“This gentleman had a sleep study indicative of severe obstructive sleep apnoea, by virtue of the fact that his oxygen saturation levels drop were shown to drop to dangerously low levels at night in his sleep. His CPAP machine is therefore vital to keep his airway patent at night to prevent this. Patients with uncontrolled or poorly controlled sleep apnoea are at risk of significant adverse events in the form of increased risk of cardiovascular events (heart attacks) and raised blood pressure contributing to an increased risk of stroke as well as diabetes. Therefore, the risks from interrupting his treatment would be significant.”
“NR’s three month compliance report (see appendix 1) between02/07/2025 and29/09/2025 demonstrates very poor compliance with average usage (for all days) of 24 minutes and average usage (on days used) of 55 minutes. The therapy data shows that when he does use the machine, his sleep apnoea is well controlled with an AHI of <5. Mask leak continued to be significant and his median pressure was 4.9cm of water”
“In NR’s case, obesity is likely to be the primary driving factor for his having developed OSA. There may well be a genetic component with regard to his upper airway anatomy but given his BMI is well above 40 and large neck, the majority component of his OSA is likely to be due to his obesity.”
“I cannot comment on the impact of withdrawing morphine and gabapentin, but both of these medications will contribute to making OSA worse by reducing the respiratory drive for breathing. Therefore, if anything, withdrawing these medications is likely to improve his OSA although it may not help with his anxiety which is another stumbling block to NR complying with CPAP therapy regularly.”
“Extradition appeals are not re-hearings of evidence or mere repeats of submissions as to how factors should be weighed; courts normally have to respect the findings of fact made by the district judge, especially if he has heard oral evidence.”
“59. In summary, I recognise that if extradited, the RP will not easily transition to life within the JA’s prison estate. There will be a period of hardship as he adjusts to only having his needs rather than wants met by the prison estate and living without the support offered by his wife. Notwithstanding the RP’s discomfort during the transition phase, I find the RP’s medical conditions can be managed within the Hungarian prison estate. For the reasons given above, I find the depression, high blood pressure, asthma and back pain are not complex medical conditions nor is there any complexity in the treatment of these conditions, most of which are managed by medication, inhalers and/or physical therapy (which the RP does not engage with at present). The RP’s obesity is not addressed in the UK at all. 60. I find a level of complexity is added by the RP’s possible diagnosis of OSA for which a CPAP machine has recently been provided, but the evidence of Dr Ivany is that such machines can also be provided within the JA prison estate, albeit with a delay. Dr Bedawi’s email stated there would be a grave risk to the RP if the CPAP machine was not made available, but on the RP’s evidence, he had been waiting in the UK for over a year for the machine, and at the time of the hearing, only had the machine for one day. I find the risk is manageable in view of this history if the RP is diagnosed with OSA. 61. The RP’s breathlessness/cardiorespiratory symptoms did not present a heightened level of complexity in my view. The cause of his symptoms is not known in the UK and is under investigation. I find there is no reason why those investigations cannot continue in Hungary through the prison estate or the civilian hospitals if greater specialised care is required. I rely on the presumption that the RP will receive adequate healthcare in respect of the concerns around his dignity in personal care. The evidence of Dr Ivany did not, in my view, rebut the presumption as the examples given were a handful of incidents across the whole prison estate rather than an indication of systematic failure within the healthcare system. I was not provided with any CPT reports or other evidence of context. I had no indication of how many prisoners had access to CPAP machines across the prison estate, or how many prisoners had multiple health conditions, such as the RP, to gauge whether the examples provided by Dr Ivany were isolated or not. 62. I accept there will be some initial hardship to the RP. However, I find the RP has not established, on the balance of probabilities, it will be unjust or oppressive to extradite him by virtue of his physical or mental health conditions, either taken individually or collectively for the reasons given above.”
“I find the RP is a fugitive. The RP admitted in cross-examination he was aware he was subject to a suspended sentence and aware that the authorities could not find him if he was moving from address to address. He admitted he had been arrested in respect of the December 2018 offending, was aware that the Hungarian police did not believe his account but denied that he had left the jurisdiction to evade proceedings stating he believed everything had ended and there would be no consequence. I do not find the RP credible in this regard. He gave evidence that the Hungarian police made the other 2-3 persons arrested give an account against him and that they were prejudiced towards the RP because of his gypsy background. In this context, I do not find it at all plausible that the RP believed there would be no consequence because of his arrest. I find the RP was fully aware he would be subject to proceedings, that he was at risk of having his suspended sentence activated and left Hungary to place himself beyond the reach of the JA.”
“73. …However, due to his own health issues, the RP is not the primary carer for the children and based on the evidence of the RP’s health difficulties, unlikely to be assisting with any day-to-day care for the children. If the RP is extradited, inevitably there will be an emotional impact for the children not seeing their father on a day-to-day basis, but they will remain in the care of their mother who is, and will remain, their primary caregiver. I perceived the RP’s wife will be freed from her caring duties for the RP and likely have more time to address the needs of the children to mitigate any impact from the loss of the RP’s presence. 74. The RP’s wife’s witness statement detailed that she would struggle financially without the RP’s additional benefit income. If the RP is extradited, it is likely they will have to move from the property they currently reside in as it is a disability adapted home. If extradited, the RP’s partner would be the sole carer for 3 minor children. I am sure she would be entitled to state financial assistance, she is already in receipt of some, and the Local Authority would have an obligation to house her due to the children. I accept she may lose her current accommodation given it is a disability adapted home, but she will still be entitled to state assistance and housing support. In my view, moving to an alternative property is not an exceptional consequence of extradition rendering extradition disproportionate. Whilst there may be some financial hardship due to a reduced benefit income, the RP or his wife have not demonstrated, on evidence, that the hardship experienced by the RP wife and children will go beyond that normally experienced during extradition.”
“(1) A person’s extradition to a category 1 territory is barred by reason of absence of prosecution decision if (and only if)— (a) it appears to the appropriate judge that there are reasonable grounds for believing that— (i) the competent authorities in the category 1 territory have not made a decision to charge or have not made a decision to try (or have made neither of those decisions), and (ii) the person’s absence from the category 1 territory is not the sole reason for that failure, and (b) those representing the category 1 territory do not prove that— (i) the competent authorities in the category 1 territory have made a decision to charge and a decision to try, or (ii) in a case where one of those decisions has not been made (or neither of them has been made), the person’s absence from the category 1 territory is the sole reason for that failure.” (a) it appears to the appropriate judge that there are reasonable grounds for believing that— (i) the competent authorities in the category 1 territory have not made a decision to charge or have not made a decision to try (or have made neither of those decisions), and (ii) the person’s absence from the category 1 territory is not the sole reason for that failure, (b) those representing the category 1 territory do not prove that— (i) the competent authorities in the category 1 territory have made a decision to charge and a decision to try, or (ii) in a case where one of those decisions has not been made (or neither of them has been made), the person’s absence from the category 1 territory is the sole reason for that failure.”
“The CCP regulates in absentia proceedings as a special procedure that may be used if its preconditions are met. The general rule is that proceedings should be conducted in the presence of the charged person where he can exercise his rights personally. However, the unavailability of ‘the person who may be considered to be under a well-substantiated suspicion’ or the charged person may not be a bar to carrying out the proceedings (special procedure). According to the CCP in absentia proceedings may be carried out when a) the ‘person who may be considered to be under a well-substantiated suspicion’ or the charged person escaped, went into hiding or it may be presumed on a solid basis to have made himself unavailable during the criminal procedure in order to avoid it any other way; b) the measures taken to find the charged person did not produce a result within a reasonable time c) it is justified by the weight of the offence or the requirements of evaluating the case. [...] If the suspect is abroad at a known place, the CCP established further special conditions of conducting the proceedings in his absence. It is possible to conduct in absentia proceedings when an EAW had been issued and the extradition did not take place within 12 months from the capture of the suspect, or the extradition was denied, or postponed extradition of the suspect was ordered. In even these situations the conditions that carrying out in absentia proceedings should be justified by the weight of the offence or by the requirements of evaluating the case, and the presence and participation in the proceedings of the suspect cannot be ensured by requesting international criminal judicial assistance or using means of telecommunication.”
“30. The contents of Dr Filo’s report have not been challenged by the JA. At paragraph 3.2 of the report, Dr Filo stated that the general rule was for proceedings to be conducted in the presence of the charged person. I acknowledge there may be provision in Hungary for the JA to proceed in absence by adopting the special procedure described by Dr Filo at paragraph 3.2. Alternatively, Dr Filo explained in the circumstance where AW2 had been executed, if the RP was not surrendered within 12 months, the JA could proceed in absence. The RP was arrested on AW2 in May 2023, and the FI was provided in August 2023. At that date, 12 months since the execution of AW2 had not passed so clearly the JA could not adopt the procedure explained by Dr Filo of proceeding in absence. 31. The special procedure set out by Dr Filo had three requirements, a well-substantiated suspicion of the RP who had made himself unavailable, a requirement that the measures taken to the find the RP did not produce a result within a reasonable time and that the action was justified by the weight of the offence. AW2 was issued in February 2023 and executed in May 2023, in my view, it cannot be said that the measures taken by the JA to find the RP did not produce a result in a reasonable timeframe – they clearly did as the RP was located and arrested within months. It appeared to me that the JA would be unable to use the special procedure described by Dr Filo for this reason. 32. Despite the contents of Dr Filo’s report, for the reasons explained above, I find the challenge to extradition pursuant to s12A of the Act was not successful in respect of AW2. I am satisfied to the criminal standard that at the time of issuing AW2, the decision to try or charge the RP had not been made, for the sole reason that the RP was not present in Hungary.”
“It is my expert opinion that the District Judge’s conclusion regarding the inapplicability of the in absentia (CCP) procedure was based on a misunderstanding of the timing requirements under Hungarian law. The provision of FI in August 2023 is not legally relevant to the calculation of the 12-month threshold. Consequently, the conclusion that the JA “could not adopt the procedure explained by Dr Filo” is not supported by Hungarian procedural law as described in my report. It is worth emphasizing that under Hungarian procedural law the 12-month period triggering the possibility of proceeding in absentia starts from the date of the European Arrest Warrant’s issuance or the suspect’s apprehension. The provision of Further Information in August 2023 is procedural and does not affect this timeframe. The misinterpretation by the District Judge risks undermining the principle of timely and fair proceedings, potentially prejudicing the rights of the Requested Person. Given the over 16-month lapse since the EAW was issued, the procedural conditions for in absentia proceedings have clearly been met, in accordance with Hungarian law and consistent with EU legal frameworks governing extradition and criminal justice cooperation.”