“The Defendant recognises that the Claimants’ current accommodation does not satisfactorily serve their needs. By letter dated 30October 2024 (attached below), the Defendant reiterated that she does not currently have any accommodation available that would be suitable for the Claimants’ needs. This is despite previous and ongoing concerted efforts by the Defendant to secure alternative accommodation Due to the urgent nature of this case, it has been noted on the Defendant’s accommodation provider’s urgent & special cases list, and marked as a priority. To date, the Defendant has considered 37 properties in the Southwark area with a view to relocating the Claimants, but has been unable to source anything suitable for the Claimants’ needs. The Defendant understands the difficulties that would arise if the Claimants were to be relocated outside the Southwark area ….. However, in order to provide the Claimants with suitable accommodation as quickly as possible, the Defendant has also asked them to consider the possibility of relocation outside of the Southwark area, including liaising with the Claimants’ medical advisers to discuss the possibility of a transfer of care. In view of the above the Defendant requests that permission for judicial review be refused. The Defendant has made, and continues to make, concerned efforts to locate suitable accommodation. The proceedings are therefore pre-emptive and academic.”
“It is admitted that the Defendant is in breach of sections 95 and 96 of theImmigration and Asylum Act 1999 (IAA 1999). In that the current accommodation is not adequate for the needs of C2.”
“Ultimately, the bottom line is that although we would strongly recommend that his care remains in the current location and in one area from a medical perspective, in theory healthcare provision should be the same anywhere in the country and therefore there is a limit to what we can say …… [the Second Claimant] has complex medical needs with many medical teams involved both inside and outside the hospital, requires frequent medical appointments and monitoring. He has had multiple admissions to hospital and the teams looking after him have a good knowledge of his condition. His needs are likely to evolve over time. In my opinion his medical care will be best supported by remaining in the Southwark area for management of his complex epilepsy and neurodisability and I would very strongly advise that he is placed in the Southwark area.”
“Alternative services are available in other London boroughs, but the precise nature of them will differ, and it may involve considerable travel and support to access them. Lewisham has a good community paediatric service and would be possible, similarly Lambeth. Others I do not have personal knowledge of ……… If in Lewisham he would need to travel to Evelina for his neurology care but he may still have some of his respiratory at King’s.”
“I would also support the family remaining in Southwark. If the family moved to Bromley, they would fall under the care of my colleague at King’s Dr Pal-Magdics. If the family moved Lewisham (sic) they would transfer to Lewisham general paediatrics with input from the Evelina neurology team. If the family moved to Lambeth, there is some overlap and depending on the location would either remain under myself or transfer to the Evelina General paediatric/paediatric neurology team.”
“Given [the Second Claimant’s] complex medical needs I strongly recommend that the family remain in the Southwark area to ensure continuity and quality of care. [The Second Claimant] requires frequent medical appointments and ongoing monitoring by a multidisciplinary team, both in the community and at the hospital, where his care team has extensive knowledge of his condition. Moving the family out of Southwark could compromise the quality of care [the Second Claimant] receives …..”
“If he moved out of Lambeth and Southwark (and acquired a GP outside of the local boroughs), the Evelina London Community Services would not be able to support his health needs …… Evelina London Community Services would not be able to provide neurology input if he moves to Lewisham. His neurology input would have to come from his general paediatrics team in Lewisham with some support from the Evelina neurology team as stated by Doctor Gadian (this is a tertiary team and not the same as the Evelina Community team which I work for)”
“From a respiratory perspective it would be ideal if [the Second Claimant] lived within easy access of King’s for emergency respiratory care due to the complex nature of his problems, specialist emergency care available at King’s (intensive care and high dependency care) and continuity. King’s College Hospital catchment area is not just Southwark. Other hospitals in southeast London could provide initial emergency care. [The Second Claimant’s] respiratory care could be transferred to another Hospital in London with a respiratory service (Royal Brompton, Royal London, Great Ormond Street). If a move was made to another borough in Southeast London [the Second Claimant] would continue respiratory follow-up at King’s. My opinion overall is that given [the Second Claimant’s] complexity and established packages of services I would not recommend a move to a different borough. As a tertiary referral centre the Second Claimant could still access King’s paediatric respiratory medicine service if he lived in South East London borough other than Southwark”
“Any South London Boroughs are satisfactory for care under King’s. We also cover outside London at time such as Kent in some cases.”
“I seek to demonstrate the lack of availability of accommodation, both within the current estate and private sector, that would be suitable for meeting [the Second Claimant’s] complex needs.”
“The scarcity of accommodation which meets the needs of the claimant and her child prevents any stable timeframe for a dispersal to be given as the accommodation provider and the SSHD do not have the ability to control when a property will become available on the open market or when a client will be granted leave and therefore no longer requiring continued support. CRH continue to review availability and have confirmed that the Claimants have been placed on their Special Requirements List for procurement ……. CRH have confirmed that the families contained on [the Special Requirements List] are priorities for any relevant properties that are identified, in addition to the active searches as outlined above at paragraphs 27 and 36. The SSHD via ASRLT and the contract management team for CRH will seek updates from CRH every 2 weeks regarding procurement efforts for this family in the form of its Realyse reports. The SSHD expects that CRH will provide an immediate update should a property be identified in between those regular updates. Given the lack of availability of suitable or potentially suitable accommodation with the area of Southwark, the SSHD is likely to have to explore options for transfer of care for this family, engaging local authorities in identified areas via its contract management team, safeguarding team and accommodation provide. The position of SSHD is that its accommodation providers are currently unable to suggest a stable timescale by which suitable accommodation within the area of Southwark can be made available for the Claimants …., for the reasons outlined throughout this statement. Searches will remain ongoing to continue seeking accommodation which meets the needs of the family.”
“in considering requests to be allocated accommodation in a specific location, you must consider whether there are exceptional circumstances that make it appropriate to agree to the request. Exceptional circumstances should be considered on a case by case basis but may include, for example, serious risks around health and safety or security.”
“requests for accommodation in a particular location may sometimes be made in order to avoid unreasonable disruption of existing treatment or assistance to cope with the disability. These requests should be considered carefully, balancing the overriding principle of allocating accommodation on a ‘no choice basis’ against the level of disruption caused if the individual is required to relocate.”
“i. The need for contingency planning in terms of allocation of resources to deal with unexpected calls for expenditure ii. Whether the authority has been on “notice in the past of a problem in relation to the non performance of its duty but failed to take the opportunity to react to that in good time” iii. The impact on the individual to whom the duty is owed. “It is the vindication of their right which is being denied, with the impact on them of the failure to comply with it is very serious and their need is very pressing, this may justify the court in issuing a mandatory order despite the wider potentially disruptive effects it may have. iv. Whether the authority has been taken steps to remedy the situation, “if there is no sign as things stand at the time of the matters before the court that the authority is moving to rectify the situation and satisfy the individual’s rights, that is a factor pointing in favour of the making of a mandatory order. In such a case the imperative is to galvanise the authority into taking effective steps to meet its obligations more promptly will be stronger” v. The need not to cause unfairness to others by prioritising the Claimant”