Stanovisko NS ČR vo veci Detenčného konania | Medicínske právo
              

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Stanovisko NS ČR vo veci Detenčného konania


 | 4.11.2010 | komentárov: 286

Tento mesiac, ako sme už avizovali, sa budeme tematicky venovať dentencii. Detenčné konanie, ako osobitné nesporové konanie, je v našom právnom poriadku upravená v Občianskom súdom poriadku pod označením Konanie o vyslovenie prípustnosti prevzatia alebo držania v ústave zdravotníckej starostlivosti (§191a a nasl.). Touto problematikou sa zaoberalo aj Občianskoprávne a obchodné kolégium na Najvyššom súde ČR. Ponúkame Vám toto zaujímavé stanovisko.

Obrazok

Spisová značka:    CPJN 29/2006

S t a n o v i s k o



Občanskoprávního a obchodního kolegia Nejvyššího soudu České republiky ze dne 14. ledna 2009, sp. zn. Cpjn 29/2006 ve věcech řízení o vyslovení přípustnosti převzetí nebo držení v ústavu zdravotnické péče

___________________________________________________________________________________

Předseda občanskoprávního a obchodního kolegia Nejvyššího soudu ČR podal podle čl. 33 odst. 1 písm. b) Jednacího řádu Nejvyššího soudu ČR kolegiu návrh na zaujetí stanoviska ve smyslu § 21 odst. 1 zákona č. 6/2002 Sb. o soudech, soudcích, přísedících a státní správě soudů, ve znění pozdějších předpisů, a čl. 32 Jednacího řádu ve věcech řízení o vyslovení přípustnosti převzetí nebo držení v ústavu zdravotnické péče, neboť tato agenda není v praxi soudů řešena jednotně a nepodařilo se jí řešit prostřednictvím pravomocného rozhodnutí soudu.

Občanskoprávní a obchodní kolegium Nejvyššího soudu České republiky proto přijalo toto

s t a n o v i s k o :

Úmluva o ochraně lidských práv a základních svobod v čl. 5 odst. 4 stanoví, „že každý, kdo byl zbaven svobody zatčením nebo jiným způsobem, má právo podat návrh na řízení, ve kterém by soud urychleně rozhodl o zákonnosti jeho zbavení svobody a nařídil propuštění, je-li zbavení svobody nezákonné\".

Podle článku 8 odst. 6 Listiny základních práv a svobod zákon stanoví, ve kterých případech může být osoba převzata nebo držena v ústavní zdravotnické péči bez svého souhlasu. Takové opatření musí být do 24 hodin oznámeno soudu, který o tomto umístění rozhodne do 7 dnů.

Jak vyplývá ze statistických údajů v náplni činnosti soudů zaujímá významný podíl agenda tzv. detenčního řízení podle ustanovení § 191a násl. občanského soudního řádu (dále jen \"o. s. ř.\"), jejímž cílem je realizace uvedených zásad. Význam tohoto řízení pro zabezpečení práva na osobní svobodu proto vedl Nejvyšší soud České republiky k vyhodnocení rozhodovací činnosti soudů v této oblasti. Okresními soudy bylo proto předloženo celkem 365 spisů této agendy, z nichž byly učiněny následující poznatky:

I.

§ 191a - Oznamovací povinnost ústavu

1. Povinnost ústavu vykonávajícího zdravotnickou péči učinit oznámení soudu podle § 191a o. s. ř. se týká každého, kdo v něm byl umístěn bez svého písemného souhlasu, bez ohledu na důvody, pro něž tento souhlas nebyl dán.

2. Lhůta 24 hodin stanovená v § 191a odst. 1 o.s.ř. je zachována jen tehdy, je-li zpráva ústavu soudu v této lhůtě doručena.

Východisko současné úpravy detenčního řízení, obsažené v ustanoveních § 191a až 191g o. s. ř., nutno spatřovat zejména v čl. 8 odst. 1 Listiny základních práv a svobod (dále jen LZPS), podle něhož zákon stanoví, ve kterých případech může být osoba převzata nebo držena v ústavní zdravotnické péči bez svého souhlasu. Takové opatření musí být do 24 hodin oznámeno soudu, který o tomto umístění rozhodne do 7 dnů.

Vlastní úprava detenčního řízení v o. s. ř. bezprostředně souvisí s hmotněprávní úpravou, obsaženou v zákoně č. 20/1966 Sb., o péči o zdraví lidu, ve znění pozdějších předpisů, jež v § 23 odst. 4 taxativně vypočítává případy, kdy lze nemocného bez jeho písemného souhlasu převzít do ústavní péče, vyžaduje-li to povaha jeho onemocnění

a) jde-li o nemoci stanovené zvláštním předpisem, u nichž lze uložit povinné léčení,

b) jestliže osoba jevící známky duševní choroby nebo intoxikace ohrožuje sebe nebo své okolí, anebo

c) není-li možné vzhledem ke zdravotnímu stavu nemocného vyžádat si jeho souhlas a jde o neodkladné výkony nutné k záchraně života či zdraví,

d) jde-li o nosiče (ve smyslu § 53 zákona č. 25/2000 Sb., o ochraně veřejného zdraví a o změně některých souvisejících zákonů).

Ustanovení § 24 zákona č. 20/1966 Sb. pak stanoví, že převzetí nemocného bez jeho písemného souhlasu do ústavní péče z důvodů uvedených v § 23 odst. 4 je zdravotnické zařízení povinno do 24 hodin oznámit soudu, v jehož obvodu má sídlo. Převzetí se soudu neoznamuje, jestliže nemocný dodatečně ve lhůtě 24 hodin projevil souhlas s ústavní péčí.

Ústavem vykonávajícím zdravotnickou péči, ve kterém jsou umisťovány osoby z důvodů uvedených ve zvláštním předpise (§ 191a odst. 1, 2 o. s. ř.) nutno ve vztahu k § 23 odst. 4 zákona č. 20/1966 Sb. rozumět každé zdravotnické zařízení, v němž je objektivně možné nemocného bez jeho písemného souhlasu umístit či v něm zadržet, když z ustanovení § 35 až § 38 cit. zákona, upravujících jednotlivé druhy zdravotnických zařízení, nevyplývá přesné vymezení pojmu „ústav zdravotní péče“, přičemž cit. zákon v ustanovení § 23 odst. 4 užívá pojmů ústav a umístění do ústavu ve zřetelně širším slova smyslu než jediné ustanovení § 36 cit. zákona vymezující pojem odborný léčebný ústav.

Z toho, jak je formulována povinnost označeného ústavu oznámit převzetí „každého, kdo v něm byl umístěn bez svého písemného souhlasu“, nutno dovodit, že půjde o všechny případy, kdy tento písemný souhlas chybí, tedy nejen ty, kdy umístěný svůj souhlas s umístěním odmítne dát, popř. původně udělený souhlas později písemně odvolá, ale i ty, kdy je do ústavní péče převzata osoba, která vzhledem ke svému zdravotnímu stavu není schopna dát souhlas (např. v bezvědomí apod.), nebo kdy je nemocný izolován pro onemocnění přenosnou chorobou, kdy rodiče nezletilého dítěte odmítnou udělit souhlas s jeho držením v takovém ústavu apod.

Z posuzovaných spisů vyplývá, že ve většině případů je soudy takto tato otázka vnímána. Přesto však byly zaznamenány i výjimky.

...

celé znenie Stanoviska nájdete TU (1. časť) a TU (2. časť).

foto: europarl.europa.eu



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