tag:blogger.com,1999:blog-380213133018137281.post8743225822488389250..comments2024-03-27T17:57:42.627+00:00Comments on The Masked AMHP: Powers, Rights and Functions of the Nearest Relative The Masked AMHPhttp://www.blogger.com/profile/01348865658320780867noreply@blogger.comBlogger23125tag:blogger.com,1999:blog-380213133018137281.post-88659637904667554872023-11-02T12:50:42.734+00:002023-11-02T12:50:42.734+00:00A NR should be consulted by the person writing the...A NR should be consulted by the person writing the social circumstance report, usually a social worker. They would be able to communicate the NR's feelings or concerns to the Tribunal. They can ask the tribunal to withhold certain information from the patient, and could put the NR's wishes on a separate sheet which could be withheld.The Masked AMHPhttps://www.blogger.com/profile/01348865658320780867noreply@blogger.comtag:blogger.com,1999:blog-380213133018137281.post-7231495763310662532023-11-02T09:05:52.871+00:002023-11-02T09:05:52.871+00:00Does a Nearest Relative have a right to be consult...Does a Nearest Relative have a right to be consulted or submit written evidence (especially without knowledge of the patient ) at a tribunal eg they may wish to inform a tribunal about their concerns if a patient was released from a section 2 or 3 but not do so in front of the patient as this wrecks their relationship? Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-380213133018137281.post-39148564970275380442019-10-03T17:01:03.303+01:002019-10-03T17:01:03.303+01:00Some other academics and I have recently written a...Some other academics and I have recently written an article on how AMHPS perceive the NR role. We had been looking for statistics on NR applications but could not find any, so have cited your paper. The article can be seen at https://onlinelibrary.wiley.com/doi/full/10.1111/hsc.12864. If you would like to read it but don't have a subscription then please email me on jd582@bath.ac.uk. Anonymoushttps://www.blogger.com/profile/17763734944788834673noreply@blogger.comtag:blogger.com,1999:blog-380213133018137281.post-34213469373837371532018-05-29T09:28:46.964+01:002018-05-29T09:28:46.964+01:00While the NR role is specific to the MHA, general ...While the NR role is specific to the MHA, general hospitals might have a different person registered as Next of Kin. I don't know if that might apply in your case. Either way, I do think the psychiatric hospital should have notified you are such a serious situation.The Masked AMHPhttps://www.blogger.com/profile/01348865658320780867noreply@blogger.comtag:blogger.com,1999:blog-380213133018137281.post-50709692723137857282018-05-27T22:41:44.598+01:002018-05-27T22:41:44.598+01:00Hello, can you advise on what information the hosp...Hello, can you advise on what information the hospital will share with a NR please ? My sister was detained under section 2, her mental and physical health deteriorated whilst in hospital and she subsequently died from a sudden cardiac arrest whilst there. I know that she had given permission for information to be shared with me (NR) about her but I was not informed of her physical deterioration Anonymoushttps://www.blogger.com/profile/06684137968123064132noreply@blogger.comtag:blogger.com,1999:blog-380213133018137281.post-4480831144156493252017-12-01T15:59:49.093+00:002017-12-01T15:59:49.093+00:00They provide an additional safeguard. The principl...They provide an additional safeguard. The principle safeguard is the patient's right to appeal to an independent tribunal.The Masked AMHPhttps://www.blogger.com/profile/01348865658320780867noreply@blogger.comtag:blogger.com,1999:blog-380213133018137281.post-80795197541564749652017-12-01T09:53:47.901+00:002017-12-01T09:53:47.901+00:00so you think that NR provides an effective safegua...so you think that NR provides an effective safeguard for patients detained under sections 2&3? Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-380213133018137281.post-19378836314787533962017-11-29T20:36:02.273+00:002017-11-29T20:36:02.273+00:00The nearest relative is often their partner, with ...The nearest relative is often their partner, with whom they live. This generally (but not always) means that the relative may be trying to act in the best interests of the patient. I would have to listen to the partner of a patient who is telling me that they do not think that compulsory admission to hospital is in their best interests, and that they could facilitate support or treatment that The Masked AMHPhttps://www.blogger.com/profile/01348865658320780867noreply@blogger.comtag:blogger.com,1999:blog-380213133018137281.post-77250611533688235012017-11-29T15:44:16.131+00:002017-11-29T15:44:16.131+00:00what do patients detained stand to benefit from th...what do patients detained stand to benefit from the nearest relative role?<br />Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-380213133018137281.post-32193711135758347362017-07-12T20:04:41.872+01:002017-07-12T20:04:41.872+01:00Yes, unless there are established issues relating ...Yes, unless there are established issues relating to abuse of the patient by the NR. Otherwise, yes, and especially for someone under 16, where there are also issues re parental rights and responsibility.The Masked AMHPhttps://www.blogger.com/profile/01348865658320780867noreply@blogger.comtag:blogger.com,1999:blog-380213133018137281.post-13727203971482756362017-07-12T11:54:50.385+01:002017-07-12T11:54:50.385+01:00Does the NR have the right to be consulted about t...Does the NR have the right to be consulted about the care of the patient? (I am thinking of a detained patient Under 16 here)Should the NR be involved in things like the reviews, meetings with the Consultant etc? Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-380213133018137281.post-6309546971784398812016-09-03T20:31:42.422+01:002016-09-03T20:31:42.422+01:00nearest relative has the power to discharge howeve...nearest relative has the power to discharge however, its not a very nice hearts and flowers process for the patient or relative to go through having to sit there and be called dangerous and to be sectioned for another year in front of everyone to see that person who has human rights have there liberty taken away from them also the torturing them forcing medication that they do dont want and know Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-380213133018137281.post-54082153797790959082016-08-31T16:31:54.007+01:002016-08-31T16:31:54.007+01:00The power of discharge requires a decision to be m...The power of discharge requires a decision to be made. The decision surely should be made based on available facts? I am not suggesting confidential information is shared without consent of the patient. I am suggesting that the right of discharge suggests that the NR has significantly more power than the legislation states and that the NR represents a significant check to the power of mental Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-380213133018137281.post-26403539489556611732016-08-28T22:39:12.109+01:002016-08-28T22:39:12.109+01:00No. NR's rights, powers and duties are strictl...No. NR's rights, powers and duties are strictly circumscribed by the MHA. They have rights to be involved in decisions relating to their relative, but no automatic right to access to personal records.The Masked AMHPhttps://www.blogger.com/profile/01348865658320780867noreply@blogger.comtag:blogger.com,1999:blog-380213133018137281.post-22820481490209648022016-08-28T21:24:47.503+01:002016-08-28T21:24:47.503+01:00Does the NR's right to apply for discharge inf...Does the NR's right to apply for discharge infer a right to access of information from the hospital; i.e. access to notes and records. my feeling is that it implies a right to the information that they reasonably require to enable them to make a decision whether or not to make an application for discharge. I couldn't find any info re this. Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-380213133018137281.post-12675285767966428402016-05-17T14:34:41.675+01:002016-05-17T14:34:41.675+01:00It's very difficult for me to comment about a ...It's very difficult for me to comment about a specific case. However, an AMHP has a duty to obtain information relevant to making an assessment from whomever they deem appropriate. While a patient's views and wishes need to be taken into account, there's got to be considerable evidence to justify not discussing the situation with the nearest relative.The Masked AMHPhttps://www.blogger.com/profile/01348865658320780867noreply@blogger.comtag:blogger.com,1999:blog-380213133018137281.post-38727605468874531432016-05-15T16:47:16.838+01:002016-05-15T16:47:16.838+01:00Thank you for your reply. Would you consider it to...Thank you for your reply. Would you consider it to be a breach of confidentiality for an AMHP to disclose personal information ie self harm, diagnosis to the nearest relative during a section 4 assessment without first consulting with the patient (who had quite explicitly asked for no information to be shared with their partner or their family due to abuse during the 5 years they had been under Anonhttps://www.blogger.com/profile/14025140049318764451noreply@blogger.comtag:blogger.com,1999:blog-380213133018137281.post-41887775754057613632016-05-14T17:02:16.416+01:002016-05-14T17:02:16.416+01:00As Sec.4 is an emergency section, there is no requ...As Sec.4 is an emergency section, there is no requirement to consult with or inform the NR, although best practice says you should if possible. In the event, most Sec.4's are converted to a Sec.2 following admission, when normal procedures for the hospital to inform the NR or the admission etc would then apply.The Masked AMHPhttps://www.blogger.com/profile/01348865658320780867noreply@blogger.comtag:blogger.com,1999:blog-380213133018137281.post-35075179055386576052016-05-14T15:12:12.855+01:002016-05-14T15:12:12.855+01:00Does the NR always have to be informed with every ...Does the NR always have to be informed with every section of the mental health. I ask specifically about section 4 - does the AMHP have to speak to the NR during assessment? Anonhttps://www.blogger.com/profile/14025140049318764451noreply@blogger.comtag:blogger.com,1999:blog-380213133018137281.post-24191697855654922822013-03-22T15:27:27.778+00:002013-03-22T15:27:27.778+00:00I would do as you did as i would suggest it is eas...I would do as you did as i would suggest it is easy to explain why you did this as the NR role is to protect the patients rights and the eldest sibling would undoubtedly not be interested or may not even be alive.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-380213133018137281.post-89185553704600356772013-01-06T19:38:08.707+00:002013-01-06T19:38:08.707+00:00What do people think of the following situation? A...What do people think of the following situation? At a recent assessment I identified the Nearest Relative of a patient as his next oldest sibling (he was living in a care home; had never married and had no adult children and his parents had died some years ago. He had three younger siblings and as mentioned above I identified the next oldest as NR. However neither the patient nor his other two Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-380213133018137281.post-34508374456814087342013-01-04T20:16:00.681+00:002013-01-04T20:16:00.681+00:00great post by the way currently involved in an app...great post by the way currently involved in an application to displace a nearest relative and glad to say our legal have been a huge help johnhttps://www.blogger.com/profile/05300838246902704344noreply@blogger.comtag:blogger.com,1999:blog-380213133018137281.post-4410465884181001672013-01-04T19:21:21.107+00:002013-01-04T19:21:21.107+00:00Great posts as always but also: Top marks for use ...Great posts as always but also: Top marks for use of the word <i>skulduggery </i> Anonymousnoreply@blogger.com