“(i) Have the concerns of the Secretary of State at the last panel with regard to (a) your attitude to the index offences; (b) your personality disorder; (c) your reactions to stress and emotional upset; (d) your manipulative tendencies; and (e) your being able to demonstrate a period of stability, all been addressed? (ii) In the light of these outstanding concerns, and the recent assessments that have taken place, what are your remaining areas and levels of risk? (iii). Are you now able to be released? (iv). If you are not to be released, are you able to be transferred to open conditions? (v). What remaining areas of concern need to be addressed before your next review?”
“This has been shown by your self-harming tendencies, by your reactions to physical pain, by your reactions to stress following the breakdown of your marriage and by your behaviour prior to and following your operations. You have also shown poor coping skills in placing yourself in the position of which you were reasonably suspected of involvement in the supply of prescribed drugs to others. Moreover you will be subject over the next few months to further possible very painful maintenance therapy, including possible chemotherapy, which will make huge demands on your as yet unproved ability to manage both stress and relations.”
“Once your risk levels have been demonstrated to be sufficiently lower, you would need a further period in open conditions.” 16. As to issue four, the open conditions recommendation, they found that: “The previous panel and the Secretary of State both considered that you needed a period of time to demonstrate stability and an ability to manage stress and your emotions. You have not had that opportunity since May 2007 and, until you have had a period of at least 12 months’ stability, the panel considers that you would not be ready for open conditions.” 17. As to issue five, the panel found that the stress that the claimant would face over the next period and that would result from maintenance therapy and so forth were remaining areas of risk to be addressed. Their conclusion included a number of matters favourable to the claimant. The first sentence of the conclusion reads: “The panel was greatly impressed with you as an articulate, rational and exceptional person.”
“The stress levels that John has encountered have largely been brought about because of the way that his medical condition has been handled and by being kept in Category C conditions where it is difficult for those particular medical conditions to be adequately dealt with.”