The Designation & Management of High Profile Restricted Patients

This document sets out what criteria are considered when designating a restricted patient ‘high profile’.


The Designation and Management of High Profile Restricted Patients

This file may not be suitable for users of assistive technology. Request an accessible format.

If you use assistive technology (such as a screen reader) and need a version of this document in a more accessible format, please email Please tell us what format you need. It will help us if you say what assistive technology you use.


The Mental Health Casework Section (MHCS) is responsible for making certain key decisions on behalf of the Secretary of State for Justice for the management of restricted patients. These decisions include the authorisation of community leave, transfers between secure hospital, transfers from and remission to prisons, the discharge of restricted patients from hospitals and the variation or removal of certain conditions of discharge. Therefore, the purpose of designating certain restricted patients as high profile is to ensure that an increased level of scrutiny is given to any decision or action that will affect the patient or the wider public.

Published 7 November 2019