‘In brief and in summary, this man was an inpatient in an acute medical bed under my care from10 August 2005 for a period of one week. His condition was dominated by an altered mental state, which included elements of paranoia and confusion. Although there were some features on investigation of a recent minor infection, no such specific problem was identified. A variety of organic causes were also considered and my inspection of the notes suggests that the only one which was not positively excluded is that we were told that he had fairly massive use of cannabis during the few weeks leading up to his admission. I have no way of knowing whether this is true or not but, clearly, it could be relevant.’
‘In my opinion, Mr Binomugisha is a vulnerable young man. Following his arrival in this country I understand he was taken under the care and guardianship of the social services and that his transition to adult level care with his turning 18 years old has led to considerable increase in his anxiety and his symptoms of depression because of the uncertainties surrounding this change such as a lower level of financial support, uncertainties about his accommodation and fears about deportation. I do not believe he is in a fit mental state to manage without financial support from Social Services and I would expect deterioration in his mental state were withdrawal of support to occur. Given a recent deterioration in his mental state led to an acute admission to hospital with paranoid delusions I expect he will need the close support of a community mental health team.’
‘I am aware that Mr Binomugisha has claimed to the Home Office that if he was removed from the UK his health would deteriorate to such an extent that the removal would amount to a breach of hisArticle 8 of the European Convention on Human Rights . I appreciate that the decision about removal is ultimately one to be made by the Home Office. In terms of access to social services support from this local authority however, I am satisfied on the information available to me that the local authority’s decision to withdraw support would not amount to a breach of Mr. Binomugisha’s rights under the ECHR and in particular Articles 3 and 8. I have considered Articles 3 and 8 of the Human Rights Act and do not considered them breached for the following reasons: Mr Binomugisha can access support in this country through NASS, until he makes his travel arrangements to return to Uganda, and therefore there is no breach of his Human Rights under Articles 3 and 8. While there is every possibility that withdrawal of support may affect Mr Binomugisha’s level of depression, again this can be monitored and treated by his GP. Physically his stomach and back problems may well be affected, again, this can be monitored and treated by his GP while in the UK. On his return to Uganda I do not think his health would deteriorate to such an extent that it would amount to a breach of Article 8 of Human Rights.’ 5) The Claimant had reported having a close circle of friends in London and an aunt who had at one time provided support but whom he did not visit any more. 6) The Claimant’s presentation to psychiatric services had been due to uncertainty regarding his social situation, lack of accommodation and money and threat of destitution and his problems stemmed from being in the UK unlawfully. 7) The Claimant had reported an occasion when he had had recourse to prostituting himself with a man in return for£50 . Mr Simmons said of this episode, ‘The possibility of Mr Binomugisha being sexually exploited has been considered, however, as Mr Binomugisha stated, he went to the West End with the intent of sleeping with men to make money, and their appears to have been no coercion / threats / pressure placed on Mr Binomugisha regarding this. Mr Binomugisha has stated ‘I do not want to do this again.’ 8) Mr Simmons conclusion was ‘I am of the opinion that Mr Binomugisha should not be linked in with our service.’
‘most of Mr Binomugisha’s problems are due to his social situation, i.e. him not having permission to stay in this country, and the uncertainties about his immigration status. He would initially feel very upset and dejected if he has to go back to Uganda after a period of stay in the UK. He might even do things to harm himself if faced with such a problem. But if he goes back to Uganda and doesn’t have any adverse experiences, there is a chance that he might do well. My reasons for this are as follows; Mr Binomugisha had been doing well while he was in this country when he was in education. There isn’t anything to suggest a major predisposition for him to have a severe and enduring mental illness as such, except the traumatic experiences he had. The evidence indicated that he was doing well up until the problems with his accommodation arose. If he is not faced with untoward incidents in his home country; if he gets back into education, is not persecuted, and is allowed to continue in education without any harassment, and if he doesn’t have further negative experiences in this country, he might not have a deterioration in his mental state. I am saying this from the evidence I have about Mr Binomugisha since he came to this country and while he was in full time education. It is not part of my role or in my capacity to comment about whether he would have untoward or negative experiences in Uganda, or whether he would be persecuted further. If he is persecuted and if he has negative experiences, it would definitely lead to a deterioration of his mental state. If, however, he is allowed to settle down or allowed to study and move forward in life, he might not have a significant decline in his mental state.’
‘(1) Everyone has the right to respect for his private and family life, his home and his correspondence. (2) There shall be no interference by a public authority with the exercise of this right except such as is in accordance with the law and is necessary in a democratic society in the interests of national security, public safety or the economic well-being of the country, for the prevention of disorder or crime, for the protection of health or morals, or for the protection of the rights and freedoms of others.’