Page 721 - 2015 2nd Half No Table

Patient’s rights:
Was the patient made aware of his/her legal status and rights under the
1983 Mental Health Act at time of interview? if No', please state date
when he/she was made aware of above: Yes
ENFIELD Council
Barnet, Enfield and Haringey
Health Authority NHS

33,
Assessment details
Date of initial referral: 21/01/2016
Date of assessment: 03/02/2016
Place of assessment: Patient’s Home
Medical recommendations from:
No recommendations
Date completed:
Date:
Please select If Sec.12 doctor or GP: “Blank”
Legal status at time of assessment
Any delays in admission process?
Time assessment:
Started: 10:40hrs Completed 14:00hrs
Outcome details: Not admitted; N/A
Time of admission: N/a
Inf: No
Sec. 135: “Blank”
Sec 2: “Blank”
Sec. 136: “Blank”
Sec.3: “Blank”
Detained by Police, not under Sec. 136: “Blank”
Sec.4: “Blank”
Sec. 5(2): “Blank”
CTO: “Blank”
Sec.7: “Blank”
Other: “Blank”
Legal status at end of assessment
No admission: “Ticked”
Informal admission: “Blank”
Remains informal inpatient G Detained under Sec.2: “Blank”
Detained under Sec.3: “Blank”
Detained under Sec.4: “Blank”
Placed under Sec.7: “Blank”
G CTO: Yes □ No □ Renewal □ Revoke □
Other:
Admitted/detained at: Not Applicable
Hospital/Unit: Not applicable
Ward: Not applicable
1 Summary of assessment
Patient's name Simon Cordell
Date of assessment: