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Health - From: 2001 To: 2001This page lists 41 cases, and was prepared on 27 May 2018. Regina (C) v London South and West Region Mental Health Review Tribunal [2001] EWCA Civ 1110; [2002] 1 WLR 176 2001 CA Health, Human Rights A standardised period before a hearing to review a patient's detention that does not vary with the facts of each case may involve a breach of the Convention right. European Convention on Human Rights - Mental Health Act 1983 1 Citers Regina v Secretary of State for the Home Department, Ex parte X Times, 09 January 2001; [2001] 1 WLR 740 9 Jan 2001 CA Schiemann LJ Immigration, Health, Human Rights An asylum seeker had come to be detained under the Mental Health Act. The Home Secretary, having refused the asylum application, ordered him to be repatriated. Held: Though the Secretary of State could only exercise his powers of removal under section 86 of the MHA if it appeared to him to be in the patient's interests and with the approval of the MHT, the use of his powers under the 1971 Act were not expressly circumscribed in relation to persons detained under the MHA. Though this might lead to greater harm for the applicant, it was not a breach of his Article 3 rights. The two schemes could run side by side, and the Home Secretary appeared properly to have considered the applicant's mental condition. Schiemann LJ said that the 1971 Act and the MHA deal with different categories of persons: the mentally ill and immigrants: "Parliament when enacting the Immigration Act 1971 had section 90 of the Mental Health Act 1959, the predecessor of section 86 of the 1983 Act, in mind: see section 30 of the 1971 Act which extended existing statutory powers for the removal of aliens receiving in-patient treatment for mental illness to all persons subject to immigration control. Similarly Parliament when enacting the Mental Health Act 1983 had the Immigration Act 1971 in mind. Section 86(1) of the 1983 Act specifically refers to it and paragraph 30 of Schedule 4 and Schedule 6 to the 1983 Act expressly amended section 30 of the 1971 Act to which we have just referred. The interaction of these two Acts is something to which Parliament has adverted its attention yet what Parliament clearly did not do expressly was to circumscribe the Home Secretary in the use of his Immigration Act powers in the case of Mental Health Act patients. Parliament could have made special provision for those who fell into both categories, perhaps by providing a special regime for them, perhaps by providing that the Immigration Act regime was to prevail and be the only one, perhaps by providing that the Mental Health Act regime should be the only one. It did not do so. It left in existence two sets of powers either of which could be used subject to the conditions prescribed for the use of that power. . . There appears to us no reason why the two regimes should not run in parallel in the case of a person who is both an immigrant and mentally ill. Clearly if the Home Secretary proposes to use his Immigration Act powers in relation to a mentally ill person that illness will be a factor which he must take into account. It is not suggested in the instant case that he has failed to do so." Immigration Act 1971 - Mental Health Act 1983 1 Citers In Re W (Enduring Power of Attorney); CA 9-Jan-2001 - Gazette, 25 January 2001; Times, 09 January 2001; [2000] Ch 343 Bensaid v The United Kingdom 44599/98; (2001) 33 EHRR 205; (2001) 33 EHRR 10; [2001] ECHR 82; [2001] INLR 325; 11 BHRC 297 6 Feb 2001 ECHR Human Rights, Health, Immigration The applicant was a schizophrenic and an illegal immigrant. He claimed that his removal to Algeria would deprive him of essential medical treatment and sever ties that he had developed in the UK that were important for his well-being. He claimed that his article 3 and 8 rights would be infringed if he were removed to Algeria. His claim focused both on the medical treatment in the UK of which he would be deprived and the lack of such treatment in Algeria. Held: His case under article 3 was not made out: the risk that the applicant would suffer a deterioration in his condition if he were returned to Algeria was "speculative". "Private life is a broad term not susceptible to exhaustive definition . . Mental health must also be regarded as a crucial part of private life associated with the aspect of moral integrity. Article 8 protects a right to identity and personal development, and the right to establish and develop relationships with other human beings and the outside world. The preservation of mental stability is in that context an indispensable precondition to effective enjoyment of the right to respect for private life." European Convention on Human Rights 3 8 1 Cites 1 Citers [ Bailii ] Greenfield v Irwin and Others (A Firm) Times, 06 February 2001 6 Feb 2001 CA Health, Professional Negligence, Damages A woman who had had to give up work to care for a child was not able to claim damages from a nurse who had failed to diagnose her pregnancy, with the result that she had lost the opportunity to have an abortion. She had no sustainable claim for loss of earnings when she gave up work to look after the child. There is no longer any justification in a distinction being made between negligent advice cases and cases involving actual physical injury. Regina v Mental Health Tribunal for North East Thames Region, ex parte Secretary of State for the Home Department; CA 20-Feb-2001 - Times, 20 February 2001 Regina (Count Franz Von Brandenburg (aka Hanley) ) v East London and The City Mental Health NHS Trust, Snazell, Approved Social worker; CA 21-Feb-2001 - Gazette, 12 April 2001; Times, 28 February 2001; [2001] EWCA Civ 239; [2002] QB 235 Regina (on the application of K) v Camden and Islington Health Authority Gazette, 20 April 2001; Times, 15 March 2001; [2001] EWCA Civ 240; [2002] QB 198 21 Feb 2001 CA Master of the Rolls (Lord Phillips) Lord Justice Buxton And Lord Justice Sedley Health, Human Rights, Local Government The duty of a local authority to seek to provide resources to care for a mental patient after release into the community, is not absolute, and is subject to the limitations of the availability of a sufficient budget. A continued detention in hospital of a patient because of the absence of such proper provision was not an infringement of his human rights. Section117 does not impose on health authorities an absolute obligation to implement the conditions for a patient's discharge from hospital required by a tribunal; the authorities' duty is, in general, to use reasonable endeavours to secure compliance with those conditions. Lord Phillips of Worth Matravers MR: "Putting on one side the question of compliance with article 5 of the Convention, I can see no justification for interpreting section 117 so as to impose on health authorities an absolute obligation to satisfy any conditions that a tribunal may specify as prerequisites to the discharge of a patient. The section does not expressly impose any such requirement, nor is it reasonable to imply such a requirement. The applicant's suggested interpretation would place upon health authorities a duty which, on occasion, would be impossible to perform. The applicant's skeleton argument suggested that there was more that the health authority could have done to persuade a forensic psychiatrist to provide the aftercare required by the tribunal. The decision of the judge was to the contrary, and there is no basis upon which that decision can be challenged. An interpretation of section 117 which imposed on health authorities absolute duties which they would not necessarily be able to perform would be manifestly unreasonable." European Convention on Human Rights Art 5 - Mental Health Act 1983 37 41 117(2) 1 Cites 1 Citers [ Bailii ] Regina v Secretary of State for the Home Department ex parte X Gazette, 22 February 2001 22 Feb 2001 CA Immigration, Health, Human Rights The applicant had entered the UK without leave, and then been detained for mental illness. The Secretary ordered him to be removed. He claimed that there was no power to remove him whilst the detention order was current, and that the order infringed his human rights. Held: The later Act had not revoked the earlier, and the Secretary could act under either and without infringing his human rights, and he had no duty to give exceptional leave to remain. Immigration Act 1971 2(1), 30 - Mental Health Act 1983 86 - Human Rights Act 1998 3 Regina (on the application of H) v Mental Health Review Tribunal, North and East London Region; CA 28-Mar-2001 - Times, 02 April 2001; Gazette, 24 May 2001; [2001] EWCA Civ 415; [2002] QB 1 Milton Keynes Housing Benefit Review Board v Saxby Times, 07 June 2001; Gazette, 07 June 2001 3 Apr 2001 CA Benefits, Health Elders of a Christian Community were required to contribute to the costs of the accommodation in a home shared by all occupants, even though they occupied only part of the home, and claimed housing benefit. It was held that they were entitled to claim, even though they had no direct liability for the rent. The elder would be subject to fixed non-dependent deductions for the other adult members of the house, and it was consistent with the words of the Act and the policy that they should be able to claim the benefit. Housing Benefit (General) Regulations 1987 (1987 No 1971) 10(1) Commission v Cambridge Healthcare Supplies (Order) C-471/00 11 Apr 2001 ECJ European, Health Europa Appeal - Order of the President of the Court of First Instance in proceedings for interim relief - Withdrawal of marketing authorisations for medicinal products for human use containing "phentermine" - Urgency - Balancing of interests. Case C-471/00 P (R). Second Directive 75/319/EEC NHS Trust A v H Times, 17 May 2001; [2001] Fam 349 17 May 2001 FD Health The two sets of guidelines on the meaning of and criteria for diagnosing 'permanent vegetative state' contained conflicts. Those issued by the Royal College of Physicians, and those issued in an International Working Party Report on Persistent Vegetative State, had different groupings of criteria which led to difficulties in applying the criteria within both medical and legal professions. The guidelines should be reviewed. 1 Citers Pickering, Regina (on the Application of) v Ashworth Hospital Authority [2001] EWCA Civ 883 18 May 2001 CA Health Application by restricted patient with regard to transfer to more restrictive regime for punitive not therapeutic reasons. Mental Health Act 1983 [ Bailii ] Regina (L) v Dagenham London Borough Council; CA 11-Jun-2001 - Times, 11 June 2001 Regina v Ashworth Special Hospital Authority and Another, ex parte N Times, 26 June 2001 26 Jun 2001 QBD Health, Human Rights A secure hospital charged with caring for patients considered to be at high risk, imposed rules for monitoring 100 per cent of the telephone calls of high risk prisoners, and a random ten per cent of lower risk patients. Privileged calls were not intercepted. It was held that although this was an infringement of the right to respect for his correspondence, the steps were taken balanced against an understanding of the high risks of escape and other damage which might be suffered. The interceptions took place in accordance with policies approved by the Home Secretary. The interceptions were lawful. Human Rights Act 1998 Rahma Khana (By Her Litigation Friend, the Official Solicitor) v Mayor and Burgesses of London Borough of Southwark Gazette, 31 August 2001; Times, 25 September 2001; [2001] EWCA Civ 999 28 Jun 2001 CA Henry, Mance LJJ, McKinnon J Local Government, Health The applicant was an elderly Iraqi lady with poor sight and mental illness. The local authority decided that she needed care in a residential home. She applied for a two bed-roomed ground floor flat, which would allow her to live with her extended family and among others who spoke her language. The court held that given that the conclusion and recommendation were not challenged as such, the court could not intervene. The authority had satisfied its statutory obligations, which did not require it to satisfy preferences. National Assistance Act 1948 - National Health Service and Community Care Act 1990 [ Bailii ] Optident Ltd and Another v Secretary of State for Trade and Industry and Another; HL 2-Jul-2001 - Times, 02 July 2001; [2001] UKHL 32; (2001) 61 BMLR 10; [2001] 3 CMLR 1 C, Regina (on the Application Of) v Mental Health Review Tribunal London South and South West Region [2001] EWCA Civ 1110 3 Jul 2001 CA Health [ Bailii ] Regina (C) v Mental Health Review Tribunal; CA 11-Jul-2001 - Times, 11 July 2001; Gazette, 19 July 2001 Geraets-Smits v Stichting Ziekenfonds VGZ Peerbooms v Stichting CZ Groep Zorgverzekeringen Times, 03 September 2001; Case C-157/99 12 Jul 2001 ECJ GC Rodriguez Iglesias, President and Judges C. Gulmann, A. La Pergola, M. Wathelet, V. Skouris, D. A. O. Edward, J.-P. Puissochet, P. Jann, L. Sevon, R. Schintgen and F. Macken Advocate General D. Ruiz-Jarabo Colomer Health, Benefits, Commercial Where a member of a sickness scheme sought treatment in another member state, it was proper to require prior authorisation, but any conditions imposed had to be justifiable and proportionate. In this case the scheme required the recognition of the treatment sought, and that immediate treatment in the country was not available. Hospital services were capable of constituting economic activity, and were accordingly required to be free of restraint by Community law. Re-imbursement by a member state's sickness benefits scheme did not take it out of the scope of Article 60. The additional restrictions were valid only in so far as they required that the treatment be tried and tested, or that equivalent treatment was available locally without undue delay. EC Treaty Article 60 234 1 Citers Vanbraekel and Others v Alliance nationale des mutualites chretiennes Case C-368/98 (Judgment) Times, 03 September 2001; C-368/98; [2001] EUECJ C-368/98; C-368/98 12 Jul 2001 ECJ European, Health, Benefits, Commercial The applicant was insured under the national health insurance scheme, but received treatment in another member state, he was entitled to be re-imbursed the higher cost even though it might be higher than the amount he would have been entitled to have claimed in his own country. To hold otherwise would discourage free supply of services through member states. EC Treaty Article 234 [ Bailii ] C, Regina (On the Application of) v Lincolnsire Health Authority [2001] EWHC Admin 685 6 Sep 2001 Admn David Pannick QC Health The claimant a 35 year old woman with severe learning disabilities caused by cerebral palsy brought the proceedings to challenge the decision of the Lincolnshire Health Authority to cease to provide long stay care for her at Long Leys, [ Bailii ] S, Regina (On the Application of) v Plymouth City Council [2001] EWHC Admin 750 7 Sep 2001 Admn Local Government, Health [ Bailii ] Regina v Edward William Moore, William Samuel Kerr, Asad Haroon Gazette, 25 October 2001; Times, 01 November 2001 5 Oct 2001 CACD Rose LJ, Bell J, Stanley Burnton J Crime, Human Rights, Health The applicants challenged the procedures under which, having been found unfit to plead by proceedings under the section, they were then found to have committed the acts forming the offences. The defendants were unable to put forward any case in rebuttal. Applications to stay proceedings as an abuse of process had failed. Were such proceedings criminal proceedings. Not all proceedings which might result in a deprivation of liberty were criminal proceedings. Proceedings under sections 4 and 4A also did not constitute criminal proceedings. The complaint that the inability to defend themselves made a trial unfair confused the rights under the convention with the ability to exercise those rights. The latter could not be guaranteed by any convention. What is a fair hearing varies with the situation. Criminal Procedure (Insanity) Act 1964 4(1) - European Convention on Human Rights - Criminal Procedure (Insanity and Unfitness to Plead) Act 1991 1 Cites Regina v M and Others [2001] EWCA Crim 2024; [2001] MHLR 177; [2002] 1 Cr App R 25; [2002] 1 WLR 824; [2002] Crim LR 57 5 Oct 2001 CACD Rose LJ Crime, Health The court considered the nature of the detention of a defendant when he was found unfit to plead. Rose LJ said: "The old orders available to the courts [including the hospital order with restrictions] do not include any punishment or any order that can be seen as retributive or deterrent. With the exception of an absolute discharge, they are concerned with the treatment and care of the accused." As to the effect of the Human Rights Convention Rose LJ said: "The right to liberty and security is the subject of article 5. Detention after conviction is only one of the cases in which deprivation of liberty is permitted by article 5.5(1). In the present connection, the other relevant paragraph of article 5(1) is (e): the lawful detention of persons of unsound mind. The protection of persons detained on the ground that they are of unsound mind is contained in article 5(4)."
It seems to us that the question is one of some difficulty. The answer to it may lie, but does not necessarily do so, in Mr Eadie's submission that this is a difficult and complex area where Parliament has carried out the requisite balancing exercise and has concluded that, where it has been found by a jury that a person is unfit to be tried and has done the act charged as murder, the automatic consequence ought to be admission to hospital as prescribed in s.5 (subject to the person's right to make immediate application to the MHRT and to the other protections afforded to a person subject to detention under these provisions); that the court should afford a measure of deference to Parliament in such a field; and that in all the circumstances the procedure is not to be stigmatised as arbitrary for the purposes of Article 5. In the circumstances of the present case, however, it is unnecessary for us to reach any conclusion on that issue, since we are satisfied on the particular facts that the conditions for detention, albeit not considered in terms under the statutory procedure, were in fact met. All the experts who gave evidence in the s.4A proceedings were of the view that the appellant suffered from mental impairment within the meaning of the Mental Health Act 1983. They did not consider the question of disposal because it was not necessary for them to do so. [The medical history was considered]. We are also told that, though no report is available, the Secretary of State understands from the clinical staff at the hospital that they believe that the appellant's mental impairment would justify her continuing detention in hospital and that there is treatment available which is alleviating her condition. Looking at the evidence as a whole, we take the view that the appellant did suffer from a mental disorder sufficiently serious to warrant detention and that the conditions for initial detention under Article 5(1)(e) were therefore met. That is a sufficient basis for rejecting this part of the appellant's case. "
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