“All three of the professional disciplines involved in the care of [the Appellant] are of the opinion that there has been a deterioration in his mental [health] and reluctantly believe that the only option is to consider a recall under theMental Health Act 1983 (as amended 2007).”
“(1) Where a hospital order is made in respect of an offender by the Crown Court, and it appears to the court, having regard to the nature of the offence, the antecedents of the offender and the risk of his committing further offences if set at large, that it is necessary for the protection of the public from serious harm so to do, the court may, subject to the provisions of this section, further order that the offender shall be subject to the special restrictions set out in this section ... ; and an order under this section shall be known as ‘a restriction order’.”
“(3)The Secretary of State may at any time during the continuance in force of a restriction order in respect of a patient who has been conditionally discharged under subsection (2) above by warrant recall the patient to such hospital as may be specified in the warrant.”
“Patients in the above categories may be conditionally discharged by the Home Secretary and, in some cases, by a Mental Health Review Tribunal (MHRT). The Home Secretary retains the power to recall the patient to hospital by warrant underSection 42(3) of the Mental Health Act 1983 . A patient who has been conditionally discharged could be recalled because those responsible for supervising him/her in the community and/or the Home Secretary are concerned about the patient’s mental condition and/or possible danger to the public. Re-admission to hospital should be by arrangement with the receiving hospital and the local social services department. The person responsible for taking the patient back to the hospital could be a police officer, probation officer, nurse, approved social worker or any other person authorised by the hospital managers.”
“(1) If a policeman arrests without warrant upon reasonable suspicion of felony, or of other crime of a sort which does not require a warrant, he must in ordinary circumstances inform the person arrested of the true ground of arrest. He is not entitled to keep the reason to himself or to give a reason which is not the true reason. In other words, a citizen is entitled to know on what charge or on suspicion of what crime he is seized. (2) If the citizen is not so informed but is nevertheless seized, the policeman, apart from certain exceptions, is liable for falseimprisonment. (3) The requirement that the person arrested should be informed of the reason why he is seized naturally does not exist if the circumstances are such that he must know the general nature of the alleged offence for which he is detained. (5) The requirement that he should be so informed does not mean that technical or precise language need beused. The matter is a matter of substance, and turns on the elementary proposition that in this country a person is, prima facie, entitled to his freedom and is only required to submit to restraints on his freedom if he knows in substance the reason why it is claimed that this restraint should be imposed. (6) The person arrested cannot complain that he has not beensupplied with the above information as and when he should be,if he himself produces the situation which makes it practically impossible to inform him, e.g. by immediate counter-attack or by running away.”
“25. I have no hesitation in holding that a decision to administer medical treatment to a competent non-consenting adult patient falls into this category [of decisions for which reasons must be given to the person affected by it]. Parliament recognised the importance of giving reasons both when a patient is first detained for medical treatment for his disorder (which may be non-consensual: see section 63) under section 3 of the 1983 Act and when a Mental Health Review Tribunal makes a decision affecting a patient (see rule 23(2) of theMental Health Review Tribunal Rules 1983 ). With the coming into force of theHuman Rights Act 1998 the time has come, in my judgment, for this court to declare that fairness requires that a decision by a SOAD which sanctions the violation of the autonomy of a competent adult patient should also be accompanied by reasons. The fact that the critical decision is made by a doctor in the exercise of his clinical judgment and not by a tribunal following a more formal process, cannot, in my judgment, be allowed to diminish the significance of the doctor’s decision.”
“29. The law will not require a SOAD to dot every ‘i’ and cross every ‘t’ when giving reasons for his opinion. So long as he gives his reasons clearly on what he reasonably regards as the substantive points on which he formed his clinical judgment, this will suffice. Any concerns MHAC and SOADs may have about SOADs being exposed to the bother of expensive and time-consuming litigation should be mitigated by the consideration that any legal challenge will require the permission of the court. Unless a patient can show a real prospect of establishing that a SOAD has not addressed any substantive point which he should have addressed, or that there is some material error underlying the reasons that he gave, the court will not grant permission. If on the other hand a patient can demonstrate either of these matters to the satisfaction of a court, I can see nothing unreasonable in allowing a legal challenge. … 33. The reasons should be prepared and disclosed to the patient as soon as practicable. Mr Fitzgerald did not pursue to the end his argument that this process must necessarily always precede the administration of the sanctioned treatment. It is only necessary to consider the facts of a case like Wilkinson (see[2001] EWCA Civ 1454 at [4];[2002] 1 WLR 419 ) to understand that it may not always be appropriate to delay treatment once the SOAD’s certificate has been given. 34. For these reasons I would be disposed to grant a declaration that fairness demands that a SOAD should give in writing the reasons for his opinion when certifying undersection 58 of the Mental Health Act 1983 that a detained patient should be given medication against his will, and that these reasons should be disclosed to the patient unless the SOAD or the RMO considers that such disclosure would be likely to cause serious harm to the physical or mental health of the patient or any other person. …”
“49. Given the present divergences between the common law and the Convention, I think care is required, for reasons which this appeal illustrates, in mapping the route by which their respective standards and controls are to be imported into public law functions. In a generation’s time, when the Convention rights have become second nature to lawyers (as the innovative principles of modern criminal law became second nature to them in the course of the nineteenth century) the difference between the two methods of rapprochement will probably cease to matter. For the present, for the reasons given by Lord Justice Brooke, I agree that both the common law path, by way of incremental development, and the Convention path, by way of art. 8, take Mr Fitzgerald home on his principal argument that the patient is entitled, not as a matter of grace or of practice but as a matter of right, to know in useful form and at a relevant time what the SOAD’s reasons are for his opinion on the RMO’s proposal to override his will.”
“23. On Friday,5 April 1974 , … the applicant’s wife visited the probation officer and told him that the applicant’s condition had not, for a long time, been as she had described in her previous progress reports. On the contrary, she said, he remained deluded and threatening, using obscene language, accusing her of loose morals, and drinking quite heavily. She told the probation officer that she had reached the end of her endurance and intended to leave her husband the following day, but was afraid to stay in the house with him that night. The probation officer alerted the responsible medical officer at Broadmoor. The medical officer was aware of X’s previous history, including his record of impulsive and dangerous conduct under stress; he also had copies of the psychiatric reports prepared on X during the latter’s period of conditional release. In consequence, the doctor became alarmed at the possibility of a recurrence of violent behaviour by X, especially if X came to know of his wife’s intention to leave him. The doctor did not judge it necessary to seek to have the wife’s complaints verified since it was in his view sufficient that the complaints had been made and that the probation officer found them credible. The doctor therefore referred the matter to the Home Secretary who, acting on his advice, ordered the applicant’s immediate recall to Broadmoor Hospital in pursuance of section 66(3) of the 1959 Act. 24. On the afternoon of the same day, shortly after his return home from work, X was taken into custody by the police. There is no evidence as to what exactly the police said to the applicant on detaining him. X maintained that he received no explanation other than the warrant order itself. The Government referred to the usual procedure then applied in cases of this kind whereby the person concerned was simply informed that he was being recalled to Broadmoor by the Home Secretary. X was detained overnight and escorted back to Broadmoor Hospital on the following day. 25. According to the applicant, on his arrival at the hospital he was not given any explanation for his recall, although he inferred from interviews with the responsible medical officer some time after his readmission that it had something to do with complaints from his wife. The Government maintained that immediately on X’s return to Broadmoor the responsible medical officer sought to explain to him the reasons for his recall, and in particular the fears and anxieties expressed by his wife. However, since X was at this time extremely resentful, disturbed and suffering from delusions, it is possible, so the Government submitted, that he did not fully understand or appreciate the explanations afforded to him. 26. On the Saturday morning before being escorted back to Broadmoor, X had instructed solicitors to apply for a writ of habeas corpus on his behalf.”
“44. …. In such circumstances, the interests of the protection of the public prevail over the individual’s right to liberty to the extent of justifying an emergency confinement in the absence of the usual guarantees implied in paragraph 1 (e) of Article 5 (art. 5-1-e) (see paragraph 41, third sub-paragraph, above). On the facts of the present case, there was sufficient reason for the Home Secretary to have considered that the applicant’s continued liberty constituted a danger to the public, and in particular to his wife. 46. While these considerations were enough to justify X’s recall as an emergency measure and for a short duration, his further detention in hospital until February 1976 must, for its part, satisfy the minimum conditions described above (at paragraph 40). These conditions were satisfied in the case of X: having examined X after his readmission to Broadmoor, the responsible medical officer was of the opinion that he should be further detained for treatment. This opinion was maintained until December 1975 when an improvement in his condition was noted; up till then the medical reports indicated that he continued in a psychotic state (see paragraph 30 above). Like the Commission (see paragraph 96 of the report), the Court has no reason to doubt the objectivity and reliability of this medical judgment. 47. In conclusion, there was no breach of Article 5 par. 1 (art. 5-1).”
“23. Notwithstanding the requirements of the Mentally Ill Persons Act, the Cantonal Court judge failed to hear Mrs van der Leer before authorising her confinement, although the legal conditions under which such a hearing might be dispensed with were not satisfied. At the very least he should have stated, in his decision, the reasons which led him to depart from the psychiatrist's opinion in this respect. The Government accepted this. There has therefore been a violation of Article 5 § 1 (art. 5-1) in this regard.”
“29. Having found that Article 5 § 2 (art. 5-2) is applicable, the Court must determine whether it has been complied with in this case. 30. The applicant was in hospital to receive treatment as a "voluntary" patient. It was not until28 November 1983 that she learned, when she was placed in isolation, that she was no longer free to leave when she wished because of an order made ten days previously (see paragraphs 9 and 10 above). The Government did not contest this. 31. It therefore appears that neither the manner in which she was informed of the measures depriving her of her liberty, nor the time it took to communicate this information to her, corresponded to the requirements of Article 5 § 2 (art. 5-2). In fact it was all the more important to bring the measures in question to her attention since she was already in a psychiatric hospital prior to the Cantonal Court judge's decision, which did not change her situation in factual terms. Accordingly, there has been a violation of Article 5 § 2 (art. 5-2).”
“There is no need for the patient’s mental health to have necessarily deteriorated in order to justify recall. If a patient has a mental disorder and is presenting an elevated risk linked to that disorder that warrants detention in hospital then the patient can be recalled. In such a case the criteria for detention would be met because the disorder was of a nature (rather than a degree) that warranted detention in hospital and this is necessary for the protection of other persons.”
“40. Paragraph 2 of Article 5 (art. 5-2) contains the elementary safeguard that any person arrested should know why he is being deprived of his liberty. This provision is an integral part of the scheme of protection afforded by Article 5 (art. 5): by virtue of paragraph 2 (art. 5-2) any person arrested must be told, in simple, non-technical language that he can understand, the essential legal and factual grounds for his arrest, so as to be able, if he sees fit, to apply to a court to challenge its lawfulness in accordance with paragraph 4 (art. 5-4) (see the van der Leer judgment of21 February 1990 , Series A no. 170, p. 13, § 28). Whilst this information must be conveyed "promptly" (in French: "dans le plus court délai"), it need not be related in its entirety by the arresting officer at the very moment of the arrest. Whether the content and promptness of the information conveyed were sufficient is to be assessed in each case according to its special features. 41. On being taken into custody, Mr Fox, Ms Campbell and Mr Hartley were simply told by the arresting officer that they were being arrested under section 11 (1) of the 1978 Act on suspicion of being terrorists (see paragraphs 9 and 13 above). This bare indication of the legal basis for the arrest, taken on its own, is insufficient for the purposes of Article 5 § 2 (art. 5-2), as the Government conceded. However, following their arrest all of the applicants were interrogated by the police about their suspected involvement in specific criminal acts and their suspected membership of proscribed organisations (see paragraphs 9, 10, and 14 above). There is no ground to suppose that these interrogations were not such as to enable the applicants to understand why they had been arrested. The reasons why they were suspected of being terrorists were thereby brought to their attention during their interrogation. 42. Mr Fox and Ms Campbell were arrested at 3.40 p.m. on5 February 1986 at Woodbourne RUC station and then separately questioned the same day between 8.15 p.m. and 10.00 p.m. at Castlereagh Police Office (see paragraph 9 above). Mr Hartley, for his part, was arrested at his home at 7.55 a.m. on18 August 1986 and taken to Antrim Police Station where he was questioned between 11.05 a.m. and 12.15 p.m. (see paragraph 13 above). In the context of the present case these intervals of a few hours cannot be regarded as falling outside the constraints of time imposed by the notion of promptness in Article 5 § 2 (art. 5-2). 43. In conclusion there was therefore no breach of Article 5 § 2 (art. 5-2) in relation to any of the applicants.”
“66. … A purported lawful authority to detain may be impugned either because the defendant acted in excess of jurisdiction (in the narrow sense of jurisdiction) or because such jurisdiction was wrongly exercised. Anisminic Ltd v Foreign Compensation Commission[1969] 2 AC 147 established that both species of error render an executive act ultra vires, unlawful and a nullity. In the present context, there is in principle no difference between (i) a detention which is unlawful because there was no statutory power to detain and (ii) a detention which is unlawful because the decision to detain, although authorised by statute, was made in breach of a rule of public law. For example, if the decision to detain is unreasonable in the Wednesbury sense, it is unlawful and a nullity. The importance of Anisminic is that it established that there was a single category of errors of law, all of which rendered a decision ultra vires: see Boddington v British Transport Police[1999] 2 AC 143 , 158D-E. 67. Mr Beloff submits that there are inherent problems in what I consider to be the correct and principled approach. First, it fails to take account of the nature or extent of the public law error. For example, he suggests that it treats for the purposes of liability as equally unlawful a decision to detain made by an official one grade lower than that specified in the detention policy (but which is otherwise unimpeachable) and a decision to detain for which there is no statutory authority at all. Secondly, it allows what is in essence a public law challenge to be made under the guise of a private law action without any of the procedural safeguards which apply in a judicial review application. In particular, the normal time limits for judicial review proceedings are circumvented. Thirdly, judicial review is a discretionary remedy. A minor public law error may result in no substantive relief being granted at all in judicial review proceedings, whereas a claimant can bring proceedings for false imprisonment as of right. 68. I do not consider that these arguments undermine what I have referred to as the correct and principled approach. As regards Mr Beloff's first point, the error must be one which is material in public law terms. It is not every breach of public law that is sufficient to give rise to a cause of action in false imprisonment. In the present context, the breach of public law must bear on and be relevant to the decision to detain. Thus, for example, a decision to detain made by an official of a different grade from that specified in a detention policy would not found a claim in false imprisonment. Nor too would a decision to detain a person under conditions different from those described in the policy. Errors of this kind do not bear on the decision to detain. They are not capable of affecting the decision to detain or not to detain.”
“The decision to recall was made on the basis that there had been a relapse in mental illness, namely his psychotic disorder. This basis of recall is unlawful as two successive tribunals have concluded that he does not suffer from a psychotic illness and as such there cannot be relapse of a condition that has already been found by the tribunal not to have existed.”