Section one Context
A wide-ranging independent review of
mental health law in Scotland, announced
in March 2019, is ongoing, having opened
with a public consultation in February
2020.36 One particular area of interest is
how legislation, including the Mental Health
(Care and Treatment) (Scotland) Act 2003
and Mental Health (Scotland) Act 2015,
meets modern human rights standards.
The Independent review of learning
disability and autism in the Mental Health
Act in Scotland was published in December
2019 and recommended major changes
to improve compliance with human rights
law. These include the recommendations
that learning disability and autism should
be removed from the definition of
‘mental disorder’ in the Act, and that the
law include the description of disability
from the UN Convention on the Rights of
Persons with Disabilities. The review also
recommends working towards a law that
removes discrimination in detention and
the introduction of a disability model to the
criminal justice system to ensure fairness.37
VI of the Criminal Procedure (Scotland)
Act 1995, whether in hospital or in the
community. MWCS has commenced detailed
scoping and plans to consult on options for
the revised system, before developing a
business case and implementation plan for
submission in June 2021.38
Another important review in Scotland during
the year was an independent review of
forensic mental health services, looking
at how services are provided to people in
secure hospitals and people who are not in
hospital but are at risk of offending or have
offended, including those in prisons.39
In April 2019, the Sentencing Council
for England and Wales commenced a
consultation on draft overarching principles
for sentencing people with mental ill health,
developmental disorders and neurological
impairments. The resulting guidance was
published in July 2020 and came into force
on 1 October 2020.
The Scottish Government has also
continued to coordinate work on the
recommendations of the Review of the
arrangements for investigating the deaths of
patients being treated for mental disorder,
published in December 2018, and the
actions of its Suicide Prevention Action Plan
from August 2018. As part of this work,
MWCS continues to develop a system for
investigating all deaths of patients who,
at the time of death, were subject to an
order either under the Mental Health (Care
and Treatment) (Scotland) Act 2003 or part
36
37
38
39
For more information see the Scottish Mental Health Law Review website: https://www.mentalhealthlawreview.scot/
[accessed 24/08/2020]
Scottish Government, December 2019, Independent review of learning disability and autism in the Mental Health Act
https://webarchive.nrscotland.gov.uk/20200313205853/https://www.irmha.scot/ [accessed 24/08/20]
MWCS Deaths in Detention Reviews webpage, https://www.mwcscot.org.uk/policy-and-research/deaths-detentionreviews [accessed 24/08/2020]
Scottish Government, September 2019, Forensic mental health services independent review: terms of reference, https://
www.gov.scot/publications/forensic-mental-health-services-independent-review-terms-of-reference/ [accessed 24/08/2020]
19
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