“I have seen the respondent today, whose health is poor and he is unable to go through and give me instructions on two bundles of documents disclosed by those who represent the SRA by letter of 6 February, received 9 February.”
“My client has at this time only been able to give me limited instructions because of his state of health and I hope to speak to him later this week in respect of his state of health and the views of those who advise him medically on that health. If medical evidence becomes available I will immediately forward it to the SDT.”
“I refer to previous correspondence and I write by way of update to my client’s medical condition. I have spoken to him today and I understand he will have a medical opinion as to his capability to attend the forthcoming hearing. He is at the time of this letter still unable to give me instructions in an effective manner and to deal with documents.”
“My client is dealing with matters I understand as expeditiously as his health allows. As soon as I am in receipt of any written medical evidence that affects my client’s ability to participate in the forthcoming hearing, I will let the SDT know and then you.”
“The psychometric scores listed above show that the client at present is suffering from both a severe anxiety and depression. These two diagnoses are further compounded by stress which has resulted in the client experiencing symptoms which may be indicative of early warning signs of a potential relapse with his bi-polar disorder.”
“…this will then have an impact on his working day …”
“… anger and irritability … towards colleagues and family.”
“Firstly, the client has reported that he is having great difficulties in concentrating on reading, retaining and recalling information related to the case, which would mean that he would be unable to discuss and articulate past decisions and actions in fullest of terms, which could potentially lead to biased interpretations by others. Secondly, the client has reported that he is unable to concentrate due to the presence of intrusive thoughts, rumination and racing thoughts … This may again lead to the case against him being upheld on this basis rather than the facts or evidence. Thirdly, although I appreciate that for anyone hearing a highly stressful event, at present Mr Rodriguez appears to be showing soft signs which could be indicative of a relapse in his major mental health condition. If this did occur, based on probability, historical behaviour patterns and evidence I would argue that the stress of the hearing would have been the main triggering factor.”
“The recommendations which I would make at present would be that the hearing be adjourned until (1) a full assessment can take place in relation to Mr Rodriguez’s mental health needs, (2) that his medication is reviewed to ensure that the levels within his system are at an effective therapeutic level, (3) that Mr Rodriguez remains in therapy so that we can bolster his stress management techniques, revisit his bi-polar management plan and reduce his secondary presentations of anxiety and depression.”
“The report [viz Mr O’Donnell’s report] sets out Mr Rodriguez’s reported symptoms on its third page. In my opinion these symptoms are commensurate with a bi-polar relapse. The symptoms recorded, such as mood fluctuation, racing thoughts, poor concentration, sleep difficulties and irritability, are typical of a bi-polar relapse into a mixed affective state (where there are a mixture of rapid automations of depressive and hypomanic symptoms). Most of these symptoms (bullet points 2, 3, 4, 5 and 7 on the report’s third page) can equally occur in people without bi-polar disorder who are facing a particularly stressful situation. However, in my opinion the symptoms of the first bullet point (for example erratic fluctuations in mood, racing thoughts and irrational/illogical thinking styles) are more characteristic of bi-polar disorder (and specifically a mixed affective state) than a normal stress reaction.”
“The current degree of Mr Rodriguez’s symptoms is not entirely clear. The report suggests his symptoms are not full-blown symptoms of bi-polar disorder … and goes on to imply that Mr Rodriguez was working at the time of the report …”
“In my opinion the scores stated in the report would not be out of the ordinary for any individual who is highly stressed in the prospect of facing disciplinary proceedings. The scores are not highly specific to diagnoses of anxiety disorder and depressive disorder when someone is faced with a stressful situation.”
“If, as is suggested by the report, Mr Rodriguez has continued to be able to work, in my opinion any relapse of a bi-polar condition is not currently severe. In my opinion adjustments may [I stress the word ‘may’] facilitate Mr Rodriguez’s attendance at the tribunal …”
“If the respondent’s mental state has deteriorated in recent weeks, possibly as a result of increased stress as the impending tribunal has drawn closer, in my opinion it is plausible that the respondent was able to take earlier steps but is now unable to participate in the proceedings. However, in my experience an individual has to be quite severely impaired to be unable to participate in proceedings, including instructing solicitors. In my opinion this degree of impairment is unlikely to be the case if the respondent is still able to work as is implied in the report.”
“This is an ex tempore judgment … Anything that goes into the written judgment will take precedence or supersede the ex tempore judgment …”
“Mr Hughes explained that he had been instructed to act by the Respondent in 2017. For several weeks the Respondent had been unable to provide him with instructions as regard the substantive matter. Given the lack of instructions, he was unable to represent him at any substantive hearing, however as regards the preliminary applications it was professionally proper for him to represent the respondent’s interest. As an officer of the Supreme Court, it was his duty to ensure that the respondent’s interests were protected. His professional difficulty did not arise from his not being instructed, but from his inability to take instructions; he was able to make submissions as regards the preliminary applications.”
“15. The tribunal carefully considered the submissions made by the parties and their respective medical reports. The tribunal determined that it was appropriate to rely on the report of Mr Mogg. Whilst he had not seen the respondent, his report was a commentary on the findings of Mr O’Donnell and the process by which those findings had been reached. The tribunal accepted the shortcomings in the reports in the report of Mr O’Donnell identified by Dr Mogg. The tribunal noted that Mr O’Donnell’s report was highly caveated with lots of ‘mays’ and ‘could be’s’. There had been no consideration by him of any measures that could be taken such as to enable the respondent to take part in the proceedings. There was no prognosis of when it was anticipated that the respondent may be well enough to take part in any hearing, nor did the report state that the respondent lacked litigation capacity. The tribunal accepted that Mr O’Donnell was mistaken in the ‘out of’ scores that he detailed in the report. The tribunal also accepted that the majority of the symptoms that the respondent was described as suffering from, were not specifically related to his condition and the psychometric scores were not out of the ordinary for a well person facing a stressful situation. 16. The tribunal considered and applied the comments of Norris J, whose decision the tribunal was bound to take into account. The tribunal found that with suitable adjustments, the respondent could take part in the proceedings and notwithstanding his medical condition, the respondent would have a fair trial. The tribunal was an experienced and expert body, and was accustomed to dealing with matters where reasonable adjustments were required. Given it determination that the respondent could have a fair hearing with reasonable adjustments to take account of his health, the tribunal refused the application to adjourn the substantive hearing.”
“The tribunal determined that it was appropriate to rely on the report of Dr Mogg.”
“The appeal court has power to – (a) affirm, set aside or vary any order or judgment made or given by the lower court; (b) refer any claim or issue for determination by the lower court; (c) order a new trial or hearing …”