“…informal admission is usually appropriate when a patient who has the capacity to do so consents to admission.”
“The threat of detention must not be used to induce a patient to consent to admission to hospital or to treatment...”
“[SF] was asked if she would stay in hospital, she agreed to this, Julie did say, there was every possibility she would have been sectioned if she had not volunteered to stay in hospital.”
“[SF] is clearly not able to benefit from or participate in the programme on offer at ESPA College and therefore we have no alternative at present but to terminate her placement. We have agreed to be involved still with [SF] and a representative is attending CPA meetings with a view to contributing to plans for her transition.”
“She remains in hospital because she does not have anywhere else to go.”
“(1) This section applies to persons who are detained under section 3 above, or admitted to a hospital in pursuance of a hospital order made under section 37 above, or transferred to a hospital in pursuance of … (2) It shall be the duty of the [Primary Care Trust or] [Local Health Board]and of the local social services authority to provide, in co-operation with relevant voluntary agencies, after-care services for any person to whom this section applies until such time as the [Primary Care Trust or] [Local Health Board] and the local social services authority are satisfied that the person concerned is no longer in need of such services … (3) In this [section […] ‘the local social services authority’ means the local social services authority, for the area] in which the person concerned is resident or to which he is sent on discharge by the hospital in which he was detained.”
“39. Section 117(3) defines the Health Authority and the Social Services Authority as those for the area in which the Applicant is resident or to which he is sent on discharge by the hospital. The definition must, of course, be read in the context of the Act as a whole and in particular Section 117(1) and (2). What Parliament in my judgment had in mind was a workable and effective system to provide aftercare in the community for patients released from hospital. 40. The word “or” in sub-section (3) clearly envisages an alternative so that there is always some authority that will be responsible when a patient is discharged; if not that of his residence that of the place to which he is sent. One or the other authority is responsible but not both; otherwise there would be a recipe for disaster with the prospect of endless disagreements and failures to make arrangements. Section 117 does not provide for multi social services department or health authority responsibility. The words “or to whom he is sent on discharge by the Tribunal” are included simply to cater for the situation where a patient does not have a current place of residence. The sub-section does not mean that a placing authority where the patient resides suddenly ceases to be “the local social services authority” if on discharge the Applicant is sent to a different authority.”
“That is where he was resident prior to admission to hospital and a person does not cease to be resident in the area of an authority by reason only of his admission to hospital. See e.g. Fox-v- Stirk[1970] 2 QB 463 . A patient such as the Applicant has a residence notwithstanding he is compulsorily detained in hospital. It is this that fixes Torfaen with responsibility notwithstanding he may never return to their area.”
“95. For the purpose ofSection 117 of the Mental Health Act 1983 the relevant health and social services authorities are those for which the patient is resident i.e. ordinarily resident at the time that he is detained, i.e. in this case Torfaen and Gwent.”
“I think that [ordinary residence] connotes residence in a place with some degree of continuity and apart from accidental or temporary absences.”
“...that part of the regular order of a man's life, adopted voluntarily and for settled purposes, is not 'extraordinary.'" The view of Lord Warrington of Clyffe, given in Levene at 232, was that the word “resident” had no technical or special meaning for the purposes of the Income Tax Act. It was impossible to restrict its connotation to its duration. He mentioned: “A member of this House may well be said to be ordinarily resident in London during the Parliamentary session and in the country during the recess. If it has any definite meaning I should say it means according to the way in which a man's life is usually ordered.”
“Unless, therefore, it can be shown that the statutory framework or the legal context in which the words are used requires a different meaning, I unhesitatingly subscribe to the view that 'ordinarily resident' refers to a man's abode in a particular place or country which he has adopted voluntarily and for settled purposes as part of the regular order of his life for the time being, whether of short or of long duration.”
“The residence must be voluntarily adopted. Enforced presence by reason of kidnapping or imprisonment, or a Robinson Crusoe existence on a desert island with no opportunity of escape, may be so overwhelming a factor as to negative the will to be where one is. And there must be a degree of settled purpose. The purpose may be one; or there may be several. It may be specific or general. All that the law requires is that there is a settled purpose. This is not to say that the 'propositus' intends to stay where he is indefinitely; indeed his purpose, while settled, may be for a limited period. Education, business or profession, employment, health, family or merely love of the place spring to mind as common reasons for a choice of regular abode. And there may well be many others. All that is necessary is that the purpose of living where one does has a sufficient degree of continuity to be properly described as settled.”
“It is clear that words like ordinary residence and normal residence may take their precise meaning from the context of the legislation in which they appear but it seems to me that the prima facie meaning of normal residence is a place where at the relevant time the person in fact resides. That therefore is the question to be asked and it is not appropriate to consider whether in a general or abstract sense such a place would be considered an ordinary or normal residence. So long as that place where he eats and sleeps is voluntarily accepted by him, the reason why he is there rather than somewhere else does not prevent that place from being his normal residence. He may not like it, he may prefer some other place, but that place is for the relevant time the place where he normally resides. If a person, having no other accommodation, takes his few belongings and moves into a barn for a period to work on a farm that is where during that period he is normally resident, however much he might prefer some more permanent or better accommodation. In a sense it is "shelter" but it is also where he resides. Where he is given interim accommodation by a local housing authority even more clearly is that the place where for the time being he is normally resident. The fact that it is provided subject to statutory duty does not, contrary to the appellant authority's argument, prevent it from being such.”
“In most cases there is no difficulty in determining where a man has his settled or usual abode, and if that is ascertained he is not the less resident there because from time to time he leaves it for the purpose of business or pleasure.”
“There seems to me to be no perceptible difference between the three phrases, ‘resident’, ‘ordinarily resident’ and ‘normally Resident’. All three connote settled presence in a particular place other than under compulsion.”
“In reading that part of the judgment, it is important to bear in mind that there was no argument on the issue of residence, and no indication that the judge was referred specifically to the cases on "residence" and "ordinary residence" referred to by Mitting J (see below). I would not therefore attach great significance to the judge's apparent assimilation of those two concepts. Nonetheless, it is common ground before us, and I am happy to accept, that in deciding where a patient ‘is resident’ the period of actual detention under the 1983 Act is to be disregarded. Accordingly, he was rightly found to be resident in Torfaen, even though he had not in fact lived there for several years, and, by virtue of the tribunal's order, might never be permitted to return there.”
“This was treated as common ground, and therefore not considered in detail, in ex p Hall. Indeed there was little reason to regard the area of Ashworth Hospital, where he happened to be detained, as of any relevance to responsibility for his after-care. Scott Baker J referred to Fox v Stirk[1970] 2 QB 463 , as offering at least illustrative support for the proposition that a person does not cease to be resident in a particular area ‘by reason only of his admission to hospital’ (see para 23 above). 49. The issue in Fox v Stirk was whether, for the purpose of qualification to vote, students were ‘resident’ in the areas of their colleges, even though they were only there in term time. Having referred to the OED definition adopted in Levene v IRC and to the statutory context, Lord Denning MR derived three principles, including: ‘The third principle is that temporary absence does not deprive a person of his residence. If he happens to be away for a holiday or away for the weekend or in hospital, he does not lose his residence on that account.’ This appears to be the only reference in the judgments to absence in hospital. Scott Baker J was right with respect not to treat it as direct authority in relation to the case before him. It is doubtful whether Lord Denning would have had in mind a period in hospital of more than five years.”