Section 23 Discharge of patients.

England and Wales

(1)

Subject to the provisions of this section and section 25 below, a patient who is for the time being liable to be detained or subject to guardianship under this Part of this Act shall cease to be so liable or subject if an order in writing discharging him F1absolutely from detention or guardianship is made in accordance with this section

F2(1A)

Subject to the provisions of this section and section 25 below, a community patient shall cease to be liable to recall under this Part of this Act, and the application for admission for treatment cease to have effect, if an order in writing discharging him from such liability is made in accordance with this section.

(1B)

An order under subsection (1) or (1A) above shall be referred to in this Act as “ an order for discharge ”.

(2)

An order for discharge may be made in respect of a patient—

(a)

where the patient is liable to be detained in a hospital in pursuance of an application for admission for assessment or for treatment by the F3responsible clinician , by the managers or by the nearest relative of the patient;

(b)

where the patient is subject to guardianship, by the responsible clinician , by the responsible local social services authority or by the nearest relative of the patient.

F4(c)

where the patient is a community patient, by the responsible clinician, by the managers of the responsible hospital or by the nearest relative of the patient.

F5(3)

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

(3A)

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

(4)

The powers conferred by this section on any authority F6trust F7, boardF8(other than an NHS foundation trust) or body of persons may be exercised subject to subsection (5) below by any three or more members of that authority trust, board or body authorised by them in that behalf or by three or more members of a committee or sub-committee of that authority trust, board or body which has been authorised by them in that behalf.

F9(5)

The reference in subsection (4) above to the members of an authority, trust F10, board or body or the members of a committee or sub-committee of an authority, trust , board or body,—

(a)

in the case of a F11Local Health Board F12or Special Health Authority F13... or a committee or sub-committee of a Local Health Board or Special Health Authority ..., is a reference only to the chairman of the authority F14...F15 or board and F16such members (of the authority ..., board, committee or sub-committee, as the case may be) as are not also officers of the authority ... or board, within the meaning of F17the National Health Service Act 2006 or the National Health Service (Wales) Act 2006; and

(b)

in the case of a National Health Service trust or a committee or sub-committee of such a trust, is a reference only to the chairman of the trust and such directors or (in the case of a committee or sub-committee) members as are not also employees of the trust.

F18(6)

The powers conferred by this section on any NHS foundation trust may be exercised by any three or more F19 persons authorised by the board of the trust in that behalf each of whom is neither an executive director of the board nor an employee of the trust. .

Annotations

Textual amendments

F1: Words in s. 23(1) substituted (3.11.2008) by Mental Health Act 2007 (c. 12), ss. 32, 56, Sch. 3 para. 10(2) (with Sch. 10); S.I. 2008/1900, art. 2(i) (with art. 3, Sch.)
F2: S. 23(1A)(1B) inserted (3.11.2008) by Mental Health Act 2007 (c. 12), ss. 32, 56, Sch. 3 para. 10(3) (with Sch. 10); S.I. 2008/1900, art. 2(i) (with art. 3, Sch.)
F3: Words in s. 23(2)(a)(b) substituted (3.11.2008) by Mental Health Act 2007 (c. 12), ss. 9(6), 56 (with Sch. 10); S.I. 2008/1900, art. 2(b) (with art. 3, Sch.)
F4: S. 23(2)(c) inserted (3.11.2008) by Mental Health Act 2007 (c. 12), ss. 32, 56, Sch. 3 para. 10(4) (with Sch. 10); S.I. 2008/1900, art. 2(i) (with art. 3, Sch.)
F5: S. 23(3)(3A) omitted (1.7.2012) by virtue of Health and Social Care Act 2012 (c. 7), ss. 39(1), 306(4); S.I. 2012/1319, art. 2(3)
F6: Words inserted by National Health Service and Community Care Act 1990 (c. 19, SIF 113:2), s. 66(1), Sch. 9 para. 24(3)(b)
F7: Words in s. 23(4) inserted (1.4.2007) by The References to Health Authorities Order 2007 (S.I. 2007/961, art. 3, Sch. para. 13(2)(b)
F8: Words in s. 23(4) inserted (1.4.2004) by Health and Social Care (Community Health and Standards) Act 2003 (c. 43), ss. 34, 199, Sch. 4 para. 53(b); S.I. 2004/759, art. 2
F9: S.23(5) inserted by National Health Service and Community Care Act 1990 (c. 19, SIF 113:2), s. 66(1), Sch. 9 para. 24(3)(c)
F10: Words in s. 23(5) inserted (1.4.2007) by The References to Health Authorities Order 2007 (S.I. 2007/961, art. 3, Sch. para. 13(2)(c)
F11: Words in s. 23(5)(a) substituted (1.4.2007) by The References to Health Authorities Order 2007 (S.I. 2007/961, art. 3, Sch. para. 13(2)(d)(i)
F12: Words in s. 23(5)(a) substituted (1.4.2013) by Health and Social Care Act 2012 (c. 7), s. 306(4), Sch. 5 para. 26(a); S.I. 2013/160, art. 2(2) (with arts. 7-9)
F13: Words in s. 23(5)(a) omitted (1.4.2013) by virtue of Health and Social Care Act 2012 (c. 7), s. 306(4), Sch. 5 para. 26(b); S.I. 2013/160, art. 2(2) (with arts. 7-9)
F14: Word in s. 23(5)(a) omitted (1.4.2013) by virtue of Health and Social Care Act 2012 (c. 7), s. 306(4), Sch. 5 para. 26(c); S.I. 2013/160, art. 2(2) (with arts. 7-9)
F15: Words in s. 23(5)(a) substituted (1.4.2007) by The References to Health Authorities Order 2007 (S.I. 2007/961, art. 3, Sch. para. 13(2)(d)(ii)
F16: Words in s. 23(5)(a) substituted (1.4.2007) by virtue of The References to Health Authorities Order 2007 (S.I. 2007/961), art. 3, Sch. para. 13(2)(d)(iii)
F17: Words in s. 23(5)(a) substituted (1.3.2007) by National Health Service (Consequential Provisions) Act 2006 (c. 43), ss. 2, 8(2), Sch. 1 para. 65 (with Sch. 3 Pt. 1)
F18: S. 23(6) inserted (1.4.2004) by Health and Social Care (Community Health and Standards) Act 2003 (c. 43), ss. 34, 199, Sch. 4 para. 53(c); S.I. 2004/759, art. 2
F19: Words in s. 23(6) substituted (24.7.2007) by Mental Health Act 2007 (c. 12), ss. 45(1), 56 (with Sch. 10); S.I. 2007/2156, art. 2

Notes on the whole Act

Textual amendments

F1: For the words "Supreme Court Act 1981" there is substituted (1.10.2009) the words "Senior Courts Act 1981" by virtue of Constitutional Reform Act 2005 (c. 4), ss. 59, 148(1), Sch. 11 para. 1(2); S.I. 2009/1604, art. 2(d)

Notes on Part II

Modifications

C1: Pt. II (ss. 2–34) modified by Mental Health (Scotland) Act 1984 (c. 36, SIF 85), ss. 17(2), 78(2)
C2: Part II (ss. 2-34) modified (E.W.) (1.1.1992) by Criminal Procedure (Insanity and Unfitness to Plead) Act 1991 (c. 25, SIF 39:1), s. 5(1), Sch. 1 para.3 (with saving in s. 8); S.I. 1991/2488, art. 2

Notes on Duration of authority and discharge

Textual amendments

F1: S. 20: cross-heading substituted (3.11.2008) by virtue of Mental Health Act 2007 (c. 12), ss. 32(3), 56 (with Sch. 10); S.I. 2008/1900, art. 2(i) (with art. 3, Sch.)