B e f o r e :
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ABERDEENSHIRE COUNCIL | Applicant |
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- and |
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(1) SF (By her Litigation Friend, the Official Solicitor) (2) EF (3) SUNDERLAND CITY COUNCIL |
Respondents |
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Aberdeenshire Council v SF (No.2) |
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Sophia Roper KC and Benjamin Harrison (instructed by Simpson Millar on behalf of the Official Solicitor) for the First Respondent
The Second Respondent not appearing and unrepresented
Victoria Butler-Cole KC (instructed by Sunderland City Council) for the Third Respondent
Hearing date: 8 February 2024
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Crown Copyright ©
This judgment was delivered in public but a transparency order is in force. The judge has given leave for this version of the judgment to be published on condition that (irrespective of what is contained in the judgment) in any published version of the judgment the anonymity of the SF, EF, and any members of their family and of where SF is being cared for must be strictly preserved. All persons, including representatives of the media and legal bloggers, must ensure that this condition is strictly complied with. Failure to do so may be a contempt of court.
Mr Justice Poole:
i) whether the SGO gives EF the power to authorise the deprivation of her daughter's liberty in England;
ii) if so, whether the Court of Protection in England and Wales ("the Court of Protection") should recognise and enforce this, and if so how it should be implemented;
iii) if not, whether the Court of Protection can, or should, assume jurisdiction over SF's welfare, and to what extent; and
iv) if the Court of Protection does assume jurisdiction, what the next steps should be.
I have received very helpful written and oral submissions from Counsel. Proceedings were originally brought by the Third Respondent, but Aberdeenshire Council has since been made the Applicant. It applies for recognition and enforcement of the SGO submitting that it gives EF the power to authorise the deprivation of SF's liberty in England, and that recognition should follow applying the provisions of the Mental Capacity Act 2005 (MCA 2005) Schedule 3. The First and Third Respondents submit that the court should decline to recognise the SGO by exercising its discretion under MCA 2005 Sch 3, 19(3) and/or 19(4).
The Scottish Guardianship Order
"64 Functions and duties of guardian
(1) Subject to the provisions of this section, an order appointing a guardian may confer on him
(a) power to deal with such particular matters in relation to the property, financial affairs or personal welfare of the adult as may be specified in the order;
(b) power to deal with all aspects of the personal welfare of the adult, or with such aspects as may be specified in the order;"
Applications for guardianship orders are made under AISA 2000 s57. By s58(4),
"Where the sheriff grants the application under section 57 he shall make an order (in this Act referred to as a "guardianship order") appointing the individual or office holder nominated in the application to be the guardian of the adult for a period of 3 years or such other period (including an indefinite period) as, on cause shown, he may determine."
"(a) The power to decide where the adult should live, to require her to live at that location, to convey her to that location and to return her to that location in the event of her absenting herself therefrom
(j) The power to decide where the adult is permitted to go and decide whether or not the adult should be accompanied by a person nominated by her guardian to assist with her personal safety and welfare."
The Sheriff Appeal Court noted at [21] and [22],
"[21] Before dealing with the provisions of the 2000 Act we think it important to observe briefly on the matter of art.5 which guarantees the right to liberty. The proposed care package at the Oaks is a situation to which art.5 applies. Powers (a) and (j) are contrary to the expressed wishes of the adult. They amount to a deprivation of her liberty and are an interference with her right to choose her place of residence. However the powers were granted in a specific context namely the safeguarding of the welfare of an adult who lacks capacity and whose living conditions, self neglect and lack of personal hygiene are potentially life threatening. The decision to grant these powers is in accordance with a line of existing sheriff court decisions (Muldoon, Applicant, M, Applicant, and more recently Scottish Borders Council v AB, 2020 S.L.T. (Sh Ct) 41). In each of these cases the courts concluded that intervention leading to deprivation of liberty should not be taken without express statutory authority governing it. This was not contentious.
[22] The statutory authority in the present case, and in the foregoing cases, is the 2000 Act. That Act established a comprehensive system for safeguarding the welfare and managing the finances and property of adults who lack capacity to make some or all of the decisions for themselves."
"Everyone has the right to liberty and security of person. No one shall be deprived of his liberty save in the following cases and in accordance with a procedure prescribed by law:
(e) the lawful detention of persons for the prevention of the spreading of infectious diseases, of persons of unsound mind, alcoholics or drug addicts or vagrants;"
Art 5(4) provides,
"Everyone who is deprived of his liberty by arrest or detention shall be entitled to take proceedings by which the lawfulness of his detention shall be decided speedily by a court and his release ordered if the detention is not lawful."
"We recognise that s.64 does not contain an explicit power to detain but it seems to us that s.64(1)(a) and (b), subject to the application of the principles, may usefully be deployed to address the very sad and unfortunate situation which has arisen here. In effect a detailed and bespoke care package has been created for the adult to address her specific needs. We are satisfied, given the factual matrix, that "a matter" or "all aspects" would cover dealing with the welfare issues of transitioning an adult from one form of care and accommodation (e.g. supported care at home) to another form of care and facility (e.g. care in secure premises), ensuring that the adult remains within the facility to address her needs, and to return her there should she leave. The narrow interpretative analysis of the provisions of the 2000 Act by counsel for the adult would serve to undermine the purpose of the 2000 Act and would curtail interventions tailored to the needs of the individual."
Legal Framework - Mental Capacity Act 2005 Schedule 3
"Schedule 3
(a) gives effect in England and Wales to the Convention on the International Protection of Adults signed at the Hague on 13th January 2000 (Cm 5881) (in so far as this Act does not otherwise do so), and (b) makes related provision as to the private international law of England and Wales."
Paragraphs 19 to 21 of Schedule 3 provide,
"Recognition and enforcement
Recognition
19(1) A protective measure taken in relation to an adult under the law of a country other than England and Wales is to be recognised in England and Wales if it was taken on the ground that the adult is habitually resident in the other country.
(2) A protective measure taken in relation to an adult under the law of a Convention country other than England and Wales is to be recognised in England and Wales if it was taken on a ground mentioned in Chapter 2 (jurisdiction).
(3) But the court may disapply this paragraph in relation to a measure if it thinks that
(a) the case in which the measure was taken was not urgent,
(b) the adult was not given an opportunity to be heard, and
(c) that omission amounted to a breach of natural justice.
(4) It may also disapply this paragraph in relation to a measure if it thinks that
(a) recognition of the measure would be manifestly contrary to public policy,
(b) the measure would be inconsistent with a mandatory provision of the law of England and Wales, or
(c) the measure is inconsistent with one subsequently taken, or recognised, in England and Wales in relation to the adult.
(5) And the court may disapply this paragraph in relation to a measure taken under the law of a Convention country in a matter to which Article 33 applies, if the court thinks that that Article has not been complied with in connection with that matter.
20(1) An interested person may apply to the court for a declaration as to whether a protective measure taken under the law of a country other than England and Wales is to be recognised in England and Wales.
(2) No permission is required for an application to the court under this paragraph.
21 For the purposes of paragraphs 19 and 20, any finding of fact relied on when the measure was taken is conclusive."
"Schedule 3 Paragraph 19(3)
[55] Schedule 3 paragraph 19(3), quoted above, gives the Court a discretionary power to refuse to recognise a protective measure if certain procedural safeguards are not met. It is plain from the way in which Schedule 3 paragraph 19(3) is drafted that the Court only has a discretion to decline to recognise a foreign order if all three of the conditions in the subparagraph are satisfied. In other words, the Court only has a discretion to disapply a measure in a foreign order if it "thinks" that the case in which the measure was taken was not urgent and the adult was not given the opportunity to be heard and that omission amounted to a breach of natural justice. On behalf of PB, Ms Weereratne QC underlines the use of the word "thinks" in paragraph 19(3) and, indeed, in paragraph 19(4) and submits that by using this word Parliament has set the bar relatively low. For my part, however, I interpret the word "thinks" as meaning "concludes on a balance of probabilities" rather than any lower standard such as "has reasonable grounds for believing"."
"Schedule 3 paragraph 19 (4)
(a) Introduction
[60] As already stated, paragraph 19(4) of Schedule 3 gives the Court a further discretionary power to decline to recognise a measure in a foreign order in certain circumstances spelt out in the sub-paragraph. In contrast to sub-paragraph (3), these grounds upon which an application for recognition may be refused are separate rather than cumulative. Thus, the Court may refuse recognition if it thinks that recognition would be manifestly contrary to public policy or the measure would be inconsistent with a mandatory provision of the law of England and Wales or the measure is inconsistent with one subsequently taken or recognised, in England and Wales in relation to the adult.
[61] As no subsequent measure has been taken in this country in respect of any of the three adults in these proceedings, it is unnecessary to consider paragraph 19(4)(c) in this case. The two other grounds in subparagraph (4), however, have been the subject of extensive legal argument before me.
[62] At the outset, it should be noted, as observed by Ms Weereratne, that subparagraphs (4)(a) and (b) appear properly to be considered as two sides of the same coin. She reminds me of the comment by Mostyn J in Re M [2011] EWHC 3590 (COP), at paragraph 5, in which he refers to having struggled
"to conceive of a measure which fell within sub-sub-paragraph (b) that was not contrary to public policy under sub-sub-paragraph (a)."
I agree with this observation. It seems to me that recognition of a measure that would be inconsistent with a mandatory provision of the law of England and Wales would, by definition, be manifestly contrary to public policy. In addition, however, it is argued that there are further grounds upon which recognition of the measure would be manifestly contrary to public policy over and above the extent to which it is inconsistent with a mandatory provision of the law of England and Wales. It therefore makes sense to consider the impact of sub-sub-paragraph (b) before sub-sub-paragraph (a)."
"[93] First, by including Schedule 3 in the MCA, Parliament authorised a system of recognition and enforcement of foreign orders notwithstanding the fact that the approach of the foreign courts and laws to these issues may be different to that of the domestic court. These differences may extend not only to the way in which the individual is treated but also to questions of jurisprudence and capacity. Thus the fact that there are provisions within the Act that appear to conflict with the laws and procedures of the foreign state should not by itself lead to a refusal to recognise or enforce the foreign order. Given that Parliament has included section 63 and Schedule 3 within the MCA, clearly intending to facilitate recognition and enforcement in such circumstances, it cannot be the case that those other provisions within the Act that seemingly conflict with the laws and procedures of the foreign state are mandatory provisions of the laws of England and Wales so as to justify the English Court refusing to recognise the foreign order on grounds of such inconsistency. In such circumstances, it is only where the Court concludes that recognition of the foreign measure would be manifestly contrary to public policy that the discretionary ground to refuse recognition will arise. Furthermore, in conducting the public policy review, the Court must always bear in mind, in the words of Munby LJ that 'the test is stringent, the bar is set high'.
[94] Secondly, there is likely to be a wide variety in the decisions made under foreign laws that are put forward for recognition under Schedule 3. As the Ministry of Justice has observed, inevitably there may be concerns about some of the foreign jurisdictions from which orders might come. But as the Ministry also observes, taking account of such concerns is surely the purpose of the public policy review. Although no wide-ranging review as to the merits of the foreign measure is either necessary or appropriate, a limited review will always be required as indicated by the European Court in Pellegrini. That will be sufficient to identify any cases where the content and form of the foreign measure, and the processes by which it was taken, are objectionable. It also seems to me that the circumstances in which Schedule 3 is likely to be invoked, and the number of countries whose orders are presented for recognition, are likely to be limited. In oral submissions, Mr Rees pointed out that, in theory, the Court could be faced with applications to recognise and enforce orders from any country in the world, including, for example, North Korea or Iran. That may be right in theory, but common sense suggests it is, to say the least, unlikely in practice, at least in the foreseeable future. And if such orders were to be presented for recognition, the public policy review would surely lead swiftly to identifying grounds on which recognition would be refused. It is much more likely that the orders presented for recognition will be those of foreign countries whose legal systems, laws and procedures are closely aligned to our own. Concerns of this nature can be addressed by admitting evidence of the process by which the foreign protective measures were made and general evidence relating to the legal system of the state that made the order.
[95] Thirdly, most orders presented for recognition are likely to be of short duration, and/or in respect of persons whose capacity may fluctuate, and/or who are in receipt of a progressive form of treatment. As a result, in such cases there is likely to be repeated requests to scrutinise a succession of orders. Recognition and enforcement is likely to require close co-operation, not only between the medical and social care authorities of the two countries, but also between the Courts and legal systems. The Convention provides a mechanism using the Central Authorities but, pending ratification of the Convention, there may well be the need for direct communication between judges of the two jurisdictions."
" this court should conduct a limited review to satisfy itself that the Irish orders comply with the European Convention, and in doing so should strive to achieve a combined and harmonious application of the provisions of the two international instruments. I accept their submission that, when considering applications to recognise and enforce compulsory psychiatric placements under Schedule 3, the limited review should encompass the court being satisfied that (1) the Winterwerp criteria are met and (2) that the individual's right to challenge the detention under article 5.4 is effective (i e that they have a right to take proceedings to challenge the detention and the right to regular reviews thereafter)."
At [64] Baker J had summarised the three conditions for lawful deprivation of liberty under Art 5(1)(e) identified in Winterwerp v The Netherlands (1979) 2 EHRR 387,
"In that decision, the European court held that, except in emergencies, depriving the liberty of someone of unsound mind can only be lawful under article 5.1(e) if three minimal conditions are satisfied: (1) the authority responsible for the deprivation of liberty must establish through objective medical expertise that the person is of unsound mind; (2) it must be established that the mental disorder is a kind or degree warranting compulsory confinement; (3) the validity of continued confinement depends on the persistence of mental disorder."
At paragraph [60] of Winterwerp (above), the ECHR held in relation to Art 5(4)
"The judicial proceedings referred to in Articles 5 (4) need not, it is true, always be attended by the same guarantees as those required under Article 6 (1) for civil or criminal litigation. Nonetheless, it is essential that the person concerned should have access to a court and the opportunity to be heard either in person or, where necessary, through some form of representation, failing which he will not have been afforded 'the fundamental guarantees of procedure applied in matters of deprivation of liberty'. Mental illness may entail restricting or modifying the manner of exercise of such a right, but it cannot justify impairing the very essence of the right. Indeed, special procedural safeguards may prove called for in order to protect the interests of persons who, on account of their mental disabilities, are not fully capable of acting for themselves."
"[34] As Baker J properly recognised, there may be a range of decisions made under the laws of different jurisdictions that are advanced for recognition under Schedule 3. Although an extensive review as to the merits of the foreign measure will be neither necessary nor indeed appropriate, a limited review will always be required, the objective of which will be to identify any cases where the content or form of the foreign measure is inappropriate, disproportionate or clearly discordant with sound welfare-focused practice in the UK.
[35] Given the significant restrictions integral to the measures in question in this case, and the draconian nature of any compulsory psychiatric placement and treatment of an individual, there is an obligation on the Court of Protection to be clear that the criteria in Winterwerp v Netherlands (1979) 2 EHRR 387 are met. This is to emphasise the importance of recognising that when depriving the liberty of someone of unsound mind, the Court can only act lawfully where it has satisfied itself that the safeguards guaranteed by Article 5(1)(e) and 5(4) are in place."
Hayden J then noted that whilst he was content to recognise the protective measure in the case before him, in other cases, such as those involving longer term deprivation of liberty for adults with severe autism, particular vigilance might be required to ensure that fundamental human rights were upheld. He could have been envisaging the present case:
"[41] It is this cooperative arrangement, at senior court level, characterised by what is described as "an extremely active approach" by the Irish High Court to its wardship jurisdiction, that is identified as the primary safeguard in the protection of the fundamental rights and liberties at stake. I consider that the HSE are both entirely correct and accurate when they identify the very close relationship between all those involved in the care and treatment of Irish adults placed in England and those involved at all levels in the Irish system as fundamental both to the fairness and proportionality of the process.
42. Many of the cases, particularly those concerned with anorexia nervosa, involve circumstances when the professionals are 'firefighting'. By this I mean they are dealing with an urgent and potentially life threatening situation. Frequently, the contemplated treatment is of relatively limited duration, though 18 months is not uncommon. Additionally, long-term deprivation of liberty and compulsory medical treatment is inherently undesirable.
43. Experience in the Court of Protection makes it easy to contemplate circumstances in which deprivation of liberty and/or medical treatment of some kind might be required on a much longer term basis. In exchanges with Mr Setright, I posited the very real challenges faced by severely autistic adults and their families often requiring long-term intervention. My concern was that there was a risk, with the effluxion of time, that the careful scrutiny afforded by the regime that I have outlined above might become diluted and take on a more routine administrative complexion. Were that to happen it is not difficult to contemplate circumstances developing in ways which might be contrary to an individual's welfare and human rights.
44. It is self-evident that these cases engage Article 2 ECHR (right to life); Article 5(4) (right to challenge deprivation of liberty); and Articles 6 and 8 ECHR (rights to 'an effective procedural possibility, judicial or otherwise, of influencing the course of [non- consensual] treatment or having it reviewed by an independent authority' (see LM v Slovenia [2014] ECHR 608 at 185))."
"152. the Court reiterates that in the context of the guarantees for a review of compliance with the procedural and substantive conditions which are essential for the "lawfulness", in Convention terms, of an individual's deprivation of liberty, the relevant judicial proceedings need not always be attended by the same guarantees as those required under Article 6 § 1 for civil or criminal litigation. Nonetheless, it is essential that the person concerned should have access to a court and the opportunity to be heard either in person or, where necessary, through some form of representation (see, amongst many others, Stanev, cited above, § 171).
153. This implies, inter alia, that an individual confined in a psychiatric institution because of his or her mental condition should, unless there are special circumstances, actually receive legal assistance in the proceedings relating to the continuation, suspension or termination of his confinement. The importance of what is at stake for him or her, taken together with the very nature of the affliction, compel this conclusion (see Megyeri v. Germany, 12 May 1992, § 23, Series A No. 237-A). Moreover, this does not mean that persons committed to care under the head of "unsound mind" should themselves take the initiative in obtaining legal representation before having recourse to a court (see Winterwerp, cited above, § 66)."
MCA 2005 Schedule 3 Recognition of the Scottish Guardianship Order
"if the measure was taken, except in a case of urgency, in the context of a judicial or administrative proceeding, without the adult having been provided the opportunity to be heard, in violation of fundamental principles of procedure of the requested State;"
Sub-paragraph 19(3) reflects that provision and gives the court a discretion to refuse recognition of a protective measure if the case in which it was made was not urgent, the adult was not given an opportunity to be heard, and that omission was a breach of natural justice. Mostyn J observed at [32] of his judgment in HSE of Ireland v Florence Nightingale Hospitals Limited [2023] 4WLR 3' [2022] EWCOP 52,
"[32] If the foreign proceedings were not being held on an urgent basis and if P was denied the opportunity of being heard in them, then paragraph 19(3)(c)) allows recognition to be withheld on the ground of natural justice. I suspect that this will very rarely, if ever, arise but if it did the assessment of the standards of natural justice will be made in accordance with our domestic law."
1.2.(1) The court must in each case, on its own initiative or on the application of any person, consider whether it should make one or more of the directions in paragraph (2), having regard to
(a) the nature and extent of the information before the court;
(b) the issues raised in the case;
(c) whether a matter is contentious; and
(d) whether P has been notified in accordance with the provisions of Part 7 and what, if anything, P has said or done in response to such notification.
(2) The directions are that
(a) P should be joined as a party;
(b) P's participation should be secured by the appointment of an accredited legal representative to represent P in the proceedings and to discharge such other functions as the court may direct;
(c) P's participation should be secured by the appointment of a representative whose function shall be to provide the court with information as to the matters set out in section 4(6) of the Act and to discharge such other functions as the court may direct;
(d) P should have the opportunity to address (directly or indirectly) the judge determining the application and, if so directed, the circumstances in which that should occur;
(e) P's interests and position can properly be secured without any direction under sub-paragraphs (a) to (d) being made or by the making of an alternative direction meeting the overriding objective."
Hence, joinder, appointment of a legal or other representative, and an opportunity to address the court, are not mandatory requirements P's best interests might be secured without those means.
(a) "To take necessary and reasonable steps to restrain [SF] or to authorise someone else to do so";
(b) "To regulate and facilitate [her] use of telecommunications, internet and social media"; and
(c) "To lock the external and/or internal doors of [SF's] named place of residence, so far, at such times and for such periods as appear to [them] to be necessary to ensure the welfare and safety of the adult or other persons."
"the hospital believes SF is ready for discharge to an appropriate community resource, but that this should be with sufficient staff, well trained in appropriate restraint techniques, and an environment suitable to allow SF to seclude herself if she becomes agitated or distressed."
SF may have had relevant views about her discharge into the community. Roddy Gourlay's brief conversation with SF by a remote link shows that it was possible to engage with her on that occasion, albeit she was said to be having a "good day", and briefly. It certainly does not show that she was unable to be heard in relation to the application. If anything it demonstrates that she needed assistance by way of representation.
"I telephoned X Ward on 9th November 2015, I asked if I could visit SF on the ward. The nurse explained that SF had been having a very disturbed time, which included her being restrained and spending periods in seclusion. SF was asleep and the nurse felt that she needed all the rest she could take and should not be disturbed. Asking SF her views on this application could prove too stressful for her to consider and aggravate her mental health further. It was not considered to be in SF's best interests to seek her views."
No such analysis or opinion was given in 2021. In my judgment Marcin Ostrowski's certificate under AISA 2000 s 37 did not establish that it was against SF's best interests to seek her views in 2021.