Firstly, the guidelines as issued by the inspectorate did not appear to have been used, or if they were used the appropriate transfer forms, as suggested by the inspectorate were not completed and hence not copied to the inspectorate as advised. Secondly, there appeared to have been little or no formal liaison between the referring hospital personnel and that of the Central Mental Hospital during the patients' stay. Such liaison should exist so that the patients could be discharged from the Central Mental Hospital at the earliest possible opportunity. Thirdly, and more significantly, a worrying practice appeared to have been developed whereby patients admitted to the Central Mental Hospital from the prison services, on reaching the end of their sentence and not having been deemed fit for discharge, were placed on a temporary detention form and sent to an appropriate mental hospital, usually St. Brendan's. Section 3 of the temporary forms were then completed and the patients were transferred back to the Central Mental Hospital under section 208 of the Mental Treatment Act, 1945.