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England and Wales High Court (Administrative Court) Decisions |
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You are here: BAILII >> Databases >> England and Wales High Court (Administrative Court) Decisions >> S, R (on the application of) v Hampshire County Council [2009] EWHC 2537 (Admin) (22 October 2009) URL: http://www.bailii.org/ew/cases/EWHC/Admin/2009/2537.html Cite as: [2009] EWHC 2537 (Admin) |
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ADMINISTRATIVE COURT
Strand, London, WC2A 2LL |
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B e f o r e :
____________________
The Queen on the application of S |
Claimant |
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- and - |
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HAMPSHIRE COUNTY COUNCIL |
Defendant |
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Mr Andrew Sharland (instructed by Hampshire County Council) for the defendant
Hearing dates: 11 & 12 August 2009
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Crown Copyright ©
Mr Justice Walker :
Introduction
The rival contentions
(1) A declaration that Hampshire County Council's Criteria for Services for Disabled Children are discriminatory and in breach of the Disability Discrimination Act, Sections 19-21 inclusive, as they discriminate against children/young adults with severe mental health disorders
(2) An order setting aside the decision contained in the core assessment concluded on 28 April but served about the 20 May, that no services were required for [S].
(3) A declaration that the failure to provide consistently to the Claimant any social care services, was and is irrational and unlawful.
because it discriminates against mental health disorders which are severe and profound affecting those of average to above average ability and favours those with cognitive deficits to the detriment of disabled persons who require services and assistance under the Children Act, who are profoundly affected by their mental health problems, but have an assessment of average ability.
without revealing and without disclosing, the relevant criteria (as yet undisclosed) by the disabled children's team. As the re-assessment was brought about by pre-action protocol correspondence, the authority and its social services department, was well aware of its duty to act fairly.
is at risk. The Assessment, which was bound to consider parental capacity, was to acknowledge this fact.
is suffering from such severe mental health disorders, and that he requires a residential specialist school offering a 38 week waking day 24 hour curriculum. Further, he was asked to leave his assessment period at Great Ormond Street Hospital because of his extreme violence, an extremely unusual fact.
namely the Children Act Policy Guidance, and the Children Act Guidelines 2000 Framework for Assessing Children in Need and their Families. In particular the core assessment does not:-
Identify all known needs, in particular it understates the severe mental health needs and is irrational.
Identify an appropriate care plan.
Consider what services are required to meet needs. As a result it is unlawful.
8. The covering letter stated that if [L] had any queries or wished to discuss the assessment she should not hesitate to contact the Council The 2009 Assessment has a number of spaces where the Claimant's carer [L] could detail her views if she felt the 2009 Assessment did not accurately record the Claimant's needs. No such concerns were raised by [L]. The Council notes that there is no correspondence in the bundle taking issue with the [2009 Assessment] let alone a pre-action protocol letter in relation to it.
.....
12. Although the Council, in its covering letter asked [L] to contact them if she wished to discuss the 2009 Assessment she did not do so. [L] did not complain or take issue with the contents of the core assessment at all."
13. No letter before action was sent challenging any aspect of the 2009 Assessment and the decision contained therein not to provide any further services to the Claimant.
14. The first time the Council was aware of the present claim for judicial review was on 17 July 2009 when it was contacted by the Administrative Court to inform them that the matter was to be listed on 23 July 2009 in Birmingham. Prior to that time, the Council had received no documents relating to the claim. In particular, the Council did not receive a letter dated 14 July 2009 (or any other date) serving the claim upon them.
15. After the Council was contacted by the Administrative Court, it contacted the Claimant's solicitors. By email at 11.59 pm on 20 July 2009, the Claimant's solicitors sent a copy of the claim form, bundle and grounds. This email included a letter dated 14 July 2009 (which stated that it enclosed the judicial review claim) which the Council understands the Claimant asserts was sent to it. The Council requested evidence of such service but the Claimant's solicitors have produced no evidence whatsoever on this issue.
16. The bundle contained a witness statement from [L] dated 12 January 2009. Thus, it contained no criticism whatsoever of the decision under challenge, the 2009 Assessment.
17. The matter was heard before Wyn Williams J in the High Court in Birmingham on 23 July 2009. On the morning of the hearing, the Claimant for the first time produced a paginated bundle. The Claimant also produced a further witness statement dated 23 July 2009.
18. Because of the very late production of both the bundle and the witness statement, Wyn Williams J indicated that he would have difficulty considering the matter properly. Wyn Williams J also indicated that he did not understand why the claim had been issued in Birmingham when both the Claimant and Defendant were based in Hampshire and both counsel were based in London. In light of this, the parties agreed an order listing the matter for a rolled up hearing in London in mid August 2009. It is notable that at this hearing on 23 July 2009 the Claimant did not seek any interim relief; ie no services were sought on an interim basis during the holidays. The Council suggests that this indicates that, contrary to what the Claimant initially said in his application for urgent relief, [L] is able to care for and meet the Claimant's needs during the holidays with the assistance of his child minder.
19. The Claimant, with the permission of the Court, amended his grounds of claim and, without the permission of the Court, adduced a third witness statement dated 27 July 2009. To a considerable extent this witness statement addresses matters subsequent to the decision under challenge; as such, as a matter of law, such evidence is not relevant to a challenge to the legality of the 2009 Assessment.
My conclusion
Legislative provisions and guidance
a) [the child] is unlikely to achieve, nor maintain, or to have the opportunity of achieving or maintaining, a reasonable standard of health and development without the provision for [the child] of services by a local authority .
b) [the child's] health or development is likely to be significantly impaired, or further impaired, without the provision for [the child] of such services, or
c) [the child] is disabled.
For the purposes of this part, a child is disabled if he is blind, deaf or dumb or suffers from a mental disorder of any kind or is substantially and permanently handicapped by illness, injury, congenital deformity or such other disability as may be prescribed; and in this part
'development' means physical, intellectual, educational, social and behavioural developments; and
'health' means physical or mental health.
2.7 Good practice requires that the assessment of need should be undertaken in an open way and should involve those caring for the child, the child or other significant persons
2.8 In making an assessment, the local authority shall take account of the particular needs of the child that is in relation to health, development, disability, education, religious persuasion, racial origin, cultural and linguistic background, and the degree to which these needs are being met by existing services to the family or the child and which agency services are best suited to the child's needs.
6 (1) If a person with parental responsibility for a disabled child
(a) provides or intends to provide a substantial amount of care on a regular basis for the child, and
(b) asks the local authority to carry out an assessment of its ability to provide and continue to provide care for the child
the local authority must carry out such an assessment if it is satisfied that the child and his family are persons for whom it may provide or arrange for the provision of services under Section 17 of the Children Act
(2) For the purposes of an assessment an authority may take into account, so far as it considers to be material, an assessment under Section 1 (2) the Carers Recognition and Services Act 1995, to
(2A) An assessment under subsection 1 must include consideration of whether the person with parental responsibility for the child -
(a) works or wishes to work
(b) is undertaking or wishes to undertake education .
10. Co-operation to improve well-being
(1) Each children's services authority in England must make arrangements to promote co-operation between
(a) the authority;
(b) each of the authority's relevant partners; and
(c) such other persons or bodies as the authority consider appropriate,
(2) The arrangements are to be made with a view to improving the well-being of children in the authority's area so far as relating to
(a) physical and mental and emotional well-being;
(b) protection from harm and neglect;
(c) education training and recreation;
(d) the contribution made by them to society;
(e) social and economic well-being.
(3) In making the arrangements under this section, the children's services authority in England must have regard to the importance of parents and other persons caring for children in improving the well-being of children.
(4) For the purpose of this section, each of the following is a relevant partner of the children's services authorities:
(a) .
(e) A strategic health authority and primary care trust for an area any part of which falls within the area of the authority.
.....
11 - Arrangements to safeguard and promote welfare
(1) This section applies to each of the following
(a) A children's services authority in England.
.....
(2) Each person and body to whom this section applies must make arrangements for ensuring that -
(a) their functions are discharged having regard to the need to safeguard and promote the welfare of the children; and
(b) any services provided by another person pursuant to arrangements made by the person or body in discharge of their functions, are provided having been regard to that need.
19. Discrimination in relation to Goods Facilities and Services
(1) It is unlawful for a provider of services to discriminate against a disabled person
(a) in refusing or deliberately not providing to the disabled person, any service which he provides, or is prepared to provide to members of the public
(b) in failing to comply with any duty imposed on him by Section 21 in circumstances in which the effect of the failure is to make it impossible or unreasonably difficult for the disabled person to make use of the service
(c) .
(2) For the purposes of this section and Sections 20-21ZA:
(a) the provision of services includes the provisions of goods or facilities
(b) a person is a 'provider of services' if he is concerned with the provision in the United Kingdom of services to the public or a section of the public and
(c) it is relevant whether the service is provided on payment or without payment.
(3) The following are examples of services to which this section and Sections 20 and 21 apply
(a) ....
(h) the services of any professional trade, or any local or other public authority.
20. Meaning of Discrimination
(1) For the purpose of Section 19, a provider of services discriminates against the disabled person if
(a) for a reason which relates to the disabled person's disability, he treats him less favourably than he treats or would treat others to whom that reason does or would not apply; and
(b) he cannot show that the treatment in question is justified.
(2) For the purpose of Section 19, a provider of services also discriminates against the disabled person if
(a) he fails to comply with a Section 21 duty imposed on him in relation to the disabled person;
(b) he cannot show that his failure to comply with that duty is justified.
(3) For the purposes of this section the treatment is justified only if
(a) in the opinion of the provider of services, one or more of the conditions mentioned in sub-section (4) are satisfied; and
(b) it is reasonable in all the circumstances of the case for him to hold that opinion.
(4) The conditions are that
(a) in any case the treatment is necessary in order not to endanger the health or safety or any person
(b) in any case the disabled person is incapable of entering into an enforceable agreement or of giving an informed consent. For that reason the treatment is reasonable in that case
(c) in a case falling within Section 19(1A) the treatment is necessary because the provider of services would otherwise be unable to provide services to members of the public
(d)
(e)
(5) Regulations may make provision for the purposes of the section as to the circumstances in which
(a) it is reasonable for a provider of services to hold the opinion mentioned in sub-section (3)(a);
(b) it is not reasonable for the provider of services to hold the opinion.
21. Duty of Provider of Services to make Adjustments.
(1) Where a provider of services has a practice, policy or procedure which makes it impossible or unreasonably difficult for disabled persons to make use of a service which he provides, or is prepared to provide, to other members of the public, it is his duty to take such steps as it is reasonable, in all the circumstances of the case, for him to have to take in order to change that practice, policy or procedure so that it no longer has that effect.
.....
21B. Discrimination by Public Authorities
(1) It is unlawful for a public authority to discriminate against a disabled person in carrying out its functions.
(2) In this section public authority
(a) includes any person certain of whose functions are functions of a public nature;
Children's services departments
Many children's services departments discharge their various responsibilities through specialist social work teams for instance "a child protection team", "a disabled children's team" and so. Not infrequently a disabled children's team will have terms of reference that exclude certain children, for instance those with "high functioning (i.e. a high IQ) Asperger's syndrome or those with ADHD or ADD". Authorities are, in general, free to make these organisation arrangements provided they ensure that the needs of such children are given equal attention (albeit by different sections) and do not fall between the terms of reference of the various teams. It would be maladministration (and potentially unlawful under the DDA 1995) if organisational arrangements of this nature resulted in such children's needs being neglected.
[claimant's emphasis]
History prior to the 2009 Assessment
The 2009 Assessment
[1.] In order to meet the threshold criteria for a service from the Disabled Children's Team, [S] would need to fall into the severe or profound spectrum for two categories of the DCT threshold criteria pertaining to his developmental needs. This assessment has considered information gathered from [S]'s mother, school, CAMHS consultant Dr Kurinji, GP Dr Kimber (duty GP in Dr Sweeney's absence), Developmental Neuropsychiatric Report by Drs Santosh and Mohan, and previous Occupational Therapy input. The assessment has been undertaken in consultation with Social Worker Ceri Hughes from the Disabled Children's Team."
[2.] The information gathered indicates that [S]'s behavioural difficulties fall into the severe/profound spectrum of the DCT threshold criteria, which covers one category. However, his needs do not fall into the severe/profound spectrum for any of the other categories of the DCT threshold criteria, as he is physically well and performing to National Curriculum levels at school. [S] therefore does not meet the criteria for a service from the DCT Team.
[3.] Furthermore, this assessment has ascertained that [S] has attended recent appointments with CAMHS and [the residential school], indicating that his behaviour has not recently prevented him from accessing the necessary appointments.
[4.] This assessment has ascertained that one of GOSH's key recommendations was for [S] to be offered CBT [cognitive behavioural therapy] by his local CAMHS in respect of his anxiety and associated behavioural issues CAMHS are aware of this recommendation and have advised that they will give consideration to whether this could be offered to address any unmet needs. It is also the professional view of social workers Ceri Hughes and Lindi Clayton, that CBT may prove to be very useful in respect of helping [S] to manage some of his difficulties.
[5.] [S] appears to be doing well on his current dosages of medication and he is on the waiting lists for speech and language therapy as well as Occupational Therapy.
[6.] [S] continues to be under the care of GOSH as well as consultant child and adolescent psychiatrist Dr Kurinji.
[7.] [S]'s placement at [the residential school] has recently been confirmed and he is due to start his induction period at the end of June 2009 and to start a 38 week per year fortnightly boarding placement from September 2009. I do not consider the level of services that [L] has requested from Children's Services for the holiday periods to be necessary or appropriate, as there are measures that [L] herself could take in order to enable her to have more free time during the school holidays during which to support [S] to access community services.
[8.] The appropriate services such as Speech and Language therapy and CBT have already been recommended by GOSH and this assessment has also indicated that these services may prove to be very useful for [S].
[9.] The suggestion that [S]'s needs have changed and that his behaviour has become more challenging and difficult to manage since the last Core Assessment which was undertaken in 2008 has not been confirmed by the enquiries carried out during this assessment.
[10.] In conclusion, I have identified no further role for Hampshire County Council's Children's Services department as [S]'s needs are being addressed by Education and Health, and he does not meet the threshold criteria for a service from the Disabled Children's Team.
What happened after the 2009 Assessment
Oral submissions for the claimant: alleged fettering
the circumstances in which discretions are exercised vary enormously the general rule is that anyone who has to exercise a statutory discretion must not "shut his ears to an application" I do not think there is any great difference between a policy and a rule. There may be cases where an officer or authority ought to listen to a substantial argument reasonably presented urging a change of policy. What they must not do is to refuse to listen at all. But a Ministry or large authority may have had to deal already with a multitude of similar applications and then they will have almost certainly have evolved a policy so precise that it could well be called a rule. There can be no objection to that, provided the authority is always willing to listen to anyone with something new to say of course I do not mean to say that there need be an oral hearing. In the present case the respondent's officers have carefully considered all that the appellants have had to say and I have no doubt that they will continue to do so.
I refute the Claimant's assertion that the Council fettered its discretion. This is not the case, the Council did not consider that there were any exceptional circumstances why additional services should be provided.
Claimant's oral submissions: "needs/provision"
Claimant's oral submissions: assumptions as to the future
Claimant's oral submissions: relevant factors and rationality
Claimant's final oral submission: discrimination
Other complaints in the amended grounds
Adequate alternative remedy
Judicial review is a remedy of last resort. Where an adequate alternative remedy exists that should be exhausted first. In the present case, there is such an adequate alternative remedy namely a complaint pursuant to the Children Act 1989 Representations Procedure (England) Regulations 2006. The Claimant's mother is clearly aware of this procedure as she has utilised it in the past. The Claimant's mother did not make any attempt whatsoever to resolve her concerns about the [2009] Assessment either informally as she was invited to do or formally by a way of complaint. No adequate explanation is provided for the Claimant's and/or [L's] failure to pursue such adequate alternative remedies. In such circumstances, permission should be refused, see R(Cowl and others) v Plymouth CC [2001] EWCA Civ 1935 at para 27.
The fact that this is a national problem and is dealt with in a leading textbook in the field indicates that this is a point of importance to the public and should be considered by the higher courts.
Delay
Conclusion