Page 276 - tmp
P. 276

Pre-Hearing Medical Examination of the Patient

         A pre-hearing examination of the patient was indicated under the Rules. The
                                                      th
         interview with the patient took place on 8  November, 2018.

         The Tribunal considered:
         Oral evidence from Dr J. Greensides, RC; Nurse Thembi Magodlela; Mr Soobah Appadoo, CPN;
         Mr Simon Cordell, patient and Mrs Cordell, patient's mother.
         Written evidence from Dr M. Elia, ST6; Nurse Bibi Khodabux; Mr Soobah Appadoo,CPN Other
         material, namely Responsible Authority Statement of Information,
         Observers: Mrs Fiona Bateman, (Judicial Shadowing Scheme) and Student Nurse Skubik
         Jurisdiction. Preliminary and Procedural Matters
           1. The tribunal is satisfied that it has jurisdiction to consider this application.
           2. The solicitor for the patient sought permission to submit a 6 page document from Mrs
               Cordell, the nearest relative. The solicitor indicated that the document expressed the
               nearest relative's views and those of a cousin. The panel considered the request and
               noted that Mrs Cordell's views as regards her son's detention and the housing problems
               he has experienced were fully reflected in the social circumstances report provided. The
               panel would also allow her to speak at the tribunal hearing if she wished to do so. In
               those circumstances, we did not accept the submission of the document.






         Grounds for the Decision
           1. The tribunal is satisfied that the patient is suffering from mental disorder or from
               mental disorder of a nature or degree which warrants the patient's detention in a
               hospital for assessment (or for assessment followed by medical treatment) for at least
               a limited period.
           2. The tribunal is satisfied that the patient's detention as aforesaid is justified in the
               interests of the patient's own health or safety, or with a view to the protection of other
               persons.
           3. The tribunal does not consider that it is appropriate to discharge the patient under its
               discretionary powers.




         Reasons
              1.Background
              Mr Simon Cordell is aged 37 and is single and resides in council accommodation in the
              community.  There  is  a  longstanding  history  of  difficulties  with  neighbours  at  his
              accommodation  which  was  detailed  in  the  reports.  His  background  and  history  was
              documented in the statutory reports provided to the panel. He has been known to Adult
              Mental Health Services since 2014. He has had varied diagnoses in the past and has been
              found  not  to  require  section  under  the  Mental  Health  Act  in  2014  and  2015.  He  was
              however detained subject to Section 2 in August, 2016 and was subsequently discharged
              by a Tribunal. The history indicated that he was discharged on prescribed medication and
              followed up by EIS. He reportedly did not engage with services or medication and was
              thereafter discharged from EIS. He has a current working diagnosis of schizophrenia.
              The current admission follows an incident in October, 2018 which led to safeguarding
              concerns and the  Enfield Adult  North Locality Team's decision to arrange an MHA
              assessment. Mr Cordell was detained subject to Section 2 on the 25.11.2018.








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