatment

Medication can legally be given to you without your consent for the first 3 months of your admission to hospital. After 3 months staff can only treat you without your consent if a Second Opinion Approved Doctor (SOAD) approves the treatment, unless it is an emergency. Staff can only give you some treatments, like electro-convulsive therapy (ECT), if certain criteria are met.

Discharge from Section

You can be discharged by:

1. Your Responsible Clinician (your doctor in the hospital in which you are detained)
2. The hospital managers, and
3. The Tribunal

Hospital Managers Hearings

You have the right to apply to the hospital managers to discharge you from detention. You can do this at any time during your detention.

Tribunal Procedure & Powers

You have one right to appeal to the Mental Health Tribunal during the second 6 months of your detention and once during every period of renewal. For example, if you were detained under Section 37 on 3 January, your first right of appeal period would begin on 3 July and would run up to 2 January. If your Section was renewed further, you would have one right of appeal between 3 January and 2 January of the following year.

Once you have submitted your application to the Tribunal, a Tribunal Hearing should take place within 8 weeks of the Tribunal Services receiving your application. Reports will be prepared by your doctor, your social worker/care coordinator, and a nurse and these will be made available to you and the Tribunal Panel.

In the Tribunal Hearing, the Tribunal Panel will hear evidence from your doctor, your social worker/care coordinator, and a nurse. You will also have the opportunity to provide evidence.

The Tribunal Panel have the power to discharge you from Section immediately, defer your discharge to a future date, recommend that you are transferred to a different hospital, recommend that you are granted Section 17 leave, recommend that your doctor should consider discharging you onto a Community Treatment Order, or uphold your Section.

What can Biscoes Solicitors do?

• Meet with you promptly in hospital to advise you about your Section and your rights, including your right to appeal to the Tribunal to seek discharge from Section/recommendation for transfer to another hospital, the granting of Section 17 leave, or for a Community Treatment Order to be considered by your doctor
• Advise you regarding consent to treatment issues
• Review your Section papers and assess their legality
• Submit an application to the Tribunal on your behalf
• Contact your Nearest Relative to advise them of their rights and powers
• Contact your treating team to find out their plans for your admission
• Attend Care Programme Approach (CPA) meetings and Section 117 aftercare meetings with you or on your behalf
• If you have a learning disability, we can request Care and Treatment Reviews (CTRs) and attend them on your behalf
• Represent you in a Hospital Managers Hearing
• Represent you in a Mental Health Tribunal Hearing
• Advise you on your rights to aftercare under Section 117 MHA 1983

India Jefferson-Grant is the Mental Health Law specialist in our Mental Health and Capacity Department and is a member of the Law Society’s Mental Health Accreditation Scheme having been independently assessed as an expert in Mental Health Law. If you have been detained under Section 37 MHA 1983 and need legal assistance, you can contact India on 02392 660 261 or IJefferson-Grant@biscoes-law.co.uk.