“Those with an urgent care need, as opposed to a purely medical need (that can be addressed by the IA medical team or National Health Service as appropriate), should not be admitted into IA without a needs assessment having been conducted by a local authority. Neither UKVI nor our contracted providers are responsible for, or appropriate organisations to provide for, urgent care needs. Those officers with a gatekeeping function (for instance NAAU and the Command and Control Unit), should set the expectation that the referring officer first requests the care assessment from the relevant local authority. The local authority can be expected to accommodate in the interim if the person has no accommodation to occupy whilst the assessment is carried out. Existence of a care need should not in itself be a barrier to dispersal, but the needs assessment should always be passed on to the local authority in any new area to which a claimant is routed.”
“Please see attached and email below and will you advise on the request for accommodation in the Lambeth/ Croydon areas of London on mental health grounds? Additionally, will you please advise: If the applicant is not accommodated in this area will it adversely affect their current treatment? Is it likely that the applicant’s mental health will decline if they are not accommodated in this area?”
“Suitable medical and support services do exist in other UK cities, and transfer of care is an everyday process. Given this, I don’t think relocation, or any associated delay will significantly adversely affect the applicant's condition or treatment. I therefore don’t support the request to reside in London.”
“[The Claimant] is a homeless refugee and currently has no recourse to public funds. Whilst there have been concerns about his mental health and history of self-harming, currently he does not present with any acutely or active suicidality requiring input from secondary mental health services. From the assessment analysis, it is clear that [the Claimant] needs accommodation and subsistence. However, as he does not have any identified eligible needs within the identified domains, it will not be the responsibility of Lambeth Adult and Social Care and would need to be sought via the Home Office. It is also to be recognised that [the Claimant] has been quite resourceful for the past 8 years and he has a lot of strengths, is able to self-manage his care and support needs which would further improve if he decides to fully comply with his medication regime.”
“You may receive requests to provide accommodation in a particular location because the individual is receiving medical treatment in that area. Care and treatment for most medical conditions is available in all parts of the UK and the transfer of responsibility for managing an individual care and/or providing that treatment to different NHS organisations is a normal everyday occurrence within the NHS. Unless there are exceptional circumstances, requests to be provided with accommodation in a specific location solely on the grounds that medical care or treatment is already being provided in the area should therefore be refused, particularly if primary care based. The requests may sometimes be made in order to avoid unreasonable disruption of the medical care or treatment or related assistance that the individual is receiving from the NHS. These requests should be considered carefully, balancing the degree of disruption that may be caused by a move to another area against the overriding principle of allocating accommodation on a ‘no choice basis’ and outside London and the South East.”
“The contents must then be considered when assessing any specific accommodation requirements” and asylum accommodation (whether provided under s.95 or 98) should be “suitable in view of the assessed needs.”