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You are here: BAILII >> Databases >> England and Wales High Court (Administrative Court) Decisions >> V, R (on the application of) v London Borough Croydon & Anor [2010] EWHC 742 (Admin) (08 February 2010) URL: http://www.bailii.org/ew/cases/EWHC/Admin/2010/742.html Cite as: [2010] EWHC 742 (Admin), (2010) 13 CCL Rep 181 |
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QUEEN'S BENCH DIVISION
THE ADMINISTRATIVE COURT
Strand London WC2A 2LL |
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B e f o r e :
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THE QUEEN ON THE APPLICATION OF V | Claimant | |
v | ||
SOUTH LONDON & MAUDSLEY NHS FOUNDATION TRUST | First Defendant | |
LONDON BOROUGH CROYDON | Second Defendant |
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WordWave International Limited
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(Official Shorthand Writers to the Court)
Mr Vikram Sachdeva appeared on behalf of the Defendant
Mr Martin Russell appeared on behalf of the Second Defendant
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Crown Copyright ©
"Chan Lee [the claimant's first name] was in his bedroom from the start of the shift. He only came out at some point around 23.10 hours but went back for a while. He remains isolated and keeping to himself."
"12.30 pm: contact with EDT co-ordinator Zena Green. Whilst dealing with another referral, Zena said she had been contacted by the wards to again request a MH Act assessment. I discussed the previous knowledge of the case and it appears the request is not an emergency. I understand due to the administrative error this does not constitute an emergency assessment needing out-of-hours team ? work and further causes difficulty (implication or proper consultation with treatment professionals involved who know the patient/the type of treatment involved and consultation with NR [nearest relatives] for the AMHP. Currently the patient is settled and it would be appropriate for a 5 (2) order to elapse and for [there is obviously a misprint] to reconsider and review as and when if the circumstances change ..... SPR on call for Croydon, a doctor who has had discussion with the ward. It appears the ward of the view that the order ends at 9.00 hours today and, if need be, in the unlikely event the patient is insistent to leave, the SHO will need to review at the time. It may be another 5 (2) - appears to be the advice from Chris Allen on Friday - is considered at the time but only in the event of absolute necessity to use such an order. The ward to consider in advance all other least restrictive options first. This may include review/use of medication, increased staff support if patient is irritable. SPR on call has agreed to discuss this with the ward."
"Croydon duty SPR, Sunday 10.1.10 discussion with duty AMHP re CV's section 5 (2) elapsing at some point today. Discussion to the fact that his section 3 was made invalid due to a typo (treating hospital not specified) and that there was no acute justification for MHA for section 3 today as duty AMHP does not know the case and did not feel comfortable with assessing for section 3. Indeed this would seem poor practice to re-assess for s.3 in light of reasoning for invalidation of previous forms."
Later in the same not but obviously referring to a different time -
"Discussed with NS at 2000 on 10.1.10 who stated that CV was settled and agreed to remain informally until he was reviewed by his community team on Monday."
"3 (1) A patient may be admitted to a hospital and detained there for the period allowed by the following provisions of this Act in pursuance of an application (in this Act referred to as 'an application for admission for treatment') made in accordance with this section.
(2) An application for admission for treatment may be made in respect of a patient on the grounds that -
(a) he is suffering from mental disorder of a nature or degree which makes it appropriate for him to receive medical treatment in a hospital; and
(c) it is necessary for the health or safety of a patient or for the protection of other persons that he should receive such treatment and it cannot be provided unless he is detained under this section; and
(d) appropriate medical treatment is available for him.
(3) An application for admission for treatment shall be founded on the written recommendations in the prescribed form of two registered medical practitioners, including in each case a statement that in the opinion of the practitioner the conditions set out in sub-section (2) above are complied with and each such recommendation shall include -
(a) such particulars as may be prescribed of the grounds for that opinion so far as it relates to the conditions set out in paragraphs (a) and (b) of that sub-section; and
(b) a statement of the reasons for the opinion so far as it relates to the conditions set out in paragraph (c) of that sub-section specifying whether other methods of dealing with the patient are available and, if so, why they are not appropriate.
(4) In this Act references to 'appropriate medical treatment' in relation to a person suffering from mental disorder are references to medical treatment which is appropriate in his case taking into account the nature and degree of the mental disorder and all other circumstances of his case."
"(1) An application for the admission of a patient to a hospital under this Part of this Act be duly completed in accordance with the provisions of this Part of this Act shall be sufficient authority for the applicant or any person authorised by the applicant to take the patient and convey him to the hospital at any time within the following period, that is to say, in the case of an application other than an emergency application, the period of 14 days beginning with the date on which the patient was last examined by a registered medical practitioner before giving a medical recommendation for the purposes of the application.
(2) Where a patient is admitted within the said period to the hospital in such an application as is mentioned in sub-section (1) above or, being within that hospital is treated by virtue of Section 5 above as if he had been so admitted, the application shall be sufficient authority for a manager to detain the patient in a hospital in accordance with the provisions of the Act.
(3) Any application for the admission of a patient under this Part of this Act, which appears to be duly made and to be founded on the necessary medical recommendations may be acted upon without further proof of the signature or qualification of the person by whom the application or any such medical recommendation is made or given or of any matter of fact or opinion stated in it."
I interpose at this stage to mention that if a person is taken into hospital under the provisions of Section 3 of the Act, it is open to the hospital to keep him there for treatment for a period of up to six months. That arises by virtue of Section 20 of the Act.
(1) Subject to the provisions of this section, an application for admission for treatment ..... may be made either by the nearest relative of the patient or by an approved mental health professional, and every such application to specify the qualification of the applicant to make the application.
.....
(4) An approved mental health professional may not make an application for admission for treatment ..... in respect of a patient in either of the following cases -
(a) the nearest relative of the patient has notified that professional ..... that he objects to the application being made; or
(b) that professional has not consulted the person, if any, appearing to be the nearest relative of the patient but the requirement to consult that person does not apply if it appears to the professional that in the circumstances such consultation is not reasonably practicable or would involve unreasonable delay."
"(1) If, within the period of 14 days beginning with the day on which a patient has been admitted to a hospital in pursuance of an application for admission for assessment or for treatment, the application or any medical recommendation given for the purposes of the application is found to be in any respect incorrect or defective, the application or recommendation may, within that period and with the consent of the managers of the hospital, be amended by the person by whom it was signed and upon such amendment being made the application or recommendation shall have effect and shall be deemed to have had effect as if it had been originally made as so amended."
"Section 5 (2) expires today 11.1.10, 7.30 pm."
In so writing, I am satisfied that she was simply expressing what she had been told by a member of the defendant's medical team.
"40 In R (WC) v South London & Maudsley NHS Trust [2001] EWHC Admin 1025 Scott Baker J (as he then was) came to a similar conclusion, confirming that the test was a subjective one with which the court would not interfere unless, for example, the social worker had failed to apply the legal test in section 26, which explains who is to be regarded as the nearest relative, or acted in bad faith or in some way reached a conclusion which was plainly wrong.
41 What both these judgments [ that is reference to an earlier case] demonstrate is no more than a wellrecognised proposition that when a statute imposes a subjective test of the sort one sees in section 11(4) of the Act, this court will not interfere with the decision made save on wellrecognised public law grounds.
42 Furthermore, in that review exercise, given the circumstances engaged in cases of this sort, the court will inevitably be sensitive to the difficulties faced by those who have to make difficult decisions, sometimes in fastmoving and tense circumstances. The question might be, for example, whether it was open to the decisionmaker on the information available to him to reach the conclusion he did. In both Re D and the case of WC the court used the words 'plainly wrong' as shorthand for that concept.
43 Ms Street, who appeared, as I say, on behalf of the defendants, submitted that unless the assertion contained in Form 9, from which I have read, was dishonest, this court should not interfere. She focused on the word 'dishonest' because it had been found in paragraph 15 of the judgment of Otton LJ in Re D.
44 In my judgment, that is too austere an approach. The court should look at the question on a wider basis because it is concerned with the legality of the process. In doing so, the court will recognise that the decisions can only be questioned on a public law basis and, as I have already indicated, in an environment where some sensitivity to the difficulties faced by those making the decisions is required.
45 Scott Baker J alluded to bad faith. Misuse of power, which is an aspect of the same thing, would be another label that might be attached. Both are classic grounds of review which, if made out, would result in the process under consideration being adjudged unlawful. His reference to misconstruing section 26 was also an example of his recognising that a decision might be flawed because a wrong legal approach had been taken."