COMPULSORY ADMISSION TO HOSPITAL (OPINION)
71, dated 26th November 2010, recital 25), combined, as it happens,
with the current protection of law and order, can constitute grounds
for deprivation of liberty.
c) The third relates to compulsory admission of prisoners to hospital.
The authorities responsible for public order fear that the conditions
under which detainees are compulsorily admitted to hospital (this is
now a growing phenomenon, affecting approximately 1 200 people
every year), might facilitate a possible escape, insofar as, at the present
time, such hospitalisation takes place in a hospital environment under
ordinary law. This is why, in some départements, when the competent
doctor submits a “detailed” application for such a measure, under
Articles L. 3214-1 et seq. of the Public Health Code and Article D. 398
of the Code of Criminal Procedure, its enforcement is subject in some
cases to investigations conducted by the police or the gendarmerie,
or to the opinion of the public prosecutor’s office. The effect of this
information is to delay the admission to hospital applied for, and in
some cases, even to cause permission to be denied. It always results
in appropriate therapy being withheld (which is the responsibility of
prison staff, on the one hand, and care staff, on the other,) from people
who are deemed to require a more intensive course of treatment as
a matter of urgency. In the case in point, the risk is not an arbitrary
one of deprivation of liberty, but a risk of healthcare that is known to
be unsuited to the patient’s state of health: yet the detainee’s human
rights entitle them to receive care appropriate to their state of health
(European Court of Human Rights, 5th sect., 16th October 2008, Renolde
v. France, n°5608/05).
The effect of these three practices, such as they are currently being
implemented, and especially the first two, is to bring about a global
increase in the number of hospitalised patients and the length of their
stay, to impede any trial discharges that the patient’s condition might
allow and in particular to keep in hospital people whose condition, as
assessed by doctors, does not warrant keeping them there against
their will. In some cases, as noted by the Contrôleur général, these
practices may lead to high levels of occupation of hospital beds and
delay the admission to hospital of people who, unlike those in the
former category, might genuinely need treatment. Consequently, this
is a short-sighted policy that may have the opposite effects to those
desired.
81
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