KING'S BENCH DIVISION
ADMINISTRATIVE COURT
Strand, London, WC2A 2LL |
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B e f o r e :
(sitting as a Deputy Judge of the High Court)
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The King On the application of (1) ZB (2) DB (by their mother and litigation friend PRINCESS BELL) |
Claimants |
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LONDON BOROUGH OF CROYDON |
Defendant |
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- and - |
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NHS SOUTH WEST LONDON ICB |
Interested Party |
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Hilton Harrop-Griffiths (instructed by London Borough of Croydon Legal Services) for the Defendant
Hearing date: 18 January 2023
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Crown Copyright ©
Jason Coppel KC (sitting as a Deputy Judge of the High Court):
Background
The circumstances of the family
"The needs of the Claimant and her children
5. The Claimant is a single parent living with her 3 children, a boy currently aged 14, a girl currently aged 12 and a boy currently aged 2. She has been diagnosed with autistic spectrum disorder, attention deficit hyperactivity disorder, depression and anxiety, obsessive compulsive disorder and asthma.
6. The Claimant's older son [DB] and her daughter [ZB] have significant and profound disabilities. Both have neurological conditions, global developmental delay, learning disabilities, four limb motor disorder, epilepsy, variable heart block, the heart condition long QT syndrome and low muscle tone. They are both registered blind, use non-verbal communication, are incontinent, fed by tube and use wheelchairs. Each of them has respiratory vulnerabilities and sleep disturbance patterns.
7. [DB] has kyphosis (a curvature of the upper spine) and 50% migration in his right hip. This causes him considerable pain as he cannot lie on his right side and has difficulties being placed in a sitting position.
8. [ZB] has scoliosis (a curvature and twist of her spine), chronic rhinitis and recurring pneumonia. She requires home suctioning and oxygen saturation monitoring and is regularly admitted to hospital for respiratory illnesses. She was diagnosed with early puberty (at age 4) and takes regular hormones which affect her mood.
9. On 15 June 2020 Lambeth's occupational therapist, Sara Glassberg, noted that both children have high moving and handling needs, large equipment requirements, need hoisting for all transfers and are fully dependent on carers to meet all of their needs. She made the following recommendations for accommodation: (i) standard wheelchair property; (ii) essential amenities to either be on one level, or alternatively have the ability to have through floor lift installed; (iii) sufficient internal circulation space to allow wheelchair manoeuvrability; (iv) wet floor shower, or potential to have wet floor shower, or specialist bath and hoist installed; (v) front access to be level access, or ability to be adapted; (vi) the property to be of suitable design to support hoisting; and (vii) sufficient floor space and storage areas to support the use of the necessary equipment.
10. On 10 May 2021 Ms Glassberg set out in an email what she considered the "minimum level of suitability" for a property for the family. This email reiterated that both children require ground floor living as they could only access the upstairs if a lift was present. They also both need their own bedroom due to the large size and quantity of their equipment and the space required for their moving and handling needs.
388 Lower Addiscombe Road
11. On 24 August 2020 the Claimant applied to Lambeth for accommodation under the homelessness provisions contained in Part VII of the 1996 Act. Lambeth provided her with interim accommodation but determined that she was not homeless. The Claimant brought judicial review proceedings against Lambeth but these were resolved. On 11 November 2020 Lambeth provided the Claimant with accommodation at 388 Lower Addiscombe Road. This was intended to be interim accommodation for the Claimant but she still lives there.
12. On 10 December 2020, Lambeth accepted that it owed the Claimant the section 193(2) duty.
13. On 11 December 2020, Lambeth accepted that 388 Lower Addiscombe Road was unsuitable due to excessive damp. The email also referred to the delay in carrying out necessary repairs and the surveyor's view that the family would benefit from single floor, level access accommodation with an accessible bathroom for the children. The email said that Lambeth would seek to rehouse the Claimant and that suitable alternatives would be proposed in the near future.
14. Since December 2020, the damp at 388 Lower Addiscombe Road has progressively worsened and spread. This was confirmed at the re-inspection by Lambeth's surveyor on 18 October 2021.
15. The Claimant points to several significant issues with 388 Addiscombe Road which make it unsuitable accommodation for her and her children.
(i) It is not only damp, but mouldy and infested with mice. The heating is not working effectively. The property is on a road where there is a continuous flow of traffic exposing the family to significant traffic fumes if they open the windows. In letters dated 17 June 2020, 3 October 2020 and 1 September 2021, Dr Ronny Cheung, General Paediatric Consultant from Evelina London Children's Hospital, explained that mould, rising damp, pest infestation and poor environmental air quality will exacerbate the already vulnerable respiratory health of both the older children and put them at risk of further infections and hospitalisations in future. He therefore strongly supported the application by the Claimant to relocate to an area with less environmental pollution.
(ii) There is only one bedroom on the ground floor where the Claimant's daughter is located. The Claimant's older son is located in a bedroom on the first floor. There is no lift. He now weighs over 30 kg and there are significant safety risks to the Claimant in her carrying her son up and down the stairs safely. With his reduced mobility and bone-mineral density along with his previous fracture, he is also at increased risk of sustaining another fracture. This means the Claimant's older son is largely restricted to being in the upstairs bedroom and so rarely sees his sister, with whom he had a very close relationship, and the family cannot socialise together.
(iii) The Claimant's older son needs to be moved around every 15 minutes, but this is made much more difficult because the Claimant is having to look after children on different floors. He has developed pressure sores on his ear. The community nurse who attends to dress his bed sores has raised safeguarding concerns.
(iv) The bathroom is largely inaccessible to the children, meaning they cannot be bathed properly. This exacerbates their skin conditions.
(v) Both children require surgery, but this is being delayed due to the lack of suitable accommodation: the Claimant's son's hip surgery cannot move forward in his current housing given the difficulties in getting him up or downstairs; the damp at the property renders it unsuitable for any child, but particularly one in the post-operative period; and post-surgery recovery requires a very stringent manoeuvring and handling plan, which would be very difficult in the current property. These issues were set out in letters from Dr Fairhurst, Consultant in Paediatric Neurodisability at the Evelina London Children's Hospital dated 16 November 2021, Mr Fabian Norman-Taylor, Consultant Orthopaedic Surgeon at Great Ormond Street Hospital for Children, dated 1 June 2022 and an email from the lead nurse at Demelza Hospice, dated 8 June 2022.
(vi) Mr Norman-Taylor's evidence also confirms that further delays to the Claimant's daughter's surgery will cause deterioration in her condition and could make surgery significantly less effective.
(vii) Dr Cheung's evidence confirms that a lack of adequate space at the property will limit the ability of the Continuing Care and Occupational Therapy teams to help deliver mobility and developmental programmes for the children.
(viii) Because of the difficulties in moving the children, they have been confined to the property. They last left it in March 2021.
(ix) The children are unable to attend school. According to the Claimant's grounds in the Croydon proceedings, her daughter has not attended school since 12 November 2018 and her older son has not attended school since 11 March 2020. Some alternative education arrangements have been put in place through a small number of virtual lessons and music sessions each week, but this has been described in the Croydon proceedings as "minimal and unlawful" provision, which places further undue pressure on the Claimant alongside her caring responsibilities.
(x) The Claimant cannot leave the property herself unless she has sufficient carers available for a long enough period of time. That has meant that she and her younger son have only been able to leave the property 5 or 6 times since they moved there.
(x) The issues with the property are preventing both children from having respite care. Emails from Demelza dated 4 November 2021 and 8 June 2022 reiterate that respite care could not be offered for the Claimant's older son as it is not possible to safely transport him up and down the stairs. While the Claimant's daughter could be offered a short respite break, the Claimant considers it important for the children to spend time together for their own wellbeing.
(xi) Janine Tooker, the Claimant's counsellor, has confirmed that her mental health has been adversely affected by the anxiety, stress and fatigue she experiences around her living situation. Ms Tooker confirms that she has been unable to work with the Claimant on the other areas of her life for which she originally sought therapy. Dr Cheung observed that the Claimant is the children's primary carer and that if her mental health were to deteriorate, there would be an immediate risk that the children's physical and developmental needs would not be met.
16. On 5 May 2022 a Child Protection Review Conference took place within the London Borough of Croydon in relation to all three of the Claimant's children. The notes of that conference indicate that two of the professionals present considered that the children were experiencing or at risk of significant harm due to circumstances beyond their mother's control. The notes record that the children were not living in appropriate housing and were not accessing education."
"91. Here, the accommodation currently occupied by the Claimant and her children falls fundamentally short of what Lambeth's occupational therapist concluded in her 10 May 2021 email was the "minimum" level of suitability. This is because the house does not provide two ground floor, wheelchair accessible bedrooms for the children.
92. The accommodation also falls short of several of the other requirements Ms Glassberg set out in her initial 15 June 2020 assessment. The essential amenities are not on one level and the children cannot properly access bathing facilities. It also appears from the Croydon claim that the property does not have level access from the outside. ..
94. The living conditions in this case are having a series of very damaging impacts on the Claimant and her children, particularly her two significantly disabled older children, as detailed at [15] above.
95. The two older children's physical health and development is being severely impacted by their accommodation. Their already vulnerable respiratory health is being exacerbated by mould, rising damp, pest infestation and poor environmental air quality at the property. The Claimant's older son has developed pressure sores because she cannot turn him as regularly as is needed due to having to care for her children on separate floors. The difficulty in accessing bathing facilities is exacerbating their skin conditions. The lack of space is impacting on their mobility and developmental programmes. The Claimant and her son are at risk of significant physical injury by her carrying him up and down the stairs.
96. Perhaps most importantly in relation to their physical health and development, both children need surgery due to their physical disabilities but this is being delayed due to the lack of suitable accommodation. Further delays to the Claimant's daughter's surgery will cause deterioration in her condition and could make surgery significantly less successful.
97. The children's education and social development is also being very badly affected. They have not left the house since March 2021. Because the Claimant's older son is largely restricted to the upstairs bedroom he has limited contact with his family. The Claimant and her younger son have only been able to leave the property 5 or 6 times since November 2020.
98. Perhaps most fundamentally in relation to this area, due to the accommodation issues the children have not attended school for a lengthy period (since November 2018 for the Claimant's daughter and March 2020 for her older son).
99. Further, the accommodation issues are preventing both children from having respite care and adversely impacting on the Claimant's mental health. This in turn places the children at risk as she is their primary carer. Two professionals involved in the 5 May 2022 Child Protection Review Conference considered that the children were experiencing or at risk of significant harm. ..
101. Here, the Claimant and her children have been living in unsuitable accommodation for over 20 months. This is a significant period of time, especially bearing in mind the young age of the children involved."
I draw attention to §94, where Hill J accepted Ms Bell's characterisation of the conditions in which she and her children were living and their effects, which had been set out in §15 of the judgment.
The present claim
i) Quashing orders to quash what was characterised as "the Defendant's refusal to give lawful consideration to the placement of [DB] and [ZB] at the Children's Trust School ("CTS")" and "the Defendant's decision to propose that [DB] be looked after separately from [ZB] alone in a foster placement".
ii) Declarations that Croydon had been in continuing breach of its duty to secure lawful arrangements for the education of, and social care support for, DB and ZB since they were housed in Croydon's area in October 2020 or some subsequent date.
iii) A mandatory order that Croydon arrange for DB and ZB to be provided with a residential placement at the CTS.
iv) A mandatory order that Croydon provide a suitable care plan covering their transport to and from the CTS and ensuring that they could spend time in due course at weekends and during school holidays at the family home.
v) A declaration and damages reflecting Croydon's breach of the Convention rights of DB and ZB under Article 8 ECHR (the right to respect for private and family life) and Article 2 of Protocol No. 1 to the ECHR (the right to education).
The First-Tier Tribunal ("FTT") proceedings
The issues for determination by the Court
".. it is important to bear in mind that judicial review remedies are, in general, forward-looking. They are appropriate where the public authority cannot or will not remedy the breach itself. As Woolf LJ emphasised in R v ILEA ex p. Ali, the function of judicial review is not, generally, to conduct inquests into whether an authority is culpable for an admittedly unsatisfactory situation. I say "generally" because, when a judicial review claimant also claims a compensatory remedy, it may be necessary to conduct a backward-looking analysis."
"This Court has also deprecated the trend towards what has become known as a "rolling" approach to judicial review, in which fresh decisions, which have arisen after the original challenge and sometimes even after the first instance judgment, are sought to be challenged by way of amendment: see Spahiu, paras. 60-63. Although, as Coulson LJ said, at para. 63, "there is no hard and fast rule", he was right to say that it will usually be better for all parties if judicial review proceedings are not treated as "rolling" or "evolving"."
i) A claim for an order that Croydon maintain the placements of DB and ZB at TCT pending the outcome of the FTT proceedings. This was not pleaded in the original claim but was added by Mr Presland at the hearing before me without objection from Mr Harrop-Griffiths for Croydon (although he did object to the making of such an order).
ii) The Claimants' claims for breach of their Convention rights.
The Convention rights claims
Article 2P1
"No person shall be denied the right to education."
"The Strasbourg jurisprudence … makes clear how article 2 should be interpreted. The underlying premise of the article was that all existing member states of the Council of Europe had, and all future member states would have, an established system of state education. It was intended to guarantee fair and non-discriminatory access to that system by those within the jurisdiction of the respective states. The fundamental importance of education in a modern democratic state was recognised to require no less. But the guarantee is, in comparison with most other Convention guarantees, a weak one, and deliberately so. There is no right to education of a particular kind or quality, other than that prevailing in the state. There is no Convention guarantee of compliance with domestic law. There is no Convention guarantee of education at or by a particular institution. There is no Convention objection to the expulsion of a pupil from an educational institution on disciplinary grounds, unless (in the ordinary way) there is no alternative source of state education open to the pupil (as in Eren v Turkey). The test, as always under the Convention, is a highly pragmatic one, to be applied to the specific facts of the case: have the authorities of the state acted so as to deny to a pupil effective access to such educational facilities as the state provides for such pupils?"
"I consider that a denial of education under the article can arise in a variety of ways. Obviously, a calculated refusal to allow a pupil access to any form of even basic education will be in violation of the right. But a failure to take steps to provide education when the state authority responsible for providing it is aware of the absence of the pupil from any form of education could in certain circumstances give rise to a breach of the right. If, for instance, a local education authority knows that a child has been asked by a school not to attend that school; and if the authority is responsible for the provision of education to that child; and if it takes no action to supply any alternative to what has been previously provided by the school, it is at least arguable that it is in breach of its duty under article 2 of the First Protocol. I would go further. I believe it also to be at least arguable that an authority with the responsibility for providing education, if it knows that a pupil is not receiving it and engages in a completely ineffectual attempt to provide it, is in breach of the provision."
".. this is not to be taken as any kind of rule of thumb. E's circumstances were grave and exceptional .. I do not have to decide, one way or the other, whether the same result would follow in a case in which similar periods of absence were suffered by a child that had a settled family background and a primary caring parent who did not suffer from serious disabilities (or where the local authority had offered or attempted to make alternative provision) and I do not do so."
i) Croydon was informed by Lambeth on 2 December 2020 that the Claimants had moved into its area and, according to Ronny Burfield, team leader in Croydon's Special Educational Needs Department, forthwith accepted responsibility for them under s. 24 of the 2014 Act. Croydon received from Lambeth their then current EHC Plans, which stated that they were enrolled at LLS. Croydon's assigned social worker was aware that they had not been to school for some time (in part due to Covid-19 disruption) but proceeded on the basis that they would attend LLS once transport was arranged (which was Croydon's responsibility).
ii) The Court has been told that DB's EHC Plan coordinator, a Ms Shivacheva, sent the family's social worker and LLS the transport application form so that they could support Ms Bell in completing it. No date is given as to when this was done, but Ms Shivacheva was not appointed to be DB's coordinator until May 2021 so I must assume that it was in May 2021 or later. The coordinator was informed by LLS on 16 July 2021 that the form had been submitted, but when the coordinator followed this up with Croydon's Passenger Transport Service ("PTS") in September 2021 she was told that no form had been received. The form was eventually submitted by Ms Bell on 6 October 2021. Therefore, the first step in enabling the children to attend school was not taken until approximately 10 months after Croydon became responsible for them.
iii) Ms Bell explained on the transport application form that each of DB and ZB would require to be accompanied on the journey to and from LLS by a nurse, who would be able to perform suctioning so as to maintain their breathing. She stated that she was unable to perform this task herself, it being an impossible task for one person and she also had to look after her youngest child. Croydon has not sought to dispute Ms Bell's evidence on that point. However, Croydon's PTS replied that it was unable to provide any medically trained staff and Ms Bell would have to attend to the children herself. There was correspondence between the PTS and Ms Bell which had not reached a conclusion by 10 December 2021, more than a year after the children had moved into Croydon's area, when a judicial review pre-action protocol letter was sent on the Claimants' behalf. Amongst other things the letter alleged that there had been a breach of the Claimants' A2P1 rights because failure to provide a suitably trained escort meant that the children could not go to school; and "Provision of a vehicle without the trained escort comfortably qualifies, in our view, as a "completely ineffectual attempt" to facilitate the children's education" (referencing Lord Kerr in A). The letter pointed out that LLS had identified a nurse to accompany ZB to and from school in July 2021.
iv) On 23 December 2021, Croydon replied to the Claimants' solicitors informing them that providing a nurse escort was not Croydon's responsibility, but that of the local Clinical Commissioning Group, and they had agreed to provide a nurse for ZB only, to provide suctioning only and for four weeks only. Ms Bell had already been informed of this development and had immediately raised objections with Croydon as to its adequacy, but had received no reply by 26 January 2022, when the Claimants' solicitors were required to write further to Croydon. Croydon also stated on 23 December 2021 that it would not be making any alternative educational provision for the children because they were enrolled at LLS.
v) On 21 March 2022, a further pre-action letter was sent to Croydon by the Claimants' solicitors. By this time, their focus had turned to seeking to persuade Croydon to place them at CTS but the letter also addressed their current position, noting that the issue of suitably qualified escorts had not been resolved so that they "remain without education, or the means to attend it via suitable transport".
vi) Croydon did not acknowledge or respond to that letter, and a further, comprehensive, pre-action letter was sent on 6 April 2022. The 6 April 2022 letter noted that ZB had been receiving two virtual lessons per week plus a music session, and from February 2022 DB had started to receive a music session and a virtual group communication session each week, and that Croydon had refused to provide any further education for them because education was available to them at LLS. It complained that the children had been "out of education since being in Croydon, spanning some 18 months and counting".
vii) In its response on 19 April 2022, Croydon offered to "refer the children to home tuition if mother is agreeable to this as a temporary provision whilst the issues around the children attending school is resolved". (I pause to note that the reason that that was not offered earlier was Croydon's insistence that they should attend LLS). By 10 May 2022, when the Claimants' solicitors wrote again to Croydon, it had not been clarified whether the tuition offered would be in person or virtual. By email on 1 July 2022, the Claimants' solicitors refused the offer. They stated that home tuition had been offered as a temporary measure until the "housing is resolved" but the family's housing situation had been ongoing since November 2020 and the interim measure they sought was residential placement in CTS.
viii) In addition to the escort issue, there were other difficulties in the children attending LLS. DB was effectively confined to his upstairs bedroom and would have to have been lifted downstairs in order to leave the house. In a children and families social services assessment by Croydon dated 25 February 2022 there is recorded an update from Lambeth on 2 February 2022 that it had been agreed with Ms Bell in November 2021 to use (with a carer) a "stair climber" to move DB up and down stairs but that as of that date training to use the equipment had not yet been provided, due to objections from Ms Bell. Whereas Ms Bell maintained that the stair climber needed at least one carer and usually two to operate it, as Ms Bell did not have the physical capability to do so, and there were no or insufficient carers on site to do this. ZB's bedroom was downstairs but there were also difficulties in a wheelchair navigating the driveway of the property to reach a vehicle. The surface of the driveway was not solid but was comprised of pebbles and a ramp (either temporary or permanent) was required, to which the owner of the property had objected.
ix) In her witness statement dated 8 September 2022, Juliet Davis, a social worker employed by Croydon, states:
"15. London Borough Croydon maintains that with the support of two carers and a portable ramp, ZB can access school from her current home, despite any objection there may be from Ms Bell's landlady. London Borough Croydon will provide that support and transport.
16.In addition, the CCG will provide an escort for her for a 4-week assessment period."
This is the first firm commitment that I can detect from Croydon to provide a suitable escort for ZB to enable her to attend school. There was no such commitment made in relation to DB (although by this stage Croydon had agreed to place him at TCT).
x) As of 2 November 2022, the children were placed at TCT and started to receive non-classroom-based education there.
Article 8
Just satisfaction
Mandatory order pending the outcome of the FTT proceedings
Conclusion