This section allows the Department to make it an offence for any person to fail to comply with regulations made under the previous section 276. The question of unfitness to be tried must be determined as soon as it arises. This section contains general provisions about hospital transfer directions. Again, there is an important caveat to the general rule: when a decision of the court is being sought on a relevant issue, D will be protected from liability under section 9 if he or she gives P life-sustaining treatment, or treatment which he or she reasonably believes to be necessary to prevent a serious deterioration in P’s condition. The decision to remove the person must also be in that person’s best interests. This new scheme will operate alongside the existing Enduring Power of Attorney (“EPA”) scheme. In addition, where possible the Department of Justice aimed to build a legislative model which did not contain potentially stigmatising references to “mental disorder”. (currently 28 days). The appropriate officer must also ensure that any written record required by this Part or PACE is completed. This section allows the Court to make orders or give directions pending any determination of an application that has been made to it if there is reason for the Court to believe that the person lacks capacity in respect of a particular matter, that matter is one which falls within the court’s powers to consider and it is in his or her best interests for the Court to act without delay. The power to make regulations must be exercised so as to ensure that notice is given to prescribed persons and the person who is to be removed or transferred at least a prescribed period before the date of the proposed removal or transfer; and there is a right to apply to the Tribunal in respect of the removal or transfer. Where inquiries have been made, the Public Guardian may, if he or she considers it appropriate to do so, arrange for proceedings to be brought before the court under section 113. The Schedule also provides that any will executed in pursuance of a court order or direction must state that it is signed by the authorised person on behalf of P; be signed by the authorised person with P’s name and the authorised person’s name in the presence of two or more witnesses who are present at the same time; be attested and subscribed by those witnesses in the presence of the authorised person and must be sealed with the official seal of the court. The person determining best interests must also have regard to any less restrictive alternatives to the intervention being proposed and whether failure to do an act is likely to result in harm to other persons which could ultimately have harmful consequences for P. Finally, this section provides that where determining whether treatment that is necessary to sustain life is in the best interests of P, the decision maker must not be motivated by a desire to bring about P’s death. If an effective advance decision regarding treatment is already in place, the section provides that the advance decision is withdrawn by the making of a LPA which gives the attorney authority to consent or refuse the relevant treatment. Where the latter applies, there must also be reasonable grounds for believing that the risk to P is negligible and the research must not interfere with P’s freedom of action or privacy in a significant way, or be unduly invasive or restrictive. The registration may be done straight away or it may be left for some time, but the LPA may not be used until it is registered. Upon receipt of the notification, the Public Guardian must consider if it is appropriate to make inquiries into the case and seek leave from the court to do so. These include acts (a), (b) and (c) above, or the act is the provision of treatment with serious consequences and the nominated person objects, P resists or it is being done while the person is being deprived of their liberty. This means that you have to look at: • The particular decision that is to be made • The person’s particular circumstances http://creativecommons.org/licenses/by/4.0, https://www.health-ni.gov.uk/sites/default/files/consultations/dhssps/mental-capacity-consultation-document.pdf. If, on the other hand, it is established that a person lacks capacity to make a specific decision at a particular time, the Act provides alternative decision making mechanisms. Section 32 provides that where a community residence requirement has been authorised and imposed but it subsequently becomes apparent to the approved social worker in charge of P’s case that any one of the conditions set out in subsection (2) is no longer met, the requirement must be revoked and another requirement cannot be imposed under the same authorisation. The Act will affect people in England and Wales. LPAs covering care, treatment and personal welfare decisions can only be used where the donor lacks capacity or the attorney reasonably believes that the donor lacks capacity. The section also provides the Department of Justice with powers to pay to the Public Guardian a salary and allowances, subject to approval by the Department of Finance. Section 34 is intended to clarify for those working under the Act that community residence requirements are not to be regarded as a deprivation of liberty (or restraint) for the purposes of the Act. Section 201 requires the responsible medical practitioner to examine the person and report to the Department of Justice at intervals not exceeding a year. Where the Tribunal further considers the case, section 238 applies. Importantly, the person determining best interests is required, so far as is practicable, to encourage and help P to participate as fully as possible in assessing best interests following consultation. The Mental Capacity Act (NI) 2016 was enacted by the Assembly in May 2016. Definitions, commencement and short title of the Act are also included. When appointing deputies, the court may also appoint one or more other persons to replace them in specified circumstances or for a certain period of time. This section sets out the procedure to be followed where a person aged 16 or over wishes to make a declaration that a particular person(s) shall not be his or her nominated person under the Act and has capacity to do so. If the individual is required to be released on license, unconditionally, under the terms of the legislation which authorised their custodial sentence, referred to the Parole Commissioners, or subject to the duty of that body, or can apply to the Sentence Review Commissioners, or subject to any power or duty of that body or the Secretary of State under the Northern Ireland (Sentences) Act 1998, then these requirements or duties apply as if the person were not subject to a hospital direction. The authorisation process and the criteria for authorisation are set out in Schedules 1 and 2. A second opinion is also required in respect of certain serious treatments. If the Department of Justice does so direct, the section also provides that the managing authority of the hospital must admit the person and detain him or her there in accordance with section 218. The section further specifies that the police must keep specific records regarding children detained at hospitals and police stations under Part 9, as well as the final disposals in respect of those children. "newCitedByModal": true The regulations may prescribe steps to be taken before a person is removed or transferred, or may prescribe other conditions to be met before removal or transfer; may provide that where a person is removed or transferred, any prescribed measure to which the person is subject ceases to have effect; and may apply, or make provision similar to, any provision of Part 2 or Part 10 (with or without modifications). “Formal capacity assessment” is defined in section 14 as an assessment carried out by a “suitably qualified person” to be defined in regulations. The Tribunal may decide to take no action only if it is satisfied that the criteria for the authorisation of each measure are met. It also makes clear that the question of whether or not a person is able to make a decision for him or herself is only to be determined by reference to the matters mentioned in section 4. Rather all relevant circumstances must be considered (that is to say, those which the person making the determination is aware of and which it is reasonable to regard as relevant). An individual absent without leave from a hospital direction and liable to be taken into custody under this Part, shall be treated as unlawfully at large and absent from prison. It applies to people aged 16 and … “Statement of incapacity” is also defined in section 14. The report must be given to the relevant HSC trust in whose area the establishment in which the individual is detained is situated as soon as practicable. However, this does not apply if (having received a relevant notification) the Department of Justice directs that with effect from a specified date the person is to be treated as if he or she had been removed to hospital under a relevant provision and that the hospital transfer direction is to cease to have effect. The court must consider that giving a hospital direction is appropriate having regard to all the circumstances. “The relevant period” means the period of six months beginning with the date of the order or direction, and any period of six months immediately following another relevant period. In certain circumstances someone may be authorised by the Act to visit, interview or examine a person affected by the provisions of the Act. An instrument creating a LPA and appointing two or more replacement attorneys may determine how those replacement attorneys are to act, i.e. Section 4 of the Powers of Attorney Act (NI) 1971 regarding protection where power is revoked, also applies where that power relates to matters in addition to the donor’s property and affairs; and references to revocation include the cessation of the power in relation to the donor’s property and affairs. This section makes further provision in respect of a report made under section 183. This section imposes a duty upon relevant authorities to notify the Public Guardian about a person with whom the authority is concerned in certain circumstances. The regulations will set out how such research should continue and any additional safeguards that are required. They do not form part of the Act and have not been endorsed by the Assembly. This section gives more powers to the court. The criteria for remanding the person in hospital are contained within section 164(1) (the “medical report condition”) and section 165(1) (the “treatment condition”). If the risk involved in delaying is greater, the situation is an emergency and D can proceed without putting the safeguard in place or checking if it is in place. At that point, the relevant law in Scotland will apply (the 2003 Act). The section provides that the Tribunal may vary an authorisation made under paragraph 15 of Schedule 1 only if it is satisfied that the criteria for authorisation are met for each measure that will remain in force. Subsection (4) clarifies that, when providing the person with information, it may be appropriate to use simple language or visual aids or to provide support to help with the communication of the information. Where the Tribunal further considers the case, section 51 or as the case may be, section 52, will apply. In practical terms, it means that D must weigh up the risks involved for P in delaying the act to put in place the safeguard or to check if it is in place against the risk of proceeding without the safeguard in place.
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