Sitting at
GUILDFORD, SURREY GU1 4PS |
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B e f o r e :
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Re: A fact finding |
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Crown Copyright ©
His Honour Judge Nathan:-
i. Teenagers picking him up and holding him upside down
ii. at one stage when facing upside down towards one of them, his head dangled between his legs
iii. putting his head between the leatherette tub chairs
iv. getting overexcited, and bumping the right side of his face into a table.
v. Jumping up on the teenagers laps and on the chairs.
vi. Running passed DS and seeming to catch his eye on DS's hand
vii. He played with a balloon and one of the teenagers popped it – he was a bit upset at that stage but happy when DS got another one.
viii. X was sick and maternal grandmother took him into the toilet (as reported by her sister). X explained, apropos of this that "the children had been holding him upside down and spinning him around which he didn't like"
ix. After this X still appeared to be enjoying himself and was still active and playing with the teenagers even after numerous times of being called to sit with his mother.
x. On the way home he had a fairly red face (paragraph 19)
xi. Next day after the injury was seen "he said that they had picked him up and threw him around". The mother commented "I was totally shocked"
The Law
a. First, and very importantly, the burden of proof lies with the local authority.
b. Second, the standard of proof is the balance of probabilities; Re B [2008] UKHL 35.
c. Third, findings of fact in these cases must be based on evidence including inferences that can properly be drawn from the evidence, but not on suspicion or speculation
d. Fourth, when considering cases of suspected child abuse, the Court must take into account all of the evidence and consider each piece in the context of all the other evidence. As Dame Elizabeth Butler-Sloss, then President, observed in Re T [2004] EWCA Civ 558: "Evidence cannot be evaluated and assessed in separate compartments. A judge in these difficult cases must have regard to the relevance of each piece of evidence to other evidence and to exercise an overview of the totality of the evidence in order to come to the conclusion whether the case put forward by the local authority has been made out to the appropriate standard of proof."
e. Fifthly, the opinion of medical experts needs to be considered in the context of all the other evidence. The roles of the Court and the expert are distinct. It is the Court that is in the position to weigh up expert evidence against the other evidence.
f. Sixth, the evidence of the parents and any other carers is of the utmost importance. It is essential that the Court forms a clear assessment of their credibility and reliability.
g. Seventh, the Court should bear in mind the Lucas direction. Respondents may tell lies for all sorts of reasons that may include misconceived attempts to bolster an otherwise truthful account. Such lies may not mean they are lying about everything
h. Eighth, paraphrasing Mr Justice Hedley in Re R (Care Proceedings: Causation) [2011] EWHC 1715 (Fam), it is always open to a judge to rule that the cause of an injury remains unknown
i. Penultimately, when seeking to identify the perpetrators of non-accidental injury, the test of whether a particular person is in the pool of possible perpetrators is whether there is a likelihood or a real possibility that he or she was the perpetrator (see North Yorkshire County Council v SA [2003] 2 FLR 849). I would add that in Re S-B Children [2009] UKSC 17 Lady Hale said that in such pool of perpetrator cases "if the evidence is not such as to establish responsibility on the balance of probabilities it should nevertheless be such as to establish whether there was a real possibility that a particular person was involved"
Evidence
I had 2 lever arch files and documents that included
1. local authority statements and assessments,
2. The statements of the mother and DS. Added to these were statements made in these proceedings by all 3 interveners.
3. Comprehensive police disclosure and statements from many witness who were at the party, transcribed interviews with the mother and DS,
4. Hospital notes and records
The maternal grandmother, the mother, DS, all three interveners, the mother's brother AC and Dr Ward
The Medical Evidence and my findings arising from that evidence
The medical evidence
Dr Ward
i. There are common characteristics that separate abusive from non abusive bruises:-
a. Abusive bruises are found on parts of the body where bruises are not found due to normal daily activity. A 1999 study showed that bruising through normal daily activity was rare when found on, among other places, the cheek;
b. A 2005 review of 167 published articles found that most bruises in walking children occur over bony prominences and in the front of the body. However abusive bruises tended to be away from bony prominences and involved, inter alia, the head, neck and face;
c. Abusive bruises tend to be larger and multiple and occur in clusters;
d. Some carry the imprint of an implement;
e. Dr Ward summarised: "these studies suggest facial bruising is suspicious of non accidental injury . While facial injury has been shown to be uncommon in non abused children it is a frequent finding in abused children".
Right hand side of face.
1. The bruising observed which covered different plains of the face on the right hand side was inconsistent with a blow from a solid object which might cause a diagonal bruise across the cheek and ear but not across all plains of the face extending right down to the jaw. That was more likely to be caused by a hand which would mould to the contours of the face. Thus the likely cause for the injury to the right hand side was a forceful slap.
2. So far as the left hand side was concerned, this again crossed multiple plains and demonstrated some linear components over the left cheek (Page E108, bottom of page and third paragraph page E109). For the same reason given in relation to the right hand side this, said Dr Ward, was consistent with a forceful slap but could have been caused by a separate injury such as a grip or grasp.
Dr Ward's oral evidence
i. That the report ( which was filed late and without explanation for delay) was rushed as exemplified by a number of errors
ii. That the original report dealt with some specific actions at the party that the mother and DS contend might be mechanisms of injury but failed to deal with each and every one. Accordingly, the general conclusion in the first report cannot be sustained. Moreover, the conclusions in the second report (which did indeed deal with those matters, in particular an observation in AC's police statement) were ones which were predetermined by the original conclusions and not approached with an open mind.
iii. Dr Ward's answers to questions in oral evidence about those later matters (in particular the passage from AC's statement) were given for the first time, were not based on any acceptable expertise or evidence.
My findings about those contentions are these:
i. First she had numerous other photos showing very specific and severe bruising, among which these earlier photos were included.
ii. Second, the first photo I have in colour in my bundle - J52 does indeed appear to show a darkened area in the front left hand side which looks puffier than the right hand side. As the photo was not taken from an angle that would show the linear bruises to both sides this was a not an unreasonable conclusion to reach in the light of all of the other evidence. Second, she had the mother and DS own statements referring in graphic terms to the injuries.
iii. Third, in any event, the central opinions expressed by the doctor are based on the side view photographs of X both left and right. It is these that show linear marks the existence of which are an important evidential ingredient of her conclusion that they were caused by a hand.
iv. The submission that this report was rushed and these points are symptomatic of rush is simply unsustainable on any overview of, in particular the first report. It runs to some 41 pages. It is patently thorough. It contains a powerful analysis of the mother's social history, X's medical history, the evidence from police and hospital of the events of 21st and 22nd November, and all of the relevant research. It is well written and elegantly expressed. The point about the typo really is de minimis. The point about the 3 photographs for J52 only marginally more substantial.
v. I was satisfied that the marks to the right hand side were horizontal and several in number. I was also satisfied that the mark on the side and near to the hairline that joined to the downward or horizontal marks could not simply be described as a vertical mark. Accordingly it did not undermine the description of horizontal linear marks that were said to be indicative of a hand mark. Indeed I was satisfied with the cogency of the explanation given for it –namely that it could represent the bones in the hand above the fingers. I was also satisfied that their was a linear quality to the marks on the left hand side and that Dr Ward had dealt with this in her report as patently she had done at the bottom of page E108 where she used the words "some linear components".
vi. Her rejection of the suggested mechanism of injury (mentioned only by AC in one line he himself now challenges the complete accuracy, if not the substantial gist of,) was compelling, logical and based on a knowledge and experience of gripping injuries.
vii. Dr Ward is a paediatrician of 31 years experience with 25 years specialist work in child abuse. She is a member of 2 safeguarding boards and Vice Chair of one. Yet she did not come across as jaundiced, cynical or determined to see abuse where it was unjustified.
viii. She could not see how a child could be lifted by the head without the palms being placed on both sides under the jaw. Either the child could not be lifted without this or the fingers and nails would grip into the face. There was no evidence on the skin of this.
ix. I was of the view that she was fully entitled to arrive at the general conclusion – given her expertise – that these very vivid and severe bruises and marks, described by the mother and DS in such graphic terms would have been immediately painful and resulted in crying for a period of minutes, moreover that anyone present would have been aware that he had been injured. She was therefore entitled to conclude that they were inconsistent with the shared descriptions of X's generally happy presentation during and at the end of the party as set out in all or almost all of the police and other statements.
Evidence of maternal grandmother.
Evidence of mother
DS
B, HH, and RF.
AC.
Summary of evidence about the party
i. The medical evidence as to the size of the bruises, their position on the face and their absence elsewhere means these bruises are more consistent with inflicted than accidental injury.
ii. The medical evidence that these injuries were caused by a hard forceful slap to both sides of the face is compelling.
iii. The medical evidence that the injuries were inconsistent with any described event at the party is compelling.
iv. My observations of the oral and written evidence of the witnesses at the party is entirely inconsistent with any injury being caused at the party
v. No event, no mark to X, no aspect of his behaviour or presentation before the party is consistent with the injuries occurring before the party. Yet a carer would have reported any of these things.
vi. The injuries must have therefore been occasioned after the party and before 9.47 am the next morning and they were inflicted deliberately.
vii. Only the mother and DS were present at those times. Both have chosen to lie to the court and to professionals. I remind myself of the X direction. In my view the lies told were not told to embellish the truth, but to cover up what happened.
viii. It is however implausible that both caused these injuries. One did. The other either knows or suspects that the other is a perpetrator