Northern Ireland review reopens the rules on trial of the facts and mental health fitness

Sir John Gillen’s review of trial of the facts cases in Northern Ireland lands at a moment when criminal procedure, psychiatric assessment, and victim participation are colliding in plain sight. The review follows the case of Eleanor Donaldson, who was found unfit for a conventional trial on mental health grounds and then faced a trial of the facts instead. That sequence has pushed a long-standing legal mechanism back into public view, along with a basic question: when a defendant cannot be tried in the usual way, who is protected, who is heard, and what standard of justice is actually being applied?

The review is expected to examine whether victims are being “sidelined,” a concern Gillen said he wants to test directly as he speaks with victims and survivors. He is also looking at what happens when a defendant who has been ruled unfit later becomes fit to plead. That question is not academic. It goes to the heart of whether the criminal process can adapt to changing mental state without leaving the alleged offence permanently trapped in a procedural halfway house.

A procedure built for incapacity now faces modern scrutiny

A trial of the facts is available when a court decides that a person is unfit to stand trial and full criminal proceedings cannot continue. Instead of asking a jury to determine guilt in the conventional sense, the court examines whether the accused committed the acts alleged. It cannot produce a conviction. If the court is not satisfied that the acts were committed, the accused is acquitted.

In practice, this mechanism sits at the intersection of two difficult imperatives: the defendant’s right not to undergo a trial without the capacity to participate meaningfully, and the public interest in a judicial finding about serious alleged conduct. That tension is especially sharp in sexual offence cases, where the harm extends beyond the courtroom and the credibility of the process often matters as much as the formal outcome. Gillen’s review signals that the current balance may no longer feel adequate to victims, the public, or even judges working inside the limits of older legislation.

The legal framework traces back to Article 49A of the Mental Health (Northern Ireland) Order 1986. Gillen described the law as having evolved from 1836, and he questioned whether it now requires modernisation. The language matters less than the underlying architecture: the procedure was built for a different era of psychiatric understanding, court practice, and victim rights.

One sentence cuts through the complexity. The current system can determine facts, but it cannot deliver a conviction.

Gillen said he will examine whether the existing approach relies on mechanisms that remain appropriate in light of modern medical practice. He also questioned whether current medical practice is too narrow in focus. That point reaches directly into psychiatry and forensic assessment. Decisions about fitness to plead are made by a psychiatrist or other medical practitioners, and the review will consider what should happen if someone later becomes fit.

A defendant’s fitness is not static. Mental state can improve, fluctuate, or respond to treatment, and that reality complicates any system that treats unfitness as a fixed endpoint. If a person becomes fit after an earlier finding of incapacity, the law has to decide whether the case should move into a conventional criminal trial or remain within the alternative framework. Gillen said there are avenues that need to be explored more fully, and he pointed to legislation from 2016 that was not fully implemented. That raises a procedural question with direct clinical implications: how should justice respond when the psychiatric picture changes after the original ruling?

Because the review is happening after a high-profile case, it is also likely to confront the limits of current safeguarding. The Department of Justice said the review will consider whether measures such as sex offender notification requirements should apply after findings involving acts that would otherwise amount to serious sexual offences. In other words, the court may not reach a conviction, but society may still need some structured response if the facts are proved.

Victim participation and public protection are being weighed together

Gillen has already met victims’ and survivors’ groups, and he said there are genuine concerns about trial of the facts cases. He wants to know whether the balance between victims, defendants, and the public is the right one. That is a difficult balance to strike in any justice system, but the problem sharpens when the process itself is less familiar than a standard criminal trial.

The concern over whether victims are being “sidelined” is not simply rhetorical. If the procedure narrows the court’s function to a technical factual inquiry, it can leave victims feeling that the offence has not been fully tested in the way a conventional trial would allow. Gillen wants to examine whether the offence is being fully tested, and whether the outcome reflects the seriousness of the offence. Those are direct questions about legitimacy, not just legality.

For public protection, the stakes are equally concrete. Gillen said one of the main concerns is whether the public is properly protected in the wake of the disposals available to judges in these cases. That concern sits alongside the reality that a trial of the facts cannot result in a conviction. If the legal system proves the conduct but stops short of the consequences attached to conviction, lawmakers may need to decide whether the existing safeguards are enough.

What the review may change by spring 2027

The interim report is due by February 2027, with the final report expected in spring 2027. Until then, the review will be examining a legal mechanism that has remained in place for decades but is now being tested against modern expectations of mental health practice, victim involvement, and post-hearing protection.

The most consequential issue may be the one hiding in plain sight: whether a person deemed unfit at one stage should be able to re-enter the ordinary criminal process once fit, rather than remain permanently routed through a system designed for incapacity. If that pathway changes, it would alter not only courtroom procedure but the role of psychiatric evidence in shaping criminal outcomes.

The review will also have to confront the age of the law itself. A framework born long before current standards of forensic psychiatry now has to answer for decisions about serious sexual offences, victim dignity, and the limits of judicial remedies. No part of that can be resolved by sentiment. It will turn on whether the law can still do what it claims: test facts fairly, protect the public, and avoid leaving victims feeling unheard.


Reporting by Dr. David Thorne, MD, FAAN for Medicine World Foundation, with additional data provided by BBC News — Dentistry.