"In the event that (the Mental Health Unit of the Home Office) receive a recommendation from the Responsible Medical Officer or the Mental Health Review Tribunal that Mr D no longer requires detention in hospital for medical treatment the Secretary of State will refer his case to the Parole Board/Discretionary Lifers Panel."
"41 Power of higher courts to restrict discharge from hospital (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, either without limit of time or during such period as may be specified in the order; and an order under this section shall be known as "a restriction order". (2) A restriction order shall not be made in the case of any person unless at least one of the registered medical practitioners whose evidence is taken into account by the court under section 37(2)(a) above has given evidence orally before the court. (3) The special restrictions applicable to a patient in respect of whom a restriction order is in force are as follows— (a) none of the provisions of Part II of this Act relating to the duration, renewal and expiration of authority for the detention of patients shall apply, and the patient shall continue to be liable to be detained by virtue of the relevant hospital order until he is duly discharged under the said Part II or absolutely discharged under section 42, 73, 74 or 75 below; (aa) none of the provisions of Part II of this Act relating to after-care under supervision shall apply; (b) no application shall be made to a Mental Health Review Tribunal in respect of a patient under section 66 or 69(1) below; (c) the following powers shall be exercisable only with the consent of the Secretary of State, namely— PRIVATE(i) power to grant leave of absence to the patient under section 17 above; (ii) power to transfer the patient in pursuance of regulations under section 19 above [or in pursuance of subsection (3) of that section]; and (iii) power to order the discharge of the patient under section 23 above; and if leave of absence is granted under the said section 17 power to recall the patient under that section shall vest in the Secretary of State as well as the responsible medical officer; and (d) the power of the Secretary of State to recall the patient under the said section 17 and power to take the patient into custody and return him under section 18 above may be exercised at any time; and in relation to any such patient section 40(4) above shall have effect as if it referred to Part II of Schedule 1 to this Act instead of Part I of that Schedule. (4) A hospital order shall not cease to have effect under section 40(5) above if a restriction order in respect of the patient is in force at the material time. (5) Where a restriction order in respect of a patient ceases to have effect while the relevant hospital order continues in force, the provisions of section 40 above and Part I of Schedule 1 to this Act shall apply to the patient as if he had been admitted to the hospital in pursuance of a hospital order (without a restriction order) made on the date on which the restriction order ceased to have effect. (6) While a person is subject to a restriction order the responsible medical officer shall at such intervals (not exceeding one year) as the Secretary of State may direct examine and report to the Secretary of State on that person; and every report shall contain such particulars as the Secretary of State may require."
"74. (1) Where an application to a Mental Health Review Tribunal is made by a restricted patient who is subject to … a restriction direction, or where the case of such a patient is referred to such a tribunal, the tribunal – (a) shall notify the Secretary of State whether, in their opinion, the patient would, if subject to a restriction order, be entitled to be absolutely or conditionally discharged under section 73 above; and (b) if they notify him that the patient would be entitled to be conditionally discharged, may recommend that in the event of his not being discharged under this section he should continue to be detained in hospital. (2) If in the case of a patient not falling within subsection (4) below – (a) the Tribunal notify the Secretary of State that the patient would be entitled to be absolutely or conditionally discharged; and (b) within the period of 90 days beginning with the date of that notification the Secretary of State gives notice to the Tribunal that the patient may be so discharged, the Tribunal shall direct the absolute or, as the case may be, the conditional discharge of the patient. (3) Where a patient continues to be liable to be detained in a hospital at the end of the period referred to in subsection (2)(b) above because the Secretary of State has not given the notice there mentioned, the managers of the hospital shall, unless the Tribunal have made a recommendation under subsection (1)(b) above, transfer the patient to a prison or other institution in which he might have been detained if he had not been removed to hospital, there to be dealt with as if he had not been so removed. (4) If, in the case of a patient who is subject to a transfer direction under section 48 above, the Tribunal notify the Secretary of State that the patient would be entitled to be absolutely or conditionally discharged, the Secretary of State shall, unless the Tribunal have made a recommendation under subsection (1)(b) above, by warrant direct that the patient be remitted to a prison or other institution in which he might have been detained if he had not been removed to hospital, there to be dealt with as if he had not been so removed. (5) Where a patient is transferred or remitted under subsection (3) or (4) above the relevant hospital direction and the limitation direction or, as the case may be, the relevant transfer direction and the restriction direction shall cease to have effect on his arrival in the prison or other institution. (6) Subsections (3) to (8) of section 73 above shall have effect in relation to this section as they have effect in relation to that section, taking references to the relevant hospital order and the restriction order as references to [the hospital direction and the limitation direction or, as the case may be, to the transfer direction and the restriction direction. (7) This section is without prejudice to sections 50 to 53 above in their application to patients who are not discharged under this section."
"(1) Where application is made to a Mental Health Review Tribunal by or in respect of a patient who is liable to be detained under this Act, the tribunal may in any case direct that the patient be discharged, and – (a) the tribunal shall direct the discharge of a patient liable to be detained under section 2 above if they are not satisfied – (i) that he is then suffering from mental disorder or from mental disorder of a nature or degree which warrants his detention in a hospital for assessment (or for assessment followed by medical treatment) for at least a limited period; or (ii) that his detention as aforesaid is justified in the interests of his own health or safety or with a view to the protection of other persons; (b) the tribunal shall direct the discharge of a patient liable to be detained otherwise than under section 2 above if they are not satisfied – (i) that he is then suffering from mental illness, psychopathic disorder, severe mental impairment or mental impairment or from any of those forms of disorder of a nature or degree which makes it appropriate for him to be liable to be detained in a hospital for medical treatment; or (ii) that it is necessary for the health and safety of the patient or for the protection of other persons that he should receive such treatment; or (iii) in the case of an application by virtue of paragraph (g) of section 66(1) above, that the patient, if released, would be likely to act in a manner dangerous to other persons or to himself."
"(1) Where an application to a Mental Health Review Tribunal is made by a restricted patient who is subject to a restriction order, or where the case of such a patient is referred to such a tribunal, the tribunal shall direct the absolute discharge of the patient if – (a) the tribunal are not satisfied as to the matters mention in paragraph (b)(i) or (ii) of section 72(1) above; and (b) the tribunal are satisfied that it is not appropriate for the patient to remain liable to be recalled to hospital for further treatment. (2) Where in the case of any such patient as is mentioned in subsection (1) above – (a) paragraph (a) of that subsection applies; but (b) paragraph (b) of that subsection does not apply, the tribunal shall direct the conditional discharge of the patient."
"(1) Where a transfer direction and a restriction direction have been given in respect of a person serving a sentence of imprisonment and before the expiration of that person's sentence the Secretary of State is notified by the responsible medical officer, any other registered medical practitioner or a Mental Health Review Tribunal that that person no longer requires treatment in hospital for mental disorder or that no effective treatment for his disorder can be given in the hospital to which he has been removed, the Secretary of State may – (a) by warrant direct that he be remitted to any prison or other institution in which he might have been detained if he had not been removed to hospital, there to be dealt with as if he had not been so removed; or (b) exercise any power of releasing him on licence or discharging him under supervision which would have been exercisable if he had been remitted to such a prison or institution as aforesaid, and on his arrival in the prison or other institution or, as the case may be, his release or discharge as aforesaid, the transfer direction and the restriction direction shall cease to have effect."
"This paragraph applies where, in the case of an existing life prisoner, the Secretary of State certifies his opinion that, if – (a) section 34 of this Act had been in force at the time when he was sentenced; and (b) the reference in subsection (1)(a) of that section to a violent or sexual offence the sentence for which is not fixed by law were a reference to any offence the sentence for which is not so fixed, the court by which he was sentenced would have ordered that that section should apply to him as soon as he had served a part of his sentence specified in the certificate."
"There is nothing, in my judgment, in the Act of 1991 to suggest that Parliament intended that its provisions should impinge on the circumstances of discharge contained in the Act of 1983. Indeed, as Mr. Pannick [counsel for the Secretary of State] (in my judgment, rightly) pointed out, the proper discharge of functions by the Parole Board under the Act of 1991 would be impossible if it were the case that the person under consideration was still in receipt of medical treatment, in accordance with a transfer under the Act of 1983. Accordingly, the answer to Mr. Fitzgerald's [counsel for the prisoner's] submissions, in my judgment, is this. First, it is right that the applicants are existing life prisoners, but it does not follow from that that they are eligible for certification. Secondly, although section 34(5) and Schedule 12, paragraph 9, confer a right to a hearing, that is a right which is conferred only on someone who is subject solely to the provisions of the Act of 1991. It is not a right conferred on patients. Thirdly, as to the submission that if Parliament had intended to deny a hearing to those subject to transfer it would have said so, it seems to me that that does not at all follow, bearing in mind that those in hospital already have, since 1983, if not before, procedures including a right to a periodic judicial hearing."
"The cases of discretionary life prisoners in this category are referred to the Parole Board under section 34 of the Act of 1991, while they remain in hospital, in the same way as if they had been remitted to prison."
"For my part, I see nothing incompatible with the Court of Human Rights ruling in Thynne v. United Kingdom (1990) 13 E.H.R.R. 666 in the procedure laid down by the Act of 1983. Nor do I see anything unjust or illogical in two separate codes existing which cannot be triggered simultaneously, but each of which at an appropriate time, depending on the circumstances, can be triggered so as to achieve a judicial hearing. On the contrary, when Parliament passed the Act of 1991 it knew of the Act of 1983 scheme generally and of its section 50 provisions for discharge dependent on medical opinion specifically."
"B. The Court's assessment 33. Article 5 § 4 provides a crucial guarantee against the arbitrariness of detention, providing for detained persons to obtain a review by a court of the lawfulness of their detention both at the time of the initial deprivation of liberty and, where new issues of lawfulness are capable of arising, periodically thereafter (see, inter alia , Kurt v. Turkey judgment of25 May 1998 , Reports of Judgments and Decisions 1998-III, § 123, and Varbanov v. Bulgaria , no. 31365/96, ECHR 2000-X, § 58). While the "court" referred to in this provision does not necessarily have to be a court of law of the classic kind integrated within the judicial machinery of the country, it does denote bodies which exhibit the necessary judicial procedures and safeguards appropriate to the kind of deprivation of liberty in question, including most importantly independence of the executive and of the parties (see De Wilde, Ooms and Versyp v. Belgium judgment of18 June 1971 , Series A no. 12, pp. 41-42, §§ 76 and 86; X v. the United Kingdom judgment of5 November 1981 , Series A no. 46, p.23, § 53, and Weeks v. the United Kingdom judgment of2 March 1987 , Series A no. 114, p. 30, § 61). 34. In addition, as the text makes clear, the body in question must have not merely advisory functions but must have the competence to "decide" the "lawfulness" of the detention and to order release if the detention is unlawful (see the above-mentioned Weeks judgment, loc. Cit ., Singh v. the United Kingdom judgment of21 February 1996 , Reports 1996-I, § 66, D.N. v. Switzerland , [GC], no.27154/95, ECHR 2001-III, § 39). 35. It is not contested in the present case that the applicants who were both detained in a hospital at the introduction of this application had the possibility of having their continued detention reviewed by the MHR Tribunal which satisfied the requirement of independence. It did not however have the power to order release. 36. The Government argued that as the Secretary of State followed a practice of following the Tribunal's recommendation this did not deprive the Tribunal's review of an effective decision-making function. While they have referred to previous cases concerning the relevance of administrative practices and policies, the Court observes that these judgments examined complaints underArticle 8 of the Convention where issues arose as to whether certain measures were "in accordance with the law"