# Paper hearing of s3 reference after patient put on CTO

**URL:** <https://forum.mentalhealthlaw.co.uk/t/paper-hearing-of-s3-reference-after-patient-put-on-cto/2565>\
**Category:** Mental Health Tribunal\
**Tags:** referral\
**Created:** [8 July 2024 13:16 UTC](https://forum.mentalhealthlaw.co.uk/t/paper-hearing-of-s3-reference-after-patient-put-on-cto/2565 "2024-07-08T13:16:54Z")\
**Posts on this page:** 5\
**Page:** 1

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**Author:** ![Porolli](https://forum.mentalhealthlaw.co.uk/letter_avatar_proxy/v4/letter/p/13edae/32.png) [@Porolli](https://forum.mentalhealthlaw.co.uk/u/Porolli)\
**Post date:** [8 July 2024 13:16 UTC](https://forum.mentalhealthlaw.co.uk/t/paper-hearing-of-s3-reference-after-patient-put-on-cto/2565/1 "2024-07-08T13:16:54Z")

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Where a client has been referred for a tribunal due to six months elapsing on section 3, but is put onto a CTO before the hearing date occurs, is it possible for the patient to request a paper hearing?  
I am of course aware that where a CTO has been revoked, a referral made, and a further CTO put in place, then the paper hearing is an option via Form 128. Can this also be used for a section 3 to CTO case?  
Thank you

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**Author:** ![Steviek](https://forum.mentalhealthlaw.co.uk/letter_avatar_proxy/v4/letter/s/f04885/32.png) [@Steviek](https://forum.mentalhealthlaw.co.uk/u/Steviek)\
**Post date:** [8 July 2024 21:15 UTC](https://forum.mentalhealthlaw.co.uk/t/paper-hearing-of-s3-reference-after-patient-put-on-cto/2565/2 "2024-07-08T21:15:14Z")

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Hya Louise  
I do not believe it is for the patient to request a paper review, although they could request a Hospital Managers review at any time! The HM may then consider whether it is appropriate

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**Author:** ![Rob\_Beech](https://forum.mentalhealthlaw.co.uk/letter_avatar_proxy/v4/letter/r/c4cdca/32.png) [@Rob\_Beech](https://forum.mentalhealthlaw.co.uk/u/Rob_Beech)\
**Post date:** [10 July 2024 08:10 UTC](https://forum.mentalhealthlaw.co.uk/t/paper-hearing-of-s3-reference-after-patient-put-on-cto/2565/3 "2024-07-10T08:10:59Z")

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My understanding is that any community case that is a referral can be disposed of on the papers by a single member as per Rules 4/5 of the amended TPR

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**Author:** ![Karen](https://forum.mentalhealthlaw.co.uk/letter_avatar_proxy/v4/letter/k/7feea3/32.png) [@Karen](https://forum.mentalhealthlaw.co.uk/u/Karen)\
**Post date:** [21 February 2025 12:44 UTC](https://forum.mentalhealthlaw.co.uk/t/paper-hearing-of-s3-reference-after-patient-put-on-cto/2565/4 "2025-02-21T12:44:33Z")

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Yes- Rob is correct - s3 to CTO can be disposed of by paper review.

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**Author:** ![Jonathan](https://forum.mentalhealthlaw.co.uk/user_avatar/forum.mentalhealthlaw.co.uk/jonathan/32/88_2.png) [@Jonathan](https://forum.mentalhealthlaw.co.uk/u/Jonathan)\
**Post date:** [24 February 2025 20:11 UTC](https://forum.mentalhealthlaw.co.uk/t/paper-hearing-of-s3-reference-after-patient-put-on-cto/2565/5 "2025-02-24T20:11:50Z")

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Just for anyone reading this topic months later – see the topic [Paper hearings following references for detained patients](https://forum.mentalhealthlaw.co.uk/t/paper-hearings-following-references-for-detained-patients/3166) for an update on paper hearings.