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England and Wales Court of Appeal (Civil Division) Decisions |
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You are here: BAILII >> Databases >> England and Wales Court of Appeal (Civil Division) Decisions >> K v LBX & Ors [2012] EWCA Civ 79 (08 February 2012) URL: http://www.bailii.org/ew/cases/EWCA/Civ/2012/79.html Cite as: [2012] EWCA Civ 79 |
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ON APPEAL FROM THE COURT OF PROTECTION
(THE HONOURABLE MRS JUSTICE THEIS)
COP 1191258T
Strand, London, WC2A 2LL |
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B e f o r e :
LADY JUSTICE BLACK
and
LORD JUSTICE DAVIS
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K |
Appellant |
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- and - |
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LBX (1) |
Respondents |
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- and - |
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L |
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By his litigation friend the Official Solicitor (2) |
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- and - |
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M (3) |
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Hilton Harrop-Griffiths (instructed by LBX Legal Department) for Respondent 1
Victoria Butler-Cole (instructed by Steel & Shamash) for Respondent 2
Respondent 3 did not appear and was unrepresented
Hearing date: 19th December 2011
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Crown Copyright ©
LORD JUSTICE THORPE:
"the point of law raised in the Grounds of Appeal arises from an apparent conflict between the line of High Court/COP decisions which are at oDs with a developing line of cases at the same level, of which this is one".
"in my judgment, whilst the court must factor into the balancing exercise it has to undertake, the family life that L clearly has with K and his brother that should not be the starting point as submitted by Mr Armstrong."
"(i) whether it is in L's best interest to move to supported living accommodation on a trial basis".
"An act done, or decision made, under this Act for or on behalf of a person who lacks capacity must be done, or made, in his best interests."
"(4) he must, so far as reasonably practicable, permit and encourage the person to participate, or to improve his ability to participate, as fully as possible in any act done for him and any decision affecting him."
"There shall be no interference by a public authority with the exercise of this right except such as is in accordance with the law and is necessary in a democratic society in the interests of national security, public safety or the economic wellbeing of the country, for the prevention of disorder or crime, for the protection of health or morals or for the protection of the rights and freedoms of others."
"48. I am not saying that there is in law any presumption that mentally incapacitated adults are better off with their families: often they will be; sometimes they will not be. But respect for our human condition, regard for the realities of our society and the common sense to which Lord Oliver of Aylemerton referred in In re KD, surely indicate that the starting point should be the normal assumption that mentally incapacitated adults will be better off if they live with a family rather than in an institution however benign and enlightened the institution may be, and however well integrated into the community and that mentally incapacitated adults who have been looked after within their family will be better off if they continue to be looked after within the family rather than by the State.
49. We have to be conscious of the limited ability of public authorities to improve on nature. We need to be careful, as Mr Wallwork correctly cautions me, not to embark upon 'social engineering'. And I agree with him when he submits that we should not lightly interfere with family life. If the State typically, as here, in the guise of a local authority is to say that it is the more appropriate person to look after a mentally incapacitated adult than his own family, it assumes, as it seems to me, the burden not the legal burden but the practical and evidential burden of establishing that this is indeed so. And common sense surely indicates that the longer the family have looked after their mentally incapacitated relative without the State having perceived the need for its intervention the more carefully must any proposals for intervention be scrutinised and the more cautious the court should be before accepting too readily the assertion that the State can do better than the family. Other things being equal, the parent, if he is willing and able, is the most appropriate person to look after a mentally incapacitated adult; not some public authority, however well meaning and seemingly well equipped to do so. Moreover, the devoted parent who like DS here has spent years caring for a disabled child is likely to be much better able to 'read' his child, to understand his personality and to interpret the wishes and feelings which he lacks the ability to express. This is not to ignore or devalue the welfare principle; this common sense approach is in no way inconsistent with proper adherence to the unqualified principle that the welfare of the incapacitated person is, from beginning to end, the paramount consideration."
"At the end of the day, the simple point, surely, is this: the quality of public care must be at least as good as that from which the child or vulnerable adult has been rescued. Indeed that sets the requirement too low. If the state is to justify removing children from their parents or vulnerable adults from their relatives, partners, friends or carers it can only be on the basis that the State is going to provide a better quality of care than that which they have hitherto been receiving: see re F [2002] 1 FLR 217 at para (43)."
"The burden is always on the State to show than an incapacitated person's welfare cannot be sustained by living with and being looked after by his or her family, with or without outside support."
"It does seem to me, with the greatest of respect to Munby J, that I should record that in my more recent experience of such cases it is very much the approach when dealing with incapacitated adults that the medical, educational and social authorities do their very best to nurture and facilitate any skills which the incapacitated adult may have to help them in moving, where possible, towards a greater degree of independence in the way they live their lives. Thus whilst in many cases the family may be the providers of care and nurture for such adults, there seems to me to be a philosophical and practical shift towards ensuring as greater degree of independence in living arrangements as is possible."
"There is no 'starting point' or 'normal assumption' within current social care policy that learning disabled adults are better off placed with their families. The starting point, if there is one, is such that adults should be assisted to have the greatest control over their lives consistent with their disability, and to have the same opportunities as anyone else. This includes the opportunity to live independently as an adult rather than with one's family and the opportunity to live with one's family with appropriate support, according to the adult's wishes."
"102. What I can say, as I have already indicated to Mr Armstrong, is that despite the passage of time I am entirely satisfied that there remains in K and D, but in particular K, a palpable fear that what is being proposed will end up as a re-run of what happened in 2006 and 2007, when L lost contact with his family. On K and D's version of events, if correct, there remains a real sense of injustice about the decisions that were taken during that period and the gross interference in their family life. If their version of events is correct their position is very understandable and it should be factored in when considering their actions and decisions in this case. Having experienced such interference in their family life it is readily understandable why they fiercely guard against any further disruption and L's right to remain at the family home.
103. However, the court's task is different and whilst acknowledging that factor, the court has to stand back and consider what is objectively in L's best interest. In my judgment, whilst the court must factor into the balancing exercise it has to undertake, the family life that L clearly has with K and his brother that should not be the starting point as submitted by Mr Armstrong. Each case is fact sensitive and requires the court to undertake the balancing exercise in reaching its decision as to what is in L's best interest. What the court has to do, as set out in subsection 4(4) of the Mental Capacity Act, is consider all the relevant circumstances when undertaking that exercise.
104. I also bear in mind the Article 8 rights that are clearly engaged in this case that everyone, namely K, WS and D, have a right to respect for their private and family life, their home and their correspondence and that there should be no interference by a public authority with the exercise of those rights except in accordance with the law as necessary and proportionate.
105. Having considered the written and oral evidence the detailed written and oral submissions, the relevant considerations in conducting the balancing exercise in my judgment can be summarised as follows:
1. L's family life at home with K and D is a significant benefit to L. The standard of care he receives is very high and the emotional attachments and relationships very strong. Any interference with that will need to be justified as being proportionate.
2. L is borderline capacity. The improvements he has made, as the evidence demonstrates, during the course of these proceedings in being able to articulate his views and express his wishes they should be supported and built on if possible.
3. L's need and right to a private life, which includes steps to personal autonomy, need to be given weight.
4. Historically the evidence demonstrates L has not easily been effectively able to make decisions about things or choices in the abstract. He needs to experience them to enable him to make an informed choice. Tangible examples of this are the respite care at the A placement and his contact with his aunt.
5. Whilst historically he has expressed a wish to remain living at home, this must be looked at in the context of his understandable wish to have the approval of his father and to be seen as being a good son. On the evidence, it is more likely than not that he will have picked up what his father's views are about opposing the plans to move to supported accommodation. A vignette was provided by the evidence of Mr J about the father talking about little else than the issues raised by these proceedings. D referred to his evidence to pressures arising from these proceedings in the family home.
6. There is broad agreement about the need for L to live independently in due course. The issue is when and the timing for that.
7. The suggestion on behalf of K and D that L has the choice now to leave the family home if he wanted to fails, in my judgment, to properly recognise the reality of the position L finds himself, as described most graphically by his current advocate, Advocate B, whose evidence I accept.
8. The accommodation that has been identified at the J placement Lane is known to the Local Authority. The social work evidence is that it has a proven track record. It has detail of good and valuable support and is very close to the family home and the local area that L is familiar with."
LADY JUSTICE BLACK:
"Decisions about incapacitated people must always be determined by their best interests, but the starting point is their right to respect for their family life where it exists. The burden is always on the State to show that an incapacitated person's welfare cannot be sustained by living with and being looked after by his or her family, with or without outside support."
"I respectfully agree with most of these observations, and have directed myself accordingly, subject to what follows.
It does seem to me, with the greatest of respect to Munby J, that I should record that in my more recent experience of such cases it is very much the approach when dealing with incapacitated adults that the medical educational and social authorities do their very best to nurture and facilitate any skills which the incapacitated adult may have to help them in moving, where possible, towards a greater degree of independence in the way they live their lives. Thus, whilst in many cases the family may be the providers of care and nurture for such adults, there seems to me to be a philosophical and practical shift towards ensuring as great a degree of independence in living arrangements as is possible."
LORD JUSTICE DAVIES:
"In Pretty v United Kingdom (2002) 35 EHRR 1, paragraph 61, the Court held the expression to cover "the physical and psychological integrity of a person" and went on to observe that "Article 8 also protects a right to personal development, and the right to establish and develop relationships with other human beings and the outside world." Elusive though the concept is, I think one must understand "private life" in article 8 as extending to those features which are integral to a person's identity or ability to function socially as a person."
That clearly is a highly relevant factor in the present case, and is capable of being a relevant factor in other such cases under the 2005 Act where the right to private life is or may be in issue. The observations of Roderic Wood J in his judgment in the case of D (County Council) v LS [2009] EWHC 123 (Fam) seem to me in a context such as the present to be apposite, since they are consistent with the requirement of respect for private life: albeit, of course, all ultimately depends on the circumstances of the individual case.