“The subject’s asylum claim is still outstanding and a deportation order is yet to be served upon him. An ETD is required to facilitate his removal. An ETD interview was carried out previously if enough information/bio-data is on the file, it will be sent of (sic) asap. If not, then a new ETD interview will be arranged.”
“Mr Wang was interviewed under the recent Op Elucidate however no ETD was agreed. There appears to be no prospect of removal within a reasonable timescale and therefore release under strict contact management is recommended.”
“FIT TO BE DETAINED on the following grounds: • he has no acute clinical problems • the results of his investigations give no reason for him to require an acute inpatient bed • he does not need any additional medication or further investigations or treatment in an acute hospital environment”
“Where a deportation order is in force against any person, he may be detained under the authority of the Secretary of State pending his removal or departure from the United Kingdom …”
“103. A convenient starting point is to determine whether, and if so when, there is a realistic prospect that deportation will take place. As I said at para 47 of my judgment in R (I), there may be situations where, although a reasonable period has not yet expired, it becomes clear that the Secretary of State will not be able to deport the detained person within a period that is reasonable in all the circumstances, having regard in particular to time that the person has already spent in detention. I deal below with the factors which are relevant to a determination of a reasonable period. But if there is no realistic prospect that deportation will take place within a reasonable time, then continued detention is unlawful.”
“55.10 Person considered unsuitable for detention. Certain persons are normally considered suitable for detention in only very exceptional circumstances, whether in dedicated immigration accommodation or prisons. Others are unsuitable for immigration detention accommodation because their detention requires particular security, care and control. ... The following are normally considered suitable for detention in only very exceptional circumstances, whether in dedicated immigration detention accommodation or prisons: ◦ … ◦ Those suffering from serious medical conditions which cannot be satisfactorily managed within detention. ◦ … ” ◦ … ◦ Those suffering from serious medical conditions which cannot be satisfactorily managed within detention. ◦ … ”
“PART A Introduction 8. If a competent detainee has made an advance directive, whilst they remain competent their views should be monitored to ensure that the directive continues to reflect their wishes for their future treatment when they have lost capacity to reach a decision for themselves. A competent person may withdraw or amend any advance directive that he has previously made. ….. 11. Where a detainee has made an advance directive, the wishes expressed in this directive must be honoured. It is a legal requirement to obtain a patient’s consent to treatment. ….. PART C Food and fluid refusals: General guidelines 1.8 Detainees who are refusing food do not necessarily require to be seen on a daily basis by health care staff. However, Immigration Service staff will need to be regularly informed of the state of health of a food refuser after food has been refused for more than five days and will require a daily update of the state of health of any detainee who has been refusing food and fluid for more than 24 hours. It is important that Immigration Service staff maintain a full written record of events and information passed on to them. 1.9 Food/fluid refusers requiring nursing care should be managed in one of the centres with 24-hour nursing. Centres without such facilities are advised to seek the transfer of fluid refusers at 48 hours and food refusers at 14 days. Immigration Service staff should follow advice given by their healthcare advisors and, if it is agreed that the detainee should be transferred, contact DEPMU. Form IS 91 RA Part C should be completed giving full details of the food and/or fluid refusal so that the most appropriate accommodation can be arranged. ….. Advance directives 2.1 A detainee who is currently competent may wish to make a “living will” or “advance directive” specifying how they would like to be treated in the case of future incapacity. Where a detainee refusing food/fluids wishes to make such an advance directive, they may want their own legal adviser to draw it up. This is acceptable. Alternatively, a model version is attached to this Order. 2.2 Detainees are unlikely to be aware of the ability to make an advance directive. As soon as a detainee begins to refuse food and fluids, and after a detainee has refused food for five days, he/she should be made aware of this facility. It is preferable that both the health professional and the IS manager (either the contract monitor or the CIO) are present when the ability to make an advance directive is being explained to the detainee. The purpose of an advance directive should be spelt out to the detainee, as well as the fact that once an advance directive is made, whether written or oral, the detainee has he the right to reverse this decision at any time during which they retain competence. …… Role of the health professionals 3.1 Where a competent detainee refusing food and/or fluids is also refusing medical treatment at a time when a doctor judges it is becoming necessary, whether or not an advance refusal of treatment has been made, the doctor must explain the consequences of these refusals to the detainee, in the presence of another healthcare professional. These explanations must include the following information: • That the deterioration in their health will be allowed to continue without medical intervention unless they request it; • That continuing food/fluid refusal will lead to death. This must include a description of the process of dying in terms of pain, what can be offered to ameliorate those symptoms and the physical effects of refusal of nutrition; • That prolonged food and fluid refusal which does not result in death may lead to permanent disability and organ damage. 3.2 It is important that this information is provided in a form that the detainee can understand. This may involve using an interpreter and every effort should be made to obtain the services of an interpreter as soon as possible. Should the detainee wish to use a fellow detainee or member of his/her family to interpret the doctor’s explanation then this would be acceptable. 3.3 The doctor must: • Write a full record of what has been said to the detainee, and the doctor, the second healthcare professional and the interpreter, if used, must sign to say that they were present when this advice was given. The doctor may wish to repeat this procedure from time to time; • Consider the appropriateness of transferring the detainee to the healthcare centre at Harmondsworth, Colnbrook or Yarl’s Wood; • Inform the IS Manager (the contract monitor or CIO) that this stage has been reached and request that the detainee is transferred to Harmondsworth, Colnbrook or Yarl’s Wood as appropriate.”
“Thus in my judgement it is likely, all other things being equal, that a reasonable period for the detention of an individual who does not co-operate in obtaining a travel document may well be longer than it will be in the case of an individual who co-operates. Similarly it is likely, all other things being equal, that a reasonable period may be still longer in the case of an individual who seeks to frustrate efforts to obtain one by supplying false or misleading information (leading to false hopes of obtaining, and unsuccessful attempts to obtain, a travel document)… [but] The Secretary of State may not detain a person pending deportation for more than a reasonable period even in the case of an individual who is deliberately seeking to sabotage any efforts to deport him.”