# \#hmh

**URL:** https://forum.mentalhealthlaw.co.uk/tag/hmh/20.md

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## [Section 25 barring order -- hospital managers' discretion](https://forum.mentalhealthlaw.co.uk/t/section-25-barring-order-hospital-managers-discretion/6192)

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**Author:** [@Foxicus](https://forum.mentalhealthlaw.co.uk/u/Foxicus)\
**Replies:** 6\
**Last updated:** [8 October 2026 07:59 UTC](https://forum.mentalhealthlaw.co.uk/t/section-25-barring-order-hospital-managers-discretion/6192 "2026-10-08T07:59:26Z")

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It has been mentioned to me that when hospital managers are hearing a barring order that, even if the dangerousness criteria is not met, they still have discretionary power not to discharge the patient. How is this discr…

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## [Missing Hospital Managers Reviews](https://forum.mentalhealthlaw.co.uk/t/missing-hospital-managers-reviews/4297)

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**Author:** [@AmyBooth](https://forum.mentalhealthlaw.co.uk/u/AmyBooth)\
**Replies:** 13\
**Last updated:** [2 October 2025 18:26 UTC](https://forum.mentalhealthlaw.co.uk/t/missing-hospital-managers-reviews/4297 "2025-10-02T18:26:44Z")

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We have received legal advice that the absence of an Associate Hospital Managers Review within a period of detention would render the whole detention invalid, even if there have been subsequent renewals and hearings held…

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## [Complaints from hospital managers regarding out of date reports for hearings](https://forum.mentalhealthlaw.co.uk/t/complaints-from-hospital-managers-regarding-out-of-date-reports-for-hearings/3809)

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**Author:** [@anonymous34](https://forum.mentalhealthlaw.co.uk/u/anonymous34)\
**Replies:** 1\
**Last updated:** [1 July 2025 18:53 UTC](https://forum.mentalhealthlaw.co.uk/t/complaints-from-hospital-managers-regarding-out-of-date-reports-for-hearings/3809 "2025-07-01T18:53:11Z")

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Hi So some of our hospital managers are complaining about out of date clinical reports by the RC especially in CTO cases where I hear reports can be 6 months old. The view of the RC is that the CTO7 itself documenting t…

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## [Voice recording of Associate Hospital Managers hearings](https://forum.mentalhealthlaw.co.uk/t/voice-recording-of-associate-hospital-managers-hearings/3742)

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**Author:** [@metoo](https://forum.mentalhealthlaw.co.uk/u/metoo)\
**Replies:** 3\
**Last updated:** [12 June 2025 23:49 UTC](https://forum.mentalhealthlaw.co.uk/t/voice-recording-of-associate-hospital-managers-hearings/3742 "2025-06-12T23:49:43Z")

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Are these voice recorded in all hospitals?

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## [Dismissal of a Hospital (Mental Health Act) Panel Manager](https://forum.mentalhealthlaw.co.uk/t/dismissal-of-a-hospital-mental-health-act-panel-manager/3693)

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**Author:** [@DonQuixote](https://forum.mentalhealthlaw.co.uk/u/DonQuixote)\
**Replies:** 2\
**Last updated:** [22 May 2025 21:25 UTC](https://forum.mentalhealthlaw.co.uk/t/dismissal-of-a-hospital-mental-health-act-panel-manager/3693 "2025-05-22T21:25:43Z")

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In what circumstances can a Hospital Manager be dismissed? For example disagreement with other panel managers regarding decisions. How a panel is conducted in respect to ena ling. Involving the patient. Matters of leg…

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## [Who should write medical reports for Hospital Managers Hearings?](https://forum.mentalhealthlaw.co.uk/t/who-should-write-medical-reports-for-hospital-managers-hearings/3506)

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**Author:** [@MoiraG](https://forum.mentalhealthlaw.co.uk/u/MoiraG)\
**Replies:** 6\
**Last updated:** [1 April 2025 15:23 UTC](https://forum.mentalhealthlaw.co.uk/t/who-should-write-medical-reports-for-hospital-managers-hearings/3506 "2025-04-01T15:23:50Z")

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Should medical reports to Hospital Managers Panels always be completed by the R.C. or is it acceptable for someone else to put forward a report instead?

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## [Representation at Managers Hearings for patients who lack capacity](https://forum.mentalhealthlaw.co.uk/t/representation-at-managers-hearings-for-patients-who-lack-capacity/3129)

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**Author:** [@angec](https://forum.mentalhealthlaw.co.uk/u/angec)\
**Replies:** 6\
**Last updated:** [22 January 2025 12:49 UTC](https://forum.mentalhealthlaw.co.uk/t/representation-at-managers-hearings-for-patients-who-lack-capacity/3129 "2025-01-22T12:49:01Z")

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I’ve been asked to represent a patient at his upcoming s37 Managers renewal hearing by the mental health act administrator at the hospital. The client lacks capacity to provide instructions and does not want to meet wit…

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## [CTO Extension, HM Hearing and CTO Revocation](https://forum.mentalhealthlaw.co.uk/t/cto-extension-hm-hearing-and-cto-revocation/2987)

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**Author:** [@helenlink](https://forum.mentalhealthlaw.co.uk/u/helenlink)\
**Replies:** 4\
**Last updated:** [26 November 2024 20:29 UTC](https://forum.mentalhealthlaw.co.uk/t/cto-extension-hm-hearing-and-cto-revocation/2987 "2024-11-26T20:29:21Z")

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Unusual question! A patient has CTO extended in accordance with S20A, but prior to the HM Hearing the CTO is revoked and patient is now under a S3. Does the fact that not holding the HM Hearing prior to the revocation …

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## [Section 20A Hospital Managers review when CTO subsequently revoked](https://forum.mentalhealthlaw.co.uk/t/section-20a-hospital-managers-review-when-cto-subsequently-revoked/2467)

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**Author:** [@anonymous39](https://forum.mentalhealthlaw.co.uk/u/anonymous39)\
**Replies:** 3\
**Last updated:** [6 June 2024 15:12 UTC](https://forum.mentalhealthlaw.co.uk/t/section-20a-hospital-managers-review-when-cto-subsequently-revoked/2467 "2024-06-06T15:12:06Z")

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So a patient has their CTO extended, the extension period has begun and the CTO is then revoked. Does a hospital managers panel then have to review the CTO extension even though it has since been revoked? The patient wi…

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## [Allowed to be associate hospital manager?](https://forum.mentalhealthlaw.co.uk/t/allowed-to-be-associate-hospital-manager/2282)

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**Author:** [@anonymous28](https://forum.mentalhealthlaw.co.uk/u/anonymous28)\
**Replies:** 1\
**Last updated:** [12 March 2024 13:27 UTC](https://forum.mentalhealthlaw.co.uk/t/allowed-to-be-associate-hospital-manager/2282 "2024-03-12T13:27:05Z")

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Hi Can a public counsel of governor member for an NHS FT also hold the role of an associate hospital manager for the same Trust? Thanking you in advance.

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## [Tribunal and managers' hearing following renewal of s37](https://forum.mentalhealthlaw.co.uk/t/tribunal-and-managers-hearing-following-renewal-of-s37/2273)

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**Author:** [@hewitth](https://forum.mentalhealthlaw.co.uk/u/hewitth)\
**Replies:** 6\
**Last updated:** [8 March 2024 08:51 UTC](https://forum.mentalhealthlaw.co.uk/t/tribunal-and-managers-hearing-following-renewal-of-s37/2273 "2024-03-08T08:51:11Z")

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Hi If an RC is renewing a S37, do you have to have an automatic managers for the renewal and tribunal if not had one in the first 6 months Thanks

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## [Hospital Manager's renewal meeting after section changed](https://forum.mentalhealthlaw.co.uk/t/hospital-managers-renewal-meeting-after-section-changed/374)

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**Author:** [@Karen](https://forum.mentalhealthlaw.co.uk/u/Karen)\
**Replies:** 11\
**Last updated:** [20 February 2024 12:01 UTC](https://forum.mentalhealthlaw.co.uk/t/hospital-managers-renewal-meeting-after-section-changed/374 "2024-02-20T12:01:38Z")

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We recently attended a renewal meeting in respect of a s37(n) who had been discharged onto a CTO by the time of the hearing. Despite our objections the Hospital Managers insisted on considering the statutory criteria rel…

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## [S3 Renewal & managers hearing](https://forum.mentalhealthlaw.co.uk/t/s3-renewal-managers-hearing/2010)

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**Author:** [@hewitth](https://forum.mentalhealthlaw.co.uk/u/hewitth)\
**Replies:** 2\
**Last updated:** [14 November 2023 18:49 UTC](https://forum.mentalhealthlaw.co.uk/t/s3-renewal-managers-hearing/2010 "2023-11-14T18:49:09Z")

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Hi If a managers hearing isn’t completed with a renewal period, does it make the section invalid, if it renewed again Thanks

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## [Two family members on same Associate Hospital Managers Panel](https://forum.mentalhealthlaw.co.uk/t/two-family-members-on-same-associate-hospital-managers-panel/1510)

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**Author:** [@Samjo87](https://forum.mentalhealthlaw.co.uk/u/Samjo87)\
**Replies:** 6\
**Last updated:** [15 March 2023 14:10 UTC](https://forum.mentalhealthlaw.co.uk/t/two-family-members-on-same-associate-hospital-managers-panel/1510 "2023-03-15T14:10:51Z")

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Hi, a query on whether or not members of the same family are allowed to sit on the same panel when reviewing the renewal of a patient, or is that a conflict of interest?

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## [When 3 panel members (Hospital Managers) cannot agree on discharge](https://forum.mentalhealthlaw.co.uk/t/when-3-panel-members-hospital-managers-cannot-agree-on-discharge/1282)

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**Author:** [@Beatrice](https://forum.mentalhealthlaw.co.uk/u/Beatrice)\
**Replies:** 4\
**Last updated:** [14 October 2022 11:36 UTC](https://forum.mentalhealthlaw.co.uk/t/when-3-panel-members-hospital-managers-cannot-agree-on-discharge/1282 "2022-10-14T11:36:19Z")

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I have been looking for information on what happens when the three panel members (Hospital managers) can not agree to a discharge. Do you get a fourth member and hold the hearing again or do you get a completely new pan…

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## [Associate hospital managers panels and discharge](https://forum.mentalhealthlaw.co.uk/t/associate-hospital-managers-panels-and-discharge/1062)

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**Author:** [@wellsj](https://forum.mentalhealthlaw.co.uk/u/wellsj)\
**Replies:** 3\
**Last updated:** [15 July 2022 11:11 UTC](https://forum.mentalhealthlaw.co.uk/t/associate-hospital-managers-panels-and-discharge/1062 "2022-07-15T11:11:27Z")

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I do work on hospital managers panels at a secure psychiatric hospital. We often have decisions to make about detainability of patients who have been symptom-free for 6 months or more and have a good understanding of how…

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## [Dangerousness - Residual Discretion](https://forum.mentalhealthlaw.co.uk/t/dangerousness-residual-discretion/873)

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**Author:** [@Rob\_Beech](https://forum.mentalhealthlaw.co.uk/u/Rob_Beech)\
**Replies:** 3\
**Last updated:** [14 April 2022 09:25 UTC](https://forum.mentalhealthlaw.co.uk/t/dangerousness-residual-discretion/873 "2022-04-14T09:25:24Z")

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I have long been aware of the Managers residual discretion not to discharge even where the dangerousness criteria are not met but I had never actually come across it in practicality. Unfortunately the N/R who made the a…

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## [Managers Hearings and the decision](https://forum.mentalhealthlaw.co.uk/t/managers-hearings-and-the-decision/858)

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**Author:** [@Mari](https://forum.mentalhealthlaw.co.uk/u/Mari)\
**Replies:** 11\
**Last updated:** [12 April 2022 16:59 UTC](https://forum.mentalhealthlaw.co.uk/t/managers-hearings-and-the-decision/858 "2022-04-12T16:59:30Z")

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It is common practice at one establishement where I sit for there to be recommendations follwoing the written decison with the instruction that the recommendations are not be shared with the patient . I was infor…

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## [What circumstances allow covering responsible clinicians to attend Mental Health Review Tribunals and Mental Health Act Manager Reviews?](https://forum.mentalhealthlaw.co.uk/t/what-circumstances-allow-covering-responsible-clinicians-to-attend-mental-health-review-tribunals-and-mental-health-act-manager-reviews/782)

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**Author:** [@Rosemaryherb](https://forum.mentalhealthlaw.co.uk/u/Rosemaryherb)\
**Replies:** 5\
**Last updated:** [18 February 2022 15:50 UTC](https://forum.mentalhealthlaw.co.uk/t/what-circumstances-allow-covering-responsible-clinicians-to-attend-mental-health-review-tribunals-and-mental-health-act-manager-reviews/782 "2022-02-18T15:50:09Z")

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What do the Regulations say about Responsible Clinicians being covered by another doctor who has not signed the H5 or M2? Is this now an accepted practice? Rosemary Moore A Nearest Relative under the 1983 Mental Heal…

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## [Paper reviews and uncontested renewals](https://forum.mentalhealthlaw.co.uk/t/paper-reviews-and-uncontested-renewals/787)

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**Author:** [@Sellicott](https://forum.mentalhealthlaw.co.uk/u/Sellicott)\
**Replies:** 3\
**Last updated:** [18 February 2022 15:39 UTC](https://forum.mentalhealthlaw.co.uk/t/paper-reviews-and-uncontested-renewals/787 "2022-02-18T15:39:27Z")

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If there is NO legal requirement for Hospital Managers one wonders why all uncontested renewals are routinely reviewed by panels as a paper exercise?

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## [Re-sectioning after HMH approved discharge](https://forum.mentalhealthlaw.co.uk/t/re-sectioning-after-hmh-approved-discharge/714)

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**Author:** [@H.ali](https://forum.mentalhealthlaw.co.uk/u/H.ali)\
**Replies:** 2\
**Last updated:** [2 December 2021 17:26 UTC](https://forum.mentalhealthlaw.co.uk/t/re-sectioning-after-hmh-approved-discharge/714 "2021-12-02T17:26:41Z")

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Hi All, I thought I would pick everyone’s brains here for a colleagues case. In summary- HMH discharged her client as they were not satisfied detention was necessary. Client agreed to remain informal and continue medic…
