“IT IS ORDERED AND DECLARED PURSUANT TO SECTIONS 15 AND 16 OF THE MENTAL CAPACITY ACT 2005 THAT: 1. PQ lacks capacity to: a) Make decisions about her care and support; b) Make decisions about her residence; c) Make decisions about her use of the internet and social media; and d) Make decisions about her contact with people she has met online. 2. It is in PQ’s best interests to reside at Placement 3 and to receive care and support there as described in the care plan dated1 December 2023 . 3. The care package described in paragraph 1 above amounts to a deprivation of PQ’s liberty; that deprivation of DT’s liberty is hereby authorised as being in her best interests and reasonable and proportionate.”
“He [the best interests decision-maker] must, so far as reasonably practicable, permit and encourage the person to participate, or to improve his ability to participate, as fully as possible in any act done for him and any decision affecting him.”
“Participation of P 1.2.—(1) The court must in each case, on its own initiative or on the application of any person, consider whether it should make one or more of the directions in paragraph (2), having regard to— (a) the nature and extent of the information before the court; (b) the issues raised in the case; (c) whether a matter is contentious; and (d) whether P has been notified in accordance with the provisions of Part 7 and what, if anything, P has said or done in response to such notification. (2) The directions are that— (a) P should be joined as a party; (b) P's participation should be secured by the appointment of an accredited legal representative to represent P in the proceedings and to discharge such other functions as the court may direct; (c) P's participation should be secured by the appointment of a representative whose function shall be to provide the court with information as to the matters set out in section 4(6) of the Act and to discharge such other functions as the court may direct; (d) P should have the opportunity to address (directly or indirectly) the judge determining the application and, if so directed, the circumstances in which that should occur; (e) P's interests and position can properly be secured without any direction under sub-paragraphs (a) to (d) being made or by the making of an alternative direction meeting the overriding objective. (3) Any appointment or directions made pursuant to paragraph (2)(b) to (e) may be made for such period or periods as the court thinks fit. (4) Unless P has capacity to conduct the proceedings, an order joining P as a party shall only take effect— (a) on the appointment of a litigation friend on P's behalf; or (b) if the court so directs, on or after the appointment of an accredited legal representative.”
“Rule 1.2 representative by court order 17.10.—(1) The court may make an order appointing a person to act as a representative, or an accredited legal representative, for P. (2) The court may make an order under paragraph (1)— (a) either of its own initiative or on the application of any person; but (b) only with the consent of the person to be appointed. (3) The court may not appoint a representative or an accredited legal representative under this rule unless it is satisfied that the person to be appointed satisfies the conditions in rule 17.9. (4) The court may at any stage of the proceedings give directions as to the terms of appointment of a representative or an accredited legal representative.”
“12.
“The judicial proceedings referred to in Article 5 para. 4 (art. 5-4) need not, it is true, always be attended by the same guarantees as those required under Article 6 para. 1 (art. 6-1) for civil or criminal litigation… Nonetheless, it is essential that the person concerned should have access to a court and the opportunity to be heard either in person or, where necessary, through some form of representation, failing which he will not have been afforded "the fundamental guarantees of procedure applied in matters of deprivation of liberty"… Mental illness may entail restricting or modifying the manner of exercise of such a right… but it cannot justify impairing the very essence of the right. Indeed, special procedural safeguards may prove called for in order to protect the interests of persons who, on account of their mental disabilities, are not fully capable of acting for themselves.”
“163. Among the principles emerging from the Court’s case-law on Article 5 § 4 concerning “persons of unsound mind” are the following: (a) a person of unsound mind who is compulsorily confined in a psychiatric institution for an indefinite or lengthy period is in principle entitled, at any rate where there is no automatic periodic review of a judicial character, to take proceedings “at reasonable intervals” before a court to put in issue the “lawfulness” – within the meaning of the Convention – of his detention; (b) Article 5 § 4 requires that the procedure followed have a judicial character and give to the individual concerned guarantees appropriate to the kind of deprivation of liberty in question; in order to determine whether a proceeding provides adequate guarantees, regard must be had to the particular nature of the circumstances in which such proceeding takes place; (c) the judicial proceedings referred to in Article 5 § 4 need not always be attended by the same guarantees as those required under Article 6 § 1 for civil or criminal litigation. Nonetheless, it is essential that the person concerned should have access to a court and the opportunity to be heard either in person or, where necessary, through some form of representation. Special procedural safeguards may prove called for in order to protect the interests of persons who, on account of their mental disabilities, are not fully capable of acting for themselves (see Megyeri v. Germany,12 May 1992 , § 22, Series A no. 237-A; also see Stanev, cited above, § 171). 164. This is so in cases where the original detention was initially authorised by a judicial authority (see X v. the United Kingdom,5 November 1981 , § 52, Series A no. 46), and it is all the more true in the circumstances of the present case, where the applicant’s placement in the Kėdainiai Home was initiated by a private individual, namely the applicant’s guardian, and decided upon by the municipal and social care authorities without any involvement on the part of the courts. 165. The Court accepts that the forms of judicial review may vary from one domain to another and may depend on the type of the deprivation of liberty at issue. It is not within the province of the Court to inquire into what would be the best or most appropriate system of judicial review in this sphere. However, in the present case the courts were not involved in deciding on the applicant’s placement in the Kėdainiai Home at any moment or in any form. It appears that, in situations such as the applicant’s, Lithuanian law does not provide for automatic judicial review of the lawfulness of admitting a person to and keeping him in an institution like the Kėdainiai Home. In addition, a review cannot be initiated by the person concerned if that person has been deprived of his legal capacity. In sum, the applicant was prevented from independently pursuing any legal remedy of a judicial character to challenge her continued involuntary institutionalisation. 166. The Government claimed that the applicant could have initiated legal proceedings through her guardians. However, that remedy was not directly accessible to her: the applicant fully depended on her legal guardian, her adoptive father, who had requested her placement in the Kėdainiai Home in the first place. The Court also observes that the applicant’s current legal guardian is the Kėdainiai Home – the same social care institution, which is responsible for her treatment and, furthermore, the same institution which the applicant had complained against on many occasions, including in court proceedings. In this context the Court considers that where a person capable of expressing a view, despite having been deprived of legal capacity, is deprived of his liberty at the request of his guardian, he must be accorded an opportunity of contesting that confinement before a court, with separate legal representation...”
“[The Court] reiterates the principles under Article 5 § 4, namely that persons subjected to compulsory medical treatment are entitled to institute court proceedings to test the lawfulness of their detention (see, among other authorities, Winterwerp, cited above, §§ 60-61), and that the access to such proceedings should not depend on the goodwill of the detaining authority (see Rakevich v. Russia, no. 58973/00, § 44,28 October 2003 , and Gorshkov v. Ukraine, no. 67531/01, § 44,8 November 2005 ). Moreover, the above article guarantees that the judicial decision concerning the lawfulness of detention and, where necessary, ordering the release, is taken speedily (see, among other authorities, Van Glabeke v. France, no. 38287/02, § 31, ECHR 2006‑III).”
“(a) maintain contact with the relevant person, (b) represent the relevant person in matters relating to or connected with this Schedule, and (c) support the relevant person in matters relating to or connected with this Schedule.”
"our domestic law must give effect to the principle that an individual cannot be deprived of his liberty on the basis of unsoundness of mind unless three minimum conditions are satisfied: he must reliably be shown to be of unsound mind; the mental disorder must be of a kind or degree warranting compulsory confinement; and the validity of continued confinement depends upon the persistence of such a disorder."
"Art 5(4) provides the right to an individual deprived of his liberty to have the lawfulness of that detention reviewed by a court. In the case of someone deprived of his liberty on the ground of unsoundness of mind, there are two aspects to this (Winterwerp at para 55, HL at paras 135, 140): (a) First, the lawfulness of the detention has to be reviewed not merely in the light of any domestic legal requirements but also in the light of the text of the Convention, the general principles embodied in the Convention and the aim of the restrictions permitted by Art 5(1)(e). Thus the review must be wide enough to bear on those conditions which are essential for the lawful detention of a person on the ground of unsoundness of mind, in particular with a view to ascertaining whether there still persists unsoundness of mind of a kind or degree warranting compulsory confinement. (b) Secondly, given the very nature of the deprivation of liberty under consideration in cases within Art 5(1)(e), there must be a review of the lawfulness of the detention 'at reasonable intervals'. Domestic law must provide 'speedy' and 'periodic control' at 'reasonable intervals'."
"Any order authorising detention must contain provision for an adequate review at reasonable intervals, in particular with a view to ascertaining whether there still persists unsoundness of mind of a kind or degree warranting compulsory confinement."
"Any order directing or authorising … detention … should contain an express liberty to any party (including the [person detained]) to apply to the court for further directions on the shortest reasonable notice."
“Every order must contain a liberty to apply if need be on short notice. In the event of such an application being contemplated, it is vital that the Official Solicitor is given the earliest possible notification and supplied at the earliest possible opportunity with copies of all the up to date assessments, reports, records and other relevant materials. 44. Between these reviews by the court there must be regular internal reviews. In practice – and this is a practice which the Official Solicitor supports and which I commend – these are usually held once every eight to ten weeks. Mr Crabtree suggests that quarterly reviews may suffice. Particularly in the early months and years I would incline to agree with Mr O'Brien, but I would also agree with Mr Crabtree that one cannot be too prescriptive. As he rightly says, the review structure must always be specifically tailored to the needs of the individual to whom it applies. 45. That said, and as both Mr O'Brien and Mr Crabtree observe, and again I agree, the fact that a review is planned, for example, for a specified date each month, does not obviate the need for an earlier review if, for example, there is reason to believe that the person is no longer incapacitated or that it is not in his best interests to be deprived of his liberty or that some less restrictive option may be available. As Mr Crabtree put it, no matter what internal review structure is put in place, evidence of any significant change must of itself prompt speedy consideration of the need for calling an early internal review. He adds, and I agree, that where an important change in circumstances arises, it is incumbent on the local authority to inform the Official Solicitor promptly and if either the local authority or the Official Solicitor feels it is of sufficient magnitude, bring the matter to the immediate attention of the judge. 46. At each internal review the local authority must consider the issues both of capacity and of best interests. Mr O'Brien suggests that at each internal review there will be a need to have regard to any relevant reports from the independent psychiatrist on the issues of capacity and (where appropriate) best interests and from the independent social worker on the issue of best interests. But he submits that internal reviews need not involve further full assessments from the independent experts unless there is reason to believe that there has been a change either in the person's capacity or in what his best interests require. Mr Crabtree takes essentially the same position. I agree. What is needed at any particular review in any particular case will very much depend upon the past and present circumstances of the case. 47. Mr O'Brien submits that at each internal review the interests of the person who has been deprived of his liberty should be represented by an independent person. I agree, save that for Mr O'Brien's word "should" I would substitute the mandatory "must".”
"The role of the relevant person's representative, once appointed, is: - to maintain contact with the relevant person, and - to represent and support the relevant person in all matters relating to the operation of the deprivation of liberty safeguards, including, if appropriate, triggering a review, using an organisation's complaints procedure on the person's behalf or making an application to the Court of Protection. This is a crucial role in the deprivation of liberty process, providing the relevant person with representation and support that is independent of the commissioners and providers of the services they are receiving."
“The "process prescribed by law" demanded by Article 5(1) need not involve a court or court proceedings (for example the DOLS) but the proceedings demanded by Article 5(4) must be in a court (or tribunal). As, unlike the DOLS or sectioning under the MHA, the relevant process prescribed by law for the making of a welfare order involves an application to the Court of Protection there is no mileage in making distinctions between what Articles 5(1) and 5(4) demand.”
“[248] As the provisions in the DOLS concerning the possible appointment of an IMCA, and the appointment of a RPR, recognise there are obvious advantages that flow from a person or persons not involved in providing the care or treatment in a professional capacity or for remuneration being involved (a) in the decisions made on the terms of the care package, and (b) in keeping it under review. [249] This reflects the important points that: i) compliance and lack of objection by a person who lacks relevant capacity cannot be equated to a consent for the purposes of Article 5, and ii) by reason of their lack of capacity the relevant Ps cannot advance or fully advance their interests themselves.” [249] This reflects the important points that: Charles J emphasised the benefits of having a representative who visits P and sees the care regime working in practice, and who is independent of the detaining authority – paras. [251] to [255]. He concluded that a rule 3A representative, which is the precursor to the rule 1.2 representative, would be the “obvious solution” in “non-controversial cases”: “[266] … So I urge the Secretary of State and local authorities to consider urgently, and in any event before a test case or cases of this type are before the court, how this solution can be provided on the ground. [267] If it is not, the likelihood that in such cases the Court of Protection will not provide a procedure that satisfies Article 5 and is fit for purpose, and so will not promote the best interests of the relevant Ps, cannot be ignored and, in my view, alternatives to address this risk (e.g. changes to legal aid or the resources provided to the Official Solicitor or the provision and funding of accredited legal representatives) should be addressed immediately.”
“You should also check from time to time that the package of care and support is being properly implemented and whether it needs to be changed because P's condition has changed, or for any other reason. If you conclude that its implementation or terms should be changed you should raise this with the applicant authority and the Court if the changes are not made.”
“neither central nor local government are offering to create or to try to create a practically available resource to enable the COP to meet the minimum procedural requirements by appointing professional Rule 3A representatives.”
“Whilst I acknowledge that the COP has an investigatory jurisdiction and the applicants have a duty of full and frank disclosure I have concluded that the points set out in the last two paragraphs mean that without some assistance from someone on the ground who considers the care package through P's eyes and so provides the independent evidence to the COP that a family member or friend can provide (see NRA paragraphs 230 to 240) the procedure will not provide an independent check that meets the minimum procedural safeguards required by Article 5 and the common law.”
“[91] In cases where a visitor is appointed (or some other available procedure is adopted to enable an application or review to proceed) there is no need to, or purpose for joining, or continuing the joinder of, the Crown. But, as soon as any such practically available process is no longer available I consider that, for the reasons given in JM and earlier in this judgment the COP should join the Crown to and stay such applications and reviews.”
“When the position is reached that the Court is willing to grant an authorisation and conclude proceedings, the format of order should follow closely the terms of a Re X final order. In particular, the Court will be unlikely to discharge P as a party or the appointment of the Litigation Friend unless there is an agreed person willing and suitable to be appointed as Rule 1.2 representative for P during the review period, to monitor the implementation of the authorised care arrangements, to make an earlier application if it is considered that the authorised care arrangements no longer meet the needs of P, and to provide information for the review.”
“Other matters 7.7.—(1) This rule applies where the court directs that P is to be notified of any other matter. (2) The person effecting notification must explain to P such matters as may be directed by the court. (3) The person effecting notification must also inform P that P may seek advice and assistance in relation to any matter of which P is notified.”
“i) monitor the implementation of the Care Plan ii) provide to the court updating information on the implementation of the Care Plan ahead of the review hearing provided for in this order no later than 14 days before the date of any review and iii) make an earlier application for review of this order if they consider that the Care Plan no longer serves the best interests of P.”
“Review 14. If a change or changes to the Care Plan that render it more restrictive have as a matter of urgent necessity been implemented the Applicant must apply to the Court for an urgent review of this order on the first available date after the implementation of any such changes. 15. If a change or changes to the Care Plan that render it more restrictive are proposed (but are not required as a matter of urgent necessity) the Applicant must apply to the Court for review of this order before any such changes are made. 16. In any event, the Applicant must make an application to the Court no less than one month before the expiry of the review period as defined below for a review of this order if at that time the Care Plan still applies to «pfor1» «psur1». Such application shall be made in accordance with any Rules and Practice Directions in effect at the date of the application being filed or, if not otherwise specified, on form COPDOL11. 17. Any review hearing shall be conducted as a consideration of the papers unless the Applicant or r1.2 representative requests an oral hearing or the Court decides that an oral hearing is required. 18. “The review period” shall mean the period of 12 months from the date on which this order was made or, if an application for review has been filed at Court before that date, until determination of such review application. 19. This order shall cease to have effect on the death of P.”