Moors Murderer Ian Brady has lost his bid to be transferred from a psychiatric hospital back to prison.
He had requested a transfer to a Scottish prison, but Ashworth Hospital said he had chronic mental illness and needed continued care at the Merseyside top-security facility.
Brady, now 75, and Myra Hindley, who died in prison in 2002, tortured and murdered five children.
He was jailed for three murders in 1966 and has been at Ashworth since 1985.
He and Hindley later confessed to another other two murders.
Judge Robert Atherton, who headed the three-person tribunal at Ashworth, said: "The tribunal has concluded that Mr Ian Stewart Brady continues to suffer from a mental disorder which is of a nature and degree which makes it appropriate for him to continue to receive medical treatment, and that it is necessary for his health and safety and for the protection of other persons that he should receive such treatment in hospital, and that appropriate medical treatment is available for him."
The reasons for the tribunal's decision will be released later.
Ashworth Hospital argued that Brady was after "a win" over the authorities. This decision, which denies him that victory, comes down to the very narrow legal remit that had to be fulfilled by his mental health tribunal.
The panel had one simple duty: to assess the patient's health and what would be clinically right for him.
So although we have not yet seen the full reasons, the tribunal's decision means it has decided that Brady is still suffering from paranoid schizophrenia or another treatable disorder.
Once it had come to that conclusion, it could further rule that it would be appropriate to keep Brady at Ashworth, either to receive treatment or because it would be necessary for his own safety or those of others.
It's going to be very difficult for him to challenge the decision because he can only launch an appeal if he can show that the tribunal got the law wrong.
Brady, whose legal costs are estimated to be around £250,000 and paid by the taxpayer, as he gets legal aid, has the right to challenge the decision.
Dr David Fearnley, medical director at Ashworth, said: "We appreciate the time and effort the mental health tribunal has given to this case and its judgment is consistent with the expert opinions of our clinicians.
"Mr Brady suffers from a severe personality disorder and a mental illness which still require high-quality care.
"It is a testament to the staff of Ashworth Hospital that we have been able to stabilise his schizophrenia to the degree we have. However, his condition is chronic and will require this support for the foreseeable future."
Asked if the tribunal, which was held in public at Brady's request, may have exacerbated the illness, Dr Fearnley said: "I think the difficulty with an individual such as Ian Brady is that he has a complex mental disorder and for many years has been able to publicise his concerns.
"However, we see this as part of an overall problem which our experts are looking into and will continue to provide expert care."
Brady has been on a hunger strike since 1999, and appeared at the tribunal with his feeding tube in place. The tribunal heard that he also eats some food on "most days".
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Dr David Fearnley: Ian Brady is "in the right place to receive the right treatment by the right people"
Dr Fearnley said his treatment was under review by the specialist team, including the issue of feeding.
'Method acting'Brady gave evidence for more than four hours at the tribunal, which sat at Ashworth psychiatric hospital in Maghull. It was the first time he had spoken in public for 47 years.
Brady had told the tribunal he used "method acting" to trick doctors into classing him as insane so he could be transferred from prison to hospital.
But he said he now wanted to leave Ashworth because he hated it and "the regime has changed to a penal warehouse".
The tribunal heard from Brady's lawyer that Brady had a severe personality disorder but was not mentally ill and could be treated in prison rather than hospital.
During his evidence, Brady refused to answer a question from his own lawyer about whether he intended to take his own life if he was declared fit to return to prison.
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