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Unfitness to Plead Consultation Responses - Law Commission ...

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difficulties may or may not be fit if particular measures are taken but his<br />

condition is unlikely <strong>to</strong> alter so that he becomes fit <strong>to</strong> plead.<br />

12. We also consider that care must be taken in drawing any conclusions<br />

about the present efficacy of the procedure from the fact that there are<br />

many people who have exhibited psychotic symp<strong>to</strong>ms and conclude that<br />

they are unfit <strong>to</strong> plead. It may be that the numbers are lower than should<br />

be the reality. On the other hand, we consider it a dangerous conclusion.<br />

13. It is the experience of many of those Circuit judges who sit on the<br />

Restricted Case Panel of the First-tier (Health, Education and Social Care<br />

Chamber) Tribunal (formerly, the Mental Health Review Tribunal) that<br />

many patients are able <strong>to</strong> play a substantial, if not full part in hearings<br />

even though they may be suffering from a serious mental disorder or are<br />

affected by learning disabilities. We acknowledge that the issues are very<br />

different from those <strong>to</strong> be faced in a criminal trial. Some, however, are no<br />

less complex and require considerable understanding.<br />

14. Another criticism of the present system is the haphazard way in which the<br />

issue of unfitness is raised. The criticism of the lack of screening fails <strong>to</strong><br />

take in<strong>to</strong> account the effect of the gradual implementation of the<br />

recommendations in the Bradley Report. Although there is, at the<br />

moment, no nation-wide programme, there is increased awareness<br />

amongst Police, Probation Officers, Court officials and the judiciary of<br />

6

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