“There is no evidence about his mental capacity to make a decision of that nature or about the advice or the reasons for it given to him by his family. There is no evidence, in short, upon which I could conclude that that was anything other than the voluntary act of a man with capacity to perform the act, albeit a capacity which was for many other purposes impaired.”
“It appears that JM lacks capacity to decide where he should reside. In consequence JM’s expressed wishes as to his residence are of limited significance.”
“117 After-care (1) This section applies to persons who are detained under section 3 above, or admitted to a hospital in pursuance of a hospital order made under section 37 above… and then cease to be detained and (whether or not immediately after so ceasing) leave hospital. (2) It shall be the duty of the Primary Care Trust ... and of the local social services authority to provide, in co-operation with relevant voluntary agencies, after-care services for any person to whom this section applies until such time as the Primary Care Trust ... and the local social services authority are satisfied that the person concerned is no longer in need of such services.. (3) In this section… ‘the local social services authority’ means the local social services authority, for the area in which the person concerned is resident or to which he is sent on discharge by the hospital in which he was detained.”
“There may well be a reasonable view that generally patients compulsorily admitted under sections 3 and 37 pose greater risks upon discharge to themselves and others than compliant patients. Moreover, Parliament necessarily legislates for the generality of cases.”
“It has not been suggested in the present case that the appellant is not resident in Torfaen. That is where he was resident prior to admission to hospital and a person does not cease to be resident in the area of an authority by reason only of his admission to hospital (see eg Fox v Stirk[1970] 2 QB 46 ). A patient such as the applicant has a residence notwithstanding he is compulsorily detained in hospital. It is this that fixes Torfaen with responsibility notwithstanding he may never return to their area.”
“For the purpose of s 117 of the 1983 Act the relevant health and social services authorities are those for which the patient is resident ie ordinarily resident, at the time that he is detained, ie in this case Torfaen and Gwent. (emphasis added) ”
“For effective application, it is also implicit in the care programme approach that health and social services authorities are able to co-operate and agree an appropriate provision.”
“182. Undersection 117 of the Mental Health Act 1983 (‘the 1983 Act’), local authorities, together with Primary Care Trusts (PCTs), have a duty to provide after-care services to people who have been detained in hospital under certain provisions of the 1983 Act. This duty stands by itself and is not a ‘gateway’ to the provision of services under other legislation, such as the 1948 Act… 184. The term ‘resident’ in the 1983 Act is not the same as ‘ordinarily resident’ in the 1948 Act and therefore the deeming provisions (and other rules about ordinary residence explained in this guidance) do not apply… 187. The term ‘resident’ is not defined in the 1983 Act, and so, like ‘ordinarily resident’ the term should be given its ordinary and natural meaning subject to any interpretation by the courts.”
“…, the term resident in section 117 is given a different meaning to ordinary residence under the NAA 1948 and CSDPA 1970, which can lead to a number of difficulties in practice. Confusion can arise because different rules will apply to individual mental health patients depending on whether or not section 117 applies. The problem is compounded by the fact that there is far less guidance or case law to assist with determining the meaning of residency under section 117(3), compared to ordinary residence, and disputes between authorities may be more likely. Furthermore, disputes over the residency of a section 117 patient cannot be referred to the Secretary of State or Welsh Ministers for determination under section 32(3) of the NAA 1948 and consequently, if the dispute cannot be resolved locally, it is necessary to involve the courts.”
“25. There seems to me to be no perceptible difference between the three phrases, "resident", "ordinarily resident" and "normally resident". All three connote settled presence in a particular place other than under compulsion. Applying those tests to JM's circumstances and leaving aside the deeming provision in section 24(5) of the 1984 Act, JM was unquestionably resident at Roanu House when he was admitted to Sutton Hospital under section 3 of the 1983 Act. He had lived there for about a year, apart from the period when he was admitted to Sutton Hospital for five or so weeks under section 2 of the 1983 Act. He had abandoned his tenancy of the one bedroomed flat in Hammersmith. He had nowhere to live in Hammersmith. If anyone had asked him the question, and he had been capable of giving a rational answer to it, "where do you now reside?" on9th April 2008 , his answer could only have been "in Roanu House". If he had been asked "do you reside in Hammersmith and Fulham?" he might have said "I wish I did", but he could not sensibly have said "I do".”
“27 … I acknowledge that it does, but the fact that it does cannot lead to a construction of primary legislation which the wording of the legislation does not bear. It should also be remembered that section 117 does not only apply to those who are supported by a local authority under section 21 of the 1948 Act. It applies also to those discharged from mental hospitals who were admitted there as a result of a criminal process or of a transfer from a prison. It applies also to many people who do not require accommodation to be provided for them by a local authority but who have homes of their own and who are afflicted by mental illness. 28. It cannot therefore be said that as a matter of construction Parliament must have intended, when it enacted section 117 or its predecessor in 1982, that the duties owed under the 1948 Act and section 117 should be congruent. If there is an anomaly it is for Parliament to correct. For those reasons...”
“33. I accept that, if there were evidence that local authorities had consistently applied the 1988/89 agreement and it was established that it was lawful to accept financial responsibility for the costs of accommodation and services, Sutton and Hertfordshire could have established a legitimate expectation that Hammersmith and Fulham would comply with the agreement. The material which I have simply does not permit that conclusion. It is notable that, in response to the draft guidance circulated by the Department of Health last year, no local authority, let alone any association of local authorities, submitted to the Secretary of State that the guidance which he was proposing was unhelpful and unnecessary because they had already sorted this out between themselves in 1988 and consistently applied a practice which solved the problem. It may be that there is material which, if put before a court, would persuade a judge that the agreement has been universally and consistently fulfilled over the years, so as to give rise to that legitimate expectation, but the material which I have simply does not permit me to reach that conclusion.”
“A declaration that ‘is resident’ ins.117(3) of the Mental Health Act 1983 (MHA) has the same (or substantially the same) meaning as ‘is ordinarily resident’ undersection 24 of the National Assistance Act 1948 (NAA), so that a person placed by a local authority unders. 21 NAA in the area of another local authority remains ordinarily resident in the area of the placing authority for the purposes of Part 3 of the NAA ands 117(3) MHA .”
“a. responsibility for the social care of a mentally ill person will shift between local authorities, without any planning or any therapeutic purpose, on the day an individual is detained under s.3 MHA; this is precisely the time when consistent, coherent care is most needed to increase the chances of early discharge and to maintain existing community links; b. prior to discharge and subsequently, the social care of a mentally ill person will be provided by a new social work team unfamiliar with the individual’s history and family background; c. aftercare is more likely to be provided out of the “home” borough, and away from the friends, family and support networks that are vital to re-integration and recovery; d. there will be a strong financial incentive on local social services authorities to place people such as JM, who are likely at some point to be admitted under the MHA, outside their borough boundaries.”
“Mitting J’s analysis appears to rest on the proposition that a voluntary change of residence to local authority Y should be inferred, despite the fact that it is ousted expressly for NAA purposes and would seem to be extraordinary where local authority X was already under an existing and continuing liability to provide after care services Against this background it is absurd that on the exercise of powers under s.2 or s.3 of the MHA, liability for planning and providing after-care services becomes uncertain and falls to be decided by reference to concepts of voluntariness at a previous date which find no place in the NAA scheme.”
“The third principle is that temporary absence does not deprive a person of his residence. If he happens to be away for a holiday or away for the weekend or in hospital, he does not lose his residence on that account.”