“1. the appellant is from Afghanistan. 2. the appellant’s father worked away from home a lot. He was with Dr Nabijullah and Ahmed Shah Masoud, both of whom were opposed to the Taliban and then the Karzai government. 3. the appellant does not know precisely what his father did. 4. the appellant’s home was bombed in or about 2005 or 2006. The appellant believes that this was done by enemies of his father. 5. the appellant has not seen his father since immediately prior to the bombing. The appellant’s father survived the bombing. 6. in or about 2007 the appellant was detained by the authorities. He was ill-treated during detention. He was questioned about his father’s whereabouts. He was told that his father was working for the Taliban. 7. the appellant does not know precisely why the authorities wanted to know his father’s whereabouts, nor does he know whether his father was in fact working for the Taliban. 8. the appellant’s maternal uncle arranged for the appellant’s release from detention and arranged for him to leave Afghanistan. 9. the appellant has never been a member of the Taliban and was never politically active. 10. the appellant is suffering from renal failure.”
“3. The second ground asserts that the asylum appeal should have been allowed given the findings of fact made in his favour. This is no more than a disagreement with the conclusion that he was not now at risk, and given the Appellant’s release from detention and the passage of time, and the lack of interest in any other family members, was one the Judge was entitled to reach on the evidence. 4. The third ground asserts that the humanitarian protection appeal should have been allowed since the situation in Afghanistan has deteriorated since GS and because the personal circumstances of this Appellant rendered his return unduly harsh. The Judge was however entitled to reach the conclusion that she did, and it cannot be said that she did not have the Appellant’s personal circumstances and health well in mind.”
“Whilst I accept that the appellant may have been interviewed about his father in 2006 or 2007, I do not consider that there are substantial grounds for believing that after the appellant was released from detention and left Afghanistan in about 2007, the authorities would have continued to send him summonses to attend before them … Further there is no evidence from the appellant’s brother who is in the United Kingdom that the appellant was sought after he left Afghanistan. Ms Hulse was clearly aware of the appellant’s brother’s presence in the United Kingdom and opposed an application that his case be linked to the appellant’s on the grounds that his evidence would have no bearing on the appellant’s case.”
“4. At the beginning of the hearing Ms Everett [the Home Office Presenting Officer] made an application that the hearing be adjourned so that the appellant’s appeal could be heard with that of his brother which was listed for30 March 2011 . She submitted that the core of their claims were based on similar facts and that credibility issues had been raised in both cases. Ms Hulse opposed the application. She argued that the appellant had been waiting for almost three years to have his claim resolved, joining the case would be of no great assistance as the bomb blast attack which the appellant described had occurred almost five years ago when the appellant’s brother was only eight, and different circumstances applied to the appellant’s and his brother’s life after that event. Having considered all the matters raised by the representatives I was satisfied that there was no reason why the appeal could not be justly determined in the absence of the appellant’s case being linked with that of his brother and I therefore decided not to adjourn the hearing.”
“No one shall be subjected to torture or to inhuman or degrading treatment or punishment.”
“42. In summary, the Court observes that since D v United Kingdom it has consistently applied the following principles. Aliens who are subject to expulsion cannot in principle claim any entitlement to remain in the territory of a Contracting State in order to continue to benefit from medical, social or other forms of assistance and services provided by the expelling State. The fact that the applicant’s circumstances, including his life expectancy, would be significantly reduced if he were to be removed from the Contracting State is not sufficient in itself to give rise to breach of Article 3. The decision to remove an alien who is suffering from a serious mental or physical illness to a country where the facilities for the treatment of that illness are inferior to those available in the Contracting State may raise an issue under Article 3, but only in a very exceptional case, where the humanitarian grounds against the removal are compelling. In the D case the very exceptional circumstances were that the applicant was critically ill and appeared to be close to death, could not be guaranteed any nursing or medical care in his country of origin and had no family there willing or able to care for him or provide him with even a basic level of food, shelter or social support. 43. The Court does not exclude that there may be other very exceptional cases where the humanitarian considerations are equally compelling. However, it considers that it should maintain the high threshold set in D v the United Kingdom and applied in its subsequent case-law, which it regards as correct in principle, given that in such cases the alleged future harm would emanate not from the intentional acts or omissions of public authorities or non-State bodies, but instead from a naturally occurring illness and the lack of sufficient resources to deal with it in the receiving country.”
“26. I have considered N[2005] UKHL 31 , upheld by the European Court of Human Rights in N 26565/05[2008] ECHR 453 and GS (Article 3 – health – exceptionality) India[2011] UKUT 35 (IAC) which analyses the case law dealing with article 3 medical cases. The facts relating to the appellant in GS are similar to those of the appellant in this case. He too had chronic kidney disease, was dependant on dialysis to remain alive, and would expect to die after a period of one to two weeks if the treatment were discontinued. Ms Hulse sought to distinguish GS from the case before me. In GS it was accepted that medical facilities were available in India, the receiving state, although it was unlikely that the appellant would be able to access them. In this appeal there is evidence of the enquiries made by the appellant’s solicitors about available treatment in Afghanistan for patients with end stage kidney failure. An email from the Kaisha Healthcare Hospital, which hospital was referred to by the respondent as providing such treatment, records that they do not in fact have treatment for end stage renal failure, nor are they aware of any other hospital in Afghanistan which provides such treatment. This means that there is no prospect of medical care in the appellant’s country of origin if he is returned. 27. I have considered whether the analysis of the Strasbourg case law in N permits me to find that the case of the appellant before me is exceptional within D, because there would be no treatment whatsoever available to him in Afghanistan. I have noted that at paragraph 50 of N Lord Hope says But it cannot be said that the court is unaware of the advances of medical science in this field. All the recent cases since SCC v Sweden have demonstrated this feature. The fact that the court appears to have been unmoved by them is due, I think, to its adherence to the principle that aliens who are subject to expulsion cannot claim any entitlement to remain in the territory of a contracting state in order to continue to benefit from medical, social or other forms of assistance provided by the expelling state. The way this principle was referred to and then applied in Amegnigan v The Netherlands (“the court recalls that in D v United Kingdom it emphasised [the principle]”) is, in my opinion, highly significant. What the court is in effect saying is that the fact that the treatment may be beyond the reach of the applicant in the receiving state is not to be treated as an exceptional circumstance. It might be different if it could be said that it was not available there at all and that the applicant was exposed to an inevitable risk due to its complete absence. But that is increasingly unlikely to be the case in view of the amount of medical aid that is now reaching countries in the third world, especially those in Sub-Saharan Africa. For the circumstances to be, as it was in Amegnigan v The Netherlands, “very exceptional” it would need to be shown that the applicant’s medical condition had reached such a critical stage that there were compelling humanitarian grounds for not removing him to a place which lacked the medical and social services which he would need to prevent acute suffering while he is dying. This is, in effect, the same test as that which my noble and learned friend Baroness Hale of Richmond has identified. (emphasis added) 28. I have also considered what was said by Baroness Hale at paragraphs 68 and 69 In common with Dyson LJ, I have found helpful the concurring opinion of Judge Pettiti in D v United Kingdom, p 455: “The inequality of medical treatment was not the criterion adopted by the Court as medical equipment in the Member States of the United Nations is, alas, not all of the same technological standard; the case of D, however, is concerned not with hospital treatment in general, but only with the deportation of a patient in the final stages of an incurable disease.”
“The inequality of medical treatment was not the criterion adopted by the Court as medical equipment in the Member States of the United Nations is, alas, not all of the same technological standard; the case of D, however, is concerned not with hospital treatment in general, but only with the deportation of a patient in the final stages of an incurable disease.”
“The first and fourth grounds assert that the Judge’s approach to the human rights appeal was wrong in law, but the approach taken was consistent with the guidance to be found in GS (Article 3 – health – exceptionality) India[2001] UKUT 35 , and JA (Ivory Coast) & ES (Tanzania)[2009] EWCA Civ 1353 , and KH (Afghanistan)[2009] EWCA Civ 1354 .”
“The grounds argue that the First-tier Tribunal failed to appreciate that the appellant is an “exceptional case” and that his circumstances allow his case to be distinguished from GS (India). It is argued that the judge did not take the appellant’s PTSD into account. It is maintained that the appellant has renal failure and is on the active waiting list for a kidney transplant. On that basis his circumstances are exceptional. The judge considered GS and found that the facts were similar. She took account of the appellant’s ill health but found that the jurisprudence did not require contracting states to provide aliens with medical treatment lacking in their home countries. Given that this life threatening condition did not assist the appellant to succeed in his appeal it is difficult to see how PTSD could. No challenge is made to the asylum/Article 3 claim and those findings therefore stand. The judge was entitled to find as she did. The grounds identify no arguable error of law in the determination.”
“7.vi His mother, his only close remaining relative in Afghanistan, is in Jalalabad. It is accepted that the family home remains destroyed since 2006. There is no information as to his mother’s physical and economic circumstances or evidence that she could provide the Appellant with care and accommodation. Nor is there evidence that the Appellant would on arrival in Kabul be fit enough to travel on to Jalalabad.”
“This learning shows that there may be departures from the Article 3 paradigm other than of the kind vouchsafed in D v UK. These departures are variously justified. But such an approach is indicated in D itself, at paragraph 49, and in N at paragraph 43 …. In my judgment it is clear that the departures from the Article 3 paradigm given in MSS and the other cases to which I have referred do not extend the reach of the departure allowed in D and discussed at paragraphs 42-45 of N v UK. The plight of an individual whose life expectancy may be severely shortened by his removal or deportation to his home State is a distinct state of affairs whose treatment under the Convention is not qualified by the court’s approach, for example, to the reception conditions for asylum-seekers. The circumstances in which a departure from the Article 3 paradigm is justified are variable; the common factor is that there exist very pressing reasons to hold the impugned State responsible for the claimant’s plight. But the fact that there are other exceptions unlike D or N does not touch cases – such as these – where the claimant’s appeal is to the very considerations which D and N address.”
“1. Everyone has the right to respect for his private and family life, his home and his correspondence. 2. There shall be no interference by a public authority with the exercise of this right except such as is in accordance with the law and is necessary in a democratic society in the interests of national security, public safety or the economic well-being of the country, for the prevention of disorder or crime, for the protection of health or morals, or for the protection of the rights and freedoms of others.”
“10. It is submitted that the Appellant has lived in the UK for a little less than three years and has developed a private life in the UK. If he were now removed that private life would be destroyed. It is not disputed that such interference would be lawful and for a legitimate aim. It is submitted however that such removal would constitute a disproportionate interference with the right to private life …. ” “11. The Appellant’s surviving siblings are now in the UK and there is no suggestion that the Appellant has committed any crimes.”
“Whilst the grounds appear to suggest that the Appellant could succeed on Article 8 grounds, even if he failed on Article 3 grounds, on the same basis – the authorities state that it “would be a very rare case which could succeed if it failed the Article 3 threshold”
“85. It is common ground that in cases where the claimant resists removal to another State on health grounds, failure under Article 3 does not necessarily entail failure under Article 8 . In her skeleton argument at paragraph 55 Ms Giovanetti for the Secretary of State cites JA (Ivory Coast) & ES (Tanzania) v SSHD[2009] EWCA Civ 1353 , in which the appellants had been given a “de facto commitment” that they would be allowed to remain in the UK for treatment. Sedley LJ, with whom Longmore and Aikens LJJ agreed said this at paragraph 17: “There is no fixed relationship between Art. 3 and Art. 8. Typically a finding of a violation of the former may make a decision on the latter unnecessary; but the latter is not simply a more easily accessed version of the former. Each has to be approached and applied on its own terms, and Ms Giovannetti is accordingly right not to suggest that a claim of the present kind must come within Art. 3 or fail. In this respect, as in others, these claims are in Mr Knafler's submission distinct from cases such as D and N, in both of which the appellant’s presence and treatment in the UK were owed entirely to their unlawful entry …” 86. If the Article 3 claim fails (as I would hold it does here), Article 8 cannot prosper without some separate or additional factual element which brings the case within the Article 8 paradigm – the capacity to form and enjoy relationships – or a state of affairs having some affinity with the paradigm. That approach was, as it seems to me, applied by Moses LJ (with whom McFarlane LJ and the Master of the Rolls agreed) in MM (Zimbabwe)[2012] EWCA Civ 279 at paragraph 23: “The only cases I can foresee where the absence of adequate medical treatment in the country to which a person is to be deported will be relevant to Article 8, is where it is an additional factor to be weighed in the balance, with other factors which by themselves engage Article 8. Suppose, in this case, the appellant had established firm family ties in this country, then the availability of continuing medical treatment here, coupled with his dependence on the family here for support, together establish ‘private life’ under Article 8. That conclusion would not involve a comparison between medical facilities here and those in Zimbabwe. Such a finding would not offend the principle expressed above that the United Kingdom is under no Convention obligation to provide medical treatment here when it is not available in the country to which the appellant is to be deported.” 87. With great respect this seems to me to be entirely right. It means that a specific case has to be made under Article 8. It is to be noted that MM (Zimbabwe) also shows that the rigour of the D exception for the purpose of Article 3 in such cases as these applies with no less force when the claim is put under Article 8: “17. The essential principle is that the ECHR does not impose any obligation on the contracting states to provide those liable to deportation with medical treatment lacking in their ‘home countries'. This principle applies even where the consequence will be that the deportee’s life will be significantly shortened (see Lord Nicholls in N v Home Secretary[2005] 2 AC 296 , 304 [15] and N v UK[2008] 47 EHRR 885 (paragraph 44)). 18. Although that principle was expressed in those cases in relation to Article 3, it is a principle which must apply to Article 8. It makes no sense to refuse to recognise a ‘medical care’ obligation in relation to Article 3, but to acknowledge it in relation to Article 8.”” “There is no fixed relationship between Art. 3 and Art. 8. Typically a finding of a violation of the former may make a decision on the latter unnecessary; but the latter is not simply a more easily accessed version of the former. Each has to be approached and applied on its own terms, and Ms Giovannetti is accordingly right not to suggest that a claim of the present kind must come within Art. 3 or fail. In this respect, as in others, these claims are in Mr Knafler's submission distinct from cases such as D and N, in both of which the appellant’s presence and treatment in the UK were owed entirely to their unlawful entry …” “The only cases I can foresee where the absence of adequate medical treatment in the country to which a person is to be deported will be relevant to Article 8, is where it is an additional factor to be weighed in the balance, with other factors which by themselves engage Article 8. Suppose, in this case, the appellant had established firm family ties in this country, then the availability of continuing medical treatment here, coupled with his dependence on the family here for support, together establish ‘private life’ under Article 8. That conclusion would not involve a comparison between medical facilities here and those in Zimbabwe. Such a finding would not offend the principle expressed above that the United Kingdom is under no Convention obligation to provide medical treatment here when it is not available in the country to which the appellant is to be deported.” “17. The essential principle is that the ECHR does not impose any obligation on the contracting states to provide those liable to deportation with medical treatment lacking in their ‘home countries'. This principle applies even where the consequence will be that the deportee’s life will be significantly shortened (see Lord Nicholls in N v Home Secretary[2005] 2 AC 296 , 304 [15] and N v UK[2008] 47 EHRR 885 (paragraph 44)). 18. Although that principle was expressed in those cases in relation to Article 3, it is a principle which must apply to Article 8. It makes no sense to refuse to recognise a ‘medical care’ obligation in relation to Article 3, but to acknowledge it in relation to Article 8.””