• Hilary Pickles, Emma Norton, Emma Ginn, and Theresa Schleicher.
• Hillingdon, UK hilary.pickles@doctors.org.uk.
• Clin Med. 2015 Aug 1; 15 (4): 334336334-6.

AbstractImmigration detainees, like prisoners, are entitled to the same standard of healthcare as non-detained patients. When hospital attendance or admission is required, the priority for custodial staff (who for purposes of this article we refer to as 'escorts') is to prevent absconding. For that reason, they may wish to use physical restraints, such as handcuffs, and remain with the detainee at all times. This can be degrading for the patient and breach their human rights. Clinicians have professional obligations to all their patients and must object to any restraint methods that risk damaging the patient's right to confidentiality, treatment, health or the therapeutic relationship itself. The starting presumption is that restraints ought not to be used during treatment and only in the most exceptional cases ought escorts to be present during clinical examination or treatment.© Royal College of Physicians 2015. All rights reserved.

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