FAMILY DIVISION
Strand London WC2A 2LL |
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B e f o r e :
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Re S (Child as parent: Adoption: Consent) |
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Shaun Spencer (instructed by Ramsdens, Solicitors) for S (by a Litigation Friend appointed by Cafcass)
Lorraine Cavanagh (instructed by Switalskis, Solicitors) for T (by a Children's Guardian)
Hearing dates: 24 October 2017
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Crown Copyright ©
The Honourable Mr Justice Cobb :
Introduction
i) By what test does the court assess generally the competence of a child as a decision-maker?
ii) Can a child parent give consent to accommodation of their child (under section 20 Children Act 1989), even if assessed to lack competence in other domains, including litigation competence in associated / simultaneous adoption or placement proceedings?
iii) What is the test for establishing the competence of a child parent to consent to the placement and/or adoption of their baby?
iv) Should steps be taken to help the child parent to reach a competent decision?
v) In what factual circumstances is the section 31(2) CA 1989 'threshold' likely to be met in relation to a relinquished baby, so as to found jurisdiction for the making of a placement order under section 21(2)(b) ACA 2002?
vi) Where a placement order is refused on the basis that the grounds in section 21(2) of the ACA 2002 are not established, and where there is also no valid consent to adoption, either because the child parent is not competent, or she declines to give consent, how does the court proceed towards adoption for the baby?
Statutory scheme under the Adoption and Children Act 2002 ('ACA 2002')
Section 19: Placing children with parental consent
"(1) Where an adoption agency is satisfied that each parent or guardian of a child has consented to the child—
(a) being placed for adoption with prospective adopters identified in the consent, or
(b) being placed for adoption with any prospective adopters who may be chosen by the agency,
and has not withdrawn the consent, the agency is authorised to place the child for adoption accordingly.
(2) Consent to a child being placed for adoption with prospective adopters identified in the consent may be combined with consent to the child subsequently being placed for adoption with any prospective adopters who may be chosen by the agency in circumstances where the child is removed from or returned by the identified prospective adopters.
(3) …
(4) …
(5) This section is subject to section 52 (parental etc. consent)."
Section 20: Advance consent to adoption
"(1) A parent or guardian of a child who consents to the child being placed for adoption by an adoption agency under section 19 may, at the same or any subsequent time, consent to the making of a future adoption order.
(2) Consent under this section—
(a) where the parent or guardian has consented to the child being placed for adoption with prospective adopters identified in the consent, may be consent to adoption by them, or
(b) may be consent to adoption by any prospective adopters who may be chosen by the agency.
(3) A person may withdraw any consent given under this section.
(4) A person who gives consent under this section may, at the same or any subsequent time, by notice given to the adoption agency—
(a) state that he does not wish to be informed of any application for an adoption order, or
(b) withdraw such a statement.
(5) ….
(6) This section is subject to section 52 (parental etc. consent)".
Section 52: Parental etc. consent
"(1) The court cannot dispense with the consent of any parent or guardian of a child to the child being placed for adoption or to the making of an adoption order in respect of the child unless the court is satisfied that—
(a) the parent or guardian cannot be found or [lacks capacity (within the meaning of the Mental Capacity Act 2005) to give consent], or
(b) the welfare of the child requires the consent to be dispensed with.
(2) The following provisions apply to references in this Chapter to any parent or guardian of a child giving or withdrawing—
(a) consent to the placement of a child for adoption, or
(b) consent to the making of an adoption order (including a future adoption order).
(3) Any consent given by the mother to the making of an adoption order is ineffective if it is given less than six weeks after the child's birth.
(4) The withdrawal of any consent to the placement of a child for adoption, or of any consent given under section 20, is ineffective if it is given after an application for an adoption order is made.
(5) "Consent" means consent given unconditionally and with full understanding of what is involved; but a person may consent to adoption without knowing the identity of the persons in whose favour the order will be made.
(6) "Parent" (except in subsections (9) and (10) below) means a parent having parental responsibility.
(7) Consent under section 19 or 20 must be given in the form prescribed by rules, and the rules may prescribe forms in which a person giving consent under any other provision of this Part may do so (if he wishes).
(8) Consent given under section 19 or 20 must be withdrawn—
(a) in the form prescribed by rules, or
(b) by notice given to the agency.
(9) …
(10) …"
Section 21: Placement orders
"(1) A placement order is an order made by the court authorising a local authority to place a child for adoption with any prospective adopters who may be chosen by the authority.
(2) The court may not make a placement order in respect of a child unless—
(a) the child is subject to a care order,
(b) the court is satisfied that the conditions in section 31(2) of the 1989 Act (conditions for making a care order) are met, or
(c) the child has no parent or guardian.
(3) The court may only make a placement order if, in the case of each parent or guardian of the child, the court is satisfied—
(a) that the parent or guardian has consented to the child being placed for adoption with any prospective adopters who may be chosen by the local authority and has not withdrawn the consent, or
(b) that the parent's or guardian's consent should be dispensed with.
This subsection is subject to section 52 (parental etc. consent).
(4) A placement order continues in force until—
(a) it is revoked under section 24,
(b) an adoption order is made in respect of the child, or
(c) the child marries [forms a civil partnership] or attains the age of 18 years.
Section 44: Notice of intention to adopt
(1) This section applies where persons (referred to in this section as "proposed adopters") wish to adopt a child who is not placed for adoption with them by an adoption agency.
(2) An adoption order may not be made in respect of the child unless the proposed adopters have given notice to the appropriate local authority of their intention to apply for the adoption order (referred to in this Act as a "notice of intention to adopt").
(3) The notice must be given not more than two years, or less than three months, before the date on which the application for the adoption order is made.
(4) Where—
(a) if a person were seeking to apply for an adoption order, subsection (4) or (5) of section 42[1] would apply, but
(b) the condition in the subsection in question is not met,
the person may not give notice of intention to adopt unless he has the court's leave to apply for an adoption order.
(5) On receipt of a notice of intention to adopt, the local authority must arrange for the investigation of the matter and submit to the court a report of the investigation.
(6) …
(7) …
(8) Where—
(a) a local authority have placed a child with any persons otherwise than as prospective adopters, and
(b) the persons give notice of intention to adopt,
the authority are not to be treated as leaving the child with them as prospective adopters for the purposes of section 18(1)(b).
(9) …"
Section 47 Conditions for making adoption orders
"(1) An adoption order may not be made if the child has a parent or guardian unless one of the following three conditions is met; but this section is subject to section 52 (parental etc. consent).
(2) The first condition is that, in the case of each parent or guardian of the child, the court is satisfied—
(a) that the parent or guardian consents to the making of the adoption order,
(b) that the parent or guardian has consented under section 20 (and has not withdrawn the consent) and does not oppose the making of the adoption order, or
(c) that the parent's or guardian's consent should be dispensed with."
By what test does the court assess generally the competence of a child as a decision-maker?
"…a minor under the age of 16 can, within certain limits, enter into a contract. He or she can also sue and be sued, and can give evidence on oath. Moreover, a girl under 16 can give sufficiently effective consent to sexual intercourse to lead to the legal result that the man involved does not commit the crime of rape …Accordingly, I am not disposed to hold now, for the first time, that a girl aged less than 16 lacks the power to give valid consent to contraceptive advice or treatment, merely on account of her age."
And per Lord Scarman:
"The underlying principle of the law … 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. …
I would hold that as a matter of law the parental right to determine whether or not their minor child below the age of 16 will have medical treatment terminates if and when the child achieves a sufficient understanding and intelligence to enable him or her to understand fully what is proposed. It will be a question of fact whether a child seeking advice has sufficient understanding of what is involved to give a consent valid in law.
It is not enough that she should understand the nature of the advice which is being given: she must also have a sufficient maturity to understand what is involved". (Emphasis by underlining added).
i) The determination of a child's competence must be decision-specific and child-specific. It is necessary to consider the specific factual context when evaluating competence, for "removing the specific factual context from some decisions leaves nothing for the evaluation of capacity to bite upon" (City of York Council v C [2013] EWCA Civ 478; [2014] Fam 10 at [35]);
ii) Just because S lacks litigation competence in the placement order proceedings for example does not mean that she lacks subject matter competence (say, in relation to consent): Sheffield City Council v E [2004] EWHC 2808 (Fam) at [23] ("someone can have capacity for one purpose whilst simultaneously lacking capacity for another purpose"[3]);
iii) The assessment of competence must be made on the current evidence, and in respect of this current and specific decision, as is the approach under the MCA 2005: see §4.4 Mental Capacity Act Code of Practice ("the Mental Capacity Code").
i) Understand the nature and implications of the decision and the process of implementing that decision;
ii) Understand the implications of not pursuing the decision;
iii) Retain the information long enough for the decision-making process to take place;
iv) Weigh up the information and arrive at a decision;
v) Communicate that decision.
Can a child parent give consent to accommodation of their child (under section 20 Children Act 1989), even if assessed to lack litigation competence in simultaneous adoption or placement proceedings?
"(7) A local authority may not provide accommodation under this section for any child if any person who—
(a) has parental responsibility for him; and
(b) is willing and able to—
(i) provide accommodation for him; or
(ii) arrange for accommodation to be provided for him,
objects"
"… [i]n order for such an agreement to be lawful, the parent must have the requisite capacity to make that agreement. All consents given under section 20 must be considered in the light of sections 1-3 of the Mental Capacity Act 2005": per Hedley J in Coventry City Council v C [2012] EWHC 2190 (Fam) at [27],
and see Newcastle CC v WM and others [2016] 2 FLR 184 at [45]). To emphasise the point, it is instructive to revisit the principles set out in the Coventry case, per Hedley J at [2012] EWHC 2190 (Fam) ([46]), noting among them:
"Every social worker obtaining such a consent is under a personal duty (the outcome of which may not be dictated to them by others) to be satisfied that the person giving the consent does not lack the capacity to do so.
In taking any such consent the social worker must actively address the issue of capacity and take into account all the circumstances prevailing at the time and consider the questions raised by Section 3 of the 2005 Act, and in particular the mother's capacity at that time to use and weigh all the relevant information" [46](ii)/(iii).
i) That the child will be staying with someone chosen by the local authority, probably a foster carer;
ii) That the parent can change her mind about the arrangements, and request the child back from accommodation at any time;
iii) That the parent will be able to see the child.
What is the test for establishing the competence of a child parent to consent to the placement and/or adoption of their baby?
i) competence to decide the question of consent to adoption will be satisfied if the young person (a) understands "sufficient" information to make the decision (i.e. just the "information relevant to the decision": per section 3(1)(a) MCA 2005), (b) is able to retain that information for a short time, (c) is able to weigh up the information, and (d) communicate the decision;
ii) the need for the decision-maker to consider and understand the 'full information' under section 52(5) comes later at the point of giving or withholding of consent; section 52(5) refers to the exercise of the decision-making, not the competence of the decision-maker.
She contends that it would not be logical or practicable to set different standards of understanding for those just over 16 and those just under 16; she rejects the notion that a higher bar of competence should be set for those under 16 which is, she says, the effect of Miss Cavanagh's argument.
"In [the expert's] view it is unnecessary for his determination of RYJ's capacity that she should understand all the details within the Statement of Special Educational Needs. It is unnecessary that she should be able to give weight to every consideration that would otherwise be utilised in formulating a decision objectively in her 'best interests'. I agree his interpretation of the test in section 3 which is to the effect that the person under review must comprehend and weigh the salient details relevant to the decision to be made. To hold otherwise would place greater demands upon RYJ than others of her chronological age/commensurate maturity and unchallenged capacity, and must understand and weigh all the "salient" details
"[the] courts must guard against imposing too high a test of capacity to decide issues such as residence because to do so would run the risk of discriminating against persons suffering from a mental disability."
"a person should not be held unable to understand the information relevant to a decision if he can understand an explanation of that information in broad terms and simple language"
So, says Ms Dolan, it is not necessary for S to understand all the peripheral and non-salient information in the adoption consent form in order to be declared capacitous. Nor does she even need fully to understand the legal distinctions between placement for adoption under a placement order and not under a placement order. Indeed, Ms Dolan herself relies in this regard on Re A (Adoption: Agreement: Procedure) at [43] where Thorpe LJ observes that the differences between freeing and adoption are:
"… complex in their inter-relationship and it is not to be expected that social workers should have a complete grasp of the distinction between the two, or always to signify the distinction in their discussion with their clients" (my emphasis).
If social workers are not expected to understand the complexities of the legislation (or its predecessor) or explain the distinction accurately to the parents with whom they are working, asks Ms Dolan, why should a person under the age of 16 be expected to be able to grasp them in order to be declared capacitous?
i) Your child will have new legal parents, and will no longer be your son or daughter in law;
ii) Adoption is final, and non-reversible;
iii) During the process, other people (including social workers from the adoption agency) will be making decisions for the child, including who can see the child, and with whom the child will live;
iv) You may obtain legal advice if you wish before taking the decision;
v) The child will live with a different family forever; you will (probably) not be able to choose the adopters;
vi) You will have no right to see your child or have contact with your child; it is highly likely that direct contact with your child will cease, and any indirect contact will be limited;
vii) The child may later trace you, but contact will only be re-established if the child wants this;
viii) There are generally two stages to adoption; the child being placed with another family for adoption, and being formally adopted;
ix) For a limited period of time you may change your mind; once placed for adoption, your right to change your mind is limited, and is lost when an adoption order is made.
Should steps be taken to help the child parent to reach a competent decision?
In what factual circumstances is the section 31(2) CA 1989 'threshold' likely to be met in relation to a relinquished baby, so as to found jurisdiction for the making of a placement order under section 21(2)(b) ACA 2002?
"the very fact of abandonment establishes that M [the child] was suffering from significant harm immediately before the rescue operation was carried out by the two workers from the clinic. To leave a child a few days old, alone and abandoned as occurred here, with all the risks that such entails, shows in the clear terms a complete dereliction of parental responsibility. 'Harm' means 'ill-treatment or the impairment of health or development' (see s?31(9) of the Children Act 1989). To abandon a child in the manner in which M was abandoned must constitute ill-treatment. Accordingly, I consider that M was suffering from significant harm immediately prior to being found by the clinic workers"
Cazalet J further found that M was likely to suffer significant harm by reason of knowing nothing of his parentage, background or origins.
"… the fact that the mother has given up her baby does not by itself satisfy the threshold criteria under section 31. When a baby has been simply abandoned on a doorstep, it is likely that criteria will be satisfied – each case will, as always, turn on its own facts. In cases where the mother has reached the difficult decision that she cannot keep the baby, notified the local authority in advance, and made responsible plans for the relinquishment of the baby in a way which minimises the risk of harm, it is in my judgment unlikely to be the case that the threshold criteria will be satisfied. It is likely that a baby deprived of her mother's care will suffer some form of harm but that will be diminished if the baby is swiftly moved to another carer in a planned way. Even when a baby suffers harm from being deprived of her mother's care, it does not follow in these circumstances that the harm can be described as being attributable to the care given to the child not being what it would be reasonable to expect a parent to give. A mother who concludes that she cannot care for her baby, and who notifies the authorities and makes responsible plans for relinquished in the baby at birth, is not, in my judgment, acting unreasonably".
In the preceding judgment in the same case dealing with jurisdiction issues (Re JL & AO (Babies Relinquished for Adoption) [2016] EWHC 440 (Fam) at [50]), Baker J had made the point (reinforced above) that the relinquished baby may be caught by the threshold criteria, but it all depends on the individual facts and the circumstances of the singular case.
Where a placement order is refused on the basis that the grounds in section 21(2) of the ACA 2002 are not established, and where there is also no valid consent to adoption, either because the child parent is not competent, or she declines to give consent, how does the court proceed towards adoption for the baby?
i) There is an argument that T was placed with the foster-to-adopt carers straight from hospital "otherwise than as prospective adopters" (see section 44(8)(a));
ii) T's consent to this placement was obtained within 6 weeks of T's birth and is therefore ineffective as a consent to placement for adoption[11].
It seems possible for me to order the placement of T with the foster-to-adopt carers under section 42(2)(a), but the better option may be, as Miss Cavanagh proposes, that the section 44 route is deployed by which an adoption application could be issued, and S's consent dealt with in that context.
Assessment of S's capacity
"… despite her developmental disabilities [S] has the competency to understand her current situation, the options and consequences of choosing one way or the other. She was clear as to what are her views and that she has not been put under any pressure. In my opinion, [S] demonstrated that she has sufficient verbal ability to discuss the issues and sufficient maturity to sit with me and discuss them."
Discussion and conclusion
"even where there is capacity, it is essential that any consent so obtained is properly informed and, at least where it results in detriment to the giver's personal interest, is fairly obtained" [28];
"If the social worker is satisfied that the person whose consent is sought does not lack capacity, the social worker must be satisfied that the consent is fully informed: Does the parent fully understand the consequences of giving such a consent? Does the parent fully appreciate the range of choice available and the consequences of refusal as well as giving consent? Is the parent in possession of all the facts and issues material to the giving of consent?" [46](v) ibid.
"… a person might need more detailed information or access to advice, depending on the decision that needs to be made. If a decision could have serious or grave consequences, it is even more important that a person understands the information relevant to that decision" (emphasis added).
i) The test of competence for decision-making of a young person is that set out in the House of Lords decision of Gillick v West Norfolk and Wisbech Area Health Authority [1985] 3 WLR 830, [1986] 1 AC 112 ("Gillick") ("a sufficient understanding and intelligence to enable him or her to understand fully what is proposed"); in this regard, the child should be able to:
a) Understand the nature and implications of the decision and the process of implementing that decision;
b) Understand the implications of not pursuing the decision;
c) Retain the information long enough for the decision-making process to take place;
d) Be of sufficient intelligence and maturity to weigh up the information and arrive at a decision;
e) Be able to communicate that decision.
ii) The determination of a child's competence must be decision-specific and child-specific; It is necessary to consider the specific factual context when evaluating competence;
iii) Just because a child lacks litigation competence in (for example) care or placement order proceedings does not mean that she lacks subject matter competence in relation to consent to section 20 CA 1989 accommodation of her baby, or indeed to the adoption of the baby;
iv) The assessment of competence must be made on the evidence available;
v) When considering the issue of Gillick competence of a child parent, an important distinction must be drawn between the determination of competence to make the decision, and the exercise by that young person of their competent decision making;
vi) The relevant information that a child under 16 would need to be able to understand, retain and weigh up in order to have competency to consent to the section 20 accommodation of a child would be:
a) That the child will be staying with someone chosen by the local authority, probably a foster carer;
b) That the parent can change her mind about the arrangements, and request the child back from accommodation at any time;
c) That the parent will be able to see the child
vii) The salient or "sufficient" information which is required to be understood by the child parent regarding extra-familial adoption is limited to the fundamental legal consequences of the same; this would be:
a) Your child will have new legal parents, and will no longer be your son or daughter in law;
b) Adoption is final, and non-reversible;
c) During the process, other people (including social workers from the adoption agency) will be making decisions for the child, including who can see the child, and with whom the child will live;
d) You may obtain legal advice if you wish before taking the decision;
e) The child will live with a different family forever; you will (probably) not be able to choose the adopters;
f) You will have no right to see your child or have contact with your child; it is highly likely that direct contact with your child will cease, and any indirect contact will be limited;
g) The child may later trace you, but contact will only be re-established if the child wants this;
h) There are generally two stages to adoption; the child being placed with another family for adoption, and being formally adopted;
i) For a limited period of time you may change your mind; once placed for adoption, your right to change your mind is limited, and is lost when an adoption order is made.
viii) When determining the competence of a child parent in these circumstances, "all practicable steps to help" her, as the decision-maker, to make the decision, must have been taken; a young person under the age of 16 will be treated as understanding the information relevant to a decision if she is able to understand an explanation of it given to her in a way which is appropriate to her circumstances (using simple language, visual aids or any other means).
ix) The decision to consent to adoption is significant and life-changing; there is a greater onus on ensuring that at the decision-making stage the child understands and is able to weigh the information;
x) Before exercising her decision-making, the child parent should freely and fully understand the information set out on the consent forms (which information is drawn from the ACA 2002 and from the Regulations); the information should be conveyed and explained to the young person in an age-appropriate way; there is no expectation that the young person would be able to understand the precise language of the consent forms;
xi) The question whether the threshold criteria is established in a relinquished baby case (section 21(2)) ACA 2002) is one of fact;
xii) If there is any doubt about the competence of a child parent to give consent to adoption or placement for adoption, the issue should be referred to a court.
Note 1 Section 42 sets out the ‘residence’ (i.e. child has his home with…) criteria for the applicants: the child must have had his home with the prospective adopters for specified periods depending on the nature of the placement. On these facts, it is arguable that T was placed with the foster-to-adopt carers ‘for adoption’ by the local authority as adoption agency in which case the application could be made after a period of ten weeks (section 42(2)), or I could order that the child is placed with the prospective adopters and the same time limit (10 weeks) would apply. If the proposed adopters simply proceed as foster parents, the ‘residence’ condition would not be satisfied until after 1 year (section 42(4)), or I could give leave to the proposed adopters to make the application (section 42(6)). [Back] Note 2 Section 2(5) MCA 2005: and see also Family Law Reform Act 1969 and the presumption of capacity of young people over 16 years old to have capacity to consent to surgical, medical or dental treatment and to associated procedures, such as nursing care. [Back] Note 3 And see also [40] and [41]: ““[40] …the Official Solicitor is often engaged in litigation where questions arise in relation to each type of capacity. Not infrequently, for example, as he tells me, he agrees to act as guardian ad litem of a parent, the respondent to adoption proceedings, who lacks the capacity to litigate but who, on investigation, is nonetheless found to have capacity to give agreement to the making of an adoption order in accordance with section 16(1)(b)(i) of the Adoption Act 1976. [41] Correctly, in my judgment, the Official Solicitor accepts that the tests for what I will call "litigation capacity" and "subject-matter capacity" are not identical, and that an adult who lacks the capacity to litigate – lacks "litigation capacity" – may nonetheless have capacity with regard to the matters which are the subject of that litigation – "subject-matter capacity". One example is provided by the kind of adoption case to which I have just referred.” [Back] Note 4 If further support were needed for this approach, I note that Hedley J applied similar thinking in Coventry City Council v C [2012] EWHC 2190 (Fam) at [27] (on the question of consent to accommodation of a child under Part III of theCA 1989) “All consents given under Section 20 [Children Act 1989] must be considered in the light of Sections 1-3 of theMental Capacity Act 2005”. [Back] Note 5 Note, in support of this proposition, that in Re A (Adoption: Agreement: Procedure) [2001] 2 FLR 455, it was conceded (at [37]) that a 14-year-old could give valid consent, but this depended on the person receiving reliable information, that proper explanation should be given on the different procedures, and the person should have the chance to reflect. [Back] Note 6 Re A (Adoption: Agreement: Procedure) [2001] 2 FLR 455 at [50]: “the consequences of consent to a freeing order could not be starker, and that the degree of understanding and the quality of consent must therefore be commensurate.” [Back] Note 7 “Consent under section 19 or 20 must be given in the form prescribed by rules” (emphasis added) [Back] Note 8 Rule 14.10 FPR 2010 “(1) Consent of any parent or guardian of a child – (a) under section 19 of the 2002 Act, to the child being placed for adoption; and (b) under section 20 of the 2002 Act, to the making of a future adoption order, must be given in the form referred to in Practice Direction 5A or a form to the like effect.”
[Back] Note 9 See also Baker J in CC v KK & STCC [2012] EWCOP 2136: [69]: “it is not necessary for a person to demonstrate a capacity to understand and weigh up every detail of the respective options, but merely the salient factors” [Back] Note 10 This list contains matters which were discussed in the hearing; the list here is my compilation of the relevant factors. [Back] Note 11 Section 52(3) ACA 2002 [Back] Note 12 per Munby J in Sheffield City Council v E [2004] EWHC 2808 (Fam) at [19] [Back]