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Unfitness to Plead Consultation Responses - Law Commission ...

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indefinite restricted hospital order under sections 37 and 41<br />

of the MHA. This is, in fact, a criminal disposal.<br />

11. We agree that the section 4A procedure should be<br />

reformed as it does not allow for an assessment of the<br />

defendant’s state of mind nor, in many cases, does it allow<br />

for a defence <strong>to</strong> be made <strong>to</strong> the charge. We therefore agree<br />

that as far as possible a trial of all the relevant issues should<br />

be held with a jury. If the defendant is found not <strong>to</strong> have done<br />

the act then he or she should be acquitted. If the defendant<br />

is found <strong>to</strong> have done the act then an appropriate disposal<br />

can be made (your Provisional Proposal 8).<br />

12. With regard <strong>to</strong> your Provisional Proposal 9, we can see<br />

why, following the acquittal of a defendant after a section 4A<br />

hearing, it might be necessary <strong>to</strong> determine the issue of<br />

whether the defendant was suffering from mental disorder at<br />

the time of the alleged offence. However, holding a further<br />

hearing would create uncertainty for the defendant. We<br />

therefore think that the issue of mental disorder should be<br />

determined at the original section 4A hearing.<br />

Conclusion<br />

We have not addressed all the questions put in your <strong>Consultation</strong><br />

Paper as we do not have the appropriate experience in relation <strong>to</strong><br />

criminal law. However, we are broadly in agreement with those<br />

proposals we have commented upon. Please feel free <strong>to</strong> contact<br />

us for any further comments.<br />

Yours faithfully<br />

Pauline Dall<br />

Head of Legal<br />

Mind Legal Unit<br />

7

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