“...the Home Office use various terms to describe instances of consultation, including “engagement”, “discussion”, or “negotiation”
“A small number of asylum seekers require specialist services to address conditions which result from torture. I pay tribute to the very fine work of the Medical Foundation for the Care of Victims of Torture. Where it is clear that someone needs specialised services which cannot be delivered other than through a body of that sort, and the location of that body does not fit in with our normal cluster arrangements, we shall consider the possibility of finding accommodation adjacent to those services. It is a limited number of cases, but that does not make the point any less important.”
“Where accommodation has been requested, and the reception assistant has made a referral to the Medical Foundation for an assessment of either the main applicant or a dependant (see Annex A), NASS must give careful consideration to deferring dispersal – ie maintaining the applicant(s) in emergency accommodation or providing temporary accommodation in London - until the Medical Foundation has assessed his/her case.”
“NASS must consider the Medical Foundation decision as part of the assessment process.”
“I have described above how, in order to begin to recover from a traumatic experience, a person needs to be in an environment in which they feel safe and secure. This can best be achieved by being accommodated in a single room, or in self-contained accommodation. Conversely, a lack of privacy can cause a general decline in mental health with worsening mood, anxiety, PTSD specific symptoms, including disturbed sleep, and increasing thoughts of self-harm and suicide. A torture survivor may feel the need to hide their body from others, particularly if they have visible scarring. They may fear being asked what happened to them, or how their scars were obtained. A person who has been sexually assaulted may fear being in a state of vulnerability with others, for instance partially clothed and asleep. A person with strong avoidance symptoms related to PTSD may need to avoid contact with others altogether. A survivor of torture who is LGBTQ+ may have particular concerns about being required to share a room, especially if they have been harmed in relation to their gender or sexuality. A lack of privacy can exacerbate poor sleep patterns and in turn lead to a further deterioration in mental health. A person with PTSD, depression or other mental health problems might find that their sleep worsens as a result of having to share a room with any others. This will be particularly true if they do not feel safe when sleeping and if they are unable to engage in behaviours which they previously carried out to increase their sense of safety, for instance sleeping with a light on.”
“With regards to the Dispersal and Single Room provisions, to ensure that the policies were correctly applied to our clients, we would write short letters to Migrant Help, explaining that the individual was a client of FfT and should not be dispersed during assessment and/or accommodated in a shared room. The letters for clients in treatment were similarly short. ...These letters would be sent by clinical administrators if a client was in assessment, and the LAWS welfare advisors if a client was receiving treatment at FfT. In some cases the information would be sent in an email rather than on letterhead. It was not necessary to include any clinical content in this correspondence; we simply needed to cite the policy protections that applied to our clients. Because the letters and emails did not contain any clinical content, they could be sent out very quickly without the need for clinician input.”
“Following our meeting on 4 September, a team from the Medical Foundation met with Ian Cheeseman to discuss our system for preparing medico-legal reports. Our understanding was that these discussions would continue and that at some point in the future the UKBA would share with us and the Helen Bamber Foundation (and other NGOs working on asylum law and policy) its proposals for a new Asylum Policy Instruction covering the medico-legal report services provided by these two organisations. We were therefore extremely concerned to learn that a legal representative was recently advised by a case owner that the UKBA is now operating a ‘new’ policy ‘not yet written, but being implemented anyway’ according to which, on a case by case basis, decisions may be taken on an asylum claim notwithstanding the fact that the person has been accepted for pre-assessment by the Medical Foundation. This runs completely contrary to the Asylum Policy Instruction on the Medical Foundation which provides that, except in cases where the case owner decides to grant asylum, ‘all cases that have been accepted for pre-assessment by the Medical Foundation will be placed on hold pending the outcome of the pre-assessment, as long as evidence of the appointment is provided in writing’.”
“We were encouraged by your presentation at the NASF Asylum Support Group in relation to protecting the exceptional cases criteria and by your assurance that the Home Office is not seeking to redefine policy on dispersal. You will be aware that the protection against dispersal from London where the clinical services of both organisations are centred ensures that survivors of torture and other forms of serious harm are able to access the specialist treatment they require to rehabilitate the damaging physical and psychological effects of the ill-treatment they have suffered.”
“We are concerned by the lack of formal communication or consultation with Freedom from Torture with regard to proposed changes to support arrangements that directly affect the provision of our therapeutic services to survivors of torture. The Home Office provided an assurance to Freedom from Torture that the organisation would be consulted before any proposed amendments to Policy Bulletin 19. That agreement is set out in a letter from Hugh Ind (then Strategic Director of Asylum at UKBA) to the Foundation dated14 September 2009 following verbal confirmation of the same at a meeting of04 September 2009 . [...] As a separate matter, we would also draw your attention to the fact that access to specialist treatment services provided by the Helen Bamber Foundation, to which Policy Bulletin 19 also applies, are given no consideration in the above document. We therefore urgently request that the Home Office withdraw this document from circulation and consult appropriately with Freedom from Torture on its dispersal and accommodation policy, reinstating Policy Bulletin 19 in the interim, so that any policy may operate effectively to ensure that survivors of torture are able to access the specialist therapeutic and rehabilitative care that they need.”
“In most material aspects the text in these sections is identical or very similar to the text in Policy Bulletin 19, which as you say Hugh Ind previously agreed would remain in place pending consultation on any change in the policy.”
“Thanks very much for the helpful discussion about dispersal issues on 20 March and for sending through a Word version of the policy for us to work from. We have fed back our discussion to colleagues at the Helen Bamber Foundation and worked with them to develop a consolidated set of proposed changes for you and Simon to consider (see attached).”
“Section 4 looks at requests made on the basis that the person is being treated or being considered for treatment by FFT or HB. You’ll see that the text and structure is different to the various draft versions we’ve circulated between us – but I think the essence is substantially the same. But let me know what you think. You’ll note also, that I’ve cut down some of the text that outlined the history/background/services your organisations deliver. I think some of that is important, as a way of giving some context to the decision maker, but I’d prefer the document to be focussed on what caseworkers should do in the given circumstances. Feel free to amend/change this part of the text as you feel appropriate, but I’d rather the overall length remains about the same.”
“A further update to the guidance has now been made to remove the strict criteria preventing certain categories of individuals in receipt of asylum support from being accommodated at large sites and/or room sharing in the wider accommodation estate. It has been replaced with a discretion to consider exceptional circumstances, and to ensure the suitability of individuals is assessed on a case-by-case basis and that accommodation meets individuals’ needs.”
“SR, returning to the issue of getting a second opinion on the medical evidence, pointed out that caseworkers were not clinical experts so unless extensive support and guidance was provided to them, she anticipated that poor decisions would be made. This had already happened with the adults at risk procedures and with asylum casework. The foundations could help provide support to caseworkers. She explained that voluntary sector organisations could have helped with all of these points had the Home Office come to them before creating the policy. Now organisations would have to monitor the implementation and feed that back. This was why consultation was so important. She expressed surprise that such a fundamental change was made to policy without consultation or even the courtesy of letting the foundations know about the change. Whilst the policy might help the Home Office achieve a certain policy objective, it would increase the administrative burden on everyone. This was a significant, intentional change that would increase the risk that people would fall through the cracks because people won’t be able to provide evidence. It also increases the workload of the foundation. Previously, being a foundation client meant that the person was identified as being vulnerable without having to disclose that they were suicidal etc. Seeing an equalities impact assessment would enable an understanding of the Home Office’s thinking and to explain the justification for shifting away from a preventative approach to a risk approach. ME thought the Home Office was being told off. SR explained that what she said was merely reflecting the level of surprise on the part of her organisation that this change was introduced with no consultation. ME explained that the Home Office had not wanted to consult because these processes were not collaborative or supportive. She asked that SR see things from the Home Office perspective: they take instructions from ministers and need to work fast. SR responded that this was exactly why voluntary sector organisations wanted to see the equality impact assessment. It would allow organisations to understand the Home Office’s perspective better. KL interjected that in the past, these meetings were co-operative. But in the last year there has been a shift. Everyone in this meeting understood that the Home Office was responding to ministerial directions but talking in advance of significant changes would be a better way of working together. She thought SR was only expressing disappointment and alarm at the shift away for the preventative model. Now it feels like the voluntary sector needs to identify people falling through the gaps. There has also been a concerning dip in the quality of decisions made by the Home Office recently. This change was worrying because it would generate a lot more work and put individuals are risk of harm. That is was what SR was explaining.”
“To mitigate against the risk of individuals abusing the system by making unsubstantiated claims of unsuitability, increase the number of individuals suitable for large sites, and reduce reliance on hotels.”
“The Public Sector Equality Duty is being reviewed following the introduction of large accommodation sites and the policy changes to be introduced for the accommodation of potential victims of modern slavery.”
“Reasons for accommodating people in a particular location may include where that is necessary to maintain continuity of medical treatment or treatment being undertaken with Freedom from Torture and the Helen Bamber Foundation.”
“Under the policy, large accommodation sites will not be used to accommodate those who have serious mobility problems or for those who have complex health needs including mental disabilities and within the meaning given by the Healthcare Needs and Pregnancy Dispersal Policy at paragraph 4.16. Information on the numbers of such cases is currently not recorded.”
“316. ...the claimants’ contention under ground 3(c) is that the change of policy in version 11 of the Allocation Policy, that asylum seekers with special needs resulting from being disabled, serious mental health problems or otherwise being vulnerable may now be considered suitable for accommodation at Wethersfield, was one that required an assessment of its equalities implications. As I have said, in her evidence on behalf of the defendant, Ms Stratton expresses the same view. She relies upon the Policy EIA for that assessment, which she also says was considered by ministers in deciding to bring in that change to the Allocation Policy published under version 11 on12 February 2024 . 317. The claimants’ case in the consolidated claim is straightforward. They say that the defendant has not discharged the PSED in respect of that change of policy. She has not made a lawful or rational assessment of the equalities impacts of that new policy. 318. In my judgment, the claimants’ case is plainly well-founded. The Policy EIA, which is said to have been conducted to assess the impact of the proposed policy changes later given effect in version 11 of the Allocation Policy, simply did not make that assessment. I have set out above the relevant extracts from the Policy EIA. The focus of the assessment carried out in the Policy EIA was evidently on the policy change made by version 10 of the Allocation Policy, in relation to the change in approach to the suitability of potential victims of modern slavery to be accommodated at Wethersfield. Insofar as that assessment considered the impact on disabled persons, it did so on the basis that under the Allocation Policy, large accommodation sites (including Wethersfield) would not be used to accommodate those who have complex health needs including mental disabilities; and that individuals with mental impairments were not considered suitable for such accommodation and “will not be housed at these sites”
“sufficiently clear and well established to be tantamount to a promise or assurance that there will be consultation”; and, citing Newey LJ in R (MP) v Secretary of State for Health and Social Care[2020] EWCA Civ 1634 ,[2021] PTSR 1122 ; “so consistent as to imply clearly, unambiguously and without relevant qualification that it will be followed in future.”
“In R (Plantagenet Alliance Ltd) v The Secretary of State for Justice and others[2014] EWHC 1662 Admin, the Divisional Court, at paragraph 98 of its judgment, summarised the general principles concerning the duty to consult, as derived from the authorities. The Divisional Court noted, first, that there is no general duty to consult at common law and that the government of the country would grind to a halt if every decision maker were required in every case to consult everyone who might be affected by his decision. I would add here that, in the case of a democratically-elected public authority, such as the defendant, the courts will be particularly cautious about inferring that a duty to consult has arisen. As Laws LJ held in R (Bhatt Murphy) and others v the Independent Assessor[2008] EWCA Civ 755 at paragraph 41, “Public authorities typically, and central government par excellence, enjoy wide discretions which it is their duty to exercise in the public interest… Often they must balance different, indeed opposing interests across a wide spectrum. Generally, they must be the masters of procedure as well as substance…”
“...the Defendant accepts that there has been the history of engagement with the Claimants in relation to asylum accommodation policy affecting those being assessed by the Claimants or receiving treatment from them as summarised. This is set out in detail in Ms. Tsangarides’ First Witness Statement: see paragraphs [80] – [192].”
“Therefore, there is no pattern or long-standing agreement of formal consultation or informal consultation prior to changes being made to the AOA policy with either of the Claimant organisations. However, there is a long-standing practice of communicating changes after they have been implemented through the NASF, and to engage with feedback, which was done in this case. Even if there was a previous pattern of consultation before December 2023, which we do not believe to be the case, it was brought to an end by the approach subsequent to that. Therefore, on any view there was no pattern of consultation in the period preceding the introduction of version 11.”
“KL expressed concerns of non-engagement from the HO to clarify if this was an intended shift. GS clarified it isn’t an intentional shift more to do with pace and ministerial requests, advising vol sector colleagues to feedback on suggestions/improvements related to issues as a constant rather than arranging particular sessions for specific issues. AR advised as stakeholder engagement lead for the ASPEN card contract rollout, wanting to improve engagement with people seeking asylum. CM reiterated HO was not disengaging, feedback is welcomed from the vol sector to ensure good services to the users. However, it is not always possible to engage on matters due to level of changes/pace and sensitivity before sign off. Can’t always notify external agencies of changes which have not been agreed at ministerial level. KL mentioned this forum was previously for informal discussions for the vol sector to make suggestions to enable smoother processes, before the decisions were made. She asked HO colleagues continue engaging in this way because this can help identify the glitches which have a significant impact on people.”