
Bail in Sri Lanka; When Can Ill-Health Amount to an “Exceptional Circumstance”?
A Case Note on CA/PHC/APN CPA 42/2021 – Court of Appeal of Sri Lanka
(by Chathuranga Bandara AAL, Former State Counsel)
Can the ill-health of a suspect justify bail in a serious narcotics case in Sri Lanka?
The answer is yes, potentially — but the existence of an illness alone is not sufficient.
This issue was considered by the Court of Appeal in CA/PHC/APN CPA 42/2021, where ill-health was relied upon as an “exceptional circumstance” in support of an application for bail.
The judgment provides useful guidance on the type and quality of medical evidence required when a suspect’s health is relied upon as a basis for release.
The Court’s Approach to Ill-Health and Bail
The Court emphasised an important distinction between a person’s past medical history and their present medical condition.
Previous surgery, an earlier diagnosis, or an old medical report will not necessarily establish an exceptional circumstance. The relevant question is whether the suspect presently suffers from an illness of such a nature that continued incarceration would place his or her life or health at serious risk.
Referring to the principles laid down in earlier authorities, the judgment states:
“Illness must be a present illness and that continued incarceration would endanger life or cause permanent impairment of health.”
The emphasis is therefore not simply on establishing that the suspect has a medical condition. There must be reliable medical material addressing the current condition, its seriousness, and the effect that continued detention may have upon it.
Current Medical Evidence Matters
In the case before the Court, material relating to the suspect’s previous medical history had been produced. However, the Court was not satisfied that sufficient evidence had been placed before it demonstrating that his current state of health required release on bail.
The judgment makes an important practical point: a Court dealing with a bail application cannot determine the medical risk to a suspect merely on the basis of assumptions or possible future complications. The alleged risk must be supported by cogent and current medical evidence.
Accordingly, where ill-health is relied upon as an exceptional circumstance, consideration should be given to matters such as:
- the present diagnosis and medical condition of the suspect;
- recent medical reports and examinations;
- the seriousness and progression of the illness;
- whether continued incarceration may endanger life or cause permanent impairment; and
- whether appropriate medical treatment can be provided while the suspect remains in custody.
Medical Treatment While in Custody
The Court also referred to section 69 of the Prisons Ordinance, which provides a mechanism for a prisoner to be transferred to a Government hospital for medical observation or treatment.
This is significant because the mere fact that a suspect requires medical treatment does not necessarily mean that release on bail is the only available solution.
Where adequate treatment can be provided through the prison or Government hospital system, that fact may be relevant when the Court considers whether the medical circumstances are sufficiently exceptional to justify release.
Although each application must necessarily be determined on its own facts, the reasoning in CA/PHC/APN CPA 42/2021 remains useful when ill-health is presented as an exceptional circumstance.
The Practical Principle
The principle emerging from the judgment can be stated simply:
Ill-health may amount to an exceptional circumstance for bail, but merely proving the existence of an illness is not enough.
What matters is the suspect’s present medical condition, supported by credible medical evidence, and whether continued incarceration creates a sufficiently serious risk to life or health to justify release.
For practitioners preparing or responding to narcotics bail applications, the distinction between medical history and evidence of present medical necessity can therefore be critical.
Case Details
Court: Court of Appeal of Sri Lanka
Case: CA/PHC/APN CPA 42/2021
Decision: 31 August 2021
Counsel for the Petitioner: Anil Silva, President’s Counsel
Counsel for the Respondent: Chathuranga Bandara, State Counsel
Bail, Drug Cases, Narcotics Law, Exceptional Circumstances, Ill-Health, Medical Grounds for Bail, Court of Appeal, Sri Lanka Law

CHATHURANGA BANDARA
