Section 36 – Remand to hospital for treatment

This leaflet has information for people who have been remanded for hospital for treatment under section 36 of the Mental Health Act. It includes information such as why you are in hospital, how long you will be there, what treatment you may received and what help you can get from an independent mental health advocate.

This leaflet may not be reproduced in whole or in part, without the permission of Cumbria, Northumberland, Tyne and Wear NHS Foundation Trust

  • Patient's name and ward

    1. Patient’s name

    ………………………………………………………………………………………………………………………………………………

    2. Name of the person in charge of your care (your “responsible clinician”)

    ……………………………………………………………………………………………………………………………………………..

    3. Name of hospital and ward

    ………………………………………………………………………………………………………………………………………………

    4. Date you were remanded

    ………………………………………………………………………………………………………………………………………………

  • Why am I in hospital?

    You are being kept in this hospital because you have been remanded here by the Court. The Court has said you can be kept here under section 36 of the Mental Health Act 1983.

    This means that the Court, on the advice of two doctors, thinks that you have a mental disorder and you need to be treated in hospital while you are on remand.

  • How long will I be here?

    You can be kept here for the period specified by the Court. This may be up to 28 days at first, starting on the date on which you were remanded.

    You must not leave during this time unless the Court decides that you may. If you try to leave the staff can stop you, and if you do leave you can be brought back. You may also be arrested by a police officer and taken back to Court.

  • What happens next?

    At the end of the 28 days (or the period specified by the Court), the person in charge of your care (your responsible clinician) will tell the Court whether or not they think you need further treatment.

    You can only be kept in hospital on remand for longer than 28 days if the Court says so. The Court can renew your remand, but for no more than 28 days at a time and not for more than 12 weeks in total. It can renew your remand without you being in court so long as you are represented by a lawyer to speak on your behalf. The Court can decide, at any time, that you should not be kept here any longer.

  • Can I appeal?

    You can ask the Court to remand you to prison or on bail instead. To help you, you can ask another doctor or approved clinician to examine you, to see if they will write a report saying that you do not need to be kept in hospital. (An approved clinician is a mental health professional with special training in looking after people kept in hospital under the Mental Health Act.) You will have to pay for this yourself, and it will be for the Court to decide whether or not you must stay in hospital when it has considered all the reports on your case.

  • What treatment will I be given?

    Your responsible clinician and other hospital staff will talk to you about any treatment that you need for your mental disorder. In most cases you will have to accept their advice.

    There are different rules for some special treatments, like electro-convulsive therapy (ECT). If the staff think you need one of these special treatments, the rules will be explained to you and you will be given another leaflet.

  • Help from an independent mental health advocate

    You are entitled to help from an independent mental health advocate if you want it. These advocates are independent of people involved in your care. They can help you get information about your care and treatment, why you are being kept in hospital, what it means and what your rights are. They can come to see you and help you understand what you are told by people involved in your care and treatment. If you want, they can help you talk to these people or they can talk to them for you.

    You can contact the independent mental health advocacy service yourself. Please ask a member of staff for the telephone number. There should be a telephone where you can talk to them in private. You can ask a member of staff where this is.

    If you do not want to contact the advocacy service yourself, you can ask a member of staff to contact the advocacy service for you.

  • Your letters

    All letters sent to you while you are in hospital will be given to you. You can send letters to anyone except someone who has said they do not want to get letters from you. Letters to these people can be stopped by the hospital staff.

  • Code of Practice

    There is a Code of Practice that gives advice to the staff in the hospital about the Mental Health Act and treating people for mental disorder. The staff have to consider what the Code says when they take decisions about your care. You can ask to see a copy of the Code, if you want.

  • What if I have a comment, suggestion, compliment or complaint about the service?

    If you want to make a comment, suggestion, compliment or complaint you can:

    We are always looking at ways to improve services. Your feedback allows us to monitor the quality of our services and act upon issues that you bring to our attention. You can provide feedback in the following ways:

    • the quickest way for you to do this is to complete our short online survey at www.cntw.nhs.uk/poy
    • complete a Points of You survey, available on wards, reception areas or from staff
    • other options for sharing your feedback and experience www.cntw.nhs.uk/yourfeedback

     
    Patient Advice and Liaison Service (PALS)
    PALS provide confidential advice and support, helping you to sort out any concerns that you may have about any aspect of your or your loved ones care.

    We act independently when handling patient and family concerns, liaising with staff, managers and, where appropriate, relevant organisations, to negotiate prompt solutions. If necessary, we can also refer patients and families to specific local or national-based support agencies.

    North of Tyne
    Tel: 0800 032 0202
    Email: [email protected]
    Post: FREEPOST PALS

    South of Tyne
    Tel: 0800 328 4397
    Text: 07825 061 035
    Email: [email protected]
    Post: Patient Advice and Liaison Service, Garden Lodge, Hopewood Park, Ryhope, Sunderland, SR2 0NB

    9am – 4.30 pm, Monday to Friday
    An answerphone is available at all times for you to leave a message. A member of the PALS team will aim to return your call as soon as possible.

    If you do not feel that the hospital complaints procedure can help you, you can complain to an independent Commission. This is called the Care Quality Commission and it monitors how the Mental Health Act is used, to make sure it is used correctly and that patients are cared for properly while they are in hospital. The hospital staff can give you a leaflet explaining how to contact the Commission.

  • Further help and information

    If there is anything you do not understand about your care and treatment, a member of staff will try to help you. Please ask a member of staff to explain if there is anything in this leaflet you do not understand or if you have other questions that this leaflet has not answered.

    Please ask if you would like another copy of this leaflet for someone else.

  • Information about content, other formats and version control

    Further information about the content, reference sources or production of this leaflet can be obtained from the Patient Information Centre. If you would like to tell us what you think about this leaflet please get in touch.

    This information can be made available in a range of formats on request (eg Braille, audio, larger print, easy read, BSL or other languages). Please contact the Patient Information Centre Tel: 0191 246 7288

    Published by the Patient Information Centre
    2024 Copyright, Cumbria, Northumberland, Tyne and Wear NHS Foundation Trust
    Ref, PIC/200/0124 January 2024 V10
    www.cntw.nhs.uk Tel: 0191 246 7288
    Review date 2027