“He continues to present with signs and symptoms of depression, anxiety and trauma, nightmares, poor sleep and appetite. He experiences fleeting thoughts of self-harming and suicidal ideation”; viii) his current diagnosis: symptoms consistent with mixed anxiety and depressive disorder and PTSD; and ix) the medication the Claimant was taking, along with weekly/fortnightly appointments with a mental health worker. Ms Coleman’s report concluded “I am of the opinion [the Claimant’s] mental state is not improving whilst in detention.”
“I advised [Ms Coleman] that [the Claimant’s] bail hearing was adjourned mid-hearing because of a report presented by [the Claimant] advising the Immigration Judge that his mental Health worker had stated that in her opinion, he was not fit to remain in detention. Shonna Coleman corrected me and stated that the report said that by being in detention is not making his condition any better and therefore not improving his state of mind.”
“[The Claimant] would benefit from formal psychological interventions for his diagnosis of Post-Traumatic Stress Disorder in the community. He has a diagnosis of depression and will need to continue treatment as long as he is experiencing signs and symptoms of depression and PTSD.”
“Can [the Claimant] be managed via medication? Yes Is [the Claimant] fit to remain in detention until his removal is effected on 10.10.16? Yes Fitness for maintained detention and fitness to fly Fit for detention, detention causing psychological and depressive symptoms as unable to return to the care of his wife and potential deportation. Is [the Claimant’s] condition life threatening? No, however, he has reported feeling what is the point in living. May increase risk of him self harming as deportation date nears. If left untreated does [the Claimant’s] contention constitute an imminent threat to his life? No How is [the Claimant] managing his condition? Trying to keep self-occupied and distracted from situation, in contact with his wife and solicitor, regularly attends his health appointments.”
“Subject: Your Client: Mr Yogaraja Good Morning, My name is Toni Pay and I work at IRC The Verne. I am the Wing SO where your client Ponniah Yogaraja resides. Over the last couple of days Ponniah has been very low in mood and upset following his bail refusal, we have opened an ACDT (Self Harm Monitoring) on him as we have been very concerned about his wellbeing. I have asked our Mental Health Team to see urgently and they will see him later today. The reason I am writing is to ascertain what’s happening with his Immigration Case. Ponniah knows I am writing to you and is happy for you to email me back. Normally I wouldn’t do this but I fear the longer he is in detention the worse he will get, I have asked Mental Health to get him referred for a Rule 35 Letter, reiterating this. I also wanted to reassure you that we are doing everything we can to support Ponniah whilst he is in Detention. If you have any concerns then please contact me. Regards Toni Pay A1 SO IRC The Verne”
“Given your current circumstances and the fact that your removal has been set for10 October 2016 and this was within 14 days of your bail hearing, it is to note that the Secretary of State does not consent to your grant of bail and for the following additional reasons: • Your mental health issues can be dealt with at IRC The Verne • Your Judicial Review has been accepted and transferred to an Admin Court • You absconded in 2005 • You have been here a number of years and had unsuccessful applications. Your case has been reviewed. It has been decided that you will remain in detention: • to effect your removal from the United Kingdom – Your removal is imminent and set for 10.10.2016. You have been served with these directions. You can safely be returned to Sri Lanka. • Because there is reason to believe that you will fail to comply with any conditions attached to the grant of temporary admission or release. – It is to be reminded that on14 January 2005 you were listed as an absconder. You only came to light some 3 years 11 months later when you were encountered ... Had this arrest not have happened, it is certain that you would still have been at large. ...” • Your mental health issues can be dealt with at IRC The Verne • Your Judicial Review has been accepted and transferred to an Admin Court • You absconded in 2005 • You have been here a number of years and had unsuccessful applications. • to effect your removal from the United Kingdom – Your removal is imminent and set for 10.10.2016. You have been served with these directions. You can safely be returned to Sri Lanka. • Because there is reason to believe that you will fail to comply with any conditions attached to the grant of temporary admission or release. – It is to be reminded that on14 January 2005 you were listed as an absconder. You only came to light some 3 years 11 months later when you were encountered ... Had this arrest not have happened, it is certain that you would still have been at large. ...”
“This decision has been reached on the basis of the following factors: You have exhausted all of your rights of appeal and your removal from the United Kingdom is imminent – ... • You have previously failed to comply with conditions of your stay, temporary admission or release as detailed above. • You have previously absconded – you were located during a joint operation by the Home Office ... and the Police at the address of ... Had this arrest not have happened, it is certain that you would still have been at large. • You have obstructed the removal process by failing to cooperate with the application process to obtain an Emergency Travel Document. • You have not produced satisfactory evidence of your identity, nationality or lawful basis to remain in the United Kingdom. • You have previously failed or refused to leave the United Kingdom when required to do so. • You do not have enough close ties to make it likely that you will stay in one place. • On initial consideration, it appears that your further representations can be dealt with without delay. Your case will continue to be reviewed on a regular basis. You should inform the Home Office of any change in your circumstances or any other relevant information you have not provided already. A further letter will be sent to you in one month if your case has not been resolved by then.”
“111 The judgment of the ECtHR in Kudla v Poland(2000) 35 EHRR 11 is a helpful starting point. In that case, after referring to the absolute terms of the prohibition of inhuman or degrading treatment, the court stated (at para 91) that “ill-treatment must attain a minimum level of severity if it is to fall within the scope of article 3 ” and “The assessment of this minimum is, in the nature of things, relative”
“that a person is detained in conditions which are compatible with respect for his human dignity, that the manner and method of the execution of the measure do not subject him to distress or hardship of an intensity exceeding the unavoidable level of suffering inherent in detention and that, given the practical demands of imprisonment, his health and well-being are adequately secured by, among other things, providing him with the requisite medical assistance …” 113 These principles have been affirmed and expanded upon in many cases. For example, in Mouisel v France(2002) 38 EHRR 34 the ECtHR stated at para 37 that the purpose of the treatment is a factor to be taken into account, but the absence of any intention to humiliate or debase the victim does not inevitably lead to a finding that there has been no violation of article 3 . At para 40 it stated while article 3 cannot be construed as laying down a general obligation to release detainees on health grounds, it imposes an obligation on the state to protect the physical wellbeing of persons deprived of their liberty, for example by providing them with the requisite medical assistance. In Keenan v United Kingdom(2001) 33 EHRR 38 the ECtHR stated at para 111 that the lack of appropriate medical care may amount to treatment contrary to article 3 and, in the case of mentally ill persons, the assessment has to take into consideration their vulnerability and their inability, in some cases, to complain coherently or at all about how they are being affected by any particular treatment. See also Pretty v United Kingdom(2002) 35 EHRR 1 , para 52 and, on the positive duty, Premininy v Russia(2011) 62 EHRR 18 , para 73. 114 The Strasbourg jurisprudence therefore clearly establishes that in addition to the negative duty under article 3 not to take active steps which subject a person to torture or inhuman or degrading treatment, article 3 imposes a positive duty on states to protect the well-being of persons detained by the state and to provide them with the requisite medical assistance. This is reflected in our national decisions, such as that of this court in R (IM (Nigeria)) v Secretary of State for the Home Department[2014] 1 WLR 1870 to which the judge referred: see para 109 above.” “133 Notwithstanding the absence of medical evidence, I am satisfied that the claimant's treatment in detention did cause suffering beyond that inherent in his illness. I note that in Keenan's case(2001) 33 EHRR 38 the ECtHR stated that, at para 112: “While it is true that the severity of suffering, physical or mental, attributable to a particular measure has been a significant consideration in many of the cases decided by the court under article 3 , there are circumstances where proof of the actual effect on the person may not be a major factor. For example, in respect of a person deprived of his liberty, recourse to physical force which has not been made strictly necessary by his own conduct diminishes human dignity and is in principle an infringement of the right set forth in article 3 … [citations omitted] … Similarly, treatment of a mentally ill person may be incompatible with the standards imposed by article 3 in the protection of fundamental human dignity, even though that person may not be able, or capable of, pointing to any specific ill-effects.”
“[28] The only evidence before the judge was the raw medical data, produced by the claimant, the various detention reviews, other documents by detention officers, and a statement of Mr Albosh, a senior executive officer in the Home Office with responsibility for the mentally disordered offenders team. Mr Albosh's statement deals only with events after27 April 2015 , that is after it had been decided to transfer the claimant to a psychiatric hospital. The Secretary of State decided not to submit any evidence in respect of the period during which the claimant was detained in IRCs. ... this approach rendered the task of the judge below and of this court, more difficult. It is an approach that carried risks for the Secretary of State, in particular because of her obligation, as a public authority meeting a challenge to its decision, to make candid disclosure to the court of the relevant facts and the reasoning behind the challenged decision.” and: “[64] ... I referred at para 28 above to the fact that the Secretary of State decided not to file any evidence in respect of the period during which the claimant was detained in IRCs. The judge was thus left in the position of having to draw his own conclusions as to whether the claimant's complex and serious mental health condition could be satisfactorily managed in detention, and whether very exceptional circumstances existed from the raw medical data, the detention reviews, and the other documents without any evidence from the Secretary of State as to her decision-making process at the relevant time.”
“The medical evidence was considered by the bail Judge FTTJ Ferguson on30th September 2016 . He granted bail exceptionally, despite the fact that deportation was set for less than 14 days because of significant concerns as [to] our client’s mental health. The medical evidence does itself constitute insurmountable obstacles and if the matter were before a prospective Judge our client would [succeed]. Especially given the fact that a bail Judge has concluded that our client’s connection cannot be managed in detention. In these circumstances it can hardly be managed in the more extreme position of enforcement. The determination in 2008 shows that there was no medical evidence in support of our client’s torture claim. Now our client relies on the medical evidence of Dr. Persaud, Dr Dhumad and the lead medical charity Medical Justice as well as a positive Rule 35 report. Our client has a fresh asylum claim and should have the opportunity to advance that in country. Our client’s human rights appeal was initially allowed on Article 8 marriage grounds. You appealed and the UT affirmed set aside the determination. The Court of Appeal granted PTA and the on substantive consideration dismissed the appeal. The narrow issue is whether there are insurmountable obstacles to re establishment of family life in Sri Lanka. The medical evidence shows without any doubts that there are. Our client is profoundly mentally ill. So much so that the prison medical staff have expressly stated that his condition cannot improve and they have concerns as to his health.”
“This was the fresh claim. The insurmountable obstacles were that the C would suffer significant mental health collapse in the course of removal which could not be managed by the D. This new evidence gave rise to more than a fanciful prospects of success at a future appeal especially given that he had succeed in his Article 8 appeal previously”
“Especially given the fact that a bail Judge has concluded that our client’s connection cannot be managed in detention. In these circumstances it can hardly be managed in the more extreme position of enforcement”
“The C’s mental health is arguably a matter relevant to a fresh Article 8 assessment. Accordingly, the primary decisions are irrational.”