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Hospitals rebuked on use of seclusion

Posted: 24 July 2003 | Subscribe Online



Two hospitals were wrong to disregard the Mental Health Act 1983's code of practice on the use of seclusion, the hospital equivalent of solitary confinement.

The Court of Appeal ruled last week that unjustified use of seclusion was a breach of patients' human rights.

Mental health charity Mind, which intervened in the two cases earlier this year, welcomed the ruling.

Mind's principal solicitor, Simon Foster, said he hoped the health secretary would issue directions to health professionals and a new code "as soon as practicable" to take account of the Human Rights Act 1998. He also called on John Reid to guarantee that any new mental health act would be accompanied by a legally enforceable code of practice.
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In both cases it was originally ruled that the hospitals - Ashworth in Merseyside and Airedale in Yorkshire - were not obliged to comply with the code of practice as long as they had regard to it.

The health secretary had also intervened, arguing that the code was simply for guidance and should not be binding on health and social care professionals.

The code governs how the law is applied on issues such as restraint, care and treatment, visitors and personal searches to prevent arbitrary decisions and to safeguard patients' rights.
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Hospitals and professionals will now be required to abide by the code unless they can prove it is necessary and in accordance with the law to do otherwise.

- A born-again Christian from Liverpool, who believes taking anti-psychotic medication is against his religious beliefs, has told the High Court that it would be a violation of his human rights to be forcibly injected. Mr Justice Silber has reserved judgement.




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