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England and Wales High Court (Family Division) Decisions |
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You are here: BAILII >> Databases >> England and Wales High Court (Family Division) Decisions >> Z (A Child: Independent Social Work Assessment), Re [2014] EWHC 729 (Fam) (14 March 2014) URL: http://www.bailii.org/ew/cases/EWHC/Fam/2014/729.html Cite as: [2014] EWHC 729 (Fam) |
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FAMILY DIVISION
LEICESTER DISTRICT REGISTRY
B e f o r e :
Sitting as a Judge of the High Court
____________________
Re Z (A Child: Independent Social Work Assessment) |
____________________
Miss Joanne Ecob for the First Respondent mother
Miss Justine Lattimer for the Second Respondent father
Mr Brendan Roche for the Children's Guardian
____________________
Crown Copyright ©
JUDGE BELLAMY:
The background
The litigation history
Z's injuries
Threshold
'does not oppose this Threshold finding and acknowledges she caused the fracture to the skull and resultant damage to the brain on 11 October 2012 by means of a shaking head injury, having been caused by a loss of control. All resultant injuries on that date are her responsibility. The First Respondent does not admit knowingly causing the fractures and did not deliberately cause any such injury but admits rigorous massage of the baby. The First Respondent accepts a developing sense of difficulty in caring for an increasingly fractious child.'
'I know that your basis of plea says you do not admit knowingly causing those other injuries. I proceed on the basis that what you did on 11th October was indeed the result of a loss of self-control by you; that this was not the first time you had lost your self-control as a result of which the other injuries had been caused by you but I emphasise without knowing you had and still less, of course, intending them…The inescapable conclusion is that all those injuries to a previously healthy baby were caused by you on different occasions through those previous episodes of escalating loss of control because you could not cope, causing injuries you neither intended nor appreciated had happened…'
'12. The Second Respondent father (as would have been expected of a reasonable parent) failed to seek timely medical attention for Z despite being aware of swelling to her leg and a bruise to her back.
13. Further, the Second Respondent father, as a parent whom had care of Z from time to time, failed to recognise, appropriately respond to or enquire about her ongoing discomfort and/or pain as would have been evidence to him and expected of a reasonable parent.'
'70. …I would…announce loud and clear that the standard of proof in finding the facts necessary to establish the threshold under section 31(2) or the welfare considerations in section 1 of the 1989 Act is the simple balance of probabilities, neither more nor less…'
Q: Your wife told you about this but tell me did you look at the leg yourself?
A: Yes
Q: And what was your opinion of it?
A: I didn't think that it was quite serious I thought it was because she might have done it [i.e. massaging] a bit hard and that's what happened…
Q: Did you seek any medical attention for the leg?
A: Because we didn't think that it was so serious that's why we didn't go to seek for the advice.
Q: So if he could talk to me about what made them go to massage, who basically gave them advice to do it, etc?
A: All the babies in India they have the massage at home. She used to sit down and talk, and you know play and crawl. When you pick the child up and try to stand her up. Sometimes she doesn't touch the legs and she used to pick the legs up. Because that's why we was worried that we are not doing the massage correctly. And that's the reason she's not standing properly.
Q: Sorry just to clarify, you said that you do baby massage, was that as a result of what you thought was a problem with your daughter or is it just something that you'll always do?
A: We do it usually in our culture…
A little later in the interview there was a further exchange about the problem with Z's legs:
Q: But you spoke briefly earlier about the fact that your daughter appeared to be lifting her legs up and tell me again what your concerns were and what you did about that?
A: As in India they normally tell you that the child in this age will do this, and child in this age will do that. She was moving her legs but she wasn't doing as she should be doing…
Q: And the bruise again was to which part of her body?
A: The day before yesterday she did the massage on her, she did the massage with the Hair care oil, I don't know what happened on her, but there was something happened and you tell me this. Then it was gone first red and then it had gone blue…
"did bring the baby for consultation on 10.9.12…On this occasion they saw another GP…On examination, there were no signs of the marks [i.e. the bruising to the back] and therefore the GP did not suspect non-accidental injury…The original GP saw mother and child again on 17.9.12 by a requested appointment and, again, there were no marks other than some dry skin; the baby seemed well. Similarly, a further GP consultation was arranged for 1.10.12 and again mother and baby seemed well. Advice was given to maintain contact with the Health Visitor."
"Following the baby's urgent GP appointment on 30.8.12 the GP and the Health Visitor did communicate. This was good practice. However, in the series of missed opportunities described…above, their communication failed to elicit a critical discussion and thus the required outcome of a referral to children's Social Care was not considered. There was a lack of professional curiosity and also a lack of triangulating information on the part of the health Visitors, GPs and Practice Teacher."
"The radiological evidence that the fracture must have been sustained at some point between 20th and 27th July is not disputed…The radiological evidence as to the 'signs' of such a fracture has been as confidently stated in this case as in other similar cases I have dealt with...It could be that what has hitherto been so confidently stated by paediatric radiologists as near-certainty is, in reality, much less certain."
The same point applies as much to paediatricians as to paediatric radiologists. And if a health care professional can miss such signs then it must also be possible for a parent – even a 'reasonable parent' to miss such signs.
Q: Did you notice any other injuries on your daughter that night?
A: The other thing I have noticed is the oil infection on her.
Q: Oil infection where?
A: It was on her forehead and it was near the you know like in this area and it was under her cheekbone…
Q: And tell me when you saw an 'oil infection', what do you mean by this?
It became clear that the 'oil' was the oil used by the mother to massage Z. The father went on to describe a 'reddish area…like some sort of rash…'
Z's present condition
Z's present care
Contact
Social work assessment
"[The father] explained to me that he has seen a video on 'YouTube' which showed an American man with bone cancer going to the Golden Temple (which [the father] informed me was the main religious Temple in the Punjab for Sikhs) and he was cured of his bone cancer. [The father] explained that his religion and faith are very important to him, he has strong religious faith that Z will get better, he stated that Doctors have their place but so does religion and the hope that Z will get better. [The father] explained that with prayers that Z's difficulties can be taken away. It is 'God's Will' that Z survived the injuries and if God wants her to be better then she will be whilst also seeking medical treatment."
RD goes on to make the point that whilst the father has 'spoken of the importance of having hope and trust in God to make Z "normal", this is at odds with the extensive medical advice that Z will have a real level of disability throughout her life. Although RD appeared to accept that it is not unusual for people of faith to hope for divine intervention I was left with the impression that she considers the father's religious beliefs to be irrational and troubling.
Looked After Children Reviews
'Social Worker RD is carrying out 6 assessment sessions with [the father] 5 have been completed. The assessment is negative. He denies any knowledge of the injuries or reasons she was harmed, he has very limited understanding of her health and overall prognosis. He does not understand the impact of the brain damage. He has no clear plan – originally he said his mother would help out in India, then his sister. It is assessed he is not considering Z's best interests. All professionals shared these concerns. Becky will inform [the father] of the outcome of the assessment and will file the statement by 8.1.14.'
'The arrangements for contact and whether there is any need for changes to the arrangements in order to promote contact between [the child and her parents].'
"The responsible authority must ensure that a written record of the review is prepared, and that the information obtained in the course of the review, details of proceedings at the review meeting, and any decision made in the course of, or as a result, of the review are included in C's case records."
Consideration of potential kinship carers
'I am of the opinion that the relatives in the Punjab are unable to offer a viable and permanent home to Z. Due to the injuries that Z has sustained and the impact of these, Z currently requires a significant amount of care from her foster carer, medical staff and community-based health professionals. Based on the current assessment of Z's physical and cognitive disabilities, it is likely that she will require this significant level of care throughout her life and I am concerned about the facilities in the Punjab region where both sets of grandparents live. I have discussed this issue with Shila (sic) Foster in the kinship team who has personal experience of the region in the Punjab where the grandparents live. She has indicated that there would be limited healthcare and educational facilities for a child with Z's difficulties. Furthermore, she has raised reservations about how a child with Z's difficulties may be viewed culturally.'
The final care plan
'has advised that it is highly unlikely that in a national search of adopters, that there would be a family who would be willing to adopt Z due to her disabilities and level of care needs but have also indicated that there are unlikely to be any difficulties in the current foster carer being approved as an adoptive parent for Z.'
'Subject to paragraphs (2) and (3), the adoption panel must consider the case of the prospective adopter referred to it by the adoption agency and make a recommendation to the agency as to whether the prospective adopter is suitable to adopt a child' (emphasis supplied)'
In this case the function of the adoption panel will be to consider whether FC is suitable to adopt any child and not whether she is suitable to adopt this child (i.e. Z). It would be unwise, therefore, to make assumptions about the outcome of FC's application for approval as a prospective adopter. Should that application fail, the local authority's contingency plan is that it 'would seek an alternative adoptive placement and if one was not found, would seek a long term foster family for Z'. As I have already indicated, the care plan itself acknowledges that an open search for an adoptive family for Z is unlikely to bear fruit.
'it is proposed that there is an exchange of letters once a year between Z and [the father], supported by the Local Authority adoption post box service. The Local Authority is not proposing any direct or indirect contact with other extended family members'.
'34. …there must be proper evidence both from the local authority and from the guardian. The evidence must address all the options which are realistically possible and must contain an analysis of the arguments for and against each option. As Ryder LJ said in Re R (Children) [2013] EWCA Civ 1018, para 20, what is required is:
"evidence of the lack of alternative options for the children and an analysis of the evidence that is accepted by the court sufficient to drive it to the conclusion that nothing short of adoption is appropriate for the children."
The same judge indicated in Re S, K v The London Borough of Brent [2013] EWCA Civ 926, para 21, that what is needed is:
"An assessment of the benefits and detriments of each option for placement and in particular the nature and extent of the risk of harm involved in each of the options".
McFarlane LJ made the same point in Re G (A Child) [2013] EWCA Civ 965, para 48, when he identified:
"the need to take into account the negatives, as well as the positives, of any plan to place a child away from her natural family".
We agree with all of this…'
'In most child care cases a choice will fall to be made between two or more options. The judicial exercise should not be a linear process whereby each option, other than the most draconian, is looked at in isolation and then rejected because of internal deficits that may be identified, with the result that, at the end of the line, the only option left standing is the most draconian and that is therefore chosen without any particular consideration of whether there are internal deficits within that option.
The linear approach … is not apt where the judicial task is to undertake a global, holistic evaluation of each of the options available for the child's future upbringing before deciding which of those options best meets the duty to afford paramount consideration to the child's welfare.'
Father's position
"This is my preference due to the fact that the financial and practical support would be more readily available. This having been said it is inaccurate to suggest that I would not remain in the UK if this was deemed a more appropriate option for my daughter."
Father's application for an independent social work assessment
Children's Guardian
'It is clear that Z has a complex set of disabilities and needs that require a high level of sensitivity, experience, expertise and protection that cannot be provided by [the father] even if he were to remain in the UK with the level of services that Z's current carer receives. Given the current information before the Court (and based upon my own discussions with [him] I am persuaded that Z cannot be safely re-united with her father.'
"However, research indicates that the outcomes for children that have been…adopted are generally more favourable as they have a sense of 'belonging' and a life-long commitment from the adoptive family. Problems and/or issues in relation to identity can to a degree, be addressed via letterbox contact with birth parents. The Local Authority have identified Z's current carer wishes to adopt her; clearly this will provide continuity in the specialist care that Z needs and her attachments and bond with her carer will be maintained and indeed, will continue to grow and develop."
Analysis: The application for expert evidence
The law
'Expert evidence will be restricted to that which in the opinion of the court is necessary to assist the court to resolve the proceedings'
'3. The short answer is that 'necessary' means necessary. It is, after all, an ordinary English word. It is a familiar expression nowadays in family law, not least because of the central role it plays, for example, in Article 8 of the European Convention and the wider Strasbourg jurisprudence. If elaboration is required, what precisely does it mean? That was a question considered, albeit in a rather different context, in Re P (Placement Orders: Parental Consent) [2008] EWCA Civ 535, [2008] 2 FLR 625, paras [120], [125]. This court said it "has a meaning lying somewhere between 'indispensable' on the one hand and 'useful', 'reasonable' or 'desirable' on the other hand", having "the connotation of the imperative, what is demanded rather than what is merely optional or reasonable or desirable." In my judgment, that is the meaning, the connotation, the word 'necessary' has in rule 25.1.'
'22. The language used in Re B is striking. Different words and phrases are used, but the message is clear. Orders contemplating non-consensual adoption – care orders with a plan for adoption, placement orders and adoption orders – are "a very extreme thing, a last resort", only to be made where "nothing else will do", where "no other course [is] possible in [the child's] interests", they are "the most extreme option", a "last resort – when all else fails", to be made "only in exceptional circumstances and where motivated by overriding requirements pertaining to the child's welfare, in short, where nothing else will do": see Re B paras 74, 76, 77, 82, 104, 130, 135, 145, 198, 215.
23. Behind all this there lies the well-established principle, derived from s 1(5) of the 1989 Act, read in conjunction with s 1(3)(g), and now similarly embodied in s 1(6) of the 2002 Act, that the court should adopt the 'least interventionist' approach. As Hale J, as she then was, said in Re O (Care or Supervision Order) [1996] 2 FLR 755, 760:
"the court should begin with a preference for the less interventionist rather than the more interventionist approach. This should be considered to be in the better interests of the children … unless there are cogent reasons to the contrary."…
25. Implicit in all this are three important points emphasised by Lord Neuberger in Re B.
26. First (Re B paras 77, 104), although the child's interests in an adoption case are paramount, the court must never lose sight of the fact that those interests include being brought up by the natural family, ideally by the natural parents, or at least one of them, unless the overriding requirements of the child's welfare make that not possible.
27. Second (Re B para 77), as required by section 1(3)(g) of the 1989 Act and section 1(6) of the 2002 Act, the court "must" consider all the options before coming to a decision. As Lady Hale said (para 198) it is "necessary to explore and attempt alternative solutions". What are these options? That will depend upon the circumstances of the particular cases. They range, in principle, from the making of no order at one end of the spectrum to the making of an adoption order at the other. In between, there may be orders providing for the return of the child to the parent's care with the support of a family assistance order or subject to a supervision order or a care order; or the child may be placed with relatives under a residence order or a special guardianship order or in a foster placement under a care order; or the child may be placed with someone else, again under a residence order or a special guardianship order or in a foster placement under a care order. This is not an exhaustive list of the possibilities; wardship for example is another, as are placements in specialist residential or healthcare settings. Yet it can be seen that the possible list of options is long. We return to the implications of this below.
28. Third (Re B para 105), the court's assessment of the parents' ability to discharge their responsibilities towards the child must take into account the assistance and support which the authorities would offer. So "before making an adoption order … the court must be satisfied that there is no practical way of the authorities (or others) providing the requisite assistance and support"…'
Submissions
'provides an insufficient basis upon which any Court (properly directing itself in accordance with the guidance in re B-S) could dismiss the possibility of rehabilitation to Father and certainly no basis upon which to conclude that direct contact must be terminated.'
Discussion
(1) The assessment undertaken by RD was a social work assessment and not a parenting assessment. No parenting assessment of the father has been undertaken. His ability to acquire the skills needed to enable him to care for Z have not been assessed.
(2) To the extent that RD's observation of contact and reading the contact supervisor's notes have informed her assessment, the clear evidence is that that contact was positive and that the father was able to learn and apply new skills. He was cooperative and teachable. Despite this the local authority declined either to increase the level of contact or provide him with any form of training to enable him to meet Z's care needs (unlike the foster carer for whom training has been provided).
(3) Not only has the local authority failed to undertake a parenting assessment it has also failed to give any consideration to the support the father would need in order to care for Z or what support and assistance the local authority is able to offer.
(4) The father is criticised for lack of understanding and insight yet his knowledge of Z's injuries and prognosis comes not from copies of the relevant reports translated into Punjabi but from having some of those reports – or more likely some parts of those reports – read to him in Punjabi. To this must be added the local authority's failure to give the father opportunity to meet with any of the health care professionals responsible for Z's care.
(5) The local authority's social work assessment proceeded on the assumption that the father wished to return to India and care for Z there. Whilst I acknowledge that some of the things the father said may reasonably have led the local authority to that belief, I am equally satisfied that that is not his position. This is not the only issue in this case in which something has been lost in translation.
(6) The local authority appears to have assumed that a care plan for adoption automatically means that post-adoption contact should be limited to letter-box contact only. It has not given any consideration either to the benefits for Z of contact continuing or, as part of its assessment of the father, what the father has to offer to Z through ongoing direct contact. Whereas the guardian has begun to reconsider her position on contact there is no evidence that the local authority has begun to do so.
Conclusion
'49. We do not envisage that proper compliance with what we are demanding, which may well impose a more onerous burden on practitioners and judges, will conflict with the requirement, soon to be imposed by statute, that care cases are to be concluded within a maximum of 26 weeks. Critical to the success of the reforms is robust judicial case management from the outset of every care case. Case management judges must be astute to ensure that the directions they give are apt to the task and also to ensure that their directions are complied with. Never is this more important than in cases where the local authority's plan envisages adoption. If, despite all, the court does not have the kind of evidence we have identified, and is therefore not properly equipped to decide these issues, then an adjournment must be directed, even if this takes the case over 26 weeks. Where the proposal before the court is for non-consensual adoption, the issues are too grave, the stakes for all are too high, for the outcome to be determined by rigorous adherence to an inflexible timetable and justice thereby potentially denied.
The final care plan
Kinship assessment
'the exercise of a judicial discretion in a care case is an amalgam of expertise from a number of disciplines, an essential part of which is or should be competent social work assessments which the judge can then appraise and accept or reject….Accordingly, in my judgment, to do proper justice to [the child's] interests in the instant case, the judge required the thorough independent social work input by means of a viability assessment which [the appellant] had sought. The judge denied himself that input whilst at the same time recognising that the local authority had failed to provide it.'