From: "Dinesh Patel" <[log in to unmask]>
Sent: Sunday, April 04, 2004 12:30 PM
<snip>
> Where two Medical Recommendations are required:
> one Recommendation must be made by an approved doctor in accordance with
> Section 12, and
> one Recommendation must be made by a doctor who has "previous
> acquaintance" with the person. This may apply to the Section 12 doctor,
> but if not, then the second Recommendation must be by a doctor who has
> previous acquaintance, IF AT ALL PRACTICABLE.
>
> If it has not been possible to obtain at least one Recommendation from a
> doctor who has previous acquaintance, then the Applicant has to state
> why this was the case. >>>
> <<<
> Where one Recommendation is made by a doctor from the admitting
> hospital, the second Recommendation cannot be made by a doctor from the
> same hospital unless all of the following conditions are met:
> one of the two doctors works for less than half of his/her health
> service contract at the hospital in question, and
> neither of the doctors works under the direction of the other, and
> obtaining a second Recommendation from a doctor other than one from the
> same hospital would result in delay involving serious risk to the health
> and safety of the patient. >>>
There is also Section ?4 (IIRC) which allows compulsory detention on the
recommendation of only one doctor if a second is not available; this is only
for 72 hours? I am working from memory here and no a psychiatrist but only
one of those OOH docs who doesn't have previous experience OR sec 12
approval. In the past I sometimes found myself int eh extraorsinary position
of having to advise PSWs or psychiatrists.
Our OOH co-op was advised by a local psych clinicla director that OOH GPs
should not to sign Sec 3 forms in view of the medicolegal hazards and as w
are ina city it should always be possible to get two sec 12 approved docs.
--
Fay
>
> The GP is therefore not deputising but acting to provide the other
> opinion in order to satisfy an application under section 2 of the MHA.
> An fme (police Surgeon) makes an application under section 2 of the MHA
> under the same provisions, unless of course the FME is also section 12
> approved (not often the case).
>
>
> -----Original Message-----
> From: GP-UK [mailto:[log in to unmask]] On Behalf Of Julian Bradley
> Sent: 03 April 2004 18:04
> To: [log in to unmask]
> Subject: OOH Psychiatry
>
> For Advice / comment from all / the knowledgeable
>
> OOH Sectioning.
>
> Up until this year the GP input into OOH sectioning has, I think rather
> through a loophole, allowed doctors who in fact have no prior knowledge
> of
> a patient to be involved in sectioning even when NOT Section 12
> approved,
> on the basis that they are deputizing for the patient's own GP.
>
> This ceases (or perhaps ceased) to be the case this year - or does it.
>
> The implications for NHS psychiatry, section 12 fees etc are
> considerable.
>
> Any thoughts?
>
> Julian
>
>
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