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Unfitness to Plead Consultation Responses - Law Commission ...

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- Allowing the deafblind person <strong>to</strong> choose their own interpreters.<br />

- Allowing for substantial communication breaks.<br />

- Having a person take verbatim notes so that the deafblind person can<br />

request that the proceedings s<strong>to</strong>p whilst he or she catches up by using the<br />

verbatim notes.<br />

- Proceedings may need <strong>to</strong> slow down <strong>to</strong> allow for all evidence <strong>to</strong> be<br />

presented at a speed at which it can be digested and processed by the<br />

deafblind person. For example if the deafblind person can only receive<br />

information via a screen where the spoken word is translated in<strong>to</strong> a written<br />

word, then the proceedings may have <strong>to</strong> pause whilst the typist or palantypist<br />

catches up with the verbatim transcription.<br />

Provisional Proposal 7<br />

Sense is very concerned that a standard psychiatric test will determine capacity<br />

but will overlook a person’s ability <strong>to</strong> access a trial. A psychiatric test will not be<br />

relevant <strong>to</strong> a deafblind person as their unfitness <strong>to</strong> plea does not relate <strong>to</strong><br />

psychiatric capacity but <strong>to</strong> their inability <strong>to</strong> communicate and access information.<br />

Further, Sense is gravely concerned about the proposal that the people deemed<br />

qualified <strong>to</strong> assess fitness <strong>to</strong> plea for deafblind people should be doc<strong>to</strong>rs and<br />

more specifically psychiatrists. A psychiatrist is not the most appropriate person<br />

<strong>to</strong> assess whether a deafblind person is fit <strong>to</strong> plea and whether he or she is able<br />

<strong>to</strong> access the trial proceedings. The most appropriate person <strong>to</strong> assess a<br />

deafblind person’s fitness <strong>to</strong> plead would be a deafblind expert.<br />

A medical or psychiatric qualification would infer no expert knowledge of<br />

deafblindness. Questions of fitness <strong>to</strong> plea which relate <strong>to</strong> deafblindness involve<br />

complex assessments of communication and access <strong>to</strong> information needs rather<br />

than psychiatric needs. Sense is concerned that by establishing an absolute<br />

requirement for a psychiatric test and a psychiatric medical professional, the<br />

provision will discriminate against deafblind people who may have full capacity<br />

but because of communication or access <strong>to</strong> information barriers would be<br />

prevented from effective participation in the trial.<br />

Sense suggests that the proposal should be amended <strong>to</strong> allow for a separate<br />

assessment of fitness <strong>to</strong> plea which relates not <strong>to</strong> the mental capacity of the<br />

individual but instead <strong>to</strong> their ability <strong>to</strong> access and effectively participate in the<br />

trial proceedings. It is appropriate for a capacity assessment relating <strong>to</strong> mental<br />

health or mental impairment <strong>to</strong> be carried out by 2 doc<strong>to</strong>rs including a<br />

psychiatrist. If the fitness <strong>to</strong> plea relates <strong>to</strong> a physical or sensory impairment such<br />

as deafblindness, then the assessment should be carried out by 2 suitably<br />

qualified persons. 9<br />

9 See footnote 7 above.<br />

11

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