the preparation and submission of rule 35 reports by doctors in IRCs and rule 32 reports by healthcare professionals (doctors or nurses) in residential STHFs A signed copy of this report must be placed on the detainee’s medical record and another signed copy provided to the detainee free of charge.

v) Has there been a mental health assessment? If so, what was its result/recommendation? If not, is an assessment scheduled to take place and, if so, when? Please attach the report of any assessment or give a brief overview. As there are no DETs at residential STHFs, functions which are the responsibility of DET in respect of rule 35 reports in IRCs are carried out by the Detainee Monitoring and Population Management unit ( DEPMU) duty higher executive officer ( HEO) in respect of rule 32 reports in residential STHFs.This guidance is for Home Office Immigration Enforcement, immigration removal centre and short-term holding facility supplier and healthcare provider staff working in immigration removal centres and residential short-term holding facilities, Home Office staff responsible for authorising, managing and reviewing detention. ii) Can remedial action be taken to minimise the risks to the detainee’s health whilst in detention? If so, what action and in what timeframe? To convert 35 in roman numerals, the conversion involves breaking the numbers based on place values (ones, tens, hundreds, thousands). Note: It is important that STHF rule 32 reports are not rejected by the caseworker considering them because they have been completed by a nurse, rather than a doctor. IRC Rule 35 reports must, however, only be completed by doctors. The Home Office DET must then forward this additional information to the responsible officer within 24 hours of receipt.

Where there is medical evidence in support of an allegation, the healthcare professional must set out clearly all physical and mental indicators in support of their professional concerns. They must record any mental or physical health problems that are relevant to the torture allegation. The medical practitioner shall pay special attention to any detained person whose mental condition appears to require it, and make any special arrangements (including counselling arrangements) which appear necessary for his supervision or care.’Responsible officers have two working days after accepting receipt to provide a response to the rule 35 report. The response must: The healthcare professional has no obligation to report an allegation from a detainee if this allegation does not cause them to be concerned, in the context of the overall medical examination, that the person may have been a victim of torture. However, if an allegation does cause the doctor or nurse to be concerned, then they must report it. The healthcare professional must set out clearly if their concern derives from an allegation with no or limited medical evidence in support.

On receipt of a rule 32 report the responsible officer must review it to consider the following points:Ensure that the report is legible, clear, signed by a named healthcare professional and complies with the overall reporting requirements as indicated above and in the report template. If the report does not meet these criteria the Home Office DEPMU duty HEO must, within 24 hours, ask for this to be rectified by the healthcare professional. The responsible officer must consider the report carefully and review the detainee’s detention in line with the guidance in chapter 55b - Adults at risk in immigration detention. Note that rule 35(3) reports are not medico-legal reports. They must not be considered defective for not containing the detail of such a report or for not being written according to the Istanbul Protocol or other standards. IRC medical practitioners are not expected to have specialist forensic training and are not trained in standards relating to documentation of torture such as the Istanbul Protocol.