“It shall be the duty of the Primary Care Trust… and the local social services authority to provide, in cooperation with relevant voluntary agencies, after-care services… until such time as the Primary Care Trust… and the local social services authority are satisfied that the person concerned is no longer in need of such services…”
“Persecutory delusions, paranoid, with auditory hallucinations. Would harm others in self-defence. Morbid jealous to wife. Self neglect/harm”: the “Relapse Action Plan” being: “Urgent mental health assessment. Medicate in the community if possible. Arrange for admission as last resort.”
“Monthly visits (variable with his situation), to attend booked appointments with CMHN [i.e. the Community Mental Health Nurse, Fidelis Murape]/RMO [i.e. Dr Cozzolino]/other agencies.”
“It is unlikely that he is taking his medication… There does not appear to be any major risk factors present and we therefore will ask Mrs Mwanza to contact us if she feels that the situation deteriorates, i.e. if he becomes more distraught by his delusional beliefs. There is little else we can do.”
“He actually looked and sounded quite well when I saw him. He was entirely rational and appropriate. He is euthymic and his affect is reactive. He denied being overtly troubled by persecutory delusions or auditory hallucinations. … He will be reviewed in clinic in two months’ time. He is living too far away now for Mr Marsh to visit him regularly but he and his wife have our phone number and will contact us if there is any problem in between his appointments.”
“I am pleased to report that he is doing well and does not appear to be preoccupied with persecutory delusions or experiencing any auditory hallucinations. He eats and sleeps well and he told me that he has been working in a factory over the last two weeks. He has moved to private accommodation in Peckham and he told me that he gets on well with his wife. His minor complaint is that at times he feels quite tired and “heavy” in his head which might well be a side effect of the Olanzapine. However I have asked him to persevere with the Olanzapine 20mg nocte for the time being as his mental state is stable and this is a priority. I will review him in two months’ time.”
“To assist the court on the immigration status; I am instructed that there is no outstanding appeal before the tribunal and no application before the Secretary of State for the Home Department and as such [Michael] and his spouse have no leave to remain. Prudence Mwanza’s appeal was submitted late and six months out of time in 2008. It was not accepted as a valid appeal.”
“Subject to and in accordance with the provisions of this Part of this Act, a local authority may with the approval of the Secretary of State, and to such extent as he may direct shall, make arrangements for providing - (a) residential accommodation for persons aged eighteen or over who by reason of age, illness, disability or any other circumstance are in need of care and attention which is not otherwise available to them…”
“… is to draw local authorities into areas in which they are unfamiliar, namely the assessment of existing immigration status and in some cases the merits of outstanding applications to remain in the UK. The latter tends to arise where authorities assert that a refusal to provide accommodation to persons who would not otherwise fall within section 21 does not breach Convention rights because they can simply return to their country of origin…”
“The overwhelming problem for this family is their inability to access housing due to their financial circumstances…”
“Michael’s mental illness is contributing to Prudence and Michael cycle of poverty, homelessness, stigma and social exclusion with associated disempowerment and reduction of hope. Practical help is needed to reverse this cycle.”
“It is difficult to see how Prudence and Michael can practically continue to sustain this level of stress and poverty without one or other eventually being overwhelmed”
“… an order quashing the Defendant’s refusal to accommodate; a mandatory order requiring accommodation, declaratory relief as to the Claimant’s s117 and s21 rights; such other declaratory relief as is necessary to give effect to the court’s judgment.”
“The nature and extent of those [after-care] facilities must, to a degree, fall within the discretion of the [authorities] which must have regard to other demands in [their] budget.”
“They would normally include social work, support in helping the ex-patient with problems of employment, accommodation or family relationships, the provision of domiciliary services and the use of day centre and residential facilities. No doubt some assessment of the patient’s needs would in the first instance be made by the hospital that discharged him.”
“[T]he words ‘after-care services’ in [the 1983 Act] can include residential accommodation which is specifically designed to care for the needs of persons who have been detained under section 3 and who have left hospital.”
“…section 21(1) would permit the local authorities to provide section 3 persons with residential accommodation because they are in need of it ‘by reason of age, illness, disability or any other circumstance’.”
“It is also plain from the decision of [Stennett]… that the duty to provide aftercare services includes a freestanding duty to provide accommodation: see Lord Steyn’s speech at [10] and [11]”
“…[A] person in receipt of after-care services under section 117 may also have needs for continuing care that are not related to their mental disorder and that may, therefore, not fall within the scope of section 117.”
“After-care services are provided to meet an assessed need arising from the patient’s mental disorder and are aimed at reducing the likelihood of the patient being readmitted to hospital for treatment for that disorder.”
“Discharge from allocated cases - remain with OPA [i.e. out-patients appointments]”