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Law - UK Law - Munby Judgement

Case No: SA0IC00334

Neutral Citation Number: [2002] EWHC 1379 (Fam)
IN THE HIGH COURT OF JUSTICE
FAMILY DIVISION

(In Private)

Royal Courts of Justice
Strand London WC2A 2LL

Date: 1 July 2002

Before:

THE HONOURABLE MR JUSTICE MUNBY

In the matter of the CHILDREN ACT 1989

Re: C

Mr James Tillyard QC (instructed by the Head of Legal Services) for the applicant (the local
authority)
Mr Michael Keehan QC and Ms Ruth Henke (instructed by Avery Naylor Wilson) for the first
respondent (the mother)
Mr Mark Allen (instructed by Graham Evans & Partners) for the second and third respondents
(the maternal grandmother and step grandfather)
Mr David Crowley (of Howe & Spender) for the fourth respondent (the child)
The child's father (MD) was neither present nor represented

Hearing dates (in Cardiff : 27 31 May 2002

Approved Judgment

Honourable The Mr Justice Munby Re C
Approved Judgment

I direct that pursuant to CPR PD 39A,: ar 6.1 no official shorthand note shall be taken of this
Judgment and that copies of this version as handed down may be treated as authentic.

The Honourable Mr Justice Munby

This judgment was handed down in private on 1 July 2002. The judge hereby gives leave for it to be reported.

The judgment is being distributed on the strict understanding that in any report no person other than the advocates or the solicitors instructing them (and other persons identified by name in the judgment itself may be identified by name or location and that in particular the anonymity of the children and the adult members of their family must be strictly preserved.


The Honourable Mr Justice Munby Re C
Approved Judgment

Mr Justice Munby:

1. These are care proceedings under the Children Act 1989 in relation to a little boy, L,
who was born on 6 April 2001. His mother and father were never married. His father,
MD, plays no effective part in the proceedings. His mother, D, was born on 20
September 1980. She had a previous child by another man, a little girl, M, who was
born on 19 June 1997 and who died on 10 November 1997. In the mean time, in about
August 1997, D had begun a relationship with an older man, SC. That relationship
broke down in 1998.

2. Because of the circumstances in which M had died it was decided at a Child Protection
Conference on 16 February 2001 that L should be placed on the Child Protection
Register at birth. Care proceedings were started on 9 April 2001, three days after L
was born. Initially the plan was for L to be placed with D at the home of the maternal
grandmother, S, and then in a residential unit. Within days the plan was changed. An
interim care order was obtained on 12 April 2001 and L was placed with foster carers,
Mr and Mrs J, with whom he has remained ever since.

3. In order to defend themselves against any allegations that might be made in relation to
M's death, both SC and S were granted leave to intervene in the proceedings.

4. Pursuant to directions given by Coleridge J on 11 May 2001 and by Sumner J on 30
July 2001 a threshold hearing took place before Connell J in November 2001. On 23
November 2001 D submitted to a consent order which recited that it was made "on the
basis that [D] caused [M's] death" and provided that the Court had found threshold
established on the basis of a "document submitted to the Court and agreed by the
parties". SC and S were granted leave to withdraw from the proceedings.

5. The agreed threshold document was in the following terms:

"1 [D] accepts Professor Meadow's opinion in that:

"No natural cause of death was identified. That does not exclude possibility of natural disease but the circumstances of her ([M]'s) sudden collapse and the presence of previous injuries, characteristic of physical abuse, make it more likely that the cause of death was from an unnatural cause, such as smothering."

2 She therefore accepts that on the current medical
evidence, and on the balance of probabilities:

a. [M]'s death was unnatural, and

b. It is likely that it was caused by suffocation.



The Honourable Mr Justice Munby Re C
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3 She however continues to assert that there is possibility that [M]'s death was caused by a yet unascertained natural cause.

4 [D] specifically and firmly denies that she did anything that might have caused [M]'s death. She specifically denies smothering [M].

5 However, given the factual circumstances surrounding [M]'s death and the overwhelming current medical evidence, she accepts:

a. That the Court will find the balance of
probabilities, that she caused [M]'s death, and

b. that any future assessment of her ability to care
for a child will have to proceed on that premise.

6 [D] accepts that:

a. The rib fractures were non accidental and were
caused by [M] being squeezed or gripped, and

b. the facial bruising was non accidental,

and that they both occurred whilst the child was in her care, and that of [SC] and [S]. In the premise she failed to protect [M] from injury.

7 Having regard to the matters set out above on the balance of probability, it is accepted that the Court will find that [D] caused significant harm to her child [M], and as a result [L] is at risk of suffering harm whilst in the care of his mother."

6. Both before and after the threshold hearing the plan had been for D to be assessed with
a view to possible habilitation of L to her care. That plan was abruptly terminated in
March 2002 following an unfavourable report from a Consultant Child and Family
Psychiatrist dated 13 March 2002, amplified in a further report by him dated 11 April
2002. An assessment of S and her partner P dated 25 March 2002 recommended
against placing L with them. The local authority's care plan dated 7 May 2002 was
accordingly for adoption. Thus the general shape of the case when it came on for
hearing in front of me on 27 May 2002.

7. Thus far the case would appear to be of a type with which the court is, unhappily, all
too familiar. But to understand what it is that takes the case somewhat out of the
ordinary and what it is that has given rise to the important points of practice on which I
now give judgment I must first go back and recapitulate the course of the proceedings
in more detail.


The Honourable Mr Justice Munby Re C
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8. On 3 May 2001 D applied for a direction under section 38(6) of the 1989 Act for a
mother and baby assessment in a residential home. That application was adjourned at
the hearing before Coleridge J on 11 May 2001. On 30 July 2001 Sumner J made an
order by consent giving leave to the local authority, D and L's guardian "to jointly
instruct" the well known Consultant Child and Family Psychiatrist Dr J "for the
purposes of providing a preliminary report to the Court upon the potential avenues for
the management of this case after the November hearing". Dr J is highly expert in cases
of this kind. His letter of instructions was dated 6 August 2001. In accordance with
Sumner J's order it had been drafted by the guardian's solicitor and approved by the
other parties. It made it clear to Dr J that he was being instructed on behalf of the local
authority, D and L's guardian. Appropriately it included this reminder to Dr J:

"It is essential to your role as an independent expert and to the parties' perception of your independent status, that there are no informal unrecorded discussions, or correspondence with any of the professionals or lay parties involved in this case."

9. Together with his colleague Ms N, a Senior Social Work Practitioner, Dr J assessed D
on 29 August 2001. Later the same day there was what was described as a
"professionals meeting" attended by, inter alios, Dr J, N, L's guardian and the local
authority's lead social worker, Mrs HD. D was neither present nor represented. It
appears that no minutes of this meeting were taken. The only record which has been
produced are notes taken by Dr J for his own clinical purposes: they were not
disclosed to anyone until after the final hearing before me had begun.

10. Dr J and N assessed D again on 14 September 2001. Dr J discussed the case with N on
24 September 2001. His note of the discussion recorded that "our observations were
not positive, by and large". He provided an initial report dated 3 October 2001. The
report stated that:

"[D] will need a high level of therapeutic intervention both in relation to her own personal life story and her parenting ability, if she is to be able to assume care of [L] and offer him appropriate parenting . ... We feel ... that if a successful family unification were to be achieved it would take longer than the Family Unit at [my] Hospital is able to offer. Further psychiatric intervention therefore would need to be linked with a longerterm residential mother and baby type placement ... [my] Hospital would initially offer a two week residential admission for [D] with [L]. The aim of such an admission would be both to continue with a more detailed assessment and also to consider whether [D] is able to respond to parenting advice/support and individual personal therapy . ... In summary, therefore, while we feel that [my] Hospital Family Unit could have a further assessment and treatment role with this family, we do not feel that this service on its own would be enough to achieve a successful family unification."


The Honourable Mr Justice Munby Re C
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11. On 19 October 2001 the guardian telephoned N. The only record of this conversation
which I have been shown is N's note which records:

"Guardian ad litem and the social workers involved with [L] have expressed concern following receipt of the report from the ... Hospital, which they feel puts a more optimistic slant on the assessment than was perhaps shared at the professionals' meeting following the all day assessment. Guardian ad litem and I discussed the fact that [Dr J] and [N] had met with [D] for a second appointment as planned, and had felt slightly more encouraged re the possibility of her engaging in psychological work following that second meeting. Hence this was reflected in the report that was submitted."

12. On 23 November 2001, as I have said, Connell J made threshold findings.

13. On 4 December 2001 HD had a meeting with D to discuss her reaction to the threshold
hearing. HD's contemporaneous note shows D saying

"she knew she hadn't caused the injuries to [M], although she said she recognised she'd failed to protect [M] from injury (but not death). She said "I did fail to protect her, in a way"."

14. HD described this occasion in her subsequent witness statement dated 7 May 2002:

"[D] had moved her position slightly in that she felt responsible for taking [M] to live at [SC's] home. She continued to deny that she caused any of [M's] injuries prior to her death and denied any part in her death. I explained that her lack of acceptance of any responsibility was a serious block to her caring for [L] and of people feeling confident that she could do so safely."

15. The essential accuracy of that summary is borne out by HD's own contemporaneous
note and accords with a letter referring to the meeting which D's solicitors wrote to
the local authority on 5 December 2001.

16. On 12 December 2001 Dr J and N again saw D. Dr J's clinical notes state:

"Choices are admit for assessment or decide that likelihood is too slim of rehabilitation."

17. On 18 December 2001 there was what was described as a "professionals meeting", this
time attended not merely by Dr J, N, the guardian and HD but also by the guardian's
solicitor and the local authority's solicitor. Again, D was neither present nor
represented. Again, it appears that no minutes of the meeting were taken. The only
records that have been produced are the notes taken by Dr J for his own clinical


The Honourable Mr Justice Munby Re C
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purposes: they were not disclosed to anyone until after the hearing before me had begun. The notes exist in two forms: the manuscript notes taken by Dr J whilst the meeting was in progress and a typed `process note' which he dictated immediately after the meeting had ended. Each version is consistent with the other; in some respects they usefully complement each other.

18. Because the discussion at this meeting is so central to an understanding of Dr J's
analysis of the case I must cite a number of extracts from his two notes.

19. Dr J listed his assessment of "what would need to change", that is, the "criteria with
which to gauge whether it was appropriate to move on to future stages in the direction
of reunification". The list (which I derive from conflating information in both of Dr J's
notes) is as follows:
1 A clearer understanding about what happened –

? the ABC of abuse

? appropriate psychological work on the consequences
of that new found acknowledgement

? a genuine empathic concern for [M]

? the understanding should extend to both the physical
abuse over time, as well as the death itself

2 Development of attachment behaviour in the child (L)

3 Improvement in parenting/care giving behaviours


4 Open and honest working relationships

• an improved working relationship with professionals network social work especially includes taking and generalising with advice

• more openness and honesty in relationships generally.

20. In his oral evidence before me Dr J explained that ABC stood for the Antecedents
Behaviour and Consequences of maltreatment.

21. In his `process note' Dr J included the following observations:

"The situation is clearly difficult to decide because there are several negatives, yet the case is not as bad as some ..

... we all agreed that it was not possible to be optimistic about the possibility for successful rehabilitation. However, on the


The Honourable Mr Justice Munby Re C
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other hand, one could not write her off completely because she has made some changes over the past several months . .. .

We came to the conclusion that it would be inappropriate to launch into a two week residential assessment because the likelihood of emerging from it in the direction of further plans towards reunification seem slim at this stage. Also it was agreed that in this particular case there would need to be a greater degree of acknowledgement of responsibility on [D's] part for the harm to [M] in order to move forward safely with respect to her parenting of [L]. That being the case and because we are uncertain whether this is even feasible ([D] herself has made it clear that she did nothing other than fail to protect, and was quite adamant with us in the last session with us on this question), we feel that we must have a preliminary phase of seeing whether there can be any shift in this with [D] more intensively that can be achieved in an out patient setting. Therefore, we agreed at the meeting to have a three day assessment admission for [D] individually ... to see whether she will shift on the question of acknowledgement. If she won't then, we will not move further forward towards reunification. If she does, then we would propose a two week assessment admission to include the baby. The difficult issue is just how far she's got to go along the dimensions of acknowledgement /admission.

For the three day admission, we will expect there to be some significant movement with respect to acknowledgement of responsibility for harm to [M] . ... Furthermore, we need to have some beginnings of acknowledgement, at least of the feasibility that she suffocated [M] (even if she feels she can't remember it, etc). If she does not make progress with acknowledgement of harm then it seems fairly clear that we will not be able to move forward. If on the other hand she does, then we will still be left with all the issues of social isolation and questions about her personal capacity to use psychological treatments effectively. Both of these will need extensive thought and assessment in any rehabilitative plan.

In summary, it would be extremely unlikely that she will be able to care for [L], but we feel it necessary to be certain ..."

22. Now just pausing there, Dr J's approach is clear enough. As the documents show, and
as Dr J in fact confirmed in the witness box before me, his view was that if D was to
progress beyond the three day in patient assessment on her own to the two week
residential assessment with L
i) There had to be a significant movement on D's part towards a greater degree
of acknowledgement of her responsibility for having harmed M.


The Honourable Mr Justice Munby Re C
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ii) That movement had to take place during or, to be more precise, at the latest
by the end of the three day assessment.

iii) If by the end of the three day assessment there had not been a sufficient shift by
D in this direction, then the process of moving towards reunification would be
brought to an end and the two week assessment would not take place.

iv) In other words, they key benchmark which Dr J had identified as requiring to
be met if there was to be the two week residential assessment of D with L was
a "significant" shift in D's acceptance of responsibility for harming M.

23. In terms of his four point list as I have set it out in paragraph [19] above, and again Dr
J confirmed this in the witness box, what needed to change by the end of the three day
assessment was D's attitude in relation to item 1. If there was change in relation to
item 1, then all well and good, and items 2, 3 and 4 could be addressed subsequently. If
there was insufficient change in relation to item 1, then that would be that. In particular
and this is a very important point no amount of change in relation to items 2, 3 or 4
could make up for, or counter balance, an absence of change in relation to item 1. So
although Dr J had, as it were, mapped out the overall programme of change which
would be required before deciding that reunification was indeed appropriate, the
critical determinant of any move to the two week residential assessment was item 1,
and item 1 alone.

24. On 20 December 2001 the guardian's solicitor (who had, of course, been present at the
meeting on 18 December 2001) wrote to D's solicitors. Referring to the meeting he
said:
"Formal minutes were not taken. Its purpose was to conduct a
Professionals planning meeting and to determine the next steps
that may or could be undertaken.
I do not intend to set out the views formed by [Dr J] at this
stage regarding your Client . ... Suffice it to say that active
consideration is being given to admitting your Client for 2 3
days for the purpose of intensive work focussing upon the
findings at the threshold hearing. I understand that there will be
a further review immediately after that admission."

25. There was in fact a three day assessment from 2 4 January 2002. On 3 January 2002 D
had two sessions with N. N's note of the first session begins as follows:

"I began the session by explaining to [D] why we had asked her
to come for the 3 day admission. She had very little idea prior
to coming in. I explained to her that, in relation to her making
decisions about [L] it was very important for us to know and
understand more about the circumstances leading to [M's]
death. I explained that, in relation to thinking about the possible


The Honourable Mr Justice Munby Re C
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risks to [L], we would need to be very clear about what had happened to [M] in order to make that assessment. I acknowledged that it would be difficult for her to say more than she had already talked with us about but encouraged her that this was really the way forward for her in terms of the possibilities of resuming care of [L]."

26. On 7 January Dr J chaired a staff group discussion with N and the nursing staff who
had looked after D. His notes of the meeting include two comments of some
importance:
"Observation of interactions here were not very impressive."

"Clear progress re empathy [and] re lack of protection, not with
maltreatment itself."

27. That last comment neatly encapsulated the essential issue and the dilemma facing Dr J
and his team. Given that, although there was clear progress in relation to D
acknowledging that she had failed to protect M, there was no progress in terms of her
acknowledging that she had herself harmed M, was there nonetheless sufficient
progress overall so as to justify moving forward to the two week residential
assessment of D and L?

28. The note expressed the meeting's conclusion as follows:

"Although no progress made re direct actions of abuse; there have been in other domains. (This is difficult because the statement is agreed, rather than subsequent to a hearing). Hence we will recommend a 2/52 trial/assessment with meeting at 2/52 stage."

29. On 14 January 2002 Dr J provided a further report for the court. Reporting on the
three day assessment he said:

"This was a successful admission enabling us to clarify our view
as to whether we felt that further assessment and treatment
work within our Unit was indicated. The outcome is that we
think that it is and that there is sufficient indications of a positive
nature to justify an initial assessment admission of [L] with his
mother. We would not propose this way forward unless we
thought that there was a reasonable possibility that [L] could be
cared for by his mother. Although I would not put the chances
of this much higher than possible at this stage, I think
nonetheless . . . there is a reasonable possibility

The overall proposal ... is for an initial two week period of residential assessment for [L] and his mother, followed by a further period of approximately four six weeks, should the


The Honourable Mr Justice Munby Re C
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outcome of the first two week period be generally regarded as successful . . .

... successful outcome in the direction of reunification is by no means a certainty at this stage, but the aim of the work proposed as an in patient at the Family Unit is in part to clarify this conclusion ..."

30. Pausing there, and comparing the criteria for `success' which Dr J had formulated at
the professionals meeting on 18 December 2001 with his evaluation on 7 January 2002
of what had in fact been achieved by the end of the three day assessment, one is
perhaps entitled to wonder whether, even on Dr J's own evaluation of events, his
criteria had in truth been met.

31. The local authority was obviously doubtful, for on 17 January 2002 HD drafted a letter
asking Dr J amongst other things to clarify and expand his reference to "sufficient
indications". A copy of the draft letter was passed to the guardian's solicitor who
telephoned Dr J the same day, indicating (according to Dr J's note of the conversation)
that HD was "not happy" and was "very concerned re this going ahead at all". Later
the same day the guardian's solicitor sent Dr J a copy of the draft letter.

32. The next day (18 January 2002) the case came before Holman J for directions. He
directed that Dr J was to reply to HD's letter as soon as possible, that the local
authority was to indicate by 1 February 2002 whether it was prepared to agree to and
fund the course of action proposed by Dr J if not, D's section 38(6) application was
to be heard on 13 February 2002 and that the matter was to be listed for further
directions on 18 March 2002. A letter which the guardian's solicitor wrote to Dr J on
22 January 2002 is illuminating:

"I duly appeared before Mr Justice Holman ….

He was fully informed of the developments and his immediate
response was to say of you "he does not know of any other
Doctor in the field who demonstrates such a caring and
conscientious attitude". He was giving the Local Authority a
very firm indication that they would be completely at odds with
Judicial thinking if they went against advice that you tendered.
Counsel for the Local Authority accepted totally the position
that the Local Authority is in. The matter now is of convincing
the Social Worker."

33. On 23 January 2002 the local authority wrote to Dr J enclosing a copy of HD's draft
letter and asking for his response as soon as possible.

34. Dr J reported on 24 January 2002. Responding to the local authority's request for
elucidation he wrote:


The Honourable Mr Justice Munby Re C
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"[D] does not acknowledge having caused direct harm to [L]. In fact she denies having done so However, she was clear that she knew her partner must have done so ... but at the time she accepted his explanations and didn't question him further. She is extremely remorseful about this lack of action on her part in retrospect and chastises herself for not having been more active on [M's] behalf. However, there are other indicators which we think are significant, besides those centering around direct acknowledgement of abusive acts. For example [D] ... recognises that she did not care for [M] adequately emotionally or in terms of cognitive stimulation . ... In addition, she has expressed considerable empathic feelings for [M's] plight, and experiences feelings of guilt and personal responsibility for her failure to protect. She states repeatedly and in different ways that she is responsible for her death, in that sense and should have `read the signs'."

35. In his report Dr J also said this:

"If she can care for [L] safely then in our view she should be given a chance to do so, and indeed [L] should be given a chance to be cared for by his birth mother, if the prospects for habilitation are reasonably good. In order to gauge this, we propose a staged approach with regular times in which the professional groups stop and think and consider whether there is truly a reasonable prospect of success. In that way we suggest that the balance .. does tip in favour of an attempt at habilitation".

36. On 29 January 2002 D had contact with L. The contact supervisor, Miss LH, made the
following record in the contact notes:

"[D] came out with a very strange comment ... She was talking about going to [Dr J] with [L] and what the daily routine would be. [D] said, with a smile, that she wouldn't be supervised all the time and that "there are no cameras in the rooms so they can't see me all the time". This shocked me because of the way it was said the tone of [D's] voice as if in a "smug" tone and with a smile on her face ... I felt uncomfortable by this comment."

37. On 4 February 2002 a representative of the local authority spoke to Dr J, raising a
number of queries arising out of his report of 24 January 2002. The note of the
conversation prepared by the local authority recorded that Dr J:

"wished to make clear ... that [D] had only made a partial acknowledgement and she has not made a complete acknowledgement .. . of what has happened to [M]. He felt that it was important for people to know that, whilst [D] had


The Honourable Mr Justice Munby Re C
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conceded the Threshold Criteria at the Finding of Fact hearing, she had still not acknowledged this in full to him.

Dr [J] felt it was important for the parties to know at this stage of this "partial acknowledgement". He felt that [HD] had raised a very important point in asking for this to be clarified."

38. The local authority obviously felt that note to be sufficiently important to send it to Dr
J under cover of a letter dated 7 February 2002 asking him to sign it as confirmation
that he agreed with it. For some reason, and despite Dr J's reference to the importance
of "the parties" knowing of these matters "at this stage", the note was not copied to D
or her solicitors or, so far as I am aware, to anyone else.

39. Be that as it may, later on the same day as the telephone conversation (4 February
2002) the local authority wrote to the guardian's solicitor to confirm that it was
prepared to agree to and fund the course of action proposed by Dr J. The same day it
communicated the same information to D's solicitors.

40. On 5 February 2002 Dr J telephoned the guardian's solicitor to say that he wanted to
meet with HD, her team manager and the guardian prior to D's admission. It appears
from a letter which the guardian's solicitor wrote to Dr J on 7 February 2002 that the
purpose of the meeting, as he understood it, was that:

"[Dr J] would like to try and secure a meeting of minds before
we actually embark upon the work."

41. On 6 February 2002 the guardian's solicitor wrote to Dr J enclosing a copy of the local
authority's letter of 4 February 2002. He added:

"Perhaps we can also now consider future issues such as the professionals' meeting ... together with exploration of contingent planning to handle a residential placement should the matter progress to that point."

42. On 7 February 2002 the guardian's solicitor wrote to D's solicitors telling them that Dr
J wanted to meet with HD, her team manager and the guardian prior to D's admission.
They replied the next day (8 February 2002):

"Our client is happy that the meeting will proceed as Dr [J] has
suggested ... Ideally, our client would wish to be present at
such a meeting, as she was excluded from the previous meeting
which was held on the 18th December 2002 [sic].

Our client's understanding is that the Local Authority have agreed to pursue with Dr [J's] recommendations and she is concerned that they will now retract such an agreement . ..


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Our client would like it noted that [we are] aware that in the meeting on the 18th December 2002, no formal minutes were taken of that lengthy discussion. We would, therefore, ask that minutes are taken of the next meeting and will be made available to all parties."

43. That letter obviously found its way to the local authority. On 13 February 2002 the
guardian's solicitor replied:

"I am only concerned to have feedback from Dr [J] following
the meeting. Formal minutes will not be kept. The presence of
your client and any representative on her part would not assist
the purpose identified by Dr [J]."

44. On 15 February 2002 the local authority responded:

"With regard to the meeting between Dr [J], the Guardian and the Social Worker we would point out that this is a professionals meeting, which has been requested by Dr [J]. The reason that your client was "excluded" from the meeting held on 18 December 2002 is that she is not one of the professionals involved in this case.

With regard to Dr [J's] recommendations, as you will know the Local Authority have indicated ... that they agree with Dr [J's] recommendations and agree that the course of action which he advises should be pursued. Kindly reassure your client that it is not the intention of the Local Authority to "retract such an agreement"."

45. The meeting had been planned to take place on 18 February 2002 but had to be
cancelled because Dr J was ill. It was re fixed, as D's solicitors were informed on 4
March 2002, for 7 March 2002. The result was that D's admission was also delayed, a
matter that understandably caused her worry and that led to her solicitors writing to
the local authority on 28 February 2002. The guardian's solicitor responded on 4
March 2002 and the local authority on 6 March 2002, both saying, in effect, that they
were completely in Dr J's hands and could not dictate to him when she should be
admitted. The guardian's solicitor added:

"Admission will no doubt be considered by Dr [J] at the meeting
on the 7th of March."

46. On 7 March 2002 the meeting took place. Those present were Dr J, HD and the
guardian. D was neither present nor represented. Yet again, it appears that no minutes
of the meeting were taken. Again, the only records that have been produced are the
notes taken by Dr J for his own clinical purposes. These exist in two forms: the
manuscript notes taken by Dr J whilst the meeting was in progress (not disclosed to
anyone until after the hearing before me had begun) and typed `notes' which he


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dictated immediately after the meeting had ended (not disclosed until 11 April 2002
see paragraph [65] below).


47. For the purposes of the meeting HD had asked the contact supervisor, LH, to prepare
summaries, based on the contact records, of what were listed as `Aspects in relation to
parenting'. One, headed "positives", listed five numbered points:

"1 Mum is always there for contact never misses.

2 Is willing to change contact times as long as she has her
time.

3 Interacts quite well at times with [L], using appropriate
"baby talk".

4 Can provide some basic care.

5 Appears happy to see [L] at contact times."

48. The other, headed "negatives", listed no fewer than sixteen numbered points:

"1 Will not accept advice from anyone in relation to [L]'s
care.

2 Does not change [L]'s nappy unless dirty, or is reminded
to.

3 Does not buy anything for [L], or provide for him in any
way.

4 Repeatedly told to buy reins for highchair to feed [L],
even though H. V. has said not to feed him in walker [D]
continues to do it.
5 Does not contact carers to ask about [L]'s well being.

6 [D] does not ask workers about [L]'s progress or well
being when contact has not taken place, i.e. over the weekend.

7 [D] constantly complains about [L]'s clothes and the
care that he is receiving complains about Social Services.

8 Poor relationship with mother and [P] Flack continued
squabbling in presence of [L].

9 [D]'s present life style is visiting local pubs that are rough and known to the locals, and the police, as places to take drugs.


The Honourable Mr Justice Munby Re C

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10 [D] prefers to buy [X] her boyfriend gifts, spending money on socialising, meals out, going to the pub, visiting cinemas, etc., rather than prioritising [L]'s needs.

11 [D]'s continual denial of her relationship with [X].

Repeatedly saying that [X] was just a family friend when in fact she has been making comments to works that indicate that this relationship is more than "just friends", and has actually been going on for 5 6 months. I.E. [D] told supervised contact worker at Christmas time that [X] has "finished" with her, and that [X] wanted his freedom. [D] says that [X] knows all about "her business", and that he will "wait for her" if she goes to [the Hospital].

12 [D]'s continual variations of the "truth", e.g.

[D] would deny drinking any alcohol when going out to pubs, and Clubs. However, she admitted to the contact worker to having a headache one contact session. When questioned to see if [D] was ill, she replied, smirking, "It's a hangover more like". [D] also talks to the contact worker about various alcoholic drinks that she has consumed, and recommends which ones to try!

13 [L]'s lack of eye contact with [D], and turning away
from her when she tries to kiss him.

14 Unexplained bruises on [D]'s stomach before Christmas
2001.

15 [D]'s personal hygiene, body odour, and cleanliness of
the house, not good.

16 Inappropriate chastisement, e.g. repeatedly pointing her
finger in [L]'s face, and saying in a very loud voice "No"."

49. HD took these documents to the meeting and handed them to Dr J as she was leaving.
It is apparent from Dr J's notes, however, that although they were not specifically
referred to she used them in part as `speaking notes' for her contributions to the
discussions during the meeting.

50. As indeed in the case of the professionals' meetings on 29 August 2001 and 18
December 2001 no formal agenda had been prepared for the meeting on 7 March
2002. On this occasion the omission was to have very unfortunate consequences. The
guardian and HD had arrived at the meeting assuming it would seem with some
justification that the matters to be discussed, and on which Dr J was seeking a
meeting of minds, were the two questions which Dr J's notes identified as having been
formulated by the guardian's solicitor: (i) when was D's admission to Dr J's unit likely
and (ii) what contact between D and L should there be in the run up to the proposed


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admission (a topic which D's solicitors had raised with the local authority in their letter of 28 February 2002)


51. No sooner had they arrived, however, than Dr J announced that, as he put it in his oral
evidence, "I want to go back a step". As Dr J's typed note then records:

"We established that the primary agenda, prior to addressing the above two questions was to seriously consider the current situation affecting [L] and his mother, and to stop and think at this point in order to review the process by which the current decision point to admit had been reached; to consider whether this remained the correct decision; and to review case progress in relation to the original criteria which we had established through which to gauge progress. All present agreed that this was the most important area to discuss prior to considering whether to admit and what to do about contact in the interim."

52. The guardian's evidence was that she and HD were "very surprised" when they heard
Dr J's agenda. She was unaware that prior to the meeting Dr J had already begun a
process of revision of his earlier conclusions: this had not been communicated to her,
to her solicitor, Mr Crowley, or, to the best of her knowledge, to the local authority.
She had assumed that the purpose of the meeting was to plan the timing and
management of D's admission. Dr J agreed in his oral evidence that both HD and the
guardian had been surprised at the line he was taking at the meeting.

53. Following a discussion of events since his initial involvement Dr J then summarised his
position:

"the .. team were becoming increasingly concerned about the direction of the case, as the move in the direction of reunification continues, yet with seemingly insufficient progress with respect to key criteria, which we had established during the early stages of working with [L] and his mother. [Dr J] explained that we were doing everything possible to give [D] space and room to make the appropriate changes and that had probably explained the difference between the tenor of our original oral feed back after the first assessment at the ... Hospital, compared with that in the report that we subsequently wrote. We clarified, therefore, that our intent had been to provide an opportunity for change and attempt to enable [D] to get into a position where a rehabilitative approach might be feasible.

In our meeting subsequent to the finding of fact hearing, we thought there were some, albeit small, signs that [D] was shifting in her position concerning harm to [M]. However, that optimism had not been subsequently confirmed."


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HD then listed some "new and recent concerns" which to judge from Dr J's notes reflected items 1, 3, 5, 6, 8, 9, 11, 13 and 16 on LH's list of "negatives". She referred also to concerns about D's capacity to work co operatively with professionals, particularly the local authority, and about the very different views of D's own childhood given by D and by her mother, S.

55. Dr J's typed note then summarises the discussion in a long passage that I ought, I
think, to set out verbatim:

"In the light of these concerns we discussed the current plan to
proceed with an assessment in the direction of continuing to
assess the viability of re unification, with [Dr J] raising a series
of concerns which he and fellow team members had been
debating amongst themselves.

In the first place we are concerned that an assessment admission
may involve considerable disruption for [L] in relation to his
current attachment and relationships with substitute carers. The
overall view was that one would need to be reasonably sure that
an initial assessment period would lead in a positive direction, in
order to justify the harm caused by disruption to [L]. In our
view there would have to be a reasonable likelihood of success.
However, the disruption caused might not be too great if there
was a programme of visiting from his substitute carer during the
admission. However, notwithstanding this, the .. Hospital's
policy has been not to admit children from foster care with their
parents unless there is a reasonable likelihood of proceeding
forward towards re unification.

We next therefore considered the family's progress in relation to the original criteria we established for considering re unification. Firstly [D] has not moved significantly on the issue of abuse. This is seen as a significant stumbling block to re unification particularly in view of the clear cut nature of the Findings of Fact.

With respect to co operation with professionals, there has been a marked tendency to misinterpret what professionals are feeding back to her. The example was provided of her difficulties in respect to a male contact worker.

There are also continuing concerns about lack of empathy shown towards [L] and accompanying egocentricity demonstrated by [D]. In short, a concern that [D] consistently places her own needs ahead of [L]'s. It is clear that there is a significant discrepancy between what was apparently accepted in the High Court and the finding of fact hearing and [D]'s real position with respect to taking responsibility. It is clear that she accepts little, if any, responsibility for the harm to [M] and only barely acknowledges that she failed to protect and even then


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excusing herself from any responsibility, either through lack of awareness or through claiming she was the victim of abuse from her partner.

Continuing concerns about lack of acceptance of advice and feedback. For example that gave surrounding [L]'s eczema.

Overall we agreed that our team need to balance the likelihood of success against the harm to [L] caused by disruption and potential exposure to continuing abuse and neglect if there was no significant change in [D].

Lastly, HD confirmed that her experience with many clients, including significantly deprived, difficult and hard to reach people, was that she was normally able to build and keep good quality casework relationships. This had not been possible in respect to [D] and we agreed that this factor too needed to be taken into account when considering future likelihood of successful re unification."

56. I should add that, although this was for some reason omitted from the typed note, Dr
J's manuscript note records HD as raising during this part of the discussion the
question:

"But how much has [she] been coached by her legal adviser?"


57. Dr J summarised the outcome as follows: I

"Overall, I indicated that our grave reservations about pursuing the assessment and treatment work in the direction of reunification had not been allayed by this meeting. In fact, if anything, our concerns were now heightened. I would therefore be writing an additional psychiatric report in readiness for the next Directions appointment before the Court, which was scheduled for 18 March 2002, before Mr Justice Munby. [Dr J] indicated concern that the position was a change in opinion, compared with the last session [Dr J] had with [D] and anticipated she would be distressed at the change in the [Hospital]'s view. HD and [the guardian] agreed to discuss this with [D] and convey the option of a face to face meeting here at the [Hospital] in order to explain our reasoning further if this would assist."

58. On 8 March 2002 the guardian telephoned Dr J to say that D was still minimising the
extent of her relationship with her boyfriend and to tell him that he was about to be
sent a copy of the notes of D's contact with L on 29 January 2002. They were in fact
sent to Dr J by HD on 11 March 2002.


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59. Dr J's report was dated 13 March 2002 but was not in fact sent to the guardian's
solicitor until 15 March 2002 the Friday before the directions hearing due to take
place before me on Monday 18 March 2002. He said:

" ... I have now had further time to reflect upon the situation and have had the benefit of further discussions with [HD and the guardian] on 7 March 2002. I have also discussed [L] and his family situation with members of the multi disciplinary team here ... The outcome of these processes is that I now wish to revise my opinion about the best way forward, having re evaluated the prognosis for a safe outcome for [L] with respect to an attempted return to the care of his mother. In doing so I
have taken into account a wide range of issues including:

• The severity of the prior abuse to [M].

• The lack of acknowledgement by [D] concerning the full
range of harm which the Court found [M] to have suffered.

? Lack of empathic concern for [M's] suffering.

? On going concerns about parent child interaction, based on
contact observations.

? Problems in the level of co operation, which do not bode well for the ability of [D] and the involved professionals to be able to work together in partnership.


• [D's] relative social isolation and lack of family support.

• In addition it is clear that both primary health care, Health Visitors and the Social Work Team have major reservations from their perspectives and this factor too I feel should be taken into account when considering the prospects for the successful return of [L] to his mother's care .

... only if the prospects for successful reunification were sufficiently high would it be appropriate to subject [L] to the potential uncertainty involved in residential assessment here at the Family Unit. I was originally persuaded, but only on the finest of balance points, that it would be appropriate to move towards that plan, as reflected in my previous two reports. However, I have rethought the situation and feel now that the balance is tilted in the other direction, notwithstanding the fact that there are some positives in this situation. On that basis, I really do not feel in a position to recommend a period of inpatient assessment and possible treatment work, because the likelihood of success is insuffciently high.

I have not been able to discuss our change of position with [D] herself, I anticipate that she will be distressed ... "


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60. The guardian's solicitor telephoned Dr J the same day. His note records Dr J as
acknowledging that he would need to explain in greater detail why he had departed
from his earlier recommendations. It also records Dr J as saying that he did not need to
see D before producing a fuller report:

"When he makes reference to seeing her ... that is for the purpose of explaining his view direct to her. It is not an assessment."

61. Thus the state of affairs when the directions hearing started before me on 18 March
2002. Not surprisingly D was exceptionally distressed. Dr J's report of 13 March 2002
had come to her as a bolt from the blue. It must have come as a terrible blow
shattering her hopes of being able to keep L. I adjourned the hearing until 22 March
2002 to give D's solicitors an opportunity to see whether the Cassel Hospital which
Dr J had recommended for this purpose would be able to consider assessing D. Her
solicitors wrote to the Cassel on 20 March 2002. The Cassel replied on 21 March 2002
indicating that it would need to see the papers before taking the matter any further
forward.

62. The guardian's solicitor wrote to Dr J on 20 March 2002 inviting him to begin the
preparation of a fuller report and requesting (no doubt in the light of discussions which
had taken place at court between the parties) that in that report Dr J inter alia (i)
identify what documents he had received and from what source between 14 January
2002 and 13 March 2002, (ii) explain the reason why he requested the meeting which
took place on 7 March 2002, (iii) explain why the two week assessment referred to in
his report of 14 January 2002 did not proceed and (iv) set out the reasons that had led
him to depart from the conclusions in his earlier report. In the course of his letter the
guardian's solicitor commented:

"The Local Authority at this stage will have to work on the
basis of the advice that you have provided. There is an obvious
inevitability that their plans will now exclude mother as a
potential carer."

63. At the adjourned directions hearing on 22 March 2002 I directed that Dr J's further
report was to be filed by 12 April 2002 "setting out in more detail the reasons behind
his change of position and any recommendations he may have as to the future progress
of the case". I gave D leave to disclose the papers to the Cassel, directed that there
was to be a further directions hearing before me on 20 May 2002 and fixed the final
hearing, also before me, to start on 27 May 2002.

64. On 26 March 2002 the guardian's solicitor wrote to Dr J to tell him that D's solicitors
now asked that his further report also identify what oral information he had received
between 14 January 2002 and 13 March 2002, and from what source, and that he
produce any minutes which had been taken of the meeting on 7 March 2002.




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65. Dr J's final report is dated 11 April 2002. Attached to it was a copy of Dr J's typed
note of the meeting on 7 March 2002. Having identified, as requested, both the oral
information and the documents he had received between 14 January 2002 and 13
March 2002, he then turned to deal with the key questions that had been identified by
the guardian's solicitor in his letter of 20 March 2002.

66. The relevant passage is very long but in the circumstances I think I should set it out in
full :
"I requested the meeting because I had developed major
concerns about proceeding with the rehabilitation plan. I am not
able to date precisely the sequence of my thinking about this
matter except to confirm that it involved a continuing process of
steadily increasing doubt about the direction of decision making
following my meeting with [DJ in the aftermath of the Finding
of Fact hearing in November 2001. The Local Authority's
request for further information was an important, but not
determinative component to the sequence of decision making. I
became aware from [HD]'s letter of 17 January 2002 of the
depth of the level of the Local Authority's misgivings about the
direction of case planning. This acted as a spur to cause me to
reconsider the matter further though I stress that I had already
had discussions with colleagues within my team. In these, we
were debating correctness of the decisions made thus far and the
directions we were planning. After receiving the letter of the 17
January, and notwithstanding the formal reply of the local
authority as set out in the .. . letter of 23 January 2002, I felt it
was important to have a further professionals meeting to review
decision making and the direction of planned attempts towards
rehabilitation.

I then reviewed our case record and clinical history and
observations against the criteria we had set down as a means for
gauging progress in this case. I had reached the preliminary
conclusion that it was probably not appropriate to offer
residential admission, prior to the meeting on 7 March 2002.
The meeting on 7 March, served to both confirm that view in
my own mind and further underline the depth of the Local
Authority's misgivings. As a result of that meeting I was clear in
my mind that it would not be appropriate to offer residential
admission for further assessment and/or treatment with the
possibility of re unification in this particular case. I remain of
that view now.

This case is one of only two family situations in the last few
years in which I have changed my opinion halfway through the
process of planning assessment and intervention. Naturally it is
regrettable when such a situation occurs because of the distress
caused to a parent who quite reasonably was expecting a
different outcome. However, I am hopeful that the reasons and


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basis for this change of mind will be evident from this report. I stress that our primary concern throughout has been to ensure the most appropriate welfare outcome for [L].

Our policy at the Family Unit is to offer residential assessment and treatment work where there is a reasonable prospect of reunification occurring. We do not offer a residential placement where, in our view, this is a mere possibility. These are the issues we take into consideration:

• To avoid disruption to the child

• To prevent exposing the child to potential significant harm.

• To avoid raising the expectations of parents/carers and extended family, and indeed the children themselves, in situations where the prospects for success are not reasonably good.

• To avoid establishing a situation wherein the momentum inevitably established through residential care, leads incrementally to reunification, especially in cases where the decision to re unify is marginal. Thus we seek to avoid the situation where the momentum carries the case through to reunification rather than more objective decision making.

• In cases where the decision to re unify is delicately poised rather than more clear cut, we rely on an amalgam of factors to enter the decision making matrix, as set out below. One aspect of this inevitably includes the prospect of health and social services agencies being engaged in work with the
family, such that there is a sufficiently wide network of professionals to have confidence that continuing assessment and intervention work will keep the child safe and his or her
welfare needs assured.

• It would be inappropriate to use scarce health and social work resources for cases where the likelihood of success is relatively slim, as compared with those cases with better prospects. In our view where the other factors listed above are tending in a positive direction, however, it is an appropriate use of expensive resources to press ahead and attempt to achieve family reunification.

I turn now to the factors which I took into consideration when considering the likelihood of success in this individual case.

When considering the prospect for a safe and successful reunification the evidence indicates that it is preferable to consider a matrix of groups of factors which are able to be linked with eventual outcome for the child ... This approach


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was applied in this particular case. These factors can be grouped into the following domains:

? Factors associated with the abuse

? Parent Factors

• Parenting and caregiving

• Aspects of the relationship between parent and child

• Family dynamics and relationships

• Factors related to the neighbourhood and support therein

• Professional factors

• Social support

When applying this matrix in [L]'s case, we established that the following factors were key ones with respect to gauging the appropriateness and success or otherwise of work in the direction of family reunification:

1. To obtain a clearer understanding about the abuse and neglect that [M] had suffered including any antecedent factors, the behaviour including assault or neglect, and any
consequences thereof.

2. Psychological progress on working through the implications of any fresh acknowledgement of maltreatment which could be expected to occur with [D].

3. The emergence of genuine empathic concern for [M] within [D].

4. The maltreatment needed to include the full range of abuse and neglect established during the Finding of Fact hearing. This should include physical abuse on more than one occasion, the death of [M], and the issue of neglecting to protect her (in whatever proportions were revealed to be appropriate, once acknowledgement had been established).

5. Development of attachment behaviour in [L] towards his mother.

6. Improvement in parenting caregiving behaviour by [D].

7. The establishment of a greater degree of openness and honesty in [D]'s relationships, particularly with professionals, but also with her extended family.


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8. Overcoming social isolation both with respect to extended
family and within her neighbourhood.

9. The establishment of improved working relationships with
the professional network, particularly social work. This to
include both taking advice and using it in order to generalise
to other equivalent situations.

There has been insufficient progress to indicate that progress
might be made within a reasonable period of time (i.e., one
commensurate with [L]'s developmental needs) such that a
recommendation to pursue reunification would be safe and
appropriate, in our view. I had already established, in December
2001, that a necessary pre condition for reunification would be
a greater degree of acknowledgement of responsibility on [D]'s
part for having caused harm to [M], in order to be able to
conclude that [L] should be returned to her care. The aim of the
admission on 2 January 2002 was to see whether this level of
acknowledgement could be advanced. Although our report in
the wake of this admission were (sic.) initially in the direction of
the proposed plan for assessment and treatment of reunification,
I have re evaluated the prognosis for a safe outcome now and
this does involve a revision of my original opinion about the best
way forward. This opinion is shared by colleagues within the
multi disciplinary team which whom I work. The particular
points which concern us and lead us to this conclusion are the
following:

• The severity of the prior maltreatment of [M], eventually
resulting in her death.

• The lack of acknowledgement by [D] concerning the full
range of harms which the Court had found [M] to have
suffered.

• The lack of empathic concern, in retrospect, for [M]'s
suffering before her death.

• Continuing concerns about parenting and parent/child
relationships during present contact with [L].

• [D]'s social isolation and lack of support from her own
extended family.

• Lack of engagement with health and social work
professionals and concerns about the level of co operative
work which has been able to be established.

• The reservations of health and social work professionals are
an added factor to take into consideration if a reunification
plan were to be set in motion."


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67. On 18 April 2002 the Cassel wrote to D's solicitors:

"There is absolutely no reason for me to offer a new assessment ... Dr [J] has given a very clear report which gives the reasons for his decision. [D] has simply not made enough progress to warrant rehabilitation."

68. In the meantime, on 25 March 2002, as I have mentioned, HD had produced her
assessment of S and her partner P, concluding that it would not be in L's best interests
to place him with them.

69. On 30 April 2002 HD had another meeting with D her first since their meeting on 4

December 2001. In her subsequent witness statement dated 7 May 2002 HD says of D
on this occasion:

"she informed me she only felt responsibility for taking [M] to
[SC's] home. She continues to deny any responsibility for the
actual injuries or [M's] death ... "

70. On 7 May 2002 the local authority filed its care plan and HD's witness statement. The
care plan was commendably clear and to the point:

"The aim of this plan is to place [L] for adoption . . . adoption is
the only option left for him ... direct contact [with his birth
family] would [not] be in [L's] interests once he is placed for
adoption."

71. In her statement HD said, hardly surprisingly, that the local authority "must be
guided by" Dr J's latest report.

72. On 13 May 2002 L's name was placed before the Adoption Panel, which approved
adoption as being in his best interests.

73. On 20 May 2002 I made an order in agreed terms requiring the local authority to
disclose various documents, including:

i) all the contact notes;

ii) HD's "positives" and "negatives" documents (the existence of which had first
come to light only as a result of their being referred to in the typed note of the
meeting on 7 March 2002 attached to Dr J's report of 11 April 2002); and

iii) all documents relating to each of the various "concerns" of the local authority
as referred to in the typed note of the meeting.


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74. Disclosure took place in accordance with my order on 23 May 2002. Only then did D
for the first time see the contact notes for 29 January 2002 (which the local authority
had felt sufficiently important to send to Dr J on 11 March 2002) and the "positives"
and "negatives' documents handed to Dr J on 7 March 2002. This disclosure did not
include (because my order had not included) any of the materials held only by Dr J.
Nor at this stage had the local authority disclosed its note of the telephone
conversation with Dr J on 4 February 2002 that was not disclosed until shortly after
the final hearing had begun.

75. On 10 May 2002 the guardian's solicitor had written to Dr J asking him to produce all
his clinical notes. Eventually on 24 May 2002 this was the Friday before the final
hearing was due to start on Monday 27 May 2002 Dr J responded, with some
exasperation, pointing to the strain it would put on his "very stretched" resources.
More revealingly he added:

"However, more importantly, what is the purpose behind this
request? If merely a fishing exercise then I feel the request
would be wasteful and should be resisted strongly."

76. Thus the state of affairs when the case was opened before me on 27 May 2002. By
then the parties had available to them the documents disclosed by the local authority.
But the parties and more particularly D did not have, with the sole exception of Dr
J's typed note of the meeting on 7 March 2002, any of Dr J's clinical notes. These did
not become available until the second day of the hearing. The consequence of this was
that until the second day of the hearing neither D nor her representatives had seen such
important documents as Dr J's notes which were of course the only notes of the
meetings on 29 August 2001, 24 September 2001, 19 October 2001, 12 December
2001, 18 December 2001, 3 January 2002 and 7 January 2002, his manuscript notes of
the meeting on 7 March 2002 and his note of the telephone conversation with the
guardian on 8 March 2002.

77. The local authority was represented by Mr James Tillyard QC, D by Mr Michael
Keehan QC and Ms Ruth Henke, S and P by Mr Mark Allen and the guardian by her
solicitor, Mr David Crowley. I am grateful to all of them for the very great help they
gave me and, I do not doubt, their respective clients in a case which, no doubt for
differing reasons, cannot have been easy for any of them.

78. The hearing began, as I have said on 27 May 2002. It concluded on 31 May 2002
when I reserved judgment. On 13 June 2002 I handed down a short judgment
announcing my conclusions (i) that there should be no further assessment by Dr J of
either D or L and (ii) that the amended care plan which had been lodged on 31 May
2002 should be approved. I indicated that I accordingly proposed to dismiss D's
application under section 38(6) of the Act and to make a care order in relation to L,
but at the same time to adjourn the local authority's application issued on 23 May
2002 for an order under section 34(4) of the Act terminating all direct contact
between D and L. I now (1 July 2002) hand down my full judgment.


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79. I heard oral evidence from (in this order) the lead social worker, HD, the health visitor,
Ms MC, one of the contact supervisors, LH, and then, on 29 May 2002, Dr J. I next
heard evidence from the team leader of the local authority's family placement team, Ms
SN, and from the foster carer, Mrs J. Finally, on 30 May 2002, I heard evidence from
D herself and then from the guardian. Neither D's mother, S, nor P gave evidence. I
shall refer to all this evidence, to the extent that is necessary, in due course.

80. I am not concerned with threshold. That was dealt with by Connell J on 23 November
2002. I am concerned only with what is conventionally, if unfortunately and, as I feel,
all too often insensitively, referred to as disposal.

81. D opposes the application for a care order. The primary submission made on her behalf
by Mr Keehan and Ms Henke is that there should be an assessment of her ability to
care for and protect L, as had indeed previously been the plan envisaged by all parties.

82. At the forefront of his arguments in support of that primary submission Mr Keehan
puts the complaint that in the circumstances as I have described them there were what
he calls wholesale breaches of good practice, the cumulative effect of which was, he
says, to deny D any or any adequate involvement in the decision making process and
any proper or fair opportunity to present her case in court during the hearing before
me. He submits that the breaches which had occurred before the hearing, and their
consequences, were so serious that they could not be remedied either wholly or
sufficiently during the hearing.

83. Understandably Mr Keehan focussed on articles 6 and 8 of the European Convention
for the Protection of Human Rights and Fundamental Freedoms. He says that D has
been denied her right to a fair hearing under article 6 and denied respect for her right
to family life under article 8. It is, accordingly, to the Convention that I turn first.

84. Article 6, so far as is material for present purposes, is in the following terms:

"In the determination of his civil rights and obligations or of any criminal charge against him, everyone is entitled to a fair and public hearing within a reasonable time by an independent and impartial tribunal established by law. Judgment shall be pronounced publicly but the press and public may be excluded from all or part of the trial in the interest of morals, public order or national security in a democratic society, where the interests of juveniles or the protection of the private life of the parties so require, or to the extent strictly necessary in the opinion of the court in special circumstances where publicity would prejudice the interests of justice."

85. Article 8 is in the following terms:


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"1 Everyone has the right to respect for his private and
family life, his home and his correspondence.

2 There shall be no interference by a public authority with the exercise of this right except such as is in accordance with the law and is necessary in a democratic society in the interests of national security, public safety or the economic well being of the country, for the prevention of disorder or crime, for the protection of health or morals, or for the protection of the rights and freedoms of others."

86. I make no apologies for beginning with my own recent judgment in Re B (Disclosure
to other parties) [2001] 2 FLR 1017, where I reviewed a number of the relevant
authorities. I do not propose to set out again what I said in that case. Suffce it to say
that at pp 1028 1030 (paras [35] [39]) I referred to the principles relevant to article 6
to be found in Golder v United Kingdom (1979 80) 1 EHRR 524, Ruiz-Mateos v
Spain (1993) 16 EHRR 505, Dombo Beheer BV v The Netherlands (1994) 18 EHRR
213, McMichael v United Kingdom (1995) 20 EHRR 205 and McGinley and Egan v
United Kingdom (1999) 27 EHRR 1.

87. At pp 1030 1031 (paras [40] [42]), referring to W v United Kingdom (1988) 10
EHRR 29, McMichael v United Kingdom (1995) 20 EHRR 205 and TP and KM v
United Kingdom (2001) 34 EHRR 42, I pointed out that where article 8 rights are
engaged, unfairness in the trial process may involve a violation not merely of a parent's
rights under article 6(1) but also of his or her rights under article 8. As the Court said in
McMichael at p 239 (para [87]):

"Whilst Article 8 contains no explicit procedural requirements,
the decision making process leading to measures of interference
must be fair and such as to afford due respect to the interests
safeguarded by Article 8."

88. But the protection afforded in this respect by article 8 goes further, for it is not
confined to unfairness in the trial process. As the Court's decision in TP and KM v
United Kingdom (2001) 34 EHRR 42 and Holman J's recent decision in Re M (Care:
Challenging Decisions by Local Authority) [2001] 2 FLR 1300 show, article 8
guarantees fairness in the decision making process at all stages of child protection.

89. Referring to the decision of the Court in W v United Kingdom (1988) 10 EHRR 29
(the report of his judgment erroneously gives a reference to R v United Kingdom
[1988] 2 FLR 445), Holman J at p 1308G said:

"the European Court of Human Rights clearly determined that,
although there are no explicit procedural requirements within
Art 8 of the Convention, the quality of a local authority's
decision making process nevertheless itself engages Art 8. The
court said in para 62 of its judgment:


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"It is true that art 8 contains no explicit procedural requirements, but this is not conclusive of the matter. The local authority's decision making process clearly cannot be devoid of influence on the substance of the decision, notably by ensuring that it is based on the relevant considerations and is not one sided and, hence, neither is nor appears to be arbitrary. Accordingly, the court is entitled to have regard to that process to determine whether it has been conducted in a manner that, in all the circumstances, is fair and affords due respect to the interests protected by art 8."

As a result of that reasoning the court went on to hold at para 63 that:

"The relevant considerations to be weighed by a local authority in reaching decisions on children in its care must perforce include the views and interests of the natural parents. The decision making process must therefore, in the Court's view, be such as to secure that their views and interests are made known to and duly taken into account by the local authority and that they are able to exercise in due time any remedies available to them.""

90. I see no reason in principle why the requirements of fairness mandated by article 8
should not also apply to the other persons and agencies involved in child protection
work as they apply to the local authority after all, many of the decisions which most
directly impact upon parents are properly taken at multi disciplinary meetings.
Collective decision making surely carries with it collective responsibility and a
collective duty to act fairly.

91. The significance of this aspect of article 8 is further enhanced when one considers the
remedies which it affords to a dissatisfied parent even if there are no other proceedings
(eg care proceedings) on foot:

i) Judicial review, by a judge of the Family Division sitting either in the
Administrative Court and/or in the Family Division, may be available: see A v A
Health Authority; In re J; R (S) v Secretary of State for the Home Department
[2002] EWHC 18 (Fam/Admin), [2002] 3 WLR 24. This will, though, usually
be a remedy of last resort: cf Re C (Adoption: Religious Observance) [2002] 1
FLR 1119 at p 1134 (para [51]).

ii) More importantly, a breach of article 8, if it involves a "public authority" within
the meaning of section 6 of the Human Rights Act 1998, can be remedied in
free standing proceedings brought, either in the County Court or in the High
Court, in accordance with sections 7 and 8 of the Act: Re W and B; Re W
(Care Plan) [2001 ] EWCA Civ 757, [2001 ] 2 FLR 582 at pp 608 610 (paras


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[71] [76]), R (P) v Secretary of State for the Home Department [2001] EWCA Civ 1151, [2001] 1 WLR 2002 at p 2037 (para [120]), not affected on this point by In re S (Minors) (Care Order: Implementation of Care Plan) [2002] UKHL, 10, [2002] 2 WLR 720. Holman J's decision in Re M is an illuminating example of this jurisdiction in operation.

92. I return to article 6. The starting point is the Court's recognition in Golder v United
Kingdom (1979 80) 1 EHRR 524 at p 536 (paras [35] [36]) that what article 6 confers
is an effective right of access to a court.

93. That said, the fundamental principle is clear. As the Court said in Mantovanelli v
France (1997) 24 EHRR 370 at p 383 (para [34]):

"The Court has ... to ascertain whether the proceedings considered as a whole, including the way in which the evidence was taken, were fair".

94. This approach has consistently been adopted by the Court in the context of family
proceedings: see Elsholz v Germany [2000] 2 FLR 486 at p 500 (para [66]) and Sahin
v Germany; Sommerfeld v Germany; Hoffmann v Germany [2002] 1 FLR 119 at pp
146, 161 (Sommerfeld para [62], Hoffmann para [62]).

95. A fair trial is an adversarial trial in which there is `equality of arms'. In Ruiz-Mateos v
Spain (1993) 16 EHRR 505 at p 542 (para [63]) the Court said that:

"the principle of equality of arms is only one feature of the
wider concept of a fair trial, which also includes the fundamental
right that proceedings should be adversarial."

96. In Dombo Beheer BV v The Netherlands (1994) 18 EHRR 213 at p 229 (para [33])
the Court said that:

"certain principles concerning the notion of a "fair hearing" in
cases concerning civil rights and obligations emerge from the
Court's case law. Most significantly for the present case, it is
clear that the requirement of "equality of arms", in the sense of a
"fair balance" between the parties, applies in principle to such
cases as well as to criminal cases. The Court agrees with the
Commission that as regards litigation involving opposing private
interests, "equality of arms" implies that each party must be
afforded a reasonable opportunity to present his case including
his evidence under conditions that do not place him at a
substantial disadvantage vis a vis his opponent."

97. These principles have been explicitly recognised by the Court in the context of family
proceedings: Buchberger v Austria (2001) 20 December (para [50]).


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98. Two aspects of "fairness" are particularly germane for present purposes. The first is
long established. As the Court said in W v United Kingdom (1988) 10 EHRR 29 at p
50 (paras [63] [64]):

"The decision making process must therefore .. be such as to secure that [the parents'] views and interests are made known to and duly taken into account by the local authority and that they are able to exercise in due time any remedies available to them . ... what therefore has to be determined is whether, having regard to the particular circumstances of the case and notably the serious nature of the decisions to be taken, the parents have been involved in the decision making process, seen as a whole, to a degree sufficient to provide them with the requisite protection of their interests. If they have not, there will have been a failure to respect their family life and the interference resulting from the decision will not be capable of being regarded as "necessary" within the meaning of Article 8."

99. More recent statements of this principle in the context of children proceedings are to
be found in Elsholz v Germany [2000] 2 FLR 486 at p 498 (para [52]), TP and KM v
United Kingdom (2001) 34 EHRR 42 at p 82 (para [72]), Sahin v Germany;
Sommerfeld v Germany; Hoffmann v Germany [2002] 1 FLR 119 at pp 129, 142, 158
(Sahin para [44], Sommerfeld para [42], Hoffmann para [44]) and Buchberger v
Austria (2001) 20 December (para [42]).

100. Decisions of the Court have made it clear that there may be circumstances where a parent will not be sufficiently involved in the decision making process in the absence of appropriate expert evidence: see Elsholz v Germany [2000] 2 FLR 486 at pp 498, 500 (paras [52] [53] and [66]) and Sahin v Germany; Sommerfeld v Germany; Hoffmann v Germany [2002] 1 FLR 119 at pp 143, 146 (Sommerfeld paras [43] [44] and [63]).

101. The other aspect of fairness is equally well established. As the Court said in Ruiz-Mateos v Spain (1993) 16 EHRR 505 at p 542 (para [63]):

"The right to an adversarial trial means the opportunity for the parties to have knowledge of and comment on the observations filed or evidence adduced by the other party."

102. Likewise in Mantovanelli v France (1997) 24 EHRR 370 at p 382 (para [33]) the
Court said that:

"one of the elements of a fair hearing within the meaning of Article 6(1) is the right to adversarial proceedings; each party must in principle have the opportunity not only to make known any evidence needed for his claims to succeed, but also to have knowledge of and comment on all evidence adduced or observations filed with a view to influencing the court's decision."


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103. Again, this principle has been explicitly recognised by the Court in the context of family proceedings: Buchberger v Austria (2001) 20 December (para [50]). The leading authority is McMichael v United Kingdom (1995) 20 EHRR 205 where there had been care proceedings in which social services and medical reports were given to
the court, but not disclosed to the parents, though the contents were made known to
them. Holding that there had been violations of both article 6(1) and article 8, the
Court at p 237 (para [80]), having commented on the special nature of care
proceedings, said:

"Nevertheless, notwithstanding the special characteristics of the adjudication to be made, as a matter of general principle the right to a fair adversarial trial "means the opportunity to have knowledge of and comment on the observations filed or evidence adduced by the other party". In the context of the present case, the lack of disclosure of such vital documents as social reports is capable of affecting the ability of participating parents not only . to influence the outcome of the children's hearing in question but also to assess their prospects of making an appeal to the Sheriff Court."

104. In this connection it is also important to recall, as Mr Keehan observes, what the Court said in Sahin v Germany; Sommerfeld v Germany; Hoffmann v Germany [2002] 1 FLR 119 at pp 129, 143 (Sahin para [48], Sommerfeld para [43]):

"Correct and complete information ... is an indispensable prerequisite for ... striking a fair balance between the interests at stake."

105. Moreover, article 8 imposes positive obligations of disclosure on a local authority. As the Court said in TP and KM v United Kingdom (2001) 34 EHRR 42 at p 85 (paras [82] [83]):

[82] The Government have submitted that there was nothing to stop the first applicant from applying to the High Court for disclosure of the interview at any point. The applicant responded that she had no reason to suspect that the interview disclosed