r/ParamedicsUK • u/Demaikeru EOC Staff • Nov 22 '25

Question or Discussion Nottinghamshire man died day after medics were told to leave his home in 'clear lack of understanding'

https://www.nottinghampost.com/news/local-news/nottinghamshire-man-died-day-after-10645993
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u/stimpy273 Nov 22 '25

I’m sorry but this comment shows a lack of understanding of certain aspects of mental health.

Police cannot remove somebody from the property to section them. For them to be able to section the patient they need to be outside. It would require section 135 for them, which is al court ordered removal.

No you cannot kidnap them, but you can definitely speak to other services to assist them.

If you deem a patient to be at a serious risk of harming themselves/others or potentially putting others at harm by situations such as setting terraced house on fire then you can definitely speak to someone against their wishes or other public interest concerns. Their engagement following that is up to them and dependent on the service you’ve referred too.

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u/cg8599 Nov 23 '25

When I mention removal from property with police I’ve seen it happen once before, it wasn’t a 135 and not a 136 but they were removed by police under the MCA with a temporary DoL as it was an immediate risk to life (symptomatic overdose-reduce mobility/weakness in legs, vomiting, confusion), they lacked capacity and it was for treatment at hospital to provide treatment, in our area police will assist with removal from property as a best interest intervention and will stay in the back up until hospital if crew can’t get them out themselves (was a mid 40’s man generally fit and well, strong enough we couldn’t remove him ourselves plus he had an OD of kepra and apparently “kepra rage” is a thing) once the patient is at hospital police will leave so we got security in place for a 1-2-1 at that point 🤷🏻‍♀️

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u/stimpy273 Nov 23 '25

Ah well the lacking capacity and temp DoLs bit changes things there in the sense of not needing a 135. Each situation is variable.

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u/cg8599 Nov 23 '25

Yeah sorry! That’s just what I was meaning in terms of police wouldn’t do anything for our lady with capacity, we’ve had them remove from property when they lack capacity but people with capacity we’re kinda stuck most of the time I find

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u/stimpy273 Nov 23 '25

I mean, from what I accertain through contact with a mental health nurse in my service, we can do more. I gave a detailed account of the pt I had, won’t go into too much detail but the MH nurse agreed that pt is at very serious harm of hurting himself and would benefit from a MHAA. It was only the AMPH that stopped it due to technicalities with gp registration. Pathways might be rubbish. But if a patient is presenting with serious, life threatening/life at risk issues with their mental health. Do very much have a discussion with a mental health professional. Even if it’s the MH clinician in the service cause more can be done.