Moors murderer Ian Brady's hospital treatment may have been affected by his notoriety, a mental health tribunal has heard.

Staying in the same place and with the same team for 30 years was exceptional and not a healthy position, consultant psychologist David Glasgow said.

Glasgow-born Brady, 75, has brought the tribunal, because he wants to be transferred to a Scottish prison – from maximum security Ashworth Hospital in Merseyside – to die.

The child killer, who has been on hunger strike since 1999, has said previously he would be able to starve himself to death in a jail – currently he is assessed as being chronically mentally ill and is fed through a tube in his nose. Mr Glasgow, called by Brady's legal team, said he thought the current nursing care provided did not amount to treatment and the hospital's overall therapeutic approach did not appear to have any goals.

He said: "My concern is that his notoriety has affected his treatment."

The hearing continues.