ABSTRACT
England and Wales Major changes have taken place in England in the aermath of the Criminal Procedure (Insanity) Act 1964 (England and Wales), which required a hospital order with restrictions without limit of time for those found NGRI. e Criminal Procedure (Insanity and Untness to Plead) Act 1991 (England and Wales) introduced greater exibility of dispositions (Fennell 1992). When a person is found NGRI, the court can order the person to be admitted to a designated hospital, guardianship or a supervision and treatment order (sec. 5; see for example R v Grant 2008). Consignment to a hospital if the person has committed a serious crime and the decision for release is that of the secretary of state.
