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You are here: BAILII >> Databases >> England and Wales Court of Appeal (Civil Division) Decisions >> MC (Algeria), R (on the application of) v Secretary of State for the Home Department [2010] EWCA Civ 347 (31 March 2010) URL: http://www.bailii.org/ew/cases/EWCA/Civ/2010/347.html Cite as: [2010] EWCA Civ 347 |
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COURT OF APPEAL (CIVIL DIVISION)
ON APPEAL FROM
HH Judge Vosper QC
Strand, London, WC2A 2LL |
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B e f o r e :
LADY JUSTICE ARDEN
and
LORD JUSTICE SULLIVAN
____________________
THE QUEEN on the application of MC (ALGERIA) |
Claimant |
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- and - |
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SECRETARY OF STATE FOR THE HOME DEPARTMENT |
Defendant |
____________________
Mr Sarabjit Singh (instructed by The Treasury Solicitors) for the Defendant
Hearing dates : 1, 2 & 23rd March 2010
____________________
Crown Copyright ©
Lord Justice Sullivan:
Factual Background
"obstructive and caused disturbances, swallowing coins, banging his head on the wall and injuring his arm."
"We have received reports that our client has been seriously self-harming. We are concerned about his welfare.
Please respond to this letter as a matter of urgency confirming:
1. the UKBA's knowledge of any incident that our client was involved in that led to him being moved to prison accommodation;
2. where our client is currently detained, and whether he is detained under immigration powers; and
3. if he is detained under immigration powers, whether consideration has been given to the issue of whether our client is fit to be detained given his mental health problems/self harm, and if such consideration has been given, disclosure of any documents relating to that process."
"The reason [the Claimant] was moved to HMP Wandsworth on 9 December 2008 was because he was deemed a Prominent Nominal, which is a level reserved for only the most troublesome of detainees. [The Claimant] in his time at Colnbrook was described as very non-compliant, intimidating and aggressive to staff members, disruptive and would encourage non-compliance in other detainees. [The Claimant] will be able to be managed more effectively in a prison environment.
[The Claimant] is currently held in HMP Wandsworth under detained under Schedule 3 to the Immigration Act 1971 because he is subject to a deportation order requiring him to leave the United Kingdom.
[The Claimant] was medically assessed when he was received at Colnbrook and deemed fit to be detained at the facility. He was identified as a self-harmer and was at various times on constant watch or 3 times an hour observation.
I have requested a psychiatric evaluation from HMP Wandsworth."
"I have still not received the psychiatric report from HMP Wandsworth, but have re-requested it and will endeavour to obtain [it] as soon as possible."
"The Secretary of State's published policy on detention, the Enforcement Instructions and Guidance, is clear at 55.10 that those suffering from mental health problems are unsuitable for detention and should not normally be detained in immigration removal centres or elsewhere.
In the light of the above, please answer the following questions:
1. does the above mean that our client was last assessed as being 'fit to be detained' when the decision to detain him under immigration powers was taken in September 2007?
2. since September 2007, on what dates was he assessed by a psychiatrist? We request disclosure of any reports from psychiatrists and any reviews of our client's detention that were carried out on the basis of those assessments.
3. have you now received a psychiatric assessment from HMP Wandsworth? If you have we request disclosure of it."
"24. A psychiatric report was requested for the Claimant by the Defendant on 7th May 2009 whilst the Claimant was in prison. On 5th January 2010, the Defendant contacted the prison health team and a request was made for the Claimant to be assessed by a psychiatrist. The Defendant is awaiting the psychiatric report."
" 4. Personality disorder is not classified as a mental illness. However, since the changes brought about by the Mental Health Act 2007, the attitude of the psychiatric professions to the distinction between mental illnesses and disorders such as personality disorder is less rigid. It should also be noted that many individuals with personality disorder are prone to develop, particularly if placed under stress, acute mental illness. The document 'Personality disorder: No longer a diagnosis of exclusion' published by the Department of Health in 2003, had a major impact on services for patients suffering from personality disorder. This document embodied the recognition that those suffering from personality disorder should be entitled to have psychiatric treatment, where such treatment can be helpful to them. There had been a tendency previously for the psychiatric system to exclude patients suffering from personality disorder from obtaining appropriate psychiatric help."
Having referred in paragraph 5 of his conclusions to the widespread recognition that indefinite detention is, from a psychiatric point of view very harmful, he adds:
"In my view being detained in Wandsworth is having a very deleterious effect upon [the Claimant's] psychiatric state. In my view the circumstances of detention materially contribute to the repetitive cycle of serious self-harm and increase the risk of his becoming acutely mentally ill. During his time at Colnbrook he seemed to make some progress and this was a stabilising period for him. However his self-harm has escalated during his detention at HMP Wandsworth."
"9. I have been specifically asked if the conditions at HMP Wandsworth have contributed to the escalation of disturbed behaviour, self harm and suicide attempts. It is clear to me that this is the case. It is clear to me that there is not at HMP Wandsworth an appropriate facility for the treatment of personality disorder of this nature, especially when there is such a high risk of serious self harm and completed suicide. From the records there is clearly a pattern of his being transferred to psychiatric care on an acute basis and then being transferred back to HMP Wandsworth without any continuity of care and this is very damaging from a psychiatric perspective. Continuity of care is one of the cornerstones of appropriate management of Personality Disorder. As I understand it there is not available to [the Claimant] at HMP Wandsworth the regular contact with skilled psychiatric personnel that he requires. I did not visit the psychiatric facilities at HMP Wandsworth and it would be helpful to me to have an account of the facilities available. However, it is usually the case that such facilities in prisons cater for acute conditions such as a psychosis and this is not an appropriate context for the management of personality disorder.
10. [The Claimant] should either be admitted to a secure unit or admitted to an open unit on a voluntary basis. It would be for the responsible psychiatrist to decide how admission to a secure unit would be achieved, but the options would be: 1) Use of the Mental Health Act, under a civil section for assessment or treatment, or 2) Transfer from prison under a transfer section but I do not know whether this part of the Act applies to immigration detention. It is obviously mostly used for those on criminal sentences. It used to be that Personality Disorder was excluded or at least avoided as a qualifying justification for application of the Mental Health Act civil sections but that is no longer so, if the disorder is of sufficient severity and poses a risk to self or others; [the Claimant] will probably fulfil these criteria. However he may not need to be detained against his will for a prolonged period and the responsible psychiatrist will monitor the situation and make this decision. Voluntary admission to an open unit might be a viable alternative to admission to a secure unit under the Mental Health Act, again the admitting responsible psychiatrist will make the decision."
In paragraph 18 he warned that:
"In the current situation, that is while he continues to be detained at HMP Wandsworth, he is very likely to continue with frequent self harm/suicide attempts. A real possibility is that the eventual outcome will be suicide."
" ..can only be understood within the context of the psychiatric disturbance that he suffers from and which I have detailed in my report. I wish to stress that these disturbed outbursts do not result from a reasoned wish to cause disturbance but result from the combination of his disturbed mental state and the contexts which trigger outbursts of disturbed behaviour. It is clear to me that he cannot control this behaviour but that in a more appropriate context (namely, where appropriate psychiatric care is available) they (the outbursts) can be managed in an appropriate manner. It is completely inappropriate to try and manage this behaviour in a disciplinary manner; such an approach would in my view make matters substantially worse."
"Impression: It is quite likely that [the Claimant] suffers from a Personality Disorder of a Cluster B construct (predominantly Borderline) which is a Mental Disorder within the meaning of the Mental Health Act 1983 (amended 2007). However, given the intervening periods of stability during his prison tenure, the context of his deliberate self harm and his inconsistent presentations, it is unlikely that this is of a degree that warrants urgent treatment in hospital
Suitability for detention in prison : Given the remit of our functioning as part of the mental health services within the prison, it is not appropriate for us to comment on his suitability for detention in prison. However, given his clinical needs, he is being regularly seen by a member of the Prison Inreach Team as part of the ACCT review process. There are also psychological services within the prison as part of the Forensic Therapies Unit, that could cater for his psychological needs, and [the Claimant] agreed to work with them, at interview. I will be referring him for CBT (cognitive and behavioural therapy) with the above team. Dr Walters has kindly agreed to make a referral to a specialised Personality Disorders Unit, for a collateral assessment to advise on his suitability for inpatient treatment."
"extremely harmful to his mental state and suggests that he is not being treated in a manner appropriate to his psychiatric disorder."
- What is the likelihood of the person being removed and, if so, after what timescale?
- Is there any evidence of previous absconding?
- Is there any evidence of a previous failure to comply with conditions of temporary release or bail?
- Is there a risk of offending or harm to the public (this requires consideration of the likelihood of harm and the seriousness of harm if the person does offend)?
- Does the subject have a history of physical or mental ill health?
"Certain persons are normally considered suitable for detention only in very exceptional circumstances, whether in dedicated Immigration accommodation or elsewhere. Others are unsuitable for Immigration detention accommodation because their detention requires particular security, care and control. In CCD cases, the risk of further offending or harm to the public must be carefully weighed against the reason why the individual may be unsuitable for detention.
The following are normally considered suitable for detention in only very exceptional circumstances, whether in dedicated Immigration detention or elsewhere:
- Those suffering from serious medical conditions or the mentally ill in CCD cases, please contact the specialist Mentally Disordered Offender Team;"
"A significant risk of absconding and re-offending if at large although the length of detention is significant and there are clear mental health issues. I agree that the inherent risks outweigh the presumption to liberty and the risk he presents meets the exceptional criteria for detaining those with mental health needs. There will be support in HMP Wandsworth and provision to transfer him to hospital if necessary. "
The Claimant's grounds
(1) the Defendant had failed to have regard to a material consideration, namely the policy now contained in Chapter 55 of the EIG that those who are mentally ill should be detained only in very exceptional circumstances; and(2) that by the time the Claim Form was issued the continued detention of the Claimant had become unreasonable applying the principles derived from the judgment of Woolf J in R v Governor of Durham Prison ex parte Singh (1984) 1 WLR 704 ("Hardial Singh").
Discussion
"89 In these cases there is no lawful authority to detain unless a lawful decision is made by the Secretary of State. The mere existence of an internal, unpublished policy or practice at variance with, and more disadvantageous to the FNP than, the published policy will not render a decision to detain unlawful. It must be shown that the unpublished policy was applied to him. Even then, it must be shown that the application of the policy was material to the decision. If the decision to detain him was inevitable, the application of the policy is immaterial, and the decision is not liable to be set aside as unlawful. Once again, however, once a decision to detain lawfully has been made, a review of detention that is unlawful on Wednesbury principles will not necessarily lead to his continued detention being unlawful.
90. For completeness, we would add that the test of materiality may not be precisely the same as in the context of an application for a quashing order in judicial review. In that context, a court, faced with a judicial review claim made promptly following the original decision, would be likely to quash a decision, and require it to be retaken, even if the evidence showed only a risk that it might have been affected by the illegality. However, in the context of a common law claim in tort, which is concerned not with prospective risk, but actual consequences, we think it would be entitled, if necessary, to look at the question of causation more broadly, and ask whether the illegality was the effective cause of the detention (see e.g. Galoo Ltd v Bright Grahame Murray [1994] 1 WLR 1360, 1374; and the discussion of "Causation in Law" in Clerk & Lindsell Torts 19th Ed. Paras 69-71) "
"There appears to be little authority on the proper approach to the assessment of damages in a case where the actual detention was unlawful, but where a lawful decision might have produced the same result." (para 91)
"to be authority that the mere fact that a lawful decision would have led to the same consequence is not necessarily a reason for limiting the award to nominal damages."
"96. If we had to decide the matter, we would not necessarily regard ourselves as precluded by Roberts from considering, for the purposes of assessing damages, whether an unlawful detention had in practice caused any real loss. If, on the evidence, it was clear that, even assuming a lawful consideration, there was no realistic possibility of a different decision having been reached, and no realistic possibility of earlier release, then we do not see why that should not be reflected in an award of nominal damages only. However, on the view we have taken on the issue of causation, such a set of facts in the present context would mean that there was no liability at all, so that the issue of damages would not arise."
(1) The length of detention, the Claimant had been in immigration detention for over 29 months since 21st September 2007.(2) Despite the length of detention there was still no end in sight. Mr Islam's witness statement did not give any indication as to the timescale within which the Claimant's removal to Algeria might be possible.
(3) On the basis of Dr Bell's evidence, the adverse effect of continued, open ended detention on the Claimant's mental health. While the Claimant's mental health is not the sole consideration, Dr Levy's report had not engaged with Dr Bell's conclusion that continued detention in prison was seriously harmful to the Claimant's mental health. He appeared to have equated the Claimant's position with that of a convicted prisoner who had been sentenced to a term of imprisonment. In such a case it would not be for Dr Levy to comment on the prisoner's suitability for imprisonment. But the present case is wholly different. The Claimant is not a convicted prisoner, and the question for the psychiatrist is whether, given the Claimant's mental state, he should continue to be detained in prison. Dr Levy did not answer this question.
(1) a supplementary psychiatric report responding to Dr Bell's report; and
(2) updated information as to the prospects of removing the Claimant to Algeria, including information as to the steps being taken by the Foreign and Commonwealth Office to liaise with the Algerian authorities regarding the procuring of an ETD for the Claimant.
(1) A further medical report in the form of a letter dated 15th March 2010 from Dr Levy; and(2) a witness statement dated 18th March 2010 of Mr Coy, a Senior Executive Officer in the CCD.
Dr Bell provided a short commentary dated 22nd March 2010 on Dr Levy's further report.
"the issue of whether [the Claimant] should be admitted to a secure unit or as an inpatient on an open ward would be guided by the assessment of the Unit."
He also said "one of the primary considerations" in the decision making process would be the risk of absconding, which he was unable to assess without access to the Claimant's earlier medical history.
" .a pack of evidence relating to [the Claimant]. This pack includes [the Claimant's] passport number and the date and place of issue of the passport. The Deputy Consul said that he would send this to Algiers as soon as he received it. He estimated that with this information, it would take about 1 3 months for an ETD to be issued.
The Deputy Consul also requested that a new application for an ETD be submitted along with this pack of evidence."
" .the documents show beyond reasonable doubt the nationality and identity of the Claimant. It appears from the initial reaction that the Algerians are of the same opinion. It is therefore anticipated that an ETD is likely to be issued within the next 1 to 3 months. Subject to the ETD being issued, the Claimant will be removed from the UK to the Peoples Democratic Republic of Algeria."
Conclusion
Lady Justice Arden:
The Master of the Rolls: