Does "the Tribunal is satisfied that the patient has the capacity to make that decision" apply to CTO paper hearings?

I’m with you Jonathan. I’m reading that the “capacity” requirement is only present for detained inpatients. The Tribunal could now consent to a paper hearing from a patient who has signed a document stating they want one, despite not having capacity to make that decision. And that’s not an unlikely situation - I’ve had the occasional pushy care coordinator convince patients to sign paper hearing requests when they don’t know what they’re signing.

I think you’re right that the whole thing is a mess and needs redrafting entirely. That or it’s a discretionary power given to judges, who will have yet more case management requests to sort through.

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