“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 on9 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 theImmigration 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 on7th May 2009 whilst the Claimant was in prison. On5th 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 theMental 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.”
“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 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 theMental 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.”
“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;” • 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. ”
“Does the subject have a history of physical or mental ill health?”
“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)”
“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.”
“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.”
“….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.”