The document discusses the legal issues surrounding hunger strikes in prisons, outlining various motivations for food refusal, relevant rights legislation, historical material, and key case law. It covers the duty of prison authorities regarding the health of prisoners, the legality of force-feeding, and explores the intersection of mental health issues with hunger strikes. Notably, it references the historical context of hunger strikes in Ireland and significant legal rulings impacting the rights of both prisoners and patients.

1. Hunger Strikes in Prison –
The Legal Issues
Darius Whelan,
School of Law, University College Cork
Terence MacSwiney, Cork Men’s Gaol, and the Political
Hunger Strike, 1920-2020
School of History, UCC, October 2020

2. Outline
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Motivations for hunger strikes
Relevant Rights
Legislation
Case-Law
Historical Material

3. Different motivations for / causes of food
refusals in prison
• Food Refusal (FR)/ Hunger Strike (HS) as a form of
protest,
• FR/HS as a deliberate act of self-harm,
• FR/HS related to a mental illness (e.g. depression /
psychosis / eating disorders) and/or
• FR/HS as an attempt to ‘frustrate’ a prison sentence.
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4. Relevant Rights
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Right to
Health
Right to
Bodily
Integrity
Right to Self-
Determination
Right to
Autonomy
Right to
Life
Right to
Privacy
Freedom from torture /
inhuman or degrading
treatment

5. Sources of Rights
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6. 6
“Prisoner” or “Patient” ?
Courts have held:
Some rights of prisoners are
abrogated, limited or suspended
or abrogated during their period of
imprisonment.

7. LEGISLATION

8. Criminal law concerning suicide
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Ireland – crime of suicide abolished by Criminal Law (Suicide)
Act, 1993.
Aiding and abetting suicide continues to be a crime.
Suicide is still contrary to public policy (Humphreys J. in A.B. v
C.D. (2016))
In UK – crime of suicide abolished by Suicide Act 1961, but
aiding and abetting a suicide continues to be a crime

9. Relevant Legislation if there are
mental health or capacity issues:
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• Criminal Law (Insanity) Act 2006
• Prisoners can be transferred to
Central Mental Hospital,
Dundrum
• Mental Health Act 2001
• Provisions in ss.56-60 apply if
detained person does not have
capacity
Photograph by Dara Mac Dónaill from Irish Times

10. Assisted Decision-Making (Capacity) Act 2015 (which is
not yet fully commenced)
• Criteria regarding assessing capacity
• Guiding Principles
• Decision-making supports
• Advance Healthcare Directives
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11. CASE-LAW

12. Leigh v Gladstone, 1909
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UK Case
Prison governors had a duty to
preserve the health of prisoners, a duty
which extended to force feeding.
Thus, they were permitted to force-feed
hunger striking suffragettes at a time
when suicide was illegal.
Photograph By LSE Library - https://www.flickr.com/photos/lselibrary/35720938521/ , No
restrictions, https://commons.wikimedia.org/w/index.php?curid=67341188

13. Secretary of State for Home
Department v Robb, 1995
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• UK Case
• It was lawful for the prison authorities not to intervene if a
prisoner with capacity was on hunger strike.
• It is not suicide to refuse to consent to treatment, which then
leads to one’s death.
• Mr R. had personality disorder but had capacity

14. R. v Collins ex parte Brady, 2000
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UK Case
If a hunger striking prisoner was also
detained under the Mental Health Act and
lacked capacity, he could be force-fed.
Force feeding could be a medical
treatment within the Mental Health Act
1983
Hunger strike was a manifestation of his
personality disorder.
It was common ground that force feeding
was medical treatment.

15. Nevmerzhitsky v Ukraine, 2006
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European Court of Human Rights
Mr N. did not have a psychiatric diagnosis.
Force-feeding a prisoner on hunger strike was not
a breach of the Convention, provided there was a
“medical necessity” and the method used was
humane
The Ukrainian government did not respond to the
case.
On the facts – there was not a medical necessity
(it was arbitrary) and the method was inhumane,
so art. 3 had been breached.

16. Governor of X Prison v McD. (2015)
Irish case
Prisoner refusing food; had full capacity.
Prison could lawfully withhold medical and nutritional assistance.
The autonomy to choose medical treatment derives from the right to
life.
The right to life includes a right to die with dignity.
Mr McD. had borderline Personality Disorder but not mental disorder.
Court held that Mr McD’s advance directive (a letter) was important
and ought to be respected by those with care of the person.
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17. A.B. v C.D. (2016)
• Irish case. Not a hunger striking case.
• Prisoner had self-inflicted injury to neck.
• He was assessed as lacking capacity to refuse treatment.
• Court did not make finding on capacity.
• A prisoner in custody under a court order is not entitled to
refuse treatments where this would either directly or
ultimately put his life at risk and thereby frustrate the court’s
verdict and order.
• Prisoner cannot “cheat justice”.
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18. • But court did not disagree with outcome in McD. as
executive had discretion – governor had chosen to
withhold assistance.
• In this case – Court granted declaration authorising the
prison to administer all medical and/or surgical treatment
that might be recommended by its medical staff in the
interests of the defendant's medical welfare.
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19. HISTORICAL
MATERIAL

20. Brehon Law
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Troscud
• (referred to by Baker J. in Governor of
X Prison v McD.)
• Fasting, or going without food, for the
purposes of extracting justice or
redressing a wrong has had a long
history in Ireland and indeed it could be
said to be a particularly Irish form of
protest.
• Video on Troscud - (Kevin Flanagan,
Brehon Law Academy) :
https://youtu.be/ONBLOvWMwbU

21. Suffragettes
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• Mary Leigh – see Leigh v
Gladstone, referred to earlier
Unknown author, Public Domain - https://commons.wikimedia.org/wiki/File:Force-
feeding_(suffragettes).jpeg

22. Grace Roe and Nellie Hall – 1914
• Arthur Barnett, the clerk of Arthur Marshall, the solicitor of the Women’s
Social and Political Union, was observed passing a small packet to
Roe.
• When examined, the packet was found to contain six small tablets. The
tablets caused vomiting.
• Barnett was convicted under the Prisons Act 1865 for his attempts to
smuggle in the drugs.
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William Murphy - https://histprisonhealth.com/2016/12/08/the-health-of-suffragette-prisoners-force-
feeding-and-vomiting/

23. Prisoners (Temporary Discharge
for Ill Health) Act 1913
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“The Cat and Mouse Act”
Museum of London Poster -
https://commons.wikimedia.org/wiki/File:Cat_and_Mouse_Act_Poster_-_1914.jpg

24. Events in 1974-1975
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• Dolours and Marian Price force-fed in English
prison
• Michael Gaughan died while on hunger strike
in the Isle of Wight. He had been force fed a
number of times.
• Roy Jenkins, Home Secretary, announced that
hunger strikers would no longer be force-fed
• 1975: Word Medical Association declared that
hunger strikers with capacity should not be
artificially fed
Photograph from independent.co.uk

25. H Blocks Hunger
Strike 1981
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• Force feeding was not used
• European Commission on
Human Rights involvement
• Some hunger strikers elected
as MPs
• UK: Representation of the
People Act 1981 – Prisoners
could no longer be nominated
or elected.

26. CONTACT DETAILS
d.whelan@ucc.ie
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