"(1) Where a person is convicted before the Crown Court of an offence punishable with imprisonment ... and the conditions mentioned in subsection (2) below are satisfied, the court may by order authorise his admission to and detention in such hospital as may be specified in the order or, as the case may be, place him under the guardianship of a local social services authority or of such other person approved by a local social services authority as may be so specified."
"(2) The conditions referred to in subsection (1) above are that-- (a) the court is satisfied, on the written or oral evidence of two registered medical practitioners, that the offender is suffering from mental illness, psychopathic disorder, severe mental impairment or mental impairment and that either-- (i) the mental disorder from which the offender is suffering is of a nature or degree which makes it appropriate for him to be detained in a hospital for medical treatment and, in the case of psychopathic disorder or mental impairment, that such treatment is likely to alleviate or prevent a deterioration of his condition; or (ii) in the case of an offender who has attained the age of 16 years, the mental disorder is of a nature or degree which warrants his reception into guardianship under this Act; and (b) the court is of the opinion, having regard to all the circumstances including the nature of the offence and the character and antecedents of the offender, and to the other available methods of dealing with him, that the most suitable method of disposing of the case is by means of an order under this section."
"An order placing an offender under the guardianship of a local social services authority or of any other person (in this act referred to as 'a guardianship order') shall not be made under this section unless the court is satisfied that that authority or person is willing to receive the offender into guardianship."
"The detailed guidance in the code needs to be read in the light of the following broad principles, that people to whom the Act applies (including those being assessed for possible admission) should... • have their needs taken fully into account, although it is recognised that, within available resources, it may not always be practicable to meet them in full; • to be given any necessary treatment or care in the least controlled and segregated facilities compatible with ensuring their own health and safety or the safety of other people;"
"The purpose of guardianship is to enable patients to receive care in the community where it cannot be provided without the use of compulsory powers. It provides an authoritative framework for working with a patient, with a minimum of constraint, to achieve as independent a life as possible within the community. Where it is used it must be part of the patient's overall care and treatment plan."
"The Governmental view at the introduction of the 1983 Act was that Guardianship powers were needed for a very small number of mentally disordered people who do not require treatment in hospital, either formally or informally, but who need close supervision and some control in the community as a consequence of their mental disorder. These will include people who are able to cope provided that they take their medication regularly, but who fail to do so, and those who neglect themselves to the point of seriously endangering their health."
"If the patient consistently resists the exercise of the guardian's powers it can be concluded that guardianship is not the most appropriate form of care for that person and the guardianship order should be discharged."
"Police antecedent history indicates that Mr Bukowicki has seventeen convictions for twenty-six offences since 2001, offences include, Shoplifting, Criminal Damage, Being Drunk and Disorderly, Breach of Conditional Discharge, Use of Racially Abusive Language. Mr Bukowicki has previous convictions for Common Assault in July 2002 and March 2005. In interview Mr Bukowicki informed me that the charge in 2002 was brought against him after he assaulted two staff members at a residential care home in which he was living at the time. He informed me that he had had an argument with staff when they refused to give him any cigarettes, at which point he lost his temper and assaulted them. He was unable to recall any details of the offence in 2005. It is of note that no further convictions have been recorded against Mr Bukowicki since the commission of this offence in December 2005. He attributes the cessation of offending to the current level of support he is receiving from mental health practitioners, accommodation providers and the Jesus Army."
"Mr Bukowicki has unfortunately behaved in a manner in the past which has made some workers very wary of him, and his capabilities, including acts of violence and aggression when under the influence of alcohol..."
"... his main management problem had been his repeated alcohol intoxication while on leave from the ward, usually associated and followed by threatening, aggressive behaviour, to public, staff and fellow patients. Management on the ward proved to be difficult and required lengthy and repeated deliberations with the Police until the Police accepted that Mr Bukowicki should be taken into custody while intoxicated until he was sober before he was returned to the ward. Mr Bukowicki was admitted to hospital on five occasions, at least, over the previous six years. On many occasions he broke his contract of no alcohol and good behaviour. He was arrested on several occassions whilst absent from the ward. Records include hostile and aggressive behaviour when challenged about boundaries. On28th March 2004 Mr Bukowicki, whilst intoxicated, assaulted a patient when he threw a fire extinguisher and metal laundry skip. Staff documented repeatedly that the Police were slow to respond and were reluctant to charge Mr Bukowicki. Community Placements In the community, Mr Bukowicki has had several placements over the previous few years. All of these have been staff supported. He spent about eight months at his father's flat and was admitted to hospital for long term care in 2003. Community placements broke down repeatedly due to frequent incidents of alcohol abuse, violence towards the Police, ambulance crews and accident and emergency staff and violent incidents towards staff members, other residents or visitors. Incidents recorded included harassment and serious assaults. In 2002 Mr Bukowicki was sentenced to four months at Woodhill Prison in relation to a serious assault on female staff at Moray Lodge, social services residential placement. Mr Bukowicki has been denied for several times a place at the Night Shelter as well as the Jesus Army due to the history of aggression. At 1B East Street, Mr Bukowicki made a serious attempt to harm a female member of staff with a bread knife whilst intoxicated. In his last placement with Lumsden supported accommodation, Mr Bukowicki initially responded well and had a settled period. However, he relapsed into alcohol abuse with threatening and aggressive behaviour towards several residents. This placement eventually failed as well."
"5. Despite these problems, in my opinion Mr Bukowicki does not suffer from a Mental Disorder within the meaning of theMental Health Act 1983 , of a nature or degree sufficient to merit his compulsory detention in hospital for assessment or treatment. 6. Any treatment Mr Bukowicki receives as an in-patient or out-patient should only be provided with his full knowledge, consent and co-operation. It is a pre-requisite for both alcoholism and Emotionally Unstable Personality Disorder that successful treatment involves the patient taking full responsibility for his acts and omissions. 7. In the past I have had extensive discussions with professional colleagues in the Northamptonshire Mental Health NHS Trust (who know the defendant well) about how we may best address Mr Bukowicki's needs. We have agreed that the Trust is running out of resources to help this man, and that at present he should be given psychiatric support when needed (ie at times of crisis), but that when he becomes involved in Criminal Justice matters, the Courts should deal with him as they deem appropriate."
"I do agree that Paul's pattern of binge drinking and the consequent disorderly behaviour is related to his lifestyle and personal choice. Paul himself has full insight into the matter and actually accepts this conclusion and his personal responsibility. He has adequate intelligence, ie. not subnormal. I do not think the grounds to recommend Guardianship are evident. I cannot see how the powers under Guardianship would target his behaviour or control it. I do agree with Mr McAdam that Guardianship would not be suitable for Paul Bukowicki and that LA should not consent to such an order."
"In my opinion he is not suffering from a mental disorder within the meaning of theMental Health Act 1983 and therefore I have no formal psychiatric recommendation to make to the court. I support Lesley Martin's recommendation for a Community Order as outlined in her report."
"In my opinion it is likely that Paul Bukowicki will be able to comply with a community order."
"This will provide Mr Bukowicki with a structure and statutory support within which he can work on his mental health problems."
"I refer to the forthcoming sentencing hearing due to take place on Monday 21st August (time unknown). I also refer to correspondence received from the Defendants solicitors, Messrs McGanns, asking the County Council to reconsider its position in the light of further reports from Doctors Shapero and Duggan. Unfortunately, Dr Al-Robb, upon whose advice the County Council has relied, is currently on leave and is not available to attend court on Monday [I simply interpose to say that nobody suggests that this was anything other than an unfortunate accident]. In his absence the County Council has carefully considered the reports supplied but does not consider that either report addresses the issue of how Mr Bukowicki's behaviour is to be managed by staff in a way that does not endanger their or other resident's safety and how the limited powers of Guardianship are meant to address that difficulty. Further neither report gives credit to the considerable efforts over the years of the County Council to find a placement of Mr Bukowicki that would address these problems. In the circumstances therefore, I must advise that the Council remains unwilling to accept Mr Bukowicki into Guardianship underSection 37 of the Mental Health Act 1983 ."
"I will make it clear to you that I do not consider this to be the correct sentence. In my view, the correct disposal would have been under Section 37 of the Mental Health Act. That matter is the subject of a judicial review, and no doubt if the judicial review results in a favourable decision for those on your behalf who are seeking it, those advising you will immediately lodge an appeal against my sentence, and the Court of Appeal can then correct the matter. Do you understand?"
"Although Mr Bukowicki could be considered suffering from mental disorder, particularly psychopathic disorder within the meaning of the Mental Health Act, I believe his mental disorder is not of a nature or degree which warrants his reception into Guardianship Order. Mr Bukowicki's care in the community has been provided over several years without the use of compulsory powers. There has been no history of self neglect nor any risk of vulnerability to exploitation by others. Mr Bukowicki has never refused to reside at any proposed community placement. All agreed placements have consistently failed because Mr Bukowicki had to leave them rather than he refused to stay. His attendance at all booked appointments with various professionals has been reasonable over the years and access to his residence by professionals has never been difficult."
"In particular, I cannot envisage how any of the powers under Guardianship Order, if it were to be made, would prevent or even discourage Mr Bukowicki from conducting the pattern of his behaviour or willful self intoxication with alcohol in public, to be mostly followed by aggressive or disorderly behaviour."
"I believe that receiving Mr Bukowicki under Guardianship will be psychologically and behaviourally detrimental to Mr Bukowicki. Reception into Guardianship will reinforce his tendency to project responsibility on external factors and would undermine the likelihood of achieving any maturity and self responsibility. In view of all above mentioned, my opinion remains that Guardianship Order is not a suitable disposal of Mr Bukowicki and it will serve no purpose."