Section 292

If an accused, though not of unsound mind, cannot understand or be made to understand the proceedings, the court may proceed with the trial.

For all courts other than the General Division of the High Court, if the trial results in a conviction, then the court must forward the proceedings to the General Division of the High Court with a report of the circumstances of the case and the General Division of the High Court must make such order or pass such sentence as it thinks fit.