National Preventive Mechanism Eighth Annual Report 2016–17
(to appear before the court post-charge for
a decision to be made whether to bail or
remand them) and a mental health issue
arises which requires transfer to a health
setting.
The proper identification and assessment
of mental health issues in police custody
is critical in order to ensure detainees are
given proper support and treatment at the
earliest stage. Failure to provide this could
potentially lead not only to deterioration of
the detainee’s mental health but may also
impede the criminal justice process.
Legal and policy framework
Mental health legislation governs the use
of police custody as a place of safety in
England and Wales91 and Northern Ireland.92
When the Policing and Crime Act 2017
enters into force in England and Wales, police
custody will no longer be a place of safety
for children, and should only be used in
exceptional circumstances for adults (the lack
of a health-based place of safety will not be
considered an exceptional circumstance). In
Scotland, mental health legislation does not
deem a police station to be a ‘place of safety’
except where there is no other available
suitable accommodation.93 Alongside this
legislation, specific agreements have been
developed between police and health care
partners in Northern Ireland and England
and Wales (for example, a memorandum
of understanding, multi-agency protocol,
etc) which provide guidance on multiagency working between police and health
partners, including in the area of mental
health provision.94 In Scotland, the Mental
Health Act Code of Practice encourages the
development by the police, NHS and local
authorities of local Psychiatric Emergency
Plans.
Availability of data
NPM members found wide variation in the
availability of data relating to the pathways
out of police custody to mental health
settings.
Data on the number of people detained
in police stations under place of safety
provisions is published by the Health and
Social Care Information Centre in England
and Wales. In Northern Ireland, a reporting
requirement has been introduced under
Section 156 of the Mental Capacity Act
(Northern Ireland) 2016, but this has not yet
entered into force. In Scotland, the Mental
Welfare Commission publishes annually the
numbers of people detained under place of
safety provisions, and how many of them are
held in a police station.95 It published more
detailed analysis in 2016.96
Independent Custody Visitor schemes’ own
analysis of Section 136 data identified that
though there had been a rise in the overall
91. Section 136 of the Mental Health Act (1983) provides for a constable to remove an apparently mentally disordered person
from a public place to a place of safety for up to 72 hours for the specified purposes. The place of safety could be a police
station or hospital (often a special Section 136 suite).
92. The Mental Health (Northern Ireland) Order 1986 makes a similar provision to that in England and Wales. The Mental
Capacity Act (Northern Ireland) 2016 retained this provision.
93. Mental Health (Care and Treatment) Scotland Act 2003, s. 297.
94. In Northern Ireland, this was yet to be signed off.
95. Mental Welfare Commission for Scotland, 2016, Mental Health Act Monitoring 2015–16, http://www.mwcscot.org.uk/
media/342871/mental_health_act_monitoring_2015-16.pdf [accessed 13/11/17].
96. Mental Welfare Commission for Scotland, 2017, Place of Safety Monitoring Report 2016, http://www.mwcscot.org.uk/
media/373113/place_of_safety_monitoring_report_2016.pdf [accessed 13/11/17].
36
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