"117 After-care (1) This section applies to persons who are detained under section 3 above, or admitted to a hospital in pursuance of a hospital order made under section 37 above, or transferred to a hospital in pursuance of a transfer direction made under section 47 or 48 above, and then cease to be detained and [(whether or not immediately after so ceasing)] leave hospital. (2) It shall be the duty of the [Health Authority] and of the local social services authority to provide, in co-operation with relevant voluntary agencies, after-care services for any person to whom this section applies until such time as the [Health Authority] and the local social services authority are satisfied that the person concerned is no longer in need of such services [; but they shall not be so satisfied in the case of a patient who is subject to after-care under supervision at any time while he remains so subject.]"
"(8) .... nothing in this section shall authorise or require a local authority to make any provision authorised or required to be made (whether by that or by any other authority) by or under any enactment not contained in this Part of this Act [or authorised or required to be provided under theNational Health Service Act 1977 .]"
"22 Charges to be made for accommodation (1) subject to section 26 of this Act, where a person is provided with accommodation under this Part of this Act the local authority providing the accommodation shall recover from him the amount of the payment which he is liable to make in accordance with the following provisions of this section."
"29 Welfare arrangements for blind, deaf, dumb and crippled persons etc (1) A local authority [may direct in relation to persons ordinarily resident in the area of the local authority shall make arrangements for promoting the welfare of person to whom this section applies, that is to say persons [aged eighteen or over] who are blind, deaf or dumb[or who suffer from mental disorder of any description]]. And other persons [aged eighteen or over] who are substantially and permanently handicapped by illness, injury, or congenital deformity or such other disabilities as may be prescribed by the Minister."
"After-care services are not defined in the Act. They would normally include social work, support in helping the ex-patient with problems of employment, accommodation or family relationships, the provision of domiciliary services and the use of day centre and residential facilities."
"the duty is not only a general duty but a specific duty owed to the applicant to provide him with after-care services until such time as the district health authority and local social services authority are satisfied that he is no longer in need of such services."
"On the face of it section 117(2) imposes a duty on the health authority and the local social services authority to provide after-care services for persons to whom section 117 applies. It does not impose a duty to secure the provision of such services under other powers, no other enactments are mentioned in sub-section (2) as a potential source of such power."
"Having looked at the language, it is sensible to stand back and see if the result gives rise to any anomaly, absurdity or injustice."
"Nothing in this section shall authorise or require a local authority to make any provision authorised or required to be made (whether by that or by any other authority) by or under any enactment not contained in this part of this Act or authorised or required to be made under theNational Health Service Act 1977 ."
"How are the words "or authorised or required to be provided under" the Health Act to be applied? 28. Each word is of significance. The powers of the local authority are not excluded by the existence of a power in the Health Act to provide the service, but they are excluded where the provision is authorised or required to be made under the Health Act. The position is different in the case of "any other enactment" where it is sufficient if there is an authority or requirement to be made by or under the enactments. 29. --- The section (21(8)) should not be regarded as preventing a local authority from providing any health services. The sub-sections prohibitive effect is limited to those health services which, in fact, have been authorised or required to be provided under the Health Act. Such Health Services would not therefore include services which the Secretary of State legitimately decided under section 3(1) of the Health Act it was not necessary for the NHS to provide.--The true effect is to emphasise that Care Act provision, which is secondary to Health Act provision, may nevertheless include nursing care which properly falls outside the NHS."
"Although section 117 was not in issue, the Court did have to construe the excluding provisions of section 21(8). The contrast between the position where provision is authorised or required to be made under the 1977 Act, and by or under "any other enactment," including section 117, was central to the Court's decision. I am therefore satisfied that the approach of the Court to section 21(8) is binding upon me."
"community care services" means services which a local authority may provide or arrange to be provided under any of the following provisions - (a) partIII of National Assistance Act 1948 (b)section 45 of the Health Services and Public Health Act 1968 ; (c) section 21 and Schedule 8 of theNational Health Service Act 1977 ; and (d)section 117 of the Mental Health Act 1983 ."
"(There is no) inherent unfairness in such a group being entitled to free accommodation as part of their package of after-care in the community .... If, as part of (the programme of community care) patients who would otherwise have been detained in hospital, at considerable cost to the NHS, are accommodated within the community is part of their after-care, I can see no good reason why the public purse and not the former patient should bear the cost of providing that accommodation."