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Unfitness to Plead Consultation Responses - Law Commission ...

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fit <strong>to</strong> plead, the availability and scope of such measures and adjustments must be<br />

made an entitlement for the accused in law, and equivalent <strong>to</strong> that afforded the<br />

Crown. For example, section 104 of the Coroners and Justice Act 2009 deals only<br />

with defendants giving evidence, which would not be sufficient <strong>to</strong> ensure either<br />

‘effective participation’ in court proceedings, or <strong>to</strong> prepare an individual for their trial,<br />

such as decisions that must be made ahead of a court appearance. Further:<br />

Special measures and reasonable adjustments should not be generally<br />

specified but based on the assessed need of the accused, undertaken by one<br />

or more appropriately qualified practitioners<br />

Any assessment of decision-making capacity that assumes a degree of<br />

support, whether through special measures or reasonable adjustments, must<br />

also guarantee, in law, that such support is made available and is paid for by<br />

the court<br />

The onus <strong>to</strong> ensure that such special measures and reasonable adjustments<br />

as may be required are in place should rest with the court, and not with the<br />

individual accused or his/her defence<br />

The ability of the accused <strong>to</strong> effectively participate should be kept under<br />

review and, <strong>to</strong> safeguard the accused, a procedure for halting the trial, should<br />

be put in place<br />

See also our response <strong>to</strong> Question 2.<br />

PP6: Where a defendant who is subject <strong>to</strong> a trial has a mental disorder or other<br />

impairment and wishes <strong>to</strong> give evidence then expert evidence on the general effect of<br />

that mental disorder or impairment should be admissible.<br />

While PRT agrees in principle with PP6, there are concerns about the prejudice that<br />

expert evidence could provoke. Notwithstanding the independence of the expert<br />

witness, there can be important differences between the evidence given by different<br />

professionals. For example expert evidence called upon by the prosecution might be<br />

different <strong>to</strong> that called upon by the defence; this, in turn, might result in an ‘expert<br />

dispute’ rather than any real illumination of the general effect of the mental disorder<br />

or impairment upon the defendant. While an understanding of the general effect of<br />

the mental disorder or impairment could be invaluable <strong>to</strong> proceedings – especially<br />

where practical examples are given <strong>to</strong> assist understanding – great care needs <strong>to</strong> be<br />

given <strong>to</strong> avoid creating prejudice either way.<br />

PP7: A defined psychiatric test <strong>to</strong> assess decision-making capacity should be<br />

developed and this should accompany the legal test as <strong>to</strong> decision-making capacity.<br />

While PRT agrees with PP7, a defined psychiatric test should be viewed as one part<br />

of the process <strong>to</strong> assess decision-making capacity. For example, a defined<br />

psychiatric test, accompanied by a clinical interview, would aid the process of<br />

Jenny Talbot, Prison Reform Trust Page 3 3/25/2013

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