The tribunal, having decided that the appropriate treatment test in s72(1)(b)(iia) was met, refused to discharge a patient who had a diagnosis of dissocial personality disorder. (1) The Upper Tribunal allowed the appeal on the following grounds: (a) The appropriate treatment test relates only to the treatment that a patient is receiving at the detaining hospital, so the tribunal erred in law by considering the test met because treatment was available elsewhere. (b) The tribunal also erred in law by providing inadequate reasons: (i) the reasons were not set out by reference to the relevant criteria; (ii) the tribunal failed to address any of the solicitor's submissions about appropriate treatment; (iii) it was unclear what evidence was accepted or rejected, and why; (iv) the tribunal made findings which were wholly unsupported by the evidence. (2) The Upper Tribunal also stated that: (a) The tribunal is required to evaluate the evidence and reach its own conclusions, so was not obliged to accept the RC's opinion that no appropriate treatment was available; (b) Looking at the evidence as a whole, it was not necessarily the case that there was no evidence of appropriate treatment being provided to the patient; (c) It would be desirable for the MHRT for Wales to adopt the English Practice Direction on Reports, as the Welsh Rules provided little useful guidance, and full reports would have assisted in this difficult case; (d) The patient was currently detained in England so the Welsh tribunal was invited to transfer the case to England.
This document (see link below) is issued to tribunal judges as guidance and states:
|WH v Llanarth Court Hospital (Partnerships in Care)  UKUT 0695 (AAC)Not on Bailii
||The tribunal is not obliged to accept the evidence of any witness, however important that witness might be. Instead the tribunal is required to evaluate the evidence on its merits, and reach its own conclusions.
This appears to contradict the ratio of the Upper Tribunal decision.
The summary below has been supplied by Kris Gledhill, Editor of the Mental Health Law Reports. The full report can be purchased from Southside Online Publishing (if there is a "file not found" error, it means this particular report is not yet available online). More similar case summaries from the year 2016 are available here: Text:MHLR 2016.
Whether a Tribunal decision should be quashed on the basis that the appropriate treatment test was not met; which hospital had to be considered for the purposes of that test; the adequacy of the Tribunal’s reasons - WH v Llanarth Court Hospital (Partnerships in Care) –  MHLR 245
Points Arising: The appropriate treatment test involved assessing what was available at the detaining hospital rather than what might be available elsewhere.
The named nurse of the patient should provide the nursing report to the Tribunal and, if possible, attend the hearing. Reports from the detaining authority should address the criteria for detention.
Facts and Outcome: A Tribunal decision to uphold detention on the basis that appropriate treatment was available at a different rehabilitation hospital was set aside by the Upper Tribunal on the basis that considering that was an error of law, and also that there were inadequate reasons. (It was also commented that the conclusion that there was no appropriate treatment at the detaining hospital was questionable.)
Transcript - provided by Richard Jones of Blake Morgan Solicitors