QUEEN'S BENCH DIVISION
Strand, London, WC2A 2LL |
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B e f o r e :
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A K |
Claimant |
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- and - |
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1.) Central and North West London Mental Health NHS Trust |
1st Respondent |
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2.) The Royal Borough of Kensington & Chelsea |
2nd Respondent |
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Jeremy Hyam (instructed by Barlow Lyde & Gilbert) for the 1st Respondent
Bryan McGuire (instructed by Weightmans) for the 2nd Respondent
Hearing dates: 19th October 2007 and 19th November 2007
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Crown Copyright ©
The Hon Mr Justice King:
"The well known authorities cited at paragraphs 29 to 33 of the Appellant's Skeleton Argument ...a reference to the citation of the post "X" authorities of Barrett, Phelps, and JD amongst others) takes matters no further. It is not the defendants' case, nor was it found in Clunis, that no common law duty can exist where the obligations contended for mirrored or arose from a statutory duty. The authority's point is that this particular scheme precludes and has been found to preclude (a reference to Clunis) the existence of a common law duty of care. Barrett and Phelps are not in point .W v. Essex CC merely confirms that it may be inappropriate to strike out a claim before the true facts have been investigated. But in this case the Claimant has had (including the Answer) 4 attempts to identify the facts said to give rise to a valid claim. This is not a case which requires further investigation".
F – G that "the question whether a common law duty exists in parallel with the authority's statutory obligations is profoundly influenced by the surrounding statutory framework: see Lord Browne – Wilkinson in X (minors) v. Bedfordshire at 739c and per Lord Hoffman in Stovin v.Wise [1996] AC 923,952-3. So too in this case the statutory framework must be a major consideration in deciding whether it is fair and reasonable for the local health authority to be held responsible for errors and omissions of the kind alleged".
The Appellant's pleaded case – his re-amended particulars of claim.
The source of the common law duty of care – on the pleadings
a) the Claimant was a vulnerable man who presented as a risk to himself, including the risk of suicide;
b) that vulnerability was recognised by both defendants who undertook
to care for him under the Community Programme Approach ('CPA');
c) both defendants specialised in the provision of services to vulnerable
individuals such as the Claimant;
d) the Claimant relied upon both defendants;
e) it is accordingly averred that these facts give rise to a duty of care
owed by both Defendants to the Claimant who at the very least
assumed a responsibility to him;
i) C was regularly assessed by the Defendants as being vulnerable; The voluminous paperwork attests to the degree (but not the quality) of the interaction between them;
ii) C was highly reliant upon the Defendants;
iii) The defendants appreciated that C was reliant upon them;
iv) this relationship had extended over several years;
v) the defendants were aware of the risk of self harm and suicide, the extent to which C's unsuitable accommodation exacerbated that risk and the presence of particular stress factors arising out of C's asylum claim.
The pleaded particulars of negligence
The pleaded particulars of breach of human rights;
a) a breach of the obligations owed by the defendants under article 2 (the right to life) " in that they failed to prevent to take effective measures to protect the Claimant from life threatening injury";
b) a breach under article 3 (prohibition of torture or inhuman or degrading treatment or punishment) in that "they failed to prevent the severe anguish the Claimant would have been suffering in the period before he jumped from the window and from the injuries that he sustained. It is averred that the Claimant was thereby exposed to inhuman and degrading treatment;"
c) a breach under article 8 (right to respect for private and family life) "in that they failed to protect his physical integrity and family life."
The non controversial factual background to the claim
The report of the independent social worker disclosed by the appellant
The pleaded source of the defendants' provision of services to the appellant; the pleaded source of the defendant's obligation to provide the services which it is said they negligently failed to provide
"(2) It shall be the duty of the Primary Care Trust or Health Authorityand of the local social services authority to provide, in co-operation
with relevant voluntary agencies, after-care services for any person to
whom his section applies until such time as the Primary Care Trust
or Heath Authority and the local social services authority are satisfied
that the person concerned is no longer in need of such services….."
The nature of the pleaded case in negligence
"The First and Second defendants are jointly responsible for the provision of aftercare services to the Claimant pursuant to section 117 of the Mental Health Act 1983. The duty under section 117 is on the Primary Care Trust or Heath Authority and the Local Social Services Authority to provide in cooperation with each other relevant after care services until such time as both authorities are satisfied that the person is no longer in need of those services."
It is then pleaded in paragraph 9, immediately following the above pleading in paragraph 8, that "it is accordingly (my emphasis) averred that at the material times set out below the Defendant were acting in a joint (my emphasis) capacity in the provision of services to the Claimant (my emphasis) and are therefore (my emphasis) jointly (my emphasis) liable for the acts and omissions particularised below".
The plea that the services were being provided under the CPA (the Care Programme Approach).
The free standing nature of the provision of services under section 117.
"Next it is necessary to identify what is embraced in the conceptof 'after care' services in s.117(2). There is no issue on this point.
In Clunis v. Camden and Islington Health Authority, at 992 Beldam
LJ observed on behalf of the Court of Appeal 'After-care services are
not defined in the Act. They would normally include social work, support
in helping the ex-patient with problems of employment accommodation
or family relationships, the provision of domiciliary services and the use of day and residential facilities.' It is common ground that this was a
correct description. It is agreed that caring residential accommodation is
within the scope of s.117(2).
It is now possible to address the issue before the House. If Parliament
had intended by s.117(2) to provide that after-care services would be
provided under other statutory provisions one would have expected
s.117(2) to specify the statutory provisions to be triggered…In my view
s.117(2) is incapable of being read as a duty to secure the provision of
such services under named other enactments. Indeed sub-s (2A) (a)
refers to 'after-care' services provided …under this section…."
"Furthermore and in any event it is presently unclear (and clearly a triable issue) as to whether section 117 of the Mental Heath Act ever applied to C. The documentation disclosed to C shows that the defendants' employees proceed throughout on the basis he was being cared for pursuant to section 117 of the 1983 Act and indeed this is the basis upon which all parties pleaded their cases . Close analysis of the documents however has failed to identify whether and if so when C was detained under section 3 of the Act (the pre-requisite of an obligation under s.117 to arise). The defendants have been asked to confirm whether C was in fact detained under section 3 and if so when but there has been no substantive response this request. If in fact the defendants are unable to demonstrate that C was sectioned then no formal obligation under s.117 ever existed. Accordingly the case would simply rest on an assumption of responsibility and on the Defendant's own analysis Clunis would not apply".
The courts conclusions
The pleaded claim in negligence - The impact of the decision in Clunis on the prospects of success for the pleaded basis of the asserted common law duty of care.
'The character of the duties created seem to us top closely analogous to those described by Lord Browne-Wilkinson in X (Minors) v Bedfordshire County Council [1995] 2 AC 633, 747 as requiring : "exceptionally clear statutory language to show a parliamentary intention that those responsible for carrying out these difficult functions, should be liable in damages if, on subsequent investigation with the benefit of hindsight, it was shown that they had reached an erroneous conclusion and therefore failed to discharge their statutory duties" '.
Conclusion on the pleaded claim in negligence
Clunis distinguishable on its facts
Clunis no longer to be regarded as a definitive ruling on the question of a common law duty of care in the context of section 117 functions
Causation
a) had a social worker been appointed and/or the defendants complied with their duties to the Claimant, he would have been placed in high to medium supported accommodation.b) such accommodation would have provided the Claimant with access to trained staff who would probably have been alerted to any change mood or other causes for concern displayed by the Claimant;
c) such staff would have sought to address such concerns by for example talking to the Claimant and/or offering him access to specialist services or securing immediate admission to hospital;
d) the Claimant would have been accommodated such that he would not have been able to jump from a second floor window;
e) whilst such steps would not have eliminated the possibility that the Claimant would have jumped from a window and sustained catastrophic injury it would have made it improbable;
The ineligibility of the claimant for housing benefit as a failed asylum seeker
The HRA claims
Overall Conclusion.