“9. In the light of the available evidence, we are not at all convinced that the case for mental disorder has been satisfactorily made out. Between 2013 and 2017 the patient had three mental health assessment, none of which elicited findings of mental disorder. The grounds for the patient’s current detention are stated to be grandiosity and incongruous affect, yet we heard from the patient and the nearest relative plausible, and indeed persuasive, alternative explanation for what had been taken to be grandiose beliefs and ‘bizarre behaviour’. We are also acutely conscious of the severely stressful circumstances in which the patient found herself when in prison, facing deportation after residence in the UK for so many years. Since the patient’s deportation notice has been rescinded, she is reported to have shown signs of considerable improvement and to be less guarded, whilst, perhaps not surprisingly given the recent circumstances, remaining somewhat circumspect in the presence of medical and nursing staff. Whilst the medical evidence links that improvement to acceptance of anti-psychotic medication, it seems just as likely that the change in the patient’s circumstances has also played a significant part in her improvement. Indeed, aspects of her reportedly bizarre behaviour, lack of insight and guarded presentation are as consistent with an understandable reaction of the patient’s adverse circumstances as with mental disorder. 10. We note that even now there is no settled diagnosis of the patient’s putative mental disorder and since admission to the Becklin Centre there have been no signs whatsoever of psychotic symptoms, to the extent that the RC does not rely on degree and is understandably uncertain about the chronicity of the patient’s past presentation and its future prognosis. We are also mindful of the patient’s calm assurance that she has never had a mental disorder and of the husband’s spirited reinforcement of that view.”
“Proceedings are started when the court issues a claim form at the request of the claimant (see rule 7.2) but where the claim form as issued was received in the court office on a date earlier than the date on which it was issued by the court, the claim is “brought” for the purposes of theLimitation Act 1980 and any other relevant statute on that earlier date.”