A three-judge bench headed by Chief Justice of Pakistan Justice Asif Saeed Khosa heard the former premier's petition. Pakistan Muslim League-Nawaz leaders were present in court for the hearing for which special security measures were taken.
As both sides concluded their arguments, the chief justice held consultation with the other judges and wrote down the judgment. CJP Khosa then announced that the verdict has been reserved and will be announced at 1:15pm.
As the hearing went under way, Nawaz's counsel Khawaja Haris briefed the court regarding the former premier's medical reports and submitted a letter from one Dr Lawrence to Dr Adnan.
The chief justice pointed out that the letter is written by a private individual to another private individual and was not addressed to court. CJP inquired about the letter's "legal status" and how it can be presented as evidence.
Nawaz's lawyer stated that he was "not depending upon the letter" and it was a review by doctors on the former premier's condition.
Justice Khosa said that the medical reports indicate Nawaz suffers from a heart ailment and the court wants to know if it poses a threat to his life.
Tell us how Nawaz's situation is different from that mentioned in his medical history and you have to prove that Nawaz's condition is worsening and that staying in jail is life threatening for him."
Haris said that Nawaz has had seven medical stents placed and that all medical boards have recommended angiography. "The former premier is suffering from heart ailments and requires an angiography which is not simple but rather complicated."
"He is also suffering from a kidney disease which is in its third stage and his blood pressure and blood sugar level need to be monitored regularly."
Justice Khosa asked, "Is there no hospital in Pakistan with such doctors, facilities and staff that Nawaz can be treated there? You want Nawaz to be granted bail for his medical treatment. We can issue orders for his medical treatment in any hospital across Pakistan."
The former premier's counsel, however, said, "In jail, Nawaz will be under mental pressure and stress and his medical treatment will not be appropriate in such a condition."
CJP Khosa then asked whether this stress will go away in two weeks. "What will happen when the verdict on the appeal is announced in two weeks?" the chief justice questioned and added "Arrangements can be made for his medical treatment."
However, Nawaz's counsel said, "This is a complicated matter and cannot be decided in two weeks. To hurriedly announce a verdict on the case will not be justice."
The chief justice inquired, "How can bail be granted when the appeal is fixed for hearing? Bail is granted when the appeal is adjourned."
"Will Nawaz be satisfied with treatment in Pakistan if he is sent home and there is no mental pressure or stress?" he further asked. "If we believe that Nawaz's condition is worsening, then can we help with medical treatment? During the last hearing you had said that Nawaz trusts his doctor," he added.
Haris then pointed out that in Dr Asim Hussain's case, bail was granted on medical grounds.
Haris further told the bench that five medical boards had been formed to examine Nawaz's medical condition and all of them had declared that the former premier's kidney ailment was at the third stage.
"The medical boards had also recommended that he should be admitted to a hospital," the former premier's counsel said.
After both sides concluded their arguments, CJP Khosa and Justice Yahya Afridi questioned the NAB prosecutor. The NAB additional prosecutor said that Nawaz "is being monitored 24 hours".
"Nawaz has no life-threatening disease," the additional prosecutor said. Justice Afridi, however, asked, "If there is no threat to his life then we is the medical board not conducting his angiography."
Justice Sajjad Ali Shah added, "You kept shifting him from one hospital to another. No report said that Nawaz refused to get treated."
The chief justice then held consultations with the judges and wrote down the judgment.
During the last hearing on March 19, the bench had summoned a response from the National Accountability Bureau (NAB). On Monday, NAB said that Nawaz has no life-threatening condition. The former premier wants to go abroad, the accountability bureau further said and urged that his petition be dismissed.
The Islamabad High Court on February 25 had dismissed Nawaz’s petition seeking bail and suspension of his seven-year sentence in the Al-Azizia reference on medical grounds.
The former premier has been imprisoned at Kot Lakhpat jail since December 2018 following his conviction in a corruption reference in line with the Supreme Court’s July 2017 verdict.
On December 24, an accountability court in Islamabad had sentenced Nawaz to seven years in prison along with a fine of Rs1.5 billion and US$25 million in the corruption reference.
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