“He would find a sea journey very difficult, adjusting to the movement of the boat and the possible storms in the Atlantic. If he has medical escorts they would need to be expert in emergency care. He may have a heart attack, stroke or pulmonary embolus. They would need to be able to set up an intravenous line and care for him until he could be removed to hospital. His transfer to hospital should be as rapid as possible.” (x) On11 April 2010 , Mr Hall was seen by Dr Jabbar again. This was when Dr Jabbar took the view for the first time that Mr Hall was not fit to be detained. Mr Hall presented with a number of symptoms which suggested heart failure, pulmonary embolism, tuberculosis and other possibilities. A treatment plan was put in place, and a battery of tests was ordered, including a review of Mr Hall’s psychiatric condition. Dr Jabbar asked nursing staff to chase up the appointment for Mr Hall at Hillingdon’s Cardiology Department. Because Mr Hall was no longer fit for detention, he asked for a rule 35 form to be completed. (xi) On12 April 2010 , Mr Hall was transferred to Hillingdon Hospital. He was discharged from hospital ten days later on22 April 2010 . The discharge summary showed that he had “serious decompensated cardiac failure” with “a cardiac ejection fracture of less than 20%”