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Unfitness to Plead Consultation Responses - Law Commission ...

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Your ref:<br />

Our ref:<br />

Date: 27 th January 2010<br />

The <strong>Law</strong> <strong>Commission</strong><br />

c/o<br />

Steel House<br />

11 Tothill Street<br />

London<br />

SW1H 9LJ<br />

Dear<br />

Re: <strong>Unfitness</strong> <strong>to</strong> <strong>Plead</strong>; A <strong>Consultation</strong> Paper.<br />

Thank you for your letter dated 27 th Oc<strong>to</strong>ber 2010. In reading your consultation paper it is plain that<br />

your team have taken time <strong>to</strong> consider carefully the many relevant publications and pieces of<br />

research, including my own. Having spent a significant amount of time considering the <strong>to</strong>pic<br />

myself I would, if I may, like <strong>to</strong> contribute <strong>to</strong> the consultation also.<br />

I agree that unfitness <strong>to</strong> plead, disability in relation <strong>to</strong> trial and unfitness <strong>to</strong> stand trial are all<br />

unsatisfac<strong>to</strong>ry terms that have the potential <strong>to</strong> both conflate and also not fully encompass the<br />

relevant issues. I wonder, however, if a move <strong>to</strong> use the term ‘decision making capacity’ suffers<br />

from some of the same shortcomings, because the ability <strong>to</strong> make decisions can still be said <strong>to</strong> be<br />

one aspect of an issue that is somewhat broader. Whilst decision making does seem the most<br />

important demonstration of ‘effective participation’, it might not for example, encompass the way in<br />

which a person’s mental disorder could cause a jury <strong>to</strong> draw an unfair adverse inference about<br />

them. Perhaps the term ‘capacity <strong>to</strong> participate’ [in criminal proceedings] could be considered more<br />

comprehensive.<br />

In relation <strong>to</strong> the second provisional proposal, I have always found difficulty with the emphasis in<br />

law upon there being no requirement for an accused <strong>to</strong> make decisions that are rational or wise.<br />

Watching patients make irrational or unwise decisions at Court has in my experience been one of<br />

the most difficult aspects of providing expert evidence, as it must be for lawyers <strong>to</strong> provide<br />

representation. In my view there should also be an emphasis, as with the issue of fitness, upon<br />

‘why’ and not ‘whether’ decisions are irrational or unwise. As set out in my literature review,<br />

previous research finds that a large proportion of individuals with no mental disorder nonetheless<br />

show impairments in some aspects of ‘capacity <strong>to</strong> participate’ using instruments such as the FIT-R.<br />

I feel that the overriding principle of any amended functional test should be that an individual<br />

We aim <strong>to</strong> be an NHS Foundation Trust in 2011<br />

To become a member please call 020 8442 5700<br />

North London Forensic Service<br />

Barnet, Enfield and Haringey Mental Health Trust<br />

Camlet One<br />

Chase Farm Hospital<br />

The Ridgeway<br />

Enfield EN2 8JL<br />

Email:<br />

Tel:<br />

Fax:<br />

Chairman:<br />

Chief Executive:

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