Section one Context
requests with 19,429 applications pending a
decision at the end of September 2014 and
a high number of people probably deprived
of their liberty without authorisation. NPM
members noted variation in the correct use
of the safeguards by region, which indicated
a lack of understanding of the Mental
Capacity Act.15
Military detention
Inspection of military detention (the Military
Corrective Training Centre and Service
Custody Facilities) during the year identified
strong relationships between staff and
detainees, provision of good quality activities,
and a focus on resettlement from the first
day of detention.
Variation in the care provided to detained
patients was noted. Too often, NPM
monitoring found services that were not
routinely involving patients in their treatment;
issues of bed availability, and an increasing
number of patients being detained far away
from home.16 NPM members continue to
encounter de facto detention across a range
of settings. The framework for investigating
deaths in mental health detention was called
into question for its lack of independence.17
Political context, legislative
and policy developments
Immigration detention
The main concerns for immigration detainees
were the uncertainty about their detention
and anxiety about their immigration case.
These concerns were exacerbated for
detainees who were vulnerable for some
reason – and too often these vulnerabilities
were not recognised or addressed. Increasing
numbers of detainees reported not having
access to legal advice to help apply for bail or
for their immigration case. It is government
policy that children are not held in immigration
removal centres but children can be wrongly
detained in ‘age dispute’ cases.18
A referendum on Scottish independence took
place in September 2014, with 55.3% voting
against independence and 44.7% voting in
favour. Among other constitutional issues,
this meant the possibility that Scotland would
have to consider separate ratification of
international treaties, including OPCAT, did not
have to be pursued. The UK general election of
May 2015 led to a new majority government
being formed by the Conservative party.
Among the party’s pre-election manifesto
commitments was the plan to ‘scrap the
Human Rights Act, and introduce a British Bill
of Rights’ with a view to breaking the formal
link between British courts and the European
Court of Human Rights.19 Significant gains
were made by the Scottish National Party,
which won 55 seats in the UK parliament.
Public expenditure reductions have taken
place across all the sectors inspected by
NPM members in the UK. In Northern
Ireland, members reported that austerity
15 Care Quality Commission (2014), Monitoring the Use of the Mental Capacity Act Deprivation of Liberty Safeguards in
2013/14; UK Parliament, Health: Deprivation of Liberty Safeguards, Question for short debate, HL Deb 16 March 2015,
volume 760, column 975-992 at http://www.publications.parliament.uk/pa/ld201415/ldhansrd/text/150316-0002.
htm#15031643000129 (accessed 14/10/15).
16 Care Quality Commission (2015), Annual Report and Accounts 2014-15.
17 Equality and Human Rights Commission (2015), Preventing deaths in detention of adults with mental health conditions,
Executive summary, p.5; Inquest (2015) Deaths in mental health detention: an investigation framework fit for purpose?.
18 During 2014, the Refugee Council’s age dispute project secured the release of 25 detainees whose age had been disputed
but who were later found to be children or a full age assessment was pending. Refugee Council (2014) Age dispute project,
end of year report 2014.
19 Conservative Party (2015), The Conservative Party manifesto.
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