Part VIII
Non-legislative solutions: an agreement and a code of practice
8.1 In this Part we examine in more detail the two non-legislative routes to resolving the problems we identified in Part VII: first, a statement of agreed principles or practice between the insurers and the local authorities,[1] and second, a Code of Practice for the conduct of local authority ad hoc inquiries.[2]
8.3 Following completion of the Jillings report, the LGA and the ABI issued a Guidance Circular to local authorities on how to approach inquiries concerned with reviewing statutory responsibilities which are subject to indemnity insurance cover: “Ad Hoc Inquiries in Local Government – Insurance Aspects”.[3] It was circulated on 30 September 1999, and is reproduced as Appendix A.
8.4 The Guidance “sets out principles which the LGA recommends local authorities apply when considering arrangements for an inquiry concerned with reviewing statutory responsibilities which are subject to indemnity insurance cover.”[4] It begins by reminding authorities to check whether an insurance liability might arise.[5]
8.5 The Guidance states plainly that “it is for the authority alone to decide whether or not to hold an inquiry. Insurers would not expect or wish to be involved in such a decision, though it is important that the authority informs the insurer of its decision.”[6] We agree that this is the appropriate approach.
8.6 The Guidance points out the importance of accurate and reasonable reports, and that conclusions be well-founded. It therefore advises that the terms of reference be restricted “to findings of fact and recommendations for the avoidance of a recurrence”.[7] The Guidance advises “instructing the inquiry that comment, opinion or criticism should only be introduced into its report if it is justified; to avoid introducing any inference or supposition into its report; and to ensure that any unproven allegations and unsubstantiated statements are represented as such”.[8]
8.7 We doubt it is realistic or right for apportionments of blame to be excluded from the report itself. For example, the author of a report of a review instigated by Brighton and Hove Area Child Protection Committee, Alyson Leslie,[9] writes, “… I would maintain the inadequacy of the professional social work support did not arise principally from the organisational pressures on fieldwork staff in a period of resource redistribution. Rather, it was the result of professional practice that varied between inadequate and negligent.”[10] There are many findings of fact and recommendations in Alyson Leslie’s report, and there is much supporting evidence in her report for her conclusions.
8.8 Our provisional view is that it is right not to have the apportionment of blame as one of the aims of an inquiry in its terms of reference,[11] while allowing for the possibility of the expression of this kind of opinion, where it is properly supported by evidence and findings of fact.
8.10 Authorities are recommended to instruct the inquiry “to avoid introducing any inference or supposition into its report”.[12] While speculation should have no place in an inquiry report, we doubt whether it is possible never to draw inferences from the facts which have been properly found by the inquiry.
8.11 The Guidance also recommends ensuring that the inquiry “avoids reference to liability or matters of compensation”,[13] leaving these strictly to the authority and the insurer. It seems appropriate to us that an inquiry should not generally pronounce on issues of liability, including entitlement to compensation.
8.12 The Guidance does not cover precisely what the authority is to do with the report produced by the inquiry. It advises that the authority and insurer(s) “should meet early on to seek a full understanding of each other’s position and concerns …”.[14] It recommends that one of the first steps should be agreeing a “protocol” which, amongst other things, deals with how and by whom statements to the public and media should be made. It states, “Elected members should be fully informed and support the protocol; it may be beneficial for relevant members to be involved in meetings with the insurer(s). These meetings can be used to identify the true legal position, which is equally binding on local authorities and insurers.”[15]
8.13 The protocol should identify “who is authorised to speak officially, and to the press”,[16] and “the extent to which (if at all) liability should be admitted”.[17] Given that the insurance contract will almost certainly prohibit an admission without the insurer’s prior written consent, the Guidance very sensibly says that the authority should liaise fully with the insurer before making any admission of liability for events that have occurred.[18]
8.14 On the matter of expressing regret, it advises, “A simple expression of sympathy for the affected parties and their families, coupled with an announcement that a full investigation is to be held into the circumstances, can be an appropriate response and does not amount to an admission of liability.”[19]
8.18 One of the recommendations in the Waterhouse Report was for this Guidance to be reviewed.[20]The ABI accepted that recommendation in its Response to the Waterhouse Report.[21] We now turn to the contribution made by the ABI’s Response to the amelioration of the problems.
8.19 The ABI Response makes a number of points in its “Background” section. The conflict faced by a local authority between its broad public duty as a provider of services and its narrower public duty not to vitiate its insurance cover[22] features early on. In paragraph 2.3 the ABI writes, “Insurers rightly have no direct locus in the setting up of such an inquiry or the publication of its results. These are matters for the authority after appropriate deliberation.” It continues in the next sentence, “Nevertheless, the matters under inquiry may often be the subject of indemnity under an insurance policy, particularly if injury, illness or stress are involved.”
The purpose of the insurance policy is to protect the authority against the financial consequences of claims, so it usually requires the local authority not to make any admission of liability or promise of payment without the insurance company’s consent. This is to protect the local authority from inadvertently jeopardising the position, for example if the authority admitted full responsibility at the start of the inquiry and found out subsequently that the matters under investigation were not legally the authority’s fault.[23]
8.21 This indicates that inadvertent admissions are the focus of the insurers’ concerns.
8.25 The ABI Response continues, “In addition, insurance policies generally include a duty to behave as if uninsured. The purpose of this duty is to prevent the insured (here, the local authority) behaving imprudently simply because its risks are being assumed by someone else.”[24] Again, this is clear enough. As we noted above,[25] the ABI does not expect insurance contracts to be interpreted in such a way that an authority must put the interests of the insurers before all others.
8.27 Liability insurance contracts will require the authority to notify the insurer if a claim is anticipated, and if an inquiry is being set up. The ABI Response says the insurers “do not want to be involved in the setting up or publication of the inquiry or its report – those decisions are solely for the authority.”[26]
8.28 The ABI Response comments:
The need to consider the overall interests of the alleged victims or witness is paramount. Whilst the authority will have a duty fully to investigate allegations of abuse it should be borne in mind that individual responses to such calls for evidence may result in further trauma to those concerned. Each situation will need careful consideration in light of its own particular circumstances.[27]
8.29 It then refers to the possibility of the authority offering counselling and other support services to alleged victims or witnesses. Amongst other points,[28] it advises that “careful consideration should be given to the words used in the surrounding publicity, so that … the authority’s position on liability is not compromised.”[29] The ABI is concerned that the fact that an authority is offering a counselling service should not be construed as an admission of legal responsibility for the events which gave rise to the need for counselling.
Authorities should be encouraged to keep detailed records of all material disclosed and evidence given by its officials during the course of its own inquiries and should be encouraged to consider carefully the risk of defamation should there be unauthorised disclosure or publication of it.
Even before a formal inquiry is set up, it would be prudent for the authority to adopt a consistent approach to the collating and recording not only of any allegations brought to its attention but also of any preliminary investigative steps taken as a consequence. It is advisable that the content, date and format of any such discussions are also recorded. This approach will help with the collection and preservation of evidence should an inquiry be set up subsequently.[30]
8.31 In relation to “the risk of defamation”, if disclosure is unauthorised, then the person defending any ensuing defamation action will be the person who made the disclosure.[31] The difficulty for the local authority is that, even if disclosure was not authorised, the authority might nevertheless be vicariously liable for the actions of its officers.[32]
8.32 The ABI Response continues:
An appropriately qualified member of the inquiry team or official of the local authority should examine documents disclosed to the inquiry and the draft report of the inquiry for defamation risk. If there is a serious risk of defamation, there will be a need to consider any possible defence of qualified privilege and, perhaps, the principle of public interest immunity.[33]
8.34 At the point when it is considering what material to pass to the inquiry, the authority will want to be mindful of any duty to respect and preserve confidentiality which it might owe to someone else.[34] Our provisional view is that guidance might usefully include a section on the importance of confidentiality.
8.35 The ABI Response then reminds authorities that the insurer which bears the risk in relation to questions of liability which may emerge from the inquiry (such as abuse, negligence, assault and so on) will not necessarily be the insurer which bears the risk in relation to any action for defamation arising out of publication (which includes any communication) of an inquiry report.[35] It then goes on to cite paragraph 4 of the LGA guidance, which we refer to and comment on at paragraphs 8.6 – 8.11 above.
As above, the circulation and publication of the report may raise the risk of defamation, which should be carefully considered by an appropriately qualified member of the inquiry team or official of the local authority. If there is a serious risk of defamation, there will be need to consider any possible defence of qualified privilege and, perhaps, the principle of public interest immunity.[36]
8.38 This part of section 3 consists of an argument for the extension of the defence of qualified privilege.[37] It cites part of the Waterhouse Report, and then goes on to describe a possible court procedure which the ABI favours. We consider the possibility of a reform along similar lines in the next Part.[38]
8.39 The ABI Response then refers to co-operation with criminal proceedings.[39] The report of an inquiry cannot be published while criminal proceedings are continuing, for fear of prejudicing the prosecutions and being in contempt of court.
8.40 The ABI Response advises, amongst other things, that authorities should be encouraged to consider the risk of defamation should there be unauthorised disclosure or publication of that material. We agree that this is a point to which specific attention should be given by a local authority because of the risk that the authority would be vicariously liable for a defamatory statement even if it was made in the course of unauthorised disclosure if made by an employee.[40] The authority must not court liability, which may entail taking reasonable steps to prevent disclosure.[41]
8.41 Disclosure of material to the police for the purposes of the investigation of a crime will attract absolute or qualified privilege.[42] If the police themselves then release the information without permission, it will be they who are the “publisher” for the purposes of any defamation action.
8.44 Whether such an agreement is cast in the form of revised joint LGA/ABI Guidance, or a Statement of Practice such as might be issued by insurers,[43] is not a matter for us: what is important is that any such agreement is observed in practice, is clear, and is known by all involved.
· The terms of reference of an inquiry should allow for the drawing of inferences and the expression of judgments and opinions in the inquiry report where they are supported by evidence.
· It is highly desirable to obtain legal advice on the terms of reference, or, if the inquiry is to be independent of the authority, for the person who will be chairing the inquiry panel to be consulted on the terms of reference.
· Whether an admission of fact from which an admission of liability may be inferred will be a breach of any term of the contract of insurance if made without the insurer’s consent.
· The need for the authority to respect duties of confidentiality owed to others.
· There should be an agreed procedure for the handling of a report by the council, and this should include steps the council should take to satisfy itself of the fairness of the inquiry and the report.
· The presumption that publication of the report or some version of it will take place.
8.47 The ABI Response referred to the comment “that there should be an agreed code of practice to guide local authorities in their response to situations of [this] kind…”[44] and stated that it accepted this recommendation, and “fully supports further work towards the development of such a code”.[45] Indeed, some of the points made in the LGA/ABI Guidance, and in the ABI Response, are points one would expect to see in a code of practice. Our provisional view is that any agreement between insurers and local authorities about the interpretation of the insurance contract is best kept distinct from a code of practice on how ad hoc inquiries should be conducted. The agreement (or statement of practice) would almost certainly be connected to the code of practice, and both parties would expect authorities, and those who conduct inquiries at their request, to follow any established code of practice.
8.48 While we think it may not be either practicable or desirable to produce guidance which prescribes particular ways of conducting inquiries and writing reports, it is nevertheless both possible and desirable to produce guidance which alerts the authority as to the issues to be thought about, the options, and the factors to be taken into account when deciding how to progress. A Code of Practice could be issued by a body such as the LGA: a local authority could then be expected to have regard to it. On the other hand, there might be value in Government issuing it, albeit after consultation, or in conjunction with, the LGA.[46]
8.49 A code of practice would be founded on the underlying values it seeks to promote. The Council on Tribunals identified effectiveness,[47] fairness,[48] speed and economy.[49] The SOLACE guidelines emphasised effectiveness and fairness. If the concept of fairness is developed a little, it may be seen to comprise the following elements: openness/confidentiality; procedural fairness aimed at securing substantive fairness; impartiality or independence; efficiency or timeliness; equal treatment.[50]
8.52 Following the Report of the Scott Inquiry,[51] the Council on Tribunals published advice to the Lord Chancellor on the procedural issues arising in the conduct of public inquiries set up by ministers.[52] That advice concludes that it
is wholly impracticable to attempt to devise a single set of model rules or guidance that will provide for the constitution, procedure and powers of every inquiry. Instead, the Council advise that such issues should be addressed by taking into account, for each inquiry, the objectives of effectiveness, fairness, speed and economy.[53]
8.55 The Davies Report[54] recommended the establishment of standing independent panels for regional health authorities, to conduct external investigations where the jurisdiction of the Health Ombudsman was not engaged, nor the matter so serious to warrant a public inquiry.[55] The independent panel would investigate on a reference from a health authority, staff or complainant, where the complaint could form the subject of legal proceedings but the complainant has no intention, to the satisfaction of the chairman, of litigating the matter.[56]
8.56 The proposed system of independent panels was a fundamental recommendation of the report, which also incorporated a Code of Practice to govern, in a detailed and prescriptive manner, the investigation of hospital complaints from the minor to the very serious.[57] No mention was made of how the Code of Practice should be enforced. It is unclear whether the health authority, in seeking to comply with the requirement above, would merely need to have had regard to the Code, or ensured that it was substantively followed. However, the fact that the authority had not complied with the Code might not give rise to any legal consequences. No statutory privilege, immunity or protection was to be tied to compliance with the Code.
8.57 The Working Together to Safeguard Children guidelines were drawn up by the Department of Health, the Home Office and the Department for Education.[58] The guidance sets out how agencies and professionals should work together to promote the welfare of children and protect them from neglect. It is aimed mainly, but not exclusively, at working under the Children Act 1989, which sets out a comprehensive framework for the care and protection of children. The current version, produced in 1999, replaces “Working Together under The Children Act 1989”, published in 1991.
8.58 The guidance was issued under section 7 of the Local Authority Social Services Act 1970.[59] Local authorities, according to the guidance, are to comply with its provisions unless local circumstances indicate exceptional reasons which justify a variation.[60]
8.59 Part 8 of Working Together provides for case reviews to be established in certain situations. A case review must be undertaken where a child dies, and abuse or neglect are known or suspected to be a factor in the death.[61] Additionally, a case review may be undertaken where a child has sustained a potentially life-threatening injury through abuse or neglect, serious sexual abuse, or sustained serious and permanent impairment of health or development through abuse or neglect, and the case gives rise to concerned about the way in which local professionals and services work together to safeguard children.[62]
8.60 Part 8 provides for a two-tier review process. Each relevant service that is involved with the child and the family is to conduct an individual management review.[63] The review should look at individual and organisational practice, with the aim of identifying whether change is necessary, and how those changes can be brought about.[64] The Area Child Protection Committee (ACPC) then examines all these individual reports, along with any other reports commissioned by the ACPC. The local authority takes lead responsibility for the establishment of the ACPC. An overview report is produced, which includes an action plan for the relevant agencies involved.[65] The overview report, the executive summary of the action plan and the individual management reviews are forwarded to the Department of Health.[66]
8.61 The Working Together guidance provides outline formats for the individual management review and the overview report.[67] Further guidance is given on disclosure of the report, or executive summaries of the report, and dealings with interested parties.[68]
8.62 Another source of informed opinion on how to run an inquiry is to be found in the recommendations issued for the attention of local authorities in 1978, by a committee appointed by SOLACE and the Royal Institute of Public Administration.[69] It was appointed to study:
(a) the circumstances in which ad hoc inquiries have been held
(b) the circumstances in which they are an appropriate form of investigation, and
(c) the procedures which should govern their establishment and conduct.[70]
8.63 It made a number of recommendations,[71] including (1) that a code of practice should govern the method of appointment, staffing and other related matters, and (2) various procedural rules. Those rules covered rights of hearing, rights to legal and other representation, evidence, rights of persons adversely criticised, rights of observers at private inquiries, reimbursement of witnesses’ costs, and reporting.
8.64 The Local Authorities Association published its own response to the SOLACE report in August 1980 in which it “fully endorse[d] the proposition that a code of practice and rules of procedure are needed.”[72] It commended its own version of a code of practice and rules of procedure to its member authorities in which they closely followed the SOLACE recommendations.[73]
(1)The kinds of inquiry covered by the guidance or code
(2)The decision to institute an inquiry
(3)The terms of reference
(4)The provision of information to the public, and bodies representing different sections of the public, and particularly to those directly concerned and their families or carers
(5)The approach of the authority as a participant in the inquiry
(6)The taking of evidence
(7)Connection with other proceedings
(8)The writing of the report
(9)Presentation of the report to the commissioning body
(10)Publication
[2]See paras 8.47 – 8.67 below.
[3]Referred to here as “the LGA/ABI Guidance” or “the Guidance”.
[4]LGA Circular 631/99, covering note to the LGA/ABI Guidance, p 1.
[5]The LGA/ABI Guidance, para 1.
[6]Ibid, para 3(b).
[7]The Guidance, para 4(a).
[8]Ibid, para 4(b).
[9]Alyson Leslie is a former assistant director of social services who was appointed to conduct the Part 8 Review following the death of a child. See para 2.34 above.
[10]Brighton and Hove ACPC, “Report of the Part 8 Review for Brighton and Hove ACPC of the care and protection of JAS (aged 4) who died on 24 December 1999” (2001) para 12.8. See also para 1.45 of that report.
[11]Although it may be right on occasion to have “to make criticism of individuals or organisations where appropriate” as one of the objectives of the inquiry, as it was in the case of the Bristol Royal Infirmary Inquiry: M Maclean, “How Does an Inquiry Inquire? A Brief Note on the Working Methods of the Bristol Royal Infirmary Inquiry” (2001) 28 Journal of Law and Society 590, 596 commenting on Learning from Bristol, Report of the Public Inquiry into Children’s Heart Surgery at the Bristol Royal Infirmary 1984–1995 (2001) Cm 5207.
[12]The LGA/ABI Guidance, para 4(b).
[13]Ibid, para 4(c).
[14]Ibid, para 5(a).
[15]Ibid, para 5(b).
[16]Ibid, para 6(a).
[17]Ibid, para 6(b).
[18]Ibid, para 6(b). Note that an admission made by a councillor who purports to speak for the authority, but who does not in fact have the power to make it will not bind the authority. See para 4.33 above.
[19]Ibid, para 6(c).
[20]Recommendation 72, at para 55.05 of the Waterhouse Report:
Subject to the preceding recommendation, [that the Law Commission look at the legal issues] guidance to local authorities on the setting up and conduct of inquiries and the dissemination of reports thereon should be up-dated and re-issued.
[21]ABI, “The Waterhouse Report Supplementary Matters – recommendations 71 and 72: A Response by the Association of British Insurers” (December 2000) (“The ABI Response”).
[22]On which, see para 1.3 above.
[23]The ABI Response, para 2.4.
[24]Ibid, para 2.4.
[25]See para 3.38 above.
[26]Ibid, para 2.5. This refers to paras 1–3 of the LGA/ABI Guidance.
[27]Ibid, section 3 B 1.
[28]One of which relates to “recovered memory”: see section 3 B 2. Insurers are, presumably, concerned that local authorities should be slow to admit liability on the basis of doubtfully recovered memories.
[29]Ibid, section 3 B 2.
[30]The ABI Response, section 3 D paras 1–2.
[31]“Disclosure” in this context equates to “publication” in the context of defamation which means communication, not publication in the usual sense of the word. See para 6.5 above.
[32]It will not, however, be liable for a defamatory statement made by a councillor to whom authority to act on behalf of the council has not been delegated.
[33]Ibid, section 3 E 1.
[34]See para 5.4 above.
[35]The ABI Response, section 3 E 2.
[36]Ibid, section 3 F 1.
[37]Ibid, section 3 G.
[38]See paras 9.40 – 9.71 below.
[39]Ibid, section 3 H.
[40]See paras 3.10 – 3.16 above. However, where the defamatory material is “published” by a councillor, (for instance by leaking the report to the press) there will be no vicarious liability imposed upon the council; hence there should be no insurance implications.
[41]See para 3.38 above.
[42]See Taylor v Serious Fraud Office [1998] 3 WLR 1040.
[43]Such as the ABI Statement of General Insurance Practice (L 249 August 1997, first issued 1977) which states that the code “shall be taken into account in arbitration and any other referral procedures which may apply in the event of disputes between policyholders and insurers”: p 2. No mention is made of its legal status beyond this. Birds comments that although not legally binding, a large majority of insurers generally observe the terms of the Statement of General Practice: Birds’ Modern Insurance Law (5th ed 2001) p 4.
[44]The Waterhouse Report, para 32.62.
[45]The ABI Response, section 2, para 2.8.
[46]For example, the Education Act 1996, s 313(2), requires a local authority to have regard to a Code of Practice with regard to duties to children with Special Educational Needs. On appeal to the Special Educational Needs Tribunal, the Tribunal will similarly have regard to the provisions of the code: s 313(3).
[47]The Council wrote,
The need here is for the constitution, procedure and powers of the inquiry to be such as to enable it to fulfil the purpose for which it is being set up. In other words, the inquiry must be properly equipped to investigate the issues thoroughly, ascertain all the relevant facts and reach a conclusion.
The Council on Tribunals, “Advice to the Lord Chancellor on the procedural issues arising in the conduct of public inquiries set up by Ministers” (July 1996) (“The Council on Tribunals Advice”) para 2.5.
[48]“The need here is for the procedures of the inquiry to be fair to witnesses and to others whose interests may be affected by the work of the inquiry and by its conclusions.” Ibid, para 2.6.
[49]“The need here is for the proceedings of the inquiry to be completed without losing sight of the time and money that the proceedings will involve, whether for the taxpayer or for individuals involved in the inquiry.” Ibid, para 2.8.
[50]Supplementing the values asserted by the Report of the Committee on Administrative Tribunals and Inquiries (1957) Cmnd 218 (“the Franks Report”), as amplified in M Partington, “Restructuring Administrative Justice? The Redress of Citizens’ Grievances” (1999) 52 Current Legal Problems 173.
[51]See para 2.16 above.
[52]The Scott Report made recommendations about inquiry procedures (Part 4, Section K, Chapter 1) and the advice was issued in response to those recommendations. Scott recommended, in brief, that notice should be given of allegations to the subject of the allegations, and an opportunity to respond to them, and an opportunity to comment on criticisms which will appear in the report before they are finalised; that legal assistance should be made available; and that adversarial procedures should not be incorporated into an inquisitorial inquiry, except as fairness requires.
[53]The Council on Tribunals Advice, para 2.3.
[54]Report of the Committee on Hospital Complaints Procedure (1973), chaired by Sir Michael Davies. It was commissioned by the Department of Health and Social Security and the Welsh Office.
[55]Ibid, paras 8.15, 8.16, 8.22 and 8.29.
[56]Ibid, paras 8.15 – 8.21.
[57]Ibid, paras 6.1, 6.15, 7.24 – 7.27.
[58]Department of Health, Home Office and the Department for Education and Employment, Working Together to Safeguard Children (1999) (“Working Together”).
[59]Section 7 states “Local authorities shall, in the exercise of their social services functions, including the exercise of any discretion conferred by any relevant enactment, act under the general guidance of the Secretary of State.”
[60]Working Together, p viii. The Working Together Guidance does not have any legal status: Re G (A Minor)[1996] 2 All ER 65, 68 per Butler-Sloss LJ but is nevertheless widely observed.
[61]Working Together, para 8.5.
[62]Ibid, para 8.6.
[63]Ibid,para 8.17.
[64]Ibid,para 8.21.
[65]Ibid,para 8.18.
[66]Ibid, para 8.26.
[67]The individual management review format is produced at p 92 of Working Together. The ACPC overview report format is on p 93.
[68]Ibid, para 8.29.
[69]SOLACE and RIPA, “Ad hoc Inquiries in Local Government” (1978).
[70]Ibid, p v.
[71]Ibid, pp 50–51.
[72]Local Authority Associations, “Ad hoc Inquiries in Local Government: Report of the Local Authority Associations” (1980) para 13.
[73]Ibid, para 14.