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The Mental Health Act Review

News and presentations from today's conference chaired by Steve Gilbert, Serious Mental Illness – Living Experience Consultant, Bipolar, PTSD & Suicide Survivor, Vice-Chair, The Mental Health Act Review

The Mental Health Act Review: Implications for People with Lived Experience
Steve Gilbert
Serious Mental Illness – Living Experience Consultant, Bipolar, PTSD & Suicide Survivor, Vice-Chair, The Mental Health Act Review
Steve has extensive personal experiences of mental illness, including periods of depression, suicide attempts, and hospitalisation. He has a diagnosis of Bipolar Disorder and Complex PTSD- the result of psychological abuse in his early years through to adulthood.
Steve was appointed as a Vice Chair for the Independent Mental Health Act Review led by Sir Simon Wesley, supporting the chair in making recommendations to the Government. Steve chaired the Service User and Carer group, and co-chaired the black African Caribbean working group. 
Steve shared his own experience of mental illness and the treatment and support he has received. He questioned why the system needs to change and went on to share various lived experience of patients, carers and service users, and what can be learnt.  Steve concluded his presentation looking at co-production with patients, carers and service users, and giving the following important tips for success:

  • valued living experience AND
  • valued skills and understand
  • core part of the process
  • well respected members of the team
  • commitment to partnerships
  • resources made available 

Towards a rights-based mental health act: Implications for Practice
Prof Sir Simon Wessely
, Chair, The Mental Health Act Review, Regius Professor of Psychiatry, Kings College London, President, The Royal Society of Medicine
Simon Wessely studied medicine and history of art at Trinity Hall, Cambridge, and finished his medical training at University College Oxford, graduating in 1981. He obtained his medical membership in Newcastle, before moving to London to train in psychiatry at the Maudsley. He has a Master’s and Doctorate in epidemiology.  He is consultant liaison psychiatrist at King’s College Hospital, Civilian Consultant Advisor in Psychiatry to the British Army since 2001,and a Foundation Senior Investigator of the National Institute for Health Research. He is currently chairing the Independent Review of the Mental Health Act.
The Mental Health Act review was published in December 2019, Simon gave an update on the political background and implications.  Two recommendations were confirmed including a commitment to a White Paper.  Simon said the pressure will continue to move forward to get all the recommendations through. 

Implementation in Practice: NHS England Update
Viral Kantaria
, Senior Programme Manager, Adult Mental Health, NHS England
Viral discussed the moster pertinent issues the review from his point of view, these included:

  1. Allignment of MHA review and the Long Term Plan
  2. Data black holes
  3. Evidence about why rates appear to be rising
  4. Risk!
  5. Workforce
  6. Digital 

Full PowerPoint Presentation

Ensuring choice of which friend or relative has a role in decisions about sectioning and care
Mark Winstanley
, Chief Executive, Rethink Mental Illness
Pre Event Abstract
The Nearest Relative provision in the Mental Health Act gives significant powers to an individual who is selected purely based on their rank in a hierarchical list, rather than who the detained patient would want or who is most suitable. The Families & Carers Topic Group of the Review heard directly from people with lived experience who had family members appointed, despite a breakdown in a relationship or even the existence of an abusive relationship. Carers also reported dissatisfaction with the system as it often excluded them, and members of BAME communities reported the current system was based on a white European idea of kinship, which in itself was outdated for modern British society. The government accepted two recommendations from the MHA Review’s report, in a written Ministerial Statement on 6 December 2018 and both impact on the Nearest Relative approach. 
Full PowerPoint Presentation

Also of Interest

Sexual Abuse & Mental Health - Reducing the Impact of Abuse on Mental Health
Monday 10 June 2019 London

Reducing and Improving the Use of Restrictive Interventions & Practice
Friday 14 June 2019 London

Decision Making and Mental Capacity: Ensuring Best Practice & Adherence to the 2018 NICE Guidance
Friday 14 June 2019 London

Masterclass: Deprivation of Liberty Safeguards
Thursday 4 July 2019 London

Towards Zero Suicide: Preventing Suicide, Saving Lives
Thursday 11 July 2019 Manchester

Improving the Assessment and Management of People Experiencing Mental Health Crisis in Emergency Care
Friday 12 July 2019 London

Liberty Protection Safeguards: Implementation of the 2018 Mental Capacity (Amendment) Bill
Monday 23 September 2019 London

13 May 2019


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