The Mental Health Alliance has also recently published a review. Theirs is simply entitled The Mental Health Act 2007: a review of its implementation.

The recommendations are set out at pages 23 and 24 of the report. The report is divided into chapters on key issues:

  • Community Treatment Orders (CTOs): they are concerned about six key issues. They seek research into the reason for disproportionate use of CTOs among black mental health patients. They suggest amending the Mental Health Act so that CTOs are only used for patients with impaired decision making capacity. They ask for data to be kept nationally on how long people are kept on CTOs and the reason for discharge. Involvement in care planning and ensuring staff understand the legal powers are also raised. Finally they suggest research on conditions and the impact of these on quality of life and human rights 
  • DOLS: they are concerned about five key issues. They recommend a review to make the operation simpler, more flexible, avoid conflicts of interest, incorporate effective review processes and ensure it does not rely on the Court of Protection as the “first stage of appeal”
  • Independent Mental Health Advocates: they express five concerns. They recommend sufficient funding, commissioners being held to account, contracts requiring services to be tailored to the Black and Minority Ethnic (BME) population and staff proactively informing patients about their rights 
  • Fortunately they note good progress in moving children and young people off adult wards, but they do note variation between regions 
  • Race Equality: four key issues are raised here. They suggest commissioners expand and develop a community based services focus and that the Government commission a review of experiences of pathways into and through care
  • Section 136 places of safety: they have four concerns here and recommend commissioners ensure that their areas include a range of appropriate places of safety, data is collected on the number of uses of police cells as places of safety and that providers review their policy and practice to ensure they are not turning people away inappropriately
  • Care Quality Commission (CQC): another four issues here. They recommend that CQC should be resourced sufficiently, that they continue to carry out community and in patient surveys, that data collected be published and that they maintain a programme of special reports on areas of concern