“23. Where possible, the medical practitioner should say why he/she considers that the person’s account is consistent with the medical evidence. This means that the medical practitioner should ask to see any scar and record what he/she sees, including on a body map and, where possible, assess whether it is in his/her view medically consistent with the attribution claimed by the detainee. The medical practitioner should consider whether the injury, health problem or other indicator may have other possible explanations which do not relate to torture. The medical practitioner must identify any medical evidence which may be contrary to the account given by the detained person.”
“[The Claimant] reports in August 2011, whilst in Nigeria he was being helped by a lady to get his visa. He was instructed to go with a group of men as part of this process and they took him to a herbalist where they said they wanted him to export drugs. He refused and as a result they attacked him with knives and sticks and he has scars on his body. See overleaf. I am not a medico legal expert, however his account is compatible with the history he gives and the examination findings today.”
“I am writing to you to acknowledge receipt of a report dated25/9/2015 provided by the medical practitioner at Harmondsworth Removal Centre notifying us of a special illness or condition. Information contained within the report has been considered carefully and the decision to detain you has been reviewed. As a result, a decision has been taken to maintain your detention. The reasons for this are: Although the medical practitioner has concerns that you may have been tortured, the account you have provided is not the same as you have provided to the Home Office. You did not highlight that you had been attacked or indeed tortured by anyone whilst in Nigeria in relation to being forced to smuggle drugs. The doctor has made his account of compatibility on the basis of consideration of your claim in isolation, and in the absence of wider information surrounding your claim. The Rule 35 report provides no cogent reasons to lead the Home Office to depart form [sic] these previously promulgated findings of fact. Additionally, the doctor has not made findings as to how he arrived at the conclusion that you may have been a victim of torture in the past. It is submitted that the scars you have, could be from everyday injuries, and are not necessarily tangibly linked to the account that you have provided. Notwithstanding the above conclusion, the doctor has expressed no concerns regarding your ongoing detention. The suitability of your detention will be reviewed should new information come to light.”
“A report which simply repeats an allegation of torture will not be independent evidence of torture ... A report which raises a concern of torture with little reasoning or support or which mentions nothing more than common injuries or scarring for which there are other obvious causes is unlikely to constitute independent evidence of torture ... A report which details clear physical or mental evidence of injuries which would normally only arise as a result of torture ... and which records a credible account of torture, is likely to constitute independent evidence of torture.”
“... It must be capable of lending some support to the detainee’s case. In general it seems to me that where a doctor asserts that the scars or wounds are consistent with the account given by the patient, that is likely to constitute independent evidence of torture. It has the potential to corroborate the account. I take it that the requirement for independent evidence is a requirement for evidence that has a sufficient objective quality. Elias LJ emphasises that what is required is evidence of torture, not proof of torture. He observed that the presence of “commonly found scars” coupled with an assertion of torture would not ordinarily be sufficient (judgment at paragraph 41), but then went on to state (in the same paragraph): “... Unless the account of the detainee is inherently incredible so that there is no proper claim of torture capable of being corroborated, medical evidence consistent with the account will in my view generally satisfy the requirement.”