ON APPEAL FROM THE COURT OF PROTECTION
Mr Justice KEEHAN
[2016] EWCOP 8
Strand, London, WC2A 2LL |
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B e f o r e :
LORD JUSTICE DAVID RICHARDS
and
LORD JUSTICE IRWIN
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In the matter of D (A Child) |
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Mr Henry Setright QC, Mr Alexander Ruck Keene and Ms Anna Bicarregui (instructed by Cartwright King) for D's litigation friend the Official Solicitor
Ms Victoria Butler-Cole (instructed by the Commission) for the intervener The Equality and Human Rights Commission
Hearing dates: 8-9 February 2017
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Crown Copyright ©
Sir James Munby, President of the Court of Protection :
" what is the essential character of a deprivation of liberty? three components can be derived from Storck , confirmed in Stanev , as follows: (a) the objective component of confinement in a particular restricted place for a not negligible length of time; (b) the subjective component of lack of valid consent; and (c) the attribution of responsibility to the state. Components (b) and (c) are not in issue here, but component (a) is."
I shall refer, by way of shorthand, to these three components as Storck components (a), (b) and (c); sometimes, as we shall see, they are referred to as Storck limbs (1), (2) and (3).
The facts
" the external door to the unit was locked, D was checked on by staff every half an hour or so and he sought out the staff at other times. His school was integral to the unit. If D left the site for relevant activities he was accompanied by staff on a one-to-one basis. Accordingly he was under constant supervision and control."
"65 I am satisfied that the circumstances in which D is accommodated would amount to a deprivation of liberty[1] but for his parents' consent to his placement there.
66 I am satisfied that, on the particular facts of this case, the consent of D's parents to his placement at Hospital B, with all of the restrictions placed upon his life there, falls within the 'zone of parental responsibility'. In the exercise of their parental responsibility for D, I am satisfied they have and are able to consent to his placement."
He declined (paras 69-70) to express any views as to what the position would be if D moved to a proposed new placement or once he reached the age of 16.
"24 The local authority took the lead in finding a suitable alternative placement for D once it had been decided in August 2014 that he was fit to be discharged from Hospital B
25 His parents were, I note, "kept fully informed of the placement process in regular review meetings held at [Hospital B]"
26 The choice of Placement B, the regime that D would experience when he moved there and the drawing up of his personal care plan were led by the local authority's social work team in consultation with D's treating clinicians and with the staff at Placement B. His parents agreed to the same and recognised that such a placement was in D's welfare best interests.
27 I note that D's placement at Placement B is funded exclusively by the local authority.
28 D's parents agreed to him being accommodated by the local authority pursuant to section 20 of the Children Act 1989 in June 2015."
"23 Placement B is set within its own grounds in England. In addition to the main house there are 12 self-contained residential units on the site each with its own fenced garden. D resides at House A with three other young people of a similar age. The educational facility D attends is on the Placement B site. He is taught in a class with four other young people.
29 As at Hospital B, D is under constant supervision and control. His life at Placement B, is described as follows:
"D has his own bedroom. All external doors are locked and D is not allowed to leave the premises unless it is for a planned activity.
"D receives one-to-one support throughout his waking day, and at night, the ratio of staff to students is 2:1. He is not initially allowed unaccompanied access to the community.
"D attends school every weekday from 8.45 am to 2.00 pm. He then eats his lunch on return to House A. He will then get changed and partake in leisure activities. Currently every Thursday afternoon D attends swimming and will eat his dinner outside of House A with staff.
"House A has all entrances and exits to the building locked by staff. When wishing to go out into the garden D needs to request a staff member to open the door. These doors are sometimes left open when there is a group leisure activity in the garden.
"D will be having contact with his parents each Saturday for up to five hours. Currently his parents have been visiting for three hours as D does get increasingly anxious during this time. There have been no significant issues since D's move to Placement B."
"(a) no parent in any circumstances may consent to the confinement of their child, whatever their age, in circumstances which absent a valid consent would amount to a deprivation of liberty; and (b) on that basis my decision in In re D was wrong in so far as I held that D's parents could consent to his confinement in Hospital B when he was under 16 years of age."
"D is to reside and receive care at [Placement B] pursuant to arrangements made by [the local authority] and set out in the Care Plan [dated 12 February 2016 and amended on 8 March 2016]; and the restrictions in place pursuant to the Care Plan amounting to deprivation of D's liberty, such deprivation of D's liberty is hereby authorised."
The appeal
The hearing
Article 5: the Strasbourg framework
"whether a person is under the complete supervision and control of those caring for her and is not free to leave the place where she lives."
As I read her judgment (see paras 40-41), Baroness Hale was using "free to leave" in the sense I had described in JE v DE [2006] EWHC 3459 (Fam), [2007] 2 FLR 1150, para 115:
"The fundamental issue in this case is whether DE was deprived of his liberty to leave the X home and whether DE has been and is deprived of his liberty to leave the Y home. And when I refer to leaving the X home and the Y home, I do not mean leaving for the purpose of some trip or outing approved by SCC or by those managing the institution; I mean leaving in the sense of removing himself permanently in order to live where and with whom he chooses "
"It should be observed at the outset that family life in the contracting states encompasses a broad range of parental rights and responsibilities in regard to care and custody of minor children. The care and upbringing of children normally and necessarily require that the parents or an only parent decide where the child must reside and also impose, or authorise others to impose, various restrictions on the child's liberty. Thus the children in a school or other educational or recreational institution must abide by certain rules which limit their freedom of movement and their liberty in other respects. Likewise a child may have to be hospitalised for medical treatment. Family life in this sense, and especially the rights of parents to exercise parental authority over their children, having due regard to their corresponding parental responsibilities, is recognised and protected by the Convention, in particular by article 8. Indeed the exercise of parental rights constitutes a fundamental element of family life."
"72 The Court accepts, with the Government, that the rights of the holder of parental authority cannot be unlimited and that it is incumbent on the State to provide safeguards against abuse. However, it does not follow that the present case falls within the ambit of Article 5.
The restrictions imposed on the applicant were not of a nature or degree similar to the cases of deprivation of liberty specified in paragraph (1) of Article 5 Indeed, the restrictions to which the applicant was subject were no more than the normal requirements for the care of a child of 12 years of age receiving treatment in hospital. The conditions in which the applicant stayed thus did not, in principle, differ from those obtaining in many hospital wards where children with physical disorders are treated.
Regarding the weight which should be given to the applicant's views as to his hospitalisation, the Court considers that he was still of an age at which it would be normal for a decision to be made by the parent even against the wishes of the child. There is no evidence of bad faith on the part of the mother. Hospitalisation was decided upon by her in accordance with expert medical advice. It must be possible for a child like the applicant to be admitted to hospital at the request of the holder of parental rights, a case which clearly is not covered by paragraph (1) of Article 5
73 The Court concludes that the hospitalisation of the applicant did not amount to a deprivation of liberty within the meaning of Article 5, but was a responsible exercise by his mother of her custodial rights in the interest of the child. Accordingly, Article 5 is not applicable in the case."
"The seven dissenting judges considered that placing a 12-year-old boy who was not mentally ill in a psychiatric ward for several months against his will was indeed a deprivation of liberty. It would appear, therefore, that the case turns on the proper limits of parental authority in relation to a child.[4] As already mentioned (para 4 above) there is no equivalent in English law to parental authority over a mentally incapacitated adult."
She added (para 41):[5]
"Although Nielsen 11 EHRR 175 has not been departed from, it is to be regarded as a case of substituted consent, and thus not fulfilling component (b)."
" in the present case, there are three aspects which could engage Germany's responsibility under the Convention for the applicant's detention in the private clinic in Bremen. First, the deprivation of liberty could be imputable to the state due to the direct involvement of public authorities in the applicant's detention. Secondly, the State could be found to have violated Art.5(1) in that its courts, in the compensation proceedings brought by the applicant, failed to interpret the provisions of civil law relating to her claim in the spirit of Art 5. Thirdly, the State could have violated its positive obligations to protect the applicant against interferences with her liberty carried out by private persons."
The present case relates to the first and third aspects. In relation to the third, the court referred (paras 101-102) to the positive obligation of the State "to take appropriate steps to provide protection against an interference with those rights either by State agents or private parties", so as to provide "effective protection of vulnerable persons, including reasonable steps to prevent a deprivation of liberty of which the authorities have or ought to have knowledge."
"95 Where the State here, a local authority knows or ought to know that a vulnerable child or adult is subject to restrictions on their liberty by a private individual that arguably give rise to a deprivation of liberty, then its positive obligations under Art 5 will be triggered. (i) these will include the duty to investigate, so as to determine whether there is, in fact, a deprivation of liberty ; (ii) if, having carried out its investigation, the local authority is satisfied that the objective element is not present, so there is no deprivation of liberty, the local authority will have discharged its immediate obligations. However, its positive obligations may in an appropriate case require the local authority to continue to monitor the situation in the event that circumstances should change; (iii) if, however, the local authority concludes that the measures imposed do or may constitute a deprivation of liberty, then it will be under a positive obligation to take reasonable and proportionate measures to bring that state of affairs to an end. What is reasonable and proportionate in the circumstances will, of course, depend upon the context, but it might for example require the local authority to exercise its statutory powers and duties so as to provide support services for the carers that will enable inappropriate restrictions to be ended, or at least minimised; (iv) if, however, there are no reasonable measures that the local authority can take to bring the deprivation of liberty to an end, or if the measures it proposes are objected to by the individual or his family, then it may be necessary for the local authority to seek the assistance of the court in determining whether there is, in fact, a deprivation of liberty and, if there is, obtaining authorisation for its continuance.
96 What emerges from this is that, whatever the extent of a local authority's positive obligations under Art 5, its duties are limited. In essence, its duties are threefold: a duty in appropriate circumstances to investigate; a duty in appropriate circumstances to provide supporting services; and a duty in appropriate circumstances to refer the matter to the court."
That analysis was adopted and applied by Charles J in Staffordshire County Council v K and others [2016] EWCOP 27, [2016] Fam 419, appeal dismissed Staffordshire County Council v K and others [2016] EWCA Civ 1317, [2017] 2 WLR 1131.
Article 5: the Strasbourg framework children
"If the acid test is whether a person is under the complete supervision and control of those caring for her and is not free to leave the place where she lives, then the truth is that both MIG and MEG are being deprived of their liberty. Furthermore, that deprivation is the responsibility of the state. Similar constraints would not necessarily amount to a deprivation of liberty for the purpose of article 5 if imposed by parents in the exercise of their ordinary parental responsibilities and outside the legal framework governing state intervention in the lives of children or people who lack the capacity to make their own decisions."
"72 In the case of children living at home, what might otherwise be a deprivation of liberty would normally not give rise to an infringement of article 5 because it will have been imposed not by the state, but by virtue of what the Strasbourg court has called "the rights of the holder of parental authority", which are extensive albeit that they "cannot be unlimited" (see Nielsen v Denmark (1988) 11 EHRR 175, para 72, a decision which, at least on its facts, is controversial, as evidenced by the strength of the dissenting opinions). However, it is fair to say that, while this point would apply to adoptive parents, I doubt that it would include foster parents (unless, perhaps, they had the benefit of a residence order). But in the great majority of cases of people other than young children living in ordinary domestic circumstances, the degree of supervision and control and the freedom to leave would take the situation out of article 5.4
73 The comparison of the restrictions in the hospital in Nielsen v Denmark 11 EHRR 175, para 70 with "a real home" was made in connection with consideration of the contention that the "treatment given at the hospital and the conditions under which it was administered were inappropriate in the circumstances." The case involved a child, and was decided on the basis that his mother was exercising her article 8 rights responsibly, in good faith and on the basis of medical advice: see para 71 "
"77 The question whether one is restricted (as a matter of actuality) is determined by comparing the extent of your actual freedom with someone of your age and station whose freedom is not limited. Thus a teenager of the same age and familial background as MIG and MEG is the relevant comparator for them. If one compares their state with a person of similar age and full capacity it is clear that their liberty is in fact circumscribed. They may not be conscious, much less resentful, of the constraint but, objectively, limitations on their freedom are in place.
78 All children are (or should be) subject to some level of restraint. This adjusts with their maturation and change in circumstances. If MIG and MEG had the same freedom from constraint as would any child or young person of similar age, their liberty would not be restricted, whatever their level of disability. As a matter of objective fact, however, constraints beyond those which apply to young people of full ability are and have to be applied to them. There is therefore a restriction of liberty in their cases. Because the restriction of liberty is and must remain a constant feature of their lives, the restriction amounts to a deprivation of liberty.
79 Very young children, of course, because of their youth and dependence on others, have an objectively ascertainable curtailment of their liberty but this is a condition common to all children of tender age. There is no question, therefore, of suggesting that infant children are deprived of their liberty in the normal family setting. A comparator for a young child is not a fully matured adult, or even a partly mature adolescent. While they were very young, therefore, MIG and MEG's liberty was not restricted. It is because they can and must now be compared to children of their own age and relative maturity who are free from disability and who have access (whether they have recourse to that or not) to a range of freedoms which MIG and MEG cannot have resort to that MIG and MEG are deprived of liberty."
i) Nielsen is, fundamentally, a case about Storck component (b); or, to be more precise, about the proper ambit of Storck component (b) and the extent and limit of parental authority, which between them determine whether Storck component (c) arises for consideration.
ii) Whatever its implications in relation to adults, a matter which is not before us and which, as we shall see (paragraphs 114, 120, 147-148 below), is not free from difficulty, Nielsen is good authority in relation to children.
iii) In accordance with Nielsen, there are circumstances in which the consent by a "holder of parental authority" in domestic terms, someone with parental responsibility will provide a valid consent for the purposes of Storck component (b) to something which is a "confinement" for the purposes of Storck component (a). Those circumstances, although "extensive", are not "unlimited."
This, of itself, does not provide an answer to the question I have posed (paragraph 31 above). Nor, as it seems to me, does anything said either by Baroness Hale of Richmond DPSC or by Lord Neuberger of Abbotsbury PSC.
"Very young children, of course, because of their youth and dependence on others, have an objectively ascertainable curtailment of their liberty but this is a condition common to all children of tender age. There is no question, therefore, of suggesting that infant children are deprived of their liberty in the normal family setting."
This reflects what he had said a little earlier (para 77):
"The question whether one is restricted (as a matter of actuality) is determined by comparing the extent of your actual freedom with someone of your age and station whose freedom is not limited."
The point is picked up later (para 79):
"While they were very young, therefore, MIG and MEG's liberty was not restricted they can and must now be compared to children of their own age and relative maturity who are free from disability "
The appeal
The appeal: ground (2) Storck component (c)
"131 The mere fact that D's parents could at any stage object to his continued accommodation and remove him from the residential unit does not, in my judgment, provide a definitive answer to the test of imputability to the state. If that were to be the case, it would on the facts of this case, completely ignore the fact that this local authority identified the unit, assessed D's needs and care regime, approved the package of care proposed by the unit and the regime under which D would reside there and the fact that it pays all the costs of his placement and education at the unit.
132 In no sense at all could this set of circumstances be considered a purely private arrangement with no state involvement. The role of the local authority in establishing and maintaining D's placement is central and pivotal. To reach a contrary conclusion would be perverse."
"I am satisfied that D's case falls within category (iv) identified by Munby LJ in Re A and C. The circumstances of D's confinement are necessary and in his welfare best interests but that does not prevent them amounting to a deprivation of liberty. Accordingly, the local authority must make an application to the court to determine whether D is deprived of his liberty and, if so, to obtain authorisation for its continuance."
"the local authority must make an application to the court in all cases where 16- or 17-year-old young people are objectively confined in satisfaction of the first limb of the Storck test and, of course, where the second limb is satisfied and either the third limb is satisfied because the local authority is directly responsible for the confinement or the local authority knows or ought to know of a private confinement and is under the positive obligation identified by Munby LJ in Re A and C."
"136 I reject the assertion of the local authority that I should not draw this conclusion because of the potential adverse resource implications of local authorities having to make numerous applications to the Court of Protection
137 The issue of the resource implications is a matter for the local authority and, ultimately, the Government; it is not, should not and, in my judgment, cannot be a relevant consideration for this court.
138 The protection of the human rights of those with disabilities or the vulnerable members of our society, most especially in respect of the protection afforded by article 5.1, is too important and fundamental to be sacrificed on the altar of resources."
The appeal: ground (3)
" the local authority child care review, chaired by an independent reviewing officer, would not, in my judgment, afford the required safeguards and checks, sufficiently independent of the state."
The appeal: ground (1) Storck component (b)
"Meaning of "parental responsibility".
(1) In this Act "parental responsibility" means all the rights, duties, powers, responsibilities and authority which by law a parent of a child has in relation to the child and his property.
(2) It also includes the rights, powers and duties which a guardian of the child's estate (appointed, before the commencement of section 5, to act generally) would have had in relation to the child and his property.
(3) The rights referred to in subsection (2) include, in particular, the right of the guardian to receive or recover in his own name, for the benefit of the child, property of whatever description and wherever situated which the child is entitled to receive or recover."
" among the various meanings of the word "custody" there are two in common use in relation to infants[6] which are relevant and need to be carefully distinguished. One is wide the word being used in practice as almost the equivalent of guardianship: the other is limited and refers to the power physically to control the infant's movements.
In its limited meaning it has that connotation of an ability to restrict the liberty of the person concerned to which Donaldson J referred in Duncan's case [Duncan v Lambeth London Borough Council [1968] 1 QB 747], at p 762. This power of physical control over an infant by a father in his own right qua guardian by nature was and is recognised at common law; but that strict power (which may be termed his "personal power") in practice ceases upon the infant reaching the years of discretion. When that age is reached, habeas corpus will not normally issue against the wishes of the infant. Although children are thought to have matured far less quickly in the era when the common law first developed, that age of discretion which limits the father's practical authority (see the discussion and judgment in Reg v Howes (1860) 3 E & E 332) was originally fixed at 14 for boys and 16 for girls (see per Lindley LJ in Thomasset v Thomasset [1894] P 295, 298).
In its wider meaning the word "custody" is used as if it were almost the equivalent of "guardianship" in the fullest sense whether the guardianship is by nature, by nurture, by testamentary disposition, or by order of a court Adapting the convenient phraseology of counsel, such guardianship embraces a "bundle of rights," or to be more exact, a "bundle of powers," which continue until a male infant attains 21, or a female infant marries. These include power to control education, the choice of religion, and the administration of the infant's property. They include entitlement to veto the issue of a passport and to withhold consent to marriage. They include, also, the personal power physically to control the infant until the years of discretion It is thus clear that somewhat confusingly one of the powers conferred by custody in its wide meaning is custody in its limited meaning, namely, such personal power of physical control as a parent or guardian may have."
To similar effect, Karminski LJ, page 376, said this:
"Physical possession is only one aspect of custody. Other important aspects include governing power to decide the child's religion and education."
"[the] Court refused to examine the child and ascertain its intelligence, holding that a guardian for nurture has a legal right to the custody of the ward, irrespective of the wishes of the ward, unless it be shewn that the custody is sought for improper objects, or that the application is not bonβ fide, or that the guardian making the application is grossly immoral. And, in this case, no more appearing than that the father had been a Protestant, and that the mother was a Catholic, and intended to educate the child in her own persuasion, the Court ordered the child to be given to its mother."
"It is unnecessary to travel through the cases seriatim, as they are all reviewed in Rex v Greenhill (4 A & E 624), where the Court laid down the rule that, where a young person under twenty one years of age is brought before the Court by habeas corpus, if he be of an age to exercise a choice, the Court leaves the infant to elect where he will go, but, if he be not of that age, the Court must make an order for his being placed in the proper custody. Lord Denman, Littledale J, Williams J and Coleridge J all make age the criterion, and not mental capacity, to be ascertained by examination. They certainly do not expressly specify the age: but they cannot refer to seven as the criterion; and there is no intervening age marking the rights or responsibility of an infant till fourteen, when guardianship for nurture ceases, upon the supposition that the infant has now reached the years of discretion."
"The question before us is purely one of law, whether a father is entitled to the custody of a child between the age of fifteen and sixteen, notwithstanding that the child desires not to be in his custody Now the cases which have been decided on this subject shew that, although a father is entitled to the custody of his children till they attain the age of twenty-one, this Court will not grant a habeas corpus to hand a child which is below that age over to its father, provided that it has attained an age of sufficient discretion to enable it to exercise a wise choice for its own interests. The whole question is, what is that age of discretion? We repudiate utterly, as most dangerous, the notion that any intellectual precocity in an individual female child can hasten the period which appears to have been fixed by statute for the arrival of the age of discretion; for that very precocity, if uncontrolled, might very probably lead to her irreparable injury. The Legislature[7] has given us a guide, which we may safely follow, in pointing out sixteen as the age up to which the father's right to the custody of his female child is to continue; and short of which such a child has no discretion to consent to leaving him We must order that the girl be given up to her father."
"The principles upon which Courts of Law act in dealing with persons brought up under a habeas corpus are very clearly stated in Coleridge J's judgment in Rex v Greenhill (1836) 4 A & E 625, 643: "A habeas corpus proceeds on the fact of an illegal restraint. When the writ is obeyed, and the party brought up is capable of using a discretion, the rule is simple, and disposes of many cases, namely, that the individual who has been under restraint is declared at liberty; and the Court will direct that the party shall be attended home by an officer to make the order effectual. But where the person is too young to have a choice, we must refer to legal principles to see who is entitled to the custody, because the law presumes that where the legal custody is, no restraint exists; and where the child is in the hands of a third person, that presumption is in favour of the father." The age at which a child is deemed to have a discretion is fourteen in the case of a boy, and sixteen in the case of a girl (see Reg v Clarke (1857) 7 E & B 186). The age of sixteen appears to have been adopted by reason of the language used in the statute 4 & 5 Ph & M c 8 relating to the abduction of girls (see Reg v Howes (1860) 3 E & E 332). After a child has attained the age of discretion, a Court of Common Law will set it free if illegally detained, but will not force a child against his or her will to remain with his or her father or legal guardian It must not, however, be inferred from the decisions referred to above that a father has no legal right to the custody of his child after he or she has attained the age of fourteen or sixteen. The father's right to such custody exists until the child attains twenty-one Such right, moreover, was distinctly recognised by Cockburn CJ in Reg v Howes."
" the Court of Chancery exercised the power of the Crown as parens patriae over infants, and in exercise of this jurisdiction the power of the Court has always been much more extensive than that possessed by Courts of Common Law under a writ of habeas corpus The Court of Chancery has exercised this larger power in aid of fathers and guardians over children who have attained the age of discretion. Thus boys over sixteen have been compelled to go to the schools selected by their guardians; and in Todd v Lynes, referred to in Simpson on Infants (2nd ed p. 145), a boy of seventeen was taken from a monastery and given up to the father. What the wishes of the boy were, however, does not appear. In the exercise of this jurisdiction the rights of fathers and legal guardians were always respected, but controlled to an extent unknown at common law by considering the real welfare of the infants."
He went on, page 300:
"By the Judicature Act, 1873, each Division of the High Court can exercise the jurisdiction of the old Court of Chancery, and by [section 25(1)] it is enacted that, "in questions relating to the custody and education of infants, the rules of equity shall prevail." This enactment enables all Divisions of the High Court, even on habeas corpus, to regard something more than the strict rights of fathers and guardians, and requires all the Divisions to recognise the cardinal principle on which the Court of Chancery always proceeded, namely, that in dealing with infants the primary consideration is their benefit."
"In my judgment, the wide discretion conferred on the Divorce Court by the Divorce Acts ought to be exercised in each particular case as the circumstances of that case may require; and in exercising such discretion the Divorce Court, which has all the old powers of the Court of Chancery, is not and ought not to consider itself fettered by any supposed rule to the effect that it has no power to make orders under the Acts respecting the custody, maintenance, and education of infants who, being males, are over fourteen, or who, being females, are over sixteen. I am clearly of opinion that, whether the children are males or females, the jurisdiction conferred by the sections of the Divorce Acts on which this case turns can, since the Judicature Acts, at all events, be exercised during the whole period of infancy that is, until the children, whether males or females, attain twenty-one; although I do not say that a child who has attained years of discretion can, except under very special circumstances, be properly ordered into the custody of either parent against such child's own wishes (emphasis added)."
"The basis upon which the decisions are founded is the assumption that the right of the parent to the custody of his child terminates at the age of sixteen. But is this correct? No doubt a writ of habeas corpus could not go to compel a child over the age of sixteen to return to the custody of the parent when such child was unwilling to submit to such custody; but, subject to such unwillingness on the part of the child, I can entertain no doubt that the parent is entitled to the custody of his child as against anybody detaining the child against its will up to the age of twenty-one. There can, I think, be no doubt that the right of parents to the control and guardianship of their children exists up to the age of twenty-one years, unless the parents have by their own grossly immoral and improper conduct forfeited their rights and abdicated their parental authority."
"a dwindling right which the courts will hesitate to enforce against the wishes of the child, and the more so the older he is. It starts with a right of control and ends with little more than advice."
This observation anticipated the vitally important decision of the House of Lords in Gillick v West Norfolk and Wisbech Area Health Authority and Department of Health and Social Security [1986] AC 112.
"Consent by persons over 16 to surgical, medical and dental treatment.
(1) The consent of a minor who has attained the age of sixteen years to any surgical, medical or dental treatment which, in the absence of consent, would constitute a trespass to his person, shall be as effective as it would be if he were of full age; and where a minor has by virtue of this section given an effective consent to any treatment it shall not be necessary to obtain any consent for it from his parent or guardian.
(2) In this section "surgical, medical or dental treatment" includes any procedure undertaken for the purposes of diagnosis, and this section applies to any procedure (including, in particular, the administration of an anaesthetic) which is ancillary to any treatment as it applies to that treatment.
(3) Nothing in this section shall be construed as making ineffective any consent which would have been effective if this section had not been enacted."
"This it clearly is, if only because a boy of 14 or a girl of 16 can give an adequate consent to being out of its father's custody or in that of another so as to defeat any claim of the father by habeas corpus to have it back. Furthermore, albeit there may remain until 18 a legal right of control, it may, as the child grows older, be necessary for the parents, because physical control is no longer practical, to seek the assistance of the court to buttress and support the legal right."
He returned to the same point, page 132:
" it still seems to be the case that consent of the child is no answer to habeas corpus unless the child has attained the age of either 14 or 16 as the case may be."
And again, page 134:
"in habeas corpus proceedings someone who has reached the age of discretion may give a consent which will prevent a parent recovering custody."
" parental rights to control a child do not exist for the benefit of the parent. They exist for the benefit of the child and they are justified only in so far as they enable the parent to perform his duties towards the child, and towards other children in the family."
Lord Scarman said the same, pages 183-184, 185:
"Parental rights clearly do exist, and they do not wholly disappear until the age of majority. Parental rights relate to both the person and the property of the child custody, care, and control of the person and guardianship of the property of the child The principle of the law, as I shall endeavour to show, is that parental rights are derived from parental duty and exist only so long as they are needed for the protection of the person and property of the child. The principle has been subjected to certain age limits set by statute for certain purposes: and in some cases the courts have declared an age of discretion at which a child acquires before the age of majority the right to make his (or her) own decision. But these limitations in no way undermine the principle of the law, and should not be allowed to obscure it.
The principle is that parental right or power of control of the person and property of his child exists primarily to enable the parent to discharge his duty of maintenance, protection, and education until he reaches such an age as to be able to look after himself and make his own decisions."
" the common law has never treated [parental] rights as sovereign or beyond review and control. Nor has our law ever treated the child as other than a person with capacities and rights recognised by law."
Lord Templeman in his dissenting speech said the same, page 200:
"Parental power must be exercised in the best interests of the infant and the court may intervene in the interests of the infant at the behest of the parent or at the behest of a third party. The court may enforce parental right, control the misuse of parental power or uphold independent views asserted by the infant. The court will be guided by the principle that the welfare of the infant is paramount."
The implications of this can be seen in Re G (Education: Religious Upbringing) [2012] EWCA Civ 1233, [2013] 1 FLR 677, paras 33, 39:
"33 A child's welfare is to be judged today by the standards of reasonable men and women in 201[7], not by the standards of their parents in 1970, and having regard to the ever changing nature of our world: changes in our understanding of the natural world, technological changes, changes in social standards and, perhaps most important of all, changes in social attitudes.
39 A child's best interests have to be assessed by reference to general community standards, making due allowance for the entitlement of people, within the limits of what is permissible in accordance with those standards, to entertain very divergent views about the religious, moral, social and secular objectives they wish to pursue for themselves and for their children "
"There is a point at which one has to stand back and say: is this within ordinary acceptable parental restrictions upon the movements of a child or does it require justification?"
"It is, in my view, contrary to the ordinary experience of mankind, at least in Western Europe in the present century, to say that a child or a young person remains in fact under the complete control of his parents until he attains the definite age of majority, now 18 in the United Kingdom, and that on attaining that age he suddenly acquires independence. In practice most wise parents relax their control gradually as the child develops and encourage him or her to become increasingly independent. Moreover, the degree of parental control actually exercised over a particular child does in practice vary considerably according to his understanding and intelligence and it would, in my opinion, be unrealistic for the courts not to recognise these facts. Social customs change, and the law ought to, and does in fact, have regard to such changes when they are of major importance It is a question of fact for the judge (or jury) to decide whether a particular child can give effective consent to contraceptive treatment."
He went on, page 172, to express his agreement with Lord Denning MR's description of parental authority as a "dwindling right." Lord Scarman said the same, page 186:
"The law relating to parent and child is concerned with the problems of the growth and maturity of the human personality. If the law should impose upon the process of "growing up" fixed limits where nature knows only a continuous process, the price would be artificiality and a lack of realism in an area where the law must be sensitive to human development and social change Unless and until Parliament should think fit to intervene, the courts should establish a principle flexible enough to enable justice to be achieved by its application to the particular circumstances proved by the evidence placed before them.
The underlying principle of the law was exposed by Blackstone and can be seen to have been acknowledged in the case law. It is that parental right yields to the child's right to make his own decisions when he reaches a sufficient understanding and intelligence to be capable of making up his own mind on the matter requiring decision."
"The habeas corpus "age of discretion" cases are no guide as to the limits which should be accepted today in marking out the bounds of parental right, of a child's capacity to make his or her own decision, and of a doctor's duty to his patient. Nevertheless the "age of discretion" cases are helpful in that they do reveal the judges as accepting that a minor can in law achieve an age of discretion before coming of full age. The "age of discretion" cases are cases in which a parent or guardian (usually the father) has applied for habeas corpus to secure the return of his child who has left home without his consent. The courts would refuse an order if the child had attained the age of discretion, which came to be regarded as 14 for boys and 16 for girls and did not wish to return. The principle underlying them was plainly that an order would be refused if the child had sufficient intelligence and understanding to make up his own mind." [The] passage from the judgment of Cockburn CJ in Reg v Howes (1860) 3 E & E 332 illustrates their reasoning and shows how a fixed age was used as a working rule to establish an age at which the requisite "discretion" could be held to be achieved by the child The principle is clear: and a fixed age of discretion was accepted by the courts by analogy from the Abduction Acts (the first being the Act of 1557 ). While it is unrealistic today to treat a 16th century Act as a safe guide in the matter of a girl's discretion, and while no modern judge would dismiss the intelligence of a teenage girl as "intellectual precocity," we can agree with Cockburn C.J. as to the principle of the law the attainment by a child of an age of sufficient discretion to enable him or her to exercise a wise choice in his or her own interests."
"It is a question of fact for the judge to decide whether a particular child can give effective consent "
Likewise, Lord Scarman's reference, page 186, to:
"a principle flexible enough to enable justice to be achieved by its application to the particular circumstances proved by the evidence."
i) The parental power was precisely as described by Sachs LJ subject only to the substitution, when applying the principles set out by Sachs LJ in relation to the concept of the age of discretion, of the test of what we now call 'Gillick capacity' in place of the previous fixed ages.
ii) The ambit or extent of parental responsibility, the extent of the "zone" of parental responsibility, in any particular case was to be ascertained by reference to general community standards in contemporary Britain, the standards of reasonable men and women in 1985 (now 2017). To adopt Dame Elizabeth's words: Are the restrictions being imposed by this parent in this case "within ordinary acceptable parental restrictions upon the movements of a child"?
"She recognised that every child was subject to a degree of control and deprivation of free movement. Examples were given such as the child who was told by his mother that he could not go out to the cinema because he had not completed his homework or the child in boarding school with school rules which deprived him of free movement outside the school grounds. She accepted that the right to liberty was not absolute and that some deprivation of liberty did not come within article 5. She argued, however, that it was a question of degree, and the point came at which the restrictions were so inhibiting that it became a breach of article 5. She submitted that in a secure unit, by its very nature, a child was deprived of his liberty."
She then, para 23, summarised the submission of Mr Neil Garnham, as he then was, appearing for the Secretary of State for Health and the Lord Chancellor:
"Mr Garnham pointed to the approach of the European Court of Human Rights that restrictions upon the liberty of a child need not amount to deprivation of liberty. He submitted that the placing of K in secure accommodation, particularly since it was done with the consent of the parents who still consented to him remaining there, was within the lawful application of parental responsibility and was not a deprivation of liberty within article 5."
"27 It is clear that not every deprivation of liberty comes within the ambit of article 5. Parents are given a wide measure of discretion in the upbringing of their children. This was recognised by the European Court in Nielsen v Denmark 11 EHRR 175
28 I recognise the force of the principles set out in Nielsen's case ... There is a point, however, at which one has to stand back and say: is this within ordinary acceptable parental restrictions upon the movements of a child or does it require justification?
29 it is clear that the purpose of section 25 of the 1989 Act, as set out in the interpretation in the regulations dependent upon it, is to restrict the liberty of the child If a parent exercised those powers by detaining a child in a similar restrictive fashion and was challenged to justify such detention, for my part I doubt whether the general rights and responsibilities of a parent would cover such an exercise of parental authority. It might be permissible for a few days but not for nearly two years. A court under our domestic law would be likely to intervene."
"99 Mr Garnham's first submission on behalf of the Secretary of State for Health was that K had not been deprived of his liberty for the purposes of article 5. The local authority had simply exercised parental responsibility for him in his own best interests. There was some interesting discussion about the way in which parents restrict the movements of their children from time to time by, for example, putting young children into bed when they would rather be up, or "grounding" teenagers when they would prefer to be partying with their friends, or sending children to boarding schools, entrusting the schools with authority to restrict their movements. All this reflects the normal working of family life in which parents are responsible for bringing up, teaching, enlightening and disciplining their children as necessary and appropriate, and into which the law and local authorities should only intervene when the parents' behaviour can fairly be stigmatised as cruel or abusive.
100 It is not necessary to deal with any argument that such parental behaviour might constitute an interference with a child's liberty or contravene his "human rights". No such absurdity was advanced. What however does arise for decision is whether what I have described as normal family life goes anywhere near what the local authority is empowered to do by a secure accommodation order.
101 By definition, the making of the order means that if accommodation less than adequate for the purpose of restricting liberty is provided, the child is likely to suffer significant harm because there is a history and continuing risk of absconding with a likelihood of significant harm or injury to himself or others. This means that he requires far more supervision and attention than any normal parent could reasonably provide or be expected to provide, and in accommodation which none of them have, that is accommodation provided for the very purpose of restricting a child's freedom. This is miles away from "grounding" a teenager, or ensuring that a group of teenagers at a boarding school are all back within school bounds by a certain time each evening, or any other manifestation of normal parental control. If the restrictions necessarily imposed on K for his own safety and that of others were imposed on an ordinary boy of 15, who did not pose the problems requiring a secure accommodation order, in my view, there would be a strong case that his parents were ill-treating him. As it is the local authority have been obliged, as a "last resort", to seek authorisation to impose restrictions on the boy's liberty which would otherwise be unacceptable, whether imposed by his parents or anyone else. That, as it seems to me, is the point of the unequivocal statutory language. The purpose is to restrict liberty, and there would be no point in such a restriction or the need for it to be authorised by the court, if it were not anticipated that much more was involved than ordinary parental control. It would have been enough to leave the local authority to exercise its parental responsibilities under section 33(3)(a) of the Children Act 1989 in relation to care, or to provide that the local authority should exercise such parental responsibilities in relation to children it was looking after, or to re-enact section 10(2) of the Child Care Act 1980 in a modified form so that it would read something like: "A local authority shall have the same powers and duties with respect to a person who is being looked after by it as his parents or guardian would have and may restrict his liberty to such extent as the authority considers appropriate."
102 In short, although normal parental control over the movements of a child may be exercised by the local authority over a child in its care, the implementation of a secure accommodation order does not represent normal parental control."
"I accept Mr Garnham's first and bold submission that the order did not breach K's article 5 rights since the deprivation of liberty was a necessary consequence of an exercise of parental responsibility for the protection and promotion of his welfare."
Earlier, however, he had expressed this view (paras 53-54):
"53 plainly not all restrictions placed on the liberty of children constitute deprivation. Obviously parents have a right and a responsibility to restrict the liberty of their children, not only for protective and corrective purposes, but also sometimes for a punitive purpose. So acting they only risk breaching a child's article 5(1) rights if they exceed reasonable bounds. Equally parents may delegate that right and responsibility to others. Every parent who sends a child to a boarding school delegates to the head teacher and his staff. A local authority may even send a child to a school that provides 52-week boarding facilities. Then restrictions on liberty imposed by the school do not amount to a breach of the pupils rights under article 5(1) unless the school betrays its responsibilities to the family.
54 This reality is, it seems, well recognised in European based law. As was said in Nielsen v Denmark [quoting para 61]."
"I further conclude that the second (subjective) element is not satisfied. RK was placed at KCH by her parents pursuant to a s 20 agreement. They consented on her behalf in circumstances where with a mental age of about 2 years she is obviously incapable of giving her own consent and where her parents have parental responsibility for her. By s 3(1) of the Children Act 1989 parental responsibility is defined as 'all the rights, duties, powers, responsibilities and authority which by law a parent of a child has in relation to the child and his property'. In my opinion, that extends to giving the necessary consent under the second element. In this regard I specifically follow and agree with the decision of the ECHR in Nielsen v Denmark and the minority judgment of Thorpe LJ in Re K."
He added (para 43):
"I further conclude that the third element is not satisfied. RK's placement at KCH is at the behest of her parents. It cannot be imputed to the State."
"14 The consensus [which emerged at the Bar] is to this effect: The decisions of the European Court of Human Rights in Nielsen v Denmark (Application No 10929/84) (1988) 11 EHRR 175, [1988] ECHR 23 and of this court in Re K (A Child) (Secure Accommodation Order: Right to Liberty) [2001] Fam 377, [2001] 2 WLR 1141, [2001] 1 FLR 526 demonstrate that an adult in the exercise of parental responsibility may impose, or may authorise others to impose, restrictions on the liberty of the child. However, restrictions so imposed must not in their totality amount to deprivation of liberty. Deprivation of liberty engages the Art 5 rights of the child and a parent may not lawfully detain or authorise the deprivation of liberty of a child.
[15] This consensus was supported and accepted by the court."
"29 Mr Cowen, who appeared for the local authority in RK, submitted that, on further reflection, the concession was wrongly made and the consensus was erroneously achieved. I am told that no authorities were cited to the Court of Appeal in support of the concession. The observations of Thorpe LJ and in particular the passage 'a parent may not lawfully detain or authorise the deprivation of liberty of a child' were made obiter. With great respect to Thorpe LJ, I doubt the same correctly states the legal position. This bold statement is arguably inconsistent with the views expressed by two of the Supreme Court Justices [Lords Neuberger and Kerr] in Cheshire West
30 The Court of Appeal referred to the 'deprivation of liberty of a child' without any qualifications to the child's age or maturity. It is obvious that young children will be under the 'complete supervision and control' of the parents and 'will not be free to leave' the family home without supervision. Such a state of affairs would certainly not amount to a deprivation of liberty. In the premises I do not consider myself to be bound by the observations made in RK."
"33 The observations of both Butler-Sloss P and Judge LJ were made and must be read in the context of the provisions of a secure accommodation order which is recognised to be a draconian order
34 In my judgment the decision in Re K is limited to the interpretation of s 25 of the CA 1989 and the compatibility of that statutory provision with Art 5 of the European Convention. The references to the ambit of parental responsibility were obiter "
There is, so far as I can see, nothing objectionable in that.
"The point has been made in the course of submissions that D will be 16 very shortly on 23 April when a different approach and statutory regime applies. Thus once D is 16 years of age any deprivation of D's liberty would have to be sanctioned by the Court of Protection pursuant to the provisions of the Mental Capacity Act 2005."
Having referred to section 131 of the Mental Health Act 1983 (see below) and section 8 of the Family Law Reform Act 1969, he continued (paras 38-39):
"38 These provisions are just two examples of where Parliament has chosen, in a number of areas, to draw a distinction between a child and a young person who has yet to achieve his/her majority but who has attained the age of 16 or 17. Thus the legal authority of a parent to consent to the detention or treatment of a 16 or 17 year old is severely curtailed, if not removed.
39 The threshold is attaining the age of 16. The fact that a young person is 16 minus 23 days is irrelevant as far as the effect of those provisions is concerned."
This, as will be appreciated, is in substance the issue which arises in this appeal. I shall return to it below.
"whether D's parents can, in the proper exercise of parental responsibility, consent to his accommodation in Hospital B and thus render what would otherwise be a deprivation of liberty not a deprivation of liberty (ie the second limb of the test in Cheshire West is not satisfied)."
He went on to answer that question in the affirmative, distinguishing (para 47) the circumstances of the child in Nielsen and those of D. Indeed, he said that "I have not had regard to the 'controversial' majority judgment in Nielsen in coming to my decision in this case."
"55 When considering the exercise of parental responsibility in this case and whether a decision falls within the zone of parental responsibility, it is inevitable and necessary that I take into account D's autism and his other diagnosed conditions. I do so because they are important and fundamental factors to take into account when considering his maturity and his ability to make decisions about his day-to-day life.
56 An appropriate exercise of parental responsibility in respect of a 5-year-old child will differ very considerably from what is or is not an appropriate exercise of parental responsibility in respect of a 15-year-old young person.
57 The decisions which might be said to come within the zone of parental responsibility for a 15-year old who did not suffer from the conditions with which D has been diagnosed will be of a wholly different order from those decisions which have to be taken by parents whose 15-year-old son suffers with D's disabilities. Thus a decision to keep such a 15-year-old boy under constant supervision and control would undoubtedly be considered an inappropriate exercise of parental responsibility and would probably amount to ill-treatment. The decision to keep an autistic 15-year-old boy who has erratic, challenging and potentially harmful behaviours under constant supervision and control is a quite different matter; to do otherwise would be neglectful. In such a case I consider the decision to keep this young person under constant supervision and control is the proper exercise of parental responsibility.
58 The parents of this young man are making decisions, of which he is incapable, in the welfare best interests of their son. It is necessary for them to do so to protect him and to provide him with the help and support he needs.
59 I acknowledge that D is not now cared for at home nor 'in a home setting'. His regime of care and treatment was advised by his treating clinicians and supported by his parents. They wanted to secure the best treatment support and help for their son. They have done so. It has proved extremely beneficial for D who is now ready to move to a new residential home out of a hospital setting. What other loving and caring parent would have done otherwise?
60 Those arrangements are and were made on the advice of the treating clinicians. All professionals involved in his life and in reviewing his care and treatment are agreed that these arrangements are overwhelmingly in D's best interests. On the facts of this case, why on public policy or human rights grounds should these parents be denied the ability to secure the best medical treatment and care for their son? Why should the state interfere in these parents' role to make informed decisions about their son's care and living arrangements?
61 I can see no reasons or justifications for denying the parents that role or permitting the state to interfere in D's life or that of his family.
62 I accept the position might well be very different if the parents were acting contrary to medical advice or having consented to his placement at Hospital B, they simply abandoned him or took no interest or involvement in his life thereafter.
63 The position could not be more different here. D's parents have regular phone calls with him. They regularly visit him at the unit. Every weekend D has supported visits to the family home. He greatly enjoys spending time at home with his parents and his younger brother.
64 In my judgment, on the facts of this case, it would be wholly disproportionate, and fly in the face of common sense, to rule that the decision of the parents to place D at Hospital B was not well within the zone of parental responsibility."
"26 Do the same considerations apply when a child is accommodated by a local authority pursuant to section 20 of the Children Act 1989? The only possible answer is they may do. It will all depend on the facts of the individual case. At one extreme, an agreed reception into care of a child, that is beneficial and for a short-lived period, where the parent and the local authority are working together co-operatively in the best interests of the child, may be an appropriate exercise of parental responsibility. Thus it would be appropriate for that parent to consent to the child residing in a place (for example, a hospital) for a period and in circumstances which amount to a deprivation of liberty.
27 At the other extreme, there will be cases where children have been removed from their parents' care pursuant to a section 20 agreement as a prelude to the issue of care proceedings and where the local authority contend the threshold criteria of section 31(2) of the Children Act 1989 are satisfied. In such an event, I find it difficult to conceive of a set of circumstances where it could properly be said that a parent's consent to what, otherwise, would amount to a deprivation of liberty, would fall within the zone of parental responsibility of that parent. This parent's past exercise of parental responsibility will, perforce of circumstances, have been seriously called into question and it would not be right or appropriate within the spirit of the conclusion of the Supreme Court in [Cheshire West] to permit such a parent to so consent.
28 Where a child or young person is in the care of a local authority and is subject to interim or care orders, the reasoning in para 27 applies with even greater force, especially when one considers the effect of an interim care order, which includes the power of the local authority to restrict "the extent to which a parent may meet his parental responsibility for" the child: section 33(3)(b) Children Act 1989, as amended by section 139 of and paragraph 63(a) of Schedule 3 to the Adoption and Children Act 2002."
"Where a child is in the care of a local authority and subject to an interim care, or a care, order, may the local authority in the exercise of its statutory parental responsibility (see section 33(3)(a) of the Children Act 1989) consent to what would otherwise amount to a deprivation of liberty? The answer, in my judgment, is an emphatic "No". In taking a child into care and instituting care proceedings, the local authority is acting as an organ of the state "[10]
He went on (para 36):
"When the court makes a care order it hands over control of the child to the local authority such an authorisation would not, and could not, afford the necessary degree of safeguards and periodic, independent checks required by the provisions of article 5 of the European Convention. For these purposes, the local authority child care review, chaired by an independent reviewing officer, would not, in my judgment, afford the required safeguards and checks, sufficiently independent of the state."
Storck component (b): Keehan J's judgment in the present case
"These last three cases are relied on by the Official Solicitor to make two important points: (a) these are the only cases where the European Court of Human Rights has alluded to the concept of substituted consent; (b) it is implicit, if not explicit, from the quoted passages above that the court in each of those considered Nielsen in terms of the objective first limb of the Storck test before then turning to consider the subjective second limb of Storck, namely a valid consent. In this latter context no reference is made to Nielsen."
He went on (para 55):
"It is submitted that the European Court of Human Rights did not in Stanev or Atudorei, nor in any other reported decision, determine whether a "surrogate" decision-maker (eg an appointed personal representative) could give a valid consent to the confinement of an incapacitous person which, absent that consent, would amount to a deprivation of liberty. Indeed in Stankov the European Court of Human Rights reached the opposite conclusion, namely that a legal guardian could not consent to her adult son's confinement in a social care home."
No doubt, but it is to be noted that each of these cases involved an adult, not a child.
"63 The Official Solicitor's primary position is that a parent cannot consent to a confinement of their child in circumstances which would amount to a deprivation of liberty. If I am not persuaded by that submission, his secondary position is that there is an important distinction to be drawn between children and young people who are aged 15 and younger and those young people who are aged 16 and 17.
64 In support of this submission he refers me to a number of statutory provisions which draw a distinction between those who have attained the age of 16 and 17, but have not yet achieved their majority, and children and younger people. Thus: (a) section 131 of the Mental Health Act 1983 provides that a capacitous patient aged 16 or 17 years of age may consent or not consent, as the case may be, to the making of arrangements including admission to a hospital for treatment for a mental disorder; (b) section 8 of the Family Law Reform Act 1969 provides that a minor who has attained the age of 16 years may give consent to any surgical, medical or dental treatment which shall be as effective as it would be if he were of full age; (c) section 9(6) of the Children Act 1989 provides that no court may make a section 8 order which is to have effect for a period which will end after the child has reached the age of 16 unless it is satisfied that the circumstances of the case are exceptional; (d) section 20(11) of the 1989 Act provides that a 16- or 17-year-old young person may consent to his or her accommodation by a local authority; (e) section 31(3) of the 1989 Act provides that a care order or a supervision order may not be made in respect of a child who has reached the age of 17 (or 16 in respect of a child who is married); (f) section 2(5) of Mental Capacity Act 2005 provides that the powers under the Act are exercisable in respect of a person who has achieved the age of 16 years but not those who are under the age of 16 (this is subject to exceptions, immaterial for present purposes, eg the Court of Protection can exercise powers over a child of 15 or below in relation to their property and affairs where the court considers it likely that the material incapacity will continue past their majority: section 18)."
"there is clear authority, European and domestic, to support the propositions that: (a) a parent may in the exercise of their parental responsibility consent to the confinement of their child, such a consent falling within the "zone of parental responsibility"; and (b) substituted consent may be given for the confinement of a patient by an individual authorised to act on their behalf";
and that (para 75) his decision in In re D was correct.
"The local authority seeks to persuade me that it is within the zone of parental responsibility for parents of a 16- or 17-year-old child who lacks capacity, to consent to his confinement."
In support of that proposition, Mr Cowen had relied on Gillick v West Norfolk and Wisbech Area Health Authority [1986] AC112, In re W (A Minor) (Medical Treatment: Court's Jurisdiction) [1993] Fam 64 and Hewer v Bryant [1970] 1 QB 357.
"the issue is not whether a parent can give consent in respect of their child but rather what is the extent of the zone or scope of parental responsibility. On the facts of this case, and especially in light of D's lack of capacity to consent in his own right, his parents may and did consent to his confinement at Placement B."
Storck component (b): Keehan J's judgment analysis and discussion
"98 I remain satisfied that my analysis of the legal and factual position in that case is correct
99 In light of the further argument which I read and heard in this case I am fortified in my conclusion that the assertion of Thorpe LJ, in RK v BCC [2012] COPLR 146 that "a parent may not lawfully obtain or authorise the deprivation of liberty of a child" is not supported by the decision in Nielsen nor in any other European Court of Human Rights decision. There is no support for that proposition in any domestic authority save and except for perhaps In re K (A Child) (Secure Accommodation Order Rights to Liberty) [2001] Fam 377. I do not consider that to be either a binding or relevant decision."
"103 I am entirely persuaded that Parliament has on numerous occasions, as adumbrated in para 64 , chosen to distinguish the legal status of those who have not attained the age of 16 years, those aged 16 and 17 and, finally, those who have attained their majority.
104 I am particularly persuaded by the fact that Parliament chose to include incapacitous 16 and 17-year-olds within the remit of the Mental Capacity Act 2005. An incapacitous young person under the age of 16 years is specifically excluded from the provisions of the Act: see section 2(5) (subject to the exceptions referred to in para 64(f) ).
105 In the premises, and whilst acknowledging that parents still have parental responsibility for their 16- and 17-year-old children, I accept that the various international Conventions and statutory provisions referred to, the United Nations Convention on the Rights of the Child and the Human Rights Act 1998, recognise the need for a greater degree of respect for the autonomy of all young people but most especially for those who have attained the age of 16 and 17 years. Accordingly, I have come to the clear conclusion that however close the parents are to their child and however co-operative they are with treating clinicians, the parent of a 16- or 17-year old young person may not consent to their confinement which, absent a valid consent, would amount to a deprivation of that young person's liberty.
106 I do not regard such a distinction to be arbitrary. Parliament has chosen to draw that distinction on a number of occasions for good and proper reasons.
113 The position is quite different once a young person attains the age of 16 Parliament has drawn a distinction between these young people and those children who are under the age of 16. This distinction is not based on an explicit precondition of having a capacity to consent.
115 I am satisfied that young people of 16 or 17 years are entitled to the full protection of their article 5.1 Convention rights irrespective of their capacity to consent to their treatment or their living arrangements. In the premises I reject the submissions made on behalf of the local authority that the parent of an incapacitous 16-year-old may consent to their confinement, which would otherwise amount to a deprivation of liberty, because that young person is unable to consent to the same."
"Parliament has on numerous occasions chosen to distinguish the legal status of those who have not attained the age of 16 years, those aged 16 and 17 and, finally, those who have attained their majority."
No doubt, but, I ask rhetorically, "where does that take us?" given the rejection by the House of Lords in Gillick of this court's reliance in the same case on what was essentially the same line of thought.
"108 In Re D, when considering whether the first limb of Storck 43 EHRR 6 was satisfied, I applied a completely objective test in which D's disabilities were of no consideration at all. When considering the second limb of Storck and the zone and scope of parental responsibility there were a wide number of factors to be considered. The age and maturity of a child or young person are very important factors when considering the extent of parental responsibility A further important factor is the extent to which, if at all, a child or young person has the ability and capacity to make decisions for themselves
109 Thus, D's diagnosed conditions were a very material factor in determining which decisions fall within the zone or scope of parental responsibility. D's limited ability to make decisions on his own behalf was a material factor in determining the scope or zone of parental responsibility."
"124 Baroness Hale DPSC in [Cheshire West] emphasised that all people, including those with disabilities, are entitled to the protection of the European Convention and in particular to that afforded by article 5. If I were to accede to [the local authority's] submission I would be wrongly discriminating against D on the grounds of his disability. When considering the second limb of the Storck test, namely the issue of consent, it would be wholly wrong not to recognise the special status accorded by Parliament to 16- and 17-year-old people in D's case. It would be wholly inappropriate not to do so on the grounds that by reason of his disabilities he cannot consent. I am satisfied, precisely because of his disabilities and vulnerability, that it is vital that D is accorded the same status as a 16-year old without any disabilities and to afford him the full protection of article 5.
125 I draw a distinction between my approach to the issue in this case and my consideration of D's disabilities in Re D [2016] 1 FLR 142. In the later case I was concerned with the scope or zone of the exercise of parental responsibility of D's parents. In my judgment D's disabilities were an important, indeed essential, factor in determining what was a proper exercise of parental responsibility by these parents for this child."
"108 The age and maturity of a child or young person are very important factors when considering the extent of parental responsibility A further important factor is the extent to which, if at all, a child or young person has the ability and capacity to make decisions for themselves
109 Thus, D's diagnosed conditions were a very material factor in determining which decisions fall within the zone or scope of parental responsibility. D's limited ability to make decisions on his own behalf was a material factor in determining the scope or zone of parental responsibility."
His reasoning in relation to the 16-year old D, in contrast, was this (paras 124-125):
"124 it would be wholly wrong not to recognise the special status accorded by Parliament to 16- and 17-year-old people in D's case. It would be wholly inappropriate not to do so on the grounds that by reason of his disabilities he cannot consent. I am satisfied, precisely because of his disabilities and vulnerability, that it is vital that D is accorded the same status as a 16-year old without any disabilities and to afford him the full protection of article 5.
125 I draw a distinction between my approach to the issue in this case and my consideration of D's disabilities in Re D [2016] 1 FLR 142. In the later case I was concerned with the scope or zone of the exercise of parental responsibility of D's parents. In my judgment D's disabilities were an important, indeed essential, factor in determining what was a proper exercise of parental responsibility by these parents for this child."
"States Parties undertake to ensure the child such protection and care as is necessary for his or her well-being, taking into account the rights and duties of his or her parents, legal guardians, or other individuals legally responsible for him or her, and, to this end, shall take all appropriate legislative and administrative measures."
Article 5 provides as follows:
"States Parties shall respect the responsibilities, rights and duties of parents or, where applicable, the members of the extended family or community as provided for by local custom, legal guardians or other persons legally responsible for the child, to provide, in a manner consistent with the evolving capacities of the child, appropriate direction and guidance in the exercise by the child of the rights recognized in the present Convention."
Article 12(1) requires the views of the child to be "given due weight in accordance with the age and maturity of the child." Article 18(1) provides that:
"States Parties shall use their best efforts to ensure recognition of the principle that both parents have common responsibilities for the upbringing and development of the child. Parents or, as the case may be, legal guardians, have the primary responsibility for the upbringing and development of the child. The best interests of the child will be their basic concern."
Article 23 provides, so far as material for present purposes, that:
"1. States Parties recognize that a mentally or physically disabled child should enjoy a full and decent life, in conditions which ensure dignity, promote self-reliance and facilitate the child's active participation in the community.
2. States Parties recognize the right of the disabled child to special care and shall encourage and ensure the extension, subject to available resources, to the eligible child and those responsible for his or her care, of assistance for which application is made and which is appropriate to the child's condition and to the circumstances of the parents or others caring for the child."
Article 37, relating to deprivation of liberty, provides so far as material for present purposes:
"States Parties shall ensure that:
(b) No child shall be deprived of his or her liberty unlawfully or arbitrarily. The arrest, detention or imprisonment of a child shall be in conformity with the law and shall be used only as a measure of last resort and for the shortest appropriate period of time;
(c) Every child deprived of liberty shall be treated with humanity and respect for the inherent dignity of the human person, and in a manner which takes into account the needs of persons of his or her age. In particular, every child deprived of liberty shall have the right to maintain contact with his or her family through correspondence and visits, save in exceptional circumstances."
"The principles of the present Convention shall be:
(a) Respect for inherent dignity, individual autonomy including the freedom to make one's own choices, and independence of persons;
(b) Non-discrimination;
(c) Full and effective participation and inclusion in society;
(d) Respect for difference and acceptance of persons with disabilities as part of human diversity and humanity;
(h) Respect for the evolving capacities of children with disabilities and respect for the right of children with disabilities to preserve their identities."
Article 4(1) provides that:
"States Parties undertake to ensure and promote the full realization of all human rights and fundamental freedoms for all persons with disabilities without discrimination of any kind on the basis of disability."
Article 7, which as Ms Butler-Cole observes closely reflects the provisions of the CRC, provides that:
"1. States Parties shall take all necessary measures to ensure the full enjoyment by children with disabilities of all human rights and fundamental freedoms on an equal basis with other children.
2. In all actions concerning children with disabilities, the best interests of the child shall be a primary consideration.
3. States Parties shall ensure that children with disabilities have the right to express their views freely on all matters affecting them, their views being given due weight in accordance with their age and maturity, on an equal basis with other children, and to be provided with disability and age-appropriate assistance to realize that right."
The reference in Article 7(3) to the child's "age and maturity" will be noted. Article 14 provides as follows:
"1. States Parties shall ensure that persons with disabilities, on an equal basis with others:
(a) Enjoy the right to liberty and security of person;
(b) Are not deprived of their liberty unlawfully or arbitrarily, and that any deprivation of liberty is in conformity with the law, and that the existence of a disability shall in no case justify a deprivation of liberty.
2. States Parties shall ensure that if persons with disabilities are deprived of their liberty through any process, they are, on an equal basis with others, entitled to guarantees in accordance with international human rights law and shall be treated in compliance with the objectives and principles of the present Convention, including by provision of reasonable accommodation."
"If parental responsibility includes a power to give valid consent to an objective deprivation of liberty that is imputable to the State, but only in respect of mentally disordered or disabled young people (or only such young people who are not Gillick competent), that would violate Article 14 EHCR read with Article 5 and/or Article 8, as well as the provisions of the CRPD and CRC."
"there is no consideration in either judgment of: (a) the categories of personal representatives who may give a substituted consent; (b) the circumstances or conditions in which a valid "substituted" consent may be given; or (c) the limits or extent of a substituted consent."
"the "consent" is to the child being accommodated. It cannot be inferred that that consent means that those with parental responsibility have consented to whatever placement the local authority considers, from time to time, appropriate."
Conclusion
Lord Justice David Richards :
Lord Justice Irwin
" the starting point [should be] our own legal principles rather than the judgments of the international court."
And by so approaching the matter, the rights formulated under the European Convention should not, as Lord Rodger put it in HM Advocate v Montgomery 2000 JC 111, 117, form "a wholly separate stream in our law; in truth they seek thorough and permeate the areas of our law in which they apply."
Note 1 In Birmingham City Council v D [2016] EWCOP 8, [2016] PTSR 1129, para 8 (see likewise para 102), Keehan J said of this: I should have expressed myself more precisely and felicitously by referring to Ds confinement at Hospital B (ie the first limb ofStorck) rather using the phrase a deprivation of liberty which, of course only arises if all three limbs of Storck are satisfied. [Back] Note 2 I should make clear that the Official Solicitor had not been involved in the earlier proceedings, D at that time having been represented by Cafcass. [Back] Note 3 I note with weary resignation, although the responsibility for this appears to be that of the court rather than the parties, that this order, as so many others, was headed In the High Court of Justice Court of Protection. The Court of Protection is not part of the High Court, so orders made by the Court of Protection should not be headed In the High Court of Justice: see section 45 of the 2005 Act. Is it too much to hope that, ten years after the Court of Protection came into being, this simple truth might be more widely understood and more generally given effect to. [Back] Note 4 For what it is worth it may be useful to refer to what I said on the point in JE v DE [2006] EWHC 3459 (Fam), [2007] 2 FLR 1150, para 30:
it is revealing that both the argument of the Government of Denmark (at para 71) and the judgment of the court (at paras 64, 69, 72 and 73) laid emphasis upon the fact that what was being done to the applicant was being done at the behest of his mother and in what the Government asserted and the court accepted was the responsible exercise of her parental rights. Indeed, what seems to have divided the majority and the minority
was the question of whether the applicants mother was acting properly in the normal exercise of her parental authority or in abuse of her authority. In these circumstances it seems to me that, properly understood, Nielsen v Denmark is a case about the proper ambit of parental authority, albeit that it concerned a child placed in a psychiatric institution. I went on, para 33:
in HL v United Kingdom (2004) 40 EHRR 761, at para 93,
the court explained its decision in Nielsen v Denmark as follows: That case turned on the specific fact that the mother had committed the applicant minor to an institution in the exercise of her parental rights, pursuant to which rights she could have removed the applicant from the hospital at any time. That, as I read it, is an authoritative pronouncement by the Strasbourg court itself as to the true basis of the decision inNielsen v Denmark. This accords with Baroness Hales analysis inCheshire West. [Back] Note 5 The Official Solicitor submits that Baroness Hale was here merely summarising a submission by counsel and not expressing her own view. I do not agree. [Back] Note 6 At that time, an infant was anyone who had not attained the age of majority, at that time 21 years of age. [Back] Note 7 This was a reference to the Abduction Act 1557. [Back] Note 8 So the concern of the court was now with statutory parental responsibility, as defined by section 3, rather than with common law custody. [Back] Note 9 I refer to this case only for the sake of completeness. It concerned a 15 year old boy who Keehan J found was Gillick competent. He was subject to a regime at a residential unit which Keehan J found amounted to confinement within limb (1) of Storck but was, as Keehan J found, capable of consenting and in fact consenting for the purposes of limb (2) ofStorck. It does not assist us here. [Back] Note 10 Keehan J repeated the point in Birmingham City Council v D [2016] EWCOP 8, [2016] PTSR 1129, paras 35, 101. [Back] Note 11 As the Official Solicitor helpfully points out, to these authorities there now needs to be added the more recent decision in Cervenka v The Czech Republic (Application No 62507/12, unreported, 13 October 2016. [Back]