# \#cto **URL:** https://forum.mentalhealthlaw.co.uk/tag/cto/7.md [Latest](https://forum.mentalhealthlaw.co.uk/latest.md) · [Categories](https://forum.mentalhealthlaw.co.uk/categories.md) · [Tags](https://forum.mentalhealthlaw.co.uk/tags.md) --- ## [MHA assessment quicker than CTO recall? (Also: definition of hospital)](https://forum.mentalhealthlaw.co.uk/t/mha-assessment-quicker-than-cto-recall-also-definition-of-hospital/5890)
**Author:** [@Joolsleeds](https://forum.mentalhealthlaw.co.uk/u/Joolsleeds)\ **Replies:** 30\ **Last updated:** [1 September 2026 16:43 UTC](https://forum.mentalhealthlaw.co.uk/t/mha-assessment-quicker-than-cto-recall-also-definition-of-hospital/5890 "2026-09-01T16:43:08Z")
Can someone explain this to us lay people please? Why is recall under a CTO more difficult or lengthy than a MHAA? --- ## [CTO revocation by covering RC who had not assessed patient](https://forum.mentalhealthlaw.co.uk/t/cto-revocation-by-covering-rc-who-had-not-assessed-patient/5991)
**Author:** [@AmyBooth](https://forum.mentalhealthlaw.co.uk/u/AmyBooth)\ **Replies:** 11\ **Last updated:** [17 August 2026 08:54 UTC](https://forum.mentalhealthlaw.co.uk/t/cto-revocation-by-covering-rc-who-had-not-assessed-patient/5991 "2026-08-17T08:54:58Z")
Can one covering RC assess for revocation on one day but the next day when the AMHP has agreed a different covering RC sign off the revocation? My thoughts are that an RC cannot sign to revoke if they have not assessed … --- ## [CTO and international travel](https://forum.mentalhealthlaw.co.uk/t/cto-and-international-travel/5701)
**Author:** [@amod](https://forum.mentalhealthlaw.co.uk/u/amod)\ **Replies:** 4\ **Last updated:** [1 June 2026 05:33 UTC](https://forum.mentalhealthlaw.co.uk/t/cto-and-international-travel/5701 "2026-06-01T05:33:40Z")
Does anyone know about the rules for CTO and international travel. I know patients cant change residence but if patients decide to go for a short holiday outside EU , what should the RC do? --- ## [Validity of CTO recall and revocation where statutory forms completed out of sequence](https://forum.mentalhealthlaw.co.uk/t/validity-of-cto-recall-and-revocation-where-statutory-forms-completed-out-of-sequence/5571)
**Author:** [@anonymous53](https://forum.mentalhealthlaw.co.uk/u/anonymous53)\ **Replies:** 16\ **Last updated:** [17 May 2026 18:25 UTC](https://forum.mentalhealthlaw.co.uk/t/validity-of-cto-recall-and-revocation-where-statutory-forms-completed-out-of-sequence/5571 "2026-05-17T18:25:10Z")
I would welcome views on the legal validity of the following scenario concerning recall and revocation of a CTO: Patient subject to a CTO is admitted to the ward informally. Decision is made during ward round to re… --- ## [Looking for solicitor regarding 8 day CTO recall](https://forum.mentalhealthlaw.co.uk/t/looking-for-solicitor-regarding-8-day-cto-recall/5468)
**Author:** [@LoopyLou](https://forum.mentalhealthlaw.co.uk/u/LoopyLou)\ **Replies:** 4\ **Last updated:** [28 April 2026 10:53 UTC](https://forum.mentalhealthlaw.co.uk/t/looking-for-solicitor-regarding-8-day-cto-recall/5468 "2026-04-28T10:53:58Z")
My husband is looking for a solicitor to deal with a false imprisonment issue after an 8 day CTO recall. We are on a very low income and so would need a no win, no fee situation or legal aid (we have no idea what’s allow… --- ## [CTO Patient in Prison - MH Deteriorating - Recall on CTO or Forensic Order?](https://forum.mentalhealthlaw.co.uk/t/cto-patient-in-prison-mh-deteriorating-recall-on-cto-or-forensic-order/5289)
**Author:** [@A.Ramsden](https://forum.mentalhealthlaw.co.uk/u/A.Ramsden)\ **Replies:** 3\ **Last updated:** [16 March 2026 17:35 UTC](https://forum.mentalhealthlaw.co.uk/t/cto-patient-in-prison-mh-deteriorating-recall-on-cto-or-forensic-order/5289 "2026-03-16T17:35:58Z")
I am a MHAO, we have a patient serving a 14 week sentence in prison. He is subject to a CTO. The Prison have contacted the RC as the patient is refusing his medication and his mental health has deteriorated. They believe… --- ## [CTO statutory criteria](https://forum.mentalhealthlaw.co.uk/t/cto-statutory-criteria/100)
**Author:** [@Karen](https://forum.mentalhealthlaw.co.uk/u/Karen)\ **Replies:** 3\ **Last updated:** [26 February 2026 23:00 UTC](https://forum.mentalhealthlaw.co.uk/t/cto-statutory-criteria/100 "2026-02-26T23:00:37Z")
Does anyone know whether there has been a challenge to the CTO statutory criteria on the basis that the patient only needs to have a Mental disorder of a nature and degree making it appropriate for him to need medical tr… --- ## [CTO renewal papers (part 4 pre-dates parts 1,2 and 3)](https://forum.mentalhealthlaw.co.uk/t/cto-renewal-papers-part-4-pre-dates-parts-1-2-and-3/5077)
**Author:** [@JoeRobinson](https://forum.mentalhealthlaw.co.uk/u/JoeRobinson)\ **Replies:** 4\ **Last updated:** [3 February 2026 09:54 UTC](https://forum.mentalhealthlaw.co.uk/t/cto-renewal-papers-part-4-pre-dates-parts-1-2-and-3/5077 "2026-02-03T09:54:40Z")
Good morning, if there are CTO renewal where part 4 pre-dates parts 1,2 and 3 what does that mean for the CTO if it has since been renewed on a number of occasions since then? Would it make the CTO invalid? And does the … --- ## [CTO concurrent with guardianship?](https://forum.mentalhealthlaw.co.uk/t/cto-concurrent-with-guardianship/5037)
**Author:** [@amod](https://forum.mentalhealthlaw.co.uk/u/amod)\ **Replies:** 1\ **Last updated:** [24 January 2026 12:45 UTC](https://forum.mentalhealthlaw.co.uk/t/cto-concurrent-with-guardianship/5037 "2026-01-24T12:45:27Z")
A patient with long standing psychosis who although has a council flat can sleep rough and can go to various locations in Uk. Putting P’s own health at risk . P has psychosis and does this under the influence of this.… --- ## [Paper review for patient recalled then discharged back onto CTO?](https://forum.mentalhealthlaw.co.uk/t/paper-review-for-patient-recalled-then-discharged-back-onto-cto/4932)
**Author:** [@Carolyn1](https://forum.mentalhealthlaw.co.uk/u/Carolyn1)\ **Replies:** 4\ **Last updated:** [19 January 2026 10:39 UTC](https://forum.mentalhealthlaw.co.uk/t/paper-review-for-patient-recalled-then-discharged-back-onto-cto/4932 "2026-01-19T10:39:22Z")
Can you help - P was recalled/revoked on his CTO and referred for a MHT. His hearing is tomorrow and yesterday he was discharged back on the CTO. Am I correct in assuming that we cannot now ask for a paper hearing as alt… --- ## [Potential reduction in paper reviews for CTO patients](https://forum.mentalhealthlaw.co.uk/t/potential-reduction-in-paper-reviews-for-cto-patients/3628)
**Author:** [@Jonathan](https://forum.mentalhealthlaw.co.uk/u/Jonathan)\ **Replies:** 10\ **Last updated:** [28 June 2025 09:05 UTC](https://forum.mentalhealthlaw.co.uk/t/potential-reduction-in-paper-reviews-for-cto-patients/3628 "2025-06-28T09:05:21Z")
The tribunal has been able since 2012 to hold CTO mandatory reference hearings on the papers when the patient does not wish to attend or be represented at a hearing. In 2024 a similar power to hold detention mandatory re… --- ## [Start date of CTO after renewal](https://forum.mentalhealthlaw.co.uk/t/start-date-of-cto-after-renewal/4759)
**Author:** [@Kemmasokol](https://forum.mentalhealthlaw.co.uk/u/Kemmasokol)\ **Replies:** 1\ **Last updated:** [5 December 2025 19:57 UTC](https://forum.mentalhealthlaw.co.uk/t/start-date-of-cto-after-renewal/4759 "2025-12-05T19:57:01Z")
My client was placed on a Community Treatment Order (Section 17A) on 10 December 2024. The CTO was due to expire at midnight on 9 June 2025 (six months), but it was renewed on 3 June 2025. Does the original start date(10… --- ## [Effect of release on CTO revocation tribunal referral](https://forum.mentalhealthlaw.co.uk/t/effect-of-release-on-cto-revocation-tribunal-referral/4681)
**Author:** [@Kemmasokol](https://forum.mentalhealthlaw.co.uk/u/Kemmasokol)\ **Replies:** 2\ **Last updated:** [20 November 2025 10:46 UTC](https://forum.mentalhealthlaw.co.uk/t/effect-of-release-on-cto-revocation-tribunal-referral/4681 "2025-11-20T10:46:16Z")
When a patient’s CTO is revoked, a referral under section 68(7) is made. But if the patient goes back onto a CTO, does the case close or does the referral still stand? --- ## [Section dates after CTO revocation](https://forum.mentalhealthlaw.co.uk/t/section-dates-after-cto-revocation/4412)
**Author:** [@Kemmasokol](https://forum.mentalhealthlaw.co.uk/u/Kemmasokol)\ **Replies:** 3\ **Last updated:** [8 October 2025 10:25 UTC](https://forum.mentalhealthlaw.co.uk/t/section-dates-after-cto-revocation/4412 "2025-10-08T10:25:06Z")
my client was detained under Section 3 on 1st of January 2025, on 5th of May he was discharged on CTO. October 3rd, the CTO was revoked. My question is, does date of Section 3 start on the original date, or does it sta… --- ## [Whether to use Form CTO12](https://forum.mentalhealthlaw.co.uk/t/whether-to-use-form-cto12/4112)
**Author:** [@amod](https://forum.mentalhealthlaw.co.uk/u/amod)\ **Replies:** 3\ **Last updated:** [24 August 2025 20:17 UTC](https://forum.mentalhealthlaw.co.uk/t/whether-to-use-form-cto12/4112 "2025-08-24T20:17:58Z")
Pt discharged on a CTO as a trade off that P will take depot. (History of noncompliance) after 3 weeks if discharged she takes depot but during capacity to consent 4B assessment says wants lower dose. P reluctantly a… --- ## [3rd CTO recall back to back](https://forum.mentalhealthlaw.co.uk/t/3rd-cto-recall-back-to-back/3707)
**Author:** [@LoopyLou](https://forum.mentalhealthlaw.co.uk/u/LoopyLou)\ **Replies:** 2\ **Last updated:** [28 May 2025 10:45 UTC](https://forum.mentalhealthlaw.co.uk/t/3rd-cto-recall-back-to-back/3707 "2025-05-28T10:45:12Z")
I don’t know if this forum is designed for the general public, but I joined anyway. My husband was recalled to hospital (he’s been on a CTO since September) the paperwork is dated 8:30am 21st May, obviously that ran out… --- ## [Should CTO12 signatory have done the assessment?](https://forum.mentalhealthlaw.co.uk/t/should-cto12-signatory-have-done-the-assessment/3013)
**Author:** [@anonymous34](https://forum.mentalhealthlaw.co.uk/u/anonymous34)\ **Replies:** 1\ **Last updated:** [10 January 2025 00:04 UTC](https://forum.mentalhealthlaw.co.uk/t/should-cto12-signatory-have-done-the-assessment/3013 "2025-01-10T00:04:05Z")
There is another thing that is bothering me. ST6 doctors for example doing the legwork/assessments for treatment certificates so that the RC can then complete/certify consent on a CTO12 - and as the treatment forms qui… --- ## [Remote assessment for CTO treatment forms](https://forum.mentalhealthlaw.co.uk/t/remote-assessment-for-cto-treatment-forms/2996)
**Author:** [@anonymous34](https://forum.mentalhealthlaw.co.uk/u/anonymous34)\ **Replies:** 3\ **Last updated:** [9 January 2025 09:55 UTC](https://forum.mentalhealthlaw.co.uk/t/remote-assessment-for-cto-treatment-forms/2996 "2025-01-09T09:55:52Z")
Hi Just wondering what your views are on RCs undertaking, dialogue/discussion over the phone to help confirm whether a patient is consenting to their proposed treatment for purpose of a CTO12 or SOAD certificate for CTO… --- ## [CTO recall, renewal, AWOL status](https://forum.mentalhealthlaw.co.uk/t/cto-recall-renewal-awol-status/3009)
**Author:** [@anonymous34](https://forum.mentalhealthlaw.co.uk/u/anonymous34)\ **Replies:** 3\ **Last updated:** [3 December 2024 19:51 UTC](https://forum.mentalhealthlaw.co.uk/t/cto-recall-renewal-awol-status/3009 "2024-12-03T19:51:48Z")
Hi Patient subject to CTO which would have expired on the 06/07/2024. Recall notice completed for purpose of examining/renewing the CTO came into legal effect on the 21/06/2024 naming Hospital A. Extended CTO due to A… --- ## [CTO & s2 -- MHT](https://forum.mentalhealthlaw.co.uk/t/cto-s2-mht/2887)
**Author:** [@Jojo](https://forum.mentalhealthlaw.co.uk/u/Jojo)\ **Replies:** 4\ **Last updated:** [30 October 2024 20:38 UTC](https://forum.mentalhealthlaw.co.uk/t/cto-s2-mht/2887 "2024-10-30T20:38:00Z")
Hi I have a CTO pt who was detained under S.2 in a different area than transferred back. Pt wishes to appeal the S.2. Is he eligible and if discharged I assume the CTO comes back into force? --- ## [Accidental CTO1](https://forum.mentalhealthlaw.co.uk/t/accidental-cto1/2867)
**Author:** [@anonymous34](https://forum.mentalhealthlaw.co.uk/u/anonymous34)\ **Replies:** 3\ **Last updated:** [29 October 2024 07:01 UTC](https://forum.mentalhealthlaw.co.uk/t/accidental-cto1/2867 "2024-10-29T07:01:34Z")
Hi all CTO1 commenced/completed by the RC - part 1 - and AMHP part 2 - around 2 months ago - was signed off by the same RC - part 3 - accidentally - for a patient who is unfortunately still too unwell to be discharged o… --- ## [CTO patient on remand](https://forum.mentalhealthlaw.co.uk/t/cto-patient-on-remand/2686)
**Author:** [@anonymous34](https://forum.mentalhealthlaw.co.uk/u/anonymous34)\ **Replies:** 4\ **Last updated:** [7 September 2024 09:21 UTC](https://forum.mentalhealthlaw.co.uk/t/cto-patient-on-remand/2686 "2024-09-07T09:21:49Z")
Hi Brain is a bit fried today - and nothing I’m reading seems to make sense. Patient on a 6 month CTO due to expire on the 2nd October 2024. Patient is currently in remand in prison awaiting sentencing. I understand i… --- ## [CTO1 application valid or not?](https://forum.mentalhealthlaw.co.uk/t/cto1-application-valid-or-not/2629)
**Author:** [@anonymous34](https://forum.mentalhealthlaw.co.uk/u/anonymous34)\ **Replies:** 1\ **Last updated:** [6 August 2024 19:52 UTC](https://forum.mentalhealthlaw.co.uk/t/cto1-application-valid-or-not/2629 "2024-08-06T19:52:30Z")
Hi all CTO1 Part 1 names 'Dr A ’ as the RC - but is not signed/dated by ‘Dr A’ but a ‘Dr B’ as covering RC. Is this ok? I would have thought if ‘Dr A’ was not available to sign his statement/opinion/conditions in Part … --- ## [Can NR object to CTO?](https://forum.mentalhealthlaw.co.uk/t/can-nr-object-to-cto/2420)
**Author:** [@Christine1](https://forum.mentalhealthlaw.co.uk/u/Christine1)\ **Replies:** 1\ **Last updated:** [3 May 2024 21:04 UTC](https://forum.mentalhealthlaw.co.uk/t/can-nr-object-to-cto/2420 "2024-05-03T21:04:54Z")
Nearest relative, child offering care but lives in another city Can nearest relative, object to a CTO --- ## [CTO1 failed medical scrutiny](https://forum.mentalhealthlaw.co.uk/t/cto1-failed-medical-scrutiny/2412)
**Author:** [@anonymous34](https://forum.mentalhealthlaw.co.uk/u/anonymous34)\ **Replies:** 4\ **Last updated:** [1 May 2024 10:41 UTC](https://forum.mentalhealthlaw.co.uk/t/cto1-failed-medical-scrutiny/2412 "2024-05-01T10:41:57Z")
Hi all So a CTO1 application completed by the RC/agreed by the AMHP which has come into legal effect has failed medical scrutiny on the grounds that the RC has failed to justify the need for a CTO because there just isn… --- ## [CTO residence conditions](https://forum.mentalhealthlaw.co.uk/t/cto-residence-conditions/2365)
**Author:** [@hewitth](https://forum.mentalhealthlaw.co.uk/u/hewitth)\ **Replies:** 12\ **Last updated:** [25 April 2024 00:33 UTC](https://forum.mentalhealthlaw.co.uk/t/cto-residence-conditions/2365 "2024-04-25T00:33:48Z")
Hi, if a patient has a forensic history, would it be possible to make one of the conditions of the CTO about where he can or can’t live. Or does it have to be all about the treatment / medication compliance. Many thanks … --- ## [Who can place a patient on CTO?](https://forum.mentalhealthlaw.co.uk/t/who-can-place-a-patient-on-cto/2319)
**Author:** [@Manoj](https://forum.mentalhealthlaw.co.uk/u/Manoj)\ **Replies:** 14\ **Last updated:** [28 March 2024 20:50 UTC](https://forum.mentalhealthlaw.co.uk/t/who-can-place-a-patient-on-cto/2319 "2024-03-28T20:50:56Z")
Only the current RC ( along with the AMHP) can place a patient on CTO. This would mean that the inpatient RC ( and NOT the community RC who will take over the patient after discharge) has to complete the CTO. Is this ri… --- ## [Can a nearest relative object to a CTO?](https://forum.mentalhealthlaw.co.uk/t/can-a-nearest-relative-object-to-a-cto/2297)
**Author:** [@Neale10](https://forum.mentalhealthlaw.co.uk/u/Neale10)\ **Replies:** 6\ **Last updated:** [19 March 2024 20:57 UTC](https://forum.mentalhealthlaw.co.uk/t/can-a-nearest-relative-object-to-a-cto/2297 "2024-03-19T20:57:58Z")
Hi! Can a nearest relative object a CTO please? --- ## [CTO + Section 2](https://forum.mentalhealthlaw.co.uk/t/cto-section-2/2300)
**Author:** [@khoben88](https://forum.mentalhealthlaw.co.uk/u/khoben88)\ **Replies:** 4\ **Last updated:** [19 March 2024 15:50 UTC](https://forum.mentalhealthlaw.co.uk/t/cto-section-2/2300 "2024-03-19T15:50:40Z")
Hi, I’ve completed some in house training today on CTO’s and was told that a patient can be detained under section 2 whilst on a CTO. It didn’t make sense to me, my thoughts being that if there were any issues whilst o… --- ## [Cancelling a CTO before it comes in to force](https://forum.mentalhealthlaw.co.uk/t/cancelling-a-cto-before-it-comes-in-to-force/2270)
**Author:** [@Cheryl](https://forum.mentalhealthlaw.co.uk/u/Cheryl)\ **Replies:** 4\ **Last updated:** [7 March 2024 14:46 UTC](https://forum.mentalhealthlaw.co.uk/t/cancelling-a-cto-before-it-comes-in-to-force/2270 "2024-03-07T14:46:29Z")
Hoping someone can help All parts of the CTO1 were completed in advance with a date for it to begin on 26/2/24. A ref S3 tribunal was scheduled for 27/2/24. Client decided that they did not want to contest at a tribuna… [Next page](https://forum.mentalhealthlaw.co.uk/tag/cto/7.md?match_all_tags=true&page=1&tags%5B%5D=cto)