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All Cases
Mental Health Law
European Court of Human Rights
2004

HL v United Kingdom (Bournewood)

(2004) 40 EHRR 32

Ratio Decidendi

The informal admission of a compliant but incapacitated patient to a psychiatric hospital amounted to a deprivation of liberty under Article 5 ECHR, and the lack of procedural safeguards violated Article 5(4).

Facts

HL, an autistic man lacking capacity, was informally admitted to Bournewood Hospital. He was compliant but would have been detained had he tried to leave. No formal procedures or safeguards applied.

Judgment Summary

The ECtHR held that HL was deprived of his liberty and that the absence of procedural safeguards for informally detained incapacitated patients violated Article 5. This led to the creation of the Deprivation of Liberty Safeguards (DoLS).

Key Quotes

"The concrete situation of the applicant must be considered, including the degree of supervision and control, and whether the person was free to leave."

ECtHR

Subsequent Treatment

Leading Authority

Led directly to the introduction of DoLS in England and Wales.