AC-2023-LON-003019 - [2025] EWHC 1851 (Admin)

The Appellant’s mental health has deteriorated significantly since the hearing in September 2023. Medical cannabis and ketamine infusions provide the most substantial relief (letter from Dr Bernat, treating consultant psychiatrist dated 29/4/25). The Gaza war has had a significant impact on his wellbeing. He is struggling with suicidal ideation. His family are the only protective factor. On average he has approx. 3 – 4 incidents of significant panic attacks/self-harm once a week (Dr Zivor, treating clinical psychologist (26/3/24)). The risk of suicide is still high and the protective factor is his family (Dr Zivor (20/4/25)). The Appellant is taking ketamine and his condition is rapidly worsening and the level of care required far exceeds what is feasible in a UK outpatient setting (Dr Yadhunanthanan, Lead Clinician at Save Minds Royal Free Hospital (7 May 2025)). The impact of not seeing his wife and family is considerable for the Appellant (letter from Peter Crascall, a self-employed nurse consultant dated 2/5/25). Mr Crascall has not seen the Appellant’s seizures himself but the Appellant has told him about them.