Mental health law briefing 185 – CTOs and SOAD certificates: Section 299 Health and Social Care Act 2012
When the Mental Health Act 2007 created Community Treatment Orders (CTOs), one of the requirements was that a patient on a CTO could not be given specified treatment unless a SOAD (second opinion appointed doctor) had certified that the treatment was appropriate in the patient’s case. Such a Certificate was required for all CTO patients whether they consented to this treatment or not. The position was therefore different to patients detained under the Mental Health Act who consented to their treatment as second opinions were not required in those cases.
The additional requirements for SOAD Certificates for CTO patients lead to significant delays in obtaining SOAD opinions for all patients.
The government have therefore acted to reduce the delay and have amended the 2007 Act by s.299 of the Health and Social Care Act 2012. This provides that approval by a SOAD will not generally be necessary if the patient is consenting to the treatment in question.
Section 299 came into force on 1 June 2012.
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