“there has been no material change in circumstances and the facts which led to the decision that she is not in priority need.”
“There are no unstable psychotic tendencies or active suicidal thoughts to consider that would prompt emergency or enhanced psychiatric care.”
“On my review of the information I still prefer the patient account records of the GP to both opinions but note that the opinion of the professional that has not met or examined Ms Hoyte appears closer to the records held in the GP summary. For example it appears consistent in the records that there is no active suicidal plan or risk within the GP records but it was considered that Ms Hoyte was a high suicide risk in the report of21 September 2015 . Pre the meeting of8 September 2015 with Dr Shuttleworth and post the meeting Ms Hoyte had contact with her surgery and the aspect of the report on suicidal intentions and risk appear extremely different.”
“My view after the consultation is, Jennifer is suffering from depression. She is very low in mood and has active suicidal thoughts with plausible evidence of plan and intent. Her current stressor is undeniably her accommodation situation. The threat of eviction in under a week with no viable option to street-homelessness is clearly a huge stressor. She reports continuous thoughts about ending her life.”
“This is due to the fact that whilst it may be the case that your client made a visit to her GP after the review decision was issued, who in turn referred her for further treatment, the fact that she has a history of suicidal ideation was previously known to us as well as the fact she has a history of suffering from other mental health problems, including depression.”
“although authorities should look for and pay close regard to medical evidence submitted in support of applicants’ claims of vulnerability on account of mental illness or handicap, it is for it, not medical experts, to determine the statutory issue of vulnerability.”
“Because time has passed, the facts will never be precisely the same. To remove all and any entitlement to investigate the contents of an application form would be to encourage bogus claims, to the detriment of applicants generally. I would maintain some entitlement to inquire into the contents of the form with a view to deciding whether a relevant new matter can realistically be asserted to be present.”
“What must be addressed is whether the actual facts disclosed by the third application, are or are not “exactly the same” as the facts disclosed at the time of the review decision on the second application.”
“It is the “facts” behind the application which must be considered, rather than the evidence adduced in support of those facts. Fresh evidence, or additional evidence, showing the same facts as previously existed is insufficient. Such evidence would be confirmatory and merely “more of the same”
“the actual facts when the earlier application was determined (or reviewed) rather than the facts as they were alleged to be on the date he or she made the application.”