[Home] [Databases] [World Law] [Multidatabase Search] [Help] [Feedback] | ||
England and Wales Court of Appeal (Criminal Division) Decisions |
||
You are here: BAILII >> Databases >> England and Wales Court of Appeal (Criminal Division) Decisions >> Wellicome, R. v [2009] EWCA Crim 1861 (18 August 2009) URL: http://www.bailii.org/ew/cases/EWCA/Crim/2009/1861.html Cite as: [2009] EWCA Crim 1861 |
[New search] [Printable RTF version] [Help]
CRIMINAL DIVISION
Strand London, WC2A 2LL |
||
B e f o r e :
MR JUSTICE TREACY
MR JUSTICE KING
____________________
R E G I N A | ||
v | ||
COLIN BASIL WELLICOME |
____________________
WordWave International Limited
A Merrill Communications Company
165 Fleet Street London EC4A 2DY
Tel No: 020 7404 1400 Fax No: 020 7404 1424
(Official Shorthand Writers to the Court)
____________________
Crown Copyright ©
"I can confirm that Mr Wellicome is an outpatient under my care at Worthing Hospital. He has idiopathic Parkinson's disease, and has been under my care since 2003. He was last seen in my outpatient clinic on 12 December 2008 by my neurology nurse specialist. At present he takes a combination of medication [and then details are given of a number of different drugs].
He has significant physical symptoms despite treatment. He has significant involuntary movements. He has occasional periods of marked immobility and loss of arm function. He has some difficulty with speech, which can make it difficult for him to communicate, particularly when he is under stress.
...
Clearly, a custodial sentence would have significant effects on Mr Wellicome's Parkinson's disease and cortial Lewy body disease. There is a very clear interplay between the physical and cognitive symptoms in patients with Parkinson's disease and intercurrent stress, and I think it is very likely that his physical and cognitive symptoms would deteriorate in a prison environment. I would also be concerned that it would be difficult to manage his physical and cognitive symptoms in a prison environment, and that his ability to access therapies including physiotherapy would be very limited."
"He is significantly disabled by this progressive neurological disorder and it seems likely that his time in prison has contributed to his further physical and mental deterioration. ... He currently takes five different drugs to try and control his Parkinson's with limited success. There are two significant problems with his Parkinson's at present. Firstly he has significant periods of freezing when he is unable to move or moves with great difficulty. This is a difficult problem at night when needing to go the bathroom which he requires to do on two to three occasions each night. As part of this, he also has significant difficulties initiating movement. The second major problem is with significant involuntary movements when his arms will either rise or jerk out in an uncoordinated manner. This obviously makes collecting his food and eating, as well as other day to day activities of self-care, particularly challenging. Prison would certainly appear to have added to his stress and anxiety levels which also has a knock-on effect on his physical symptoms. ... In the community he was having physiotherapy either on a weekly or fortnightly basis and he has had no physiotherapy since his time in prison again with an adverse effect on his physical functioning. Due to his Parkinson's his speech can become quiet and at times difficult to follow which has meant that he tends to have difficulty interacting with staff and inmates, making him more socially isolated."
"I refer to Dr Chalmers' report of 24 March 2009 who suggested that a custodial sentence would be likely to result in deterioration in his illness and I think that certainly that has been the case."