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England and Wales Family Court Decisions (High Court Judges) |
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You are here: BAILII >> Databases >> England and Wales Family Court Decisions (High Court Judges) >> RL v Nottinghamshire CC & Anor (Rev1) [2022] EWFC 13 (08 March 2022) URL: http://www.bailii.org/ew/cases/EWFC/HCJ/2022/13.html Cite as: [2022] 4 WLR 103, [2022] EWFC 13 |
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SITTING AT NOTTINGHAM
Nottingham NG1 7EJ |
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B e f o r e :
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RL |
Applicant |
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- and - |
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Nottinghamshire CC (1) CS (A child by her Guardian) (2) |
Respondents |
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and |
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DS (1) TL (2) Nottinghamshire University Hospital NHS Trust (3) Dr JT(4) |
Interveners |
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James Cleary (instructed by Nottinghamshire County Council) for the First Respondent
Chris Wells (instructed by Rotheras Solicitors) for the Second Respondent
The First Intervener appeared in person
The Second Intervener appeared in person
Luke Berry (instructed by Browne Jacobson) for the Third Intervener
Briony Ballard (instructed by the Medical Defence Union) for the Fourth Intervener
Hearing date: 21 February 2022
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Crown Copyright ©
Mr Justice Mostyn:
The application
"A rehearing of the fact-finding heard on 13-17 June 2016 before Recorder Reading at the Family Court in Nottingham in relation to her daughter C."
"The bony injuries were consistent with either non-accidental injury or problems from a metabolic bone perspective, and the review team would have expected the courts to have considered whether screening for Type 1 collagen defect should have been carried out, particularly if indicators had been discovered in the family history or there had been further fractures. The presentation is not inconsistent with that seen in other cases of osteogenesis imperfecta (OI) has been the final diagnosis, but bruising, which was present on admission is not typical in such cases."
The letter concluded by confirming that no tests for OI were undertaken at the time (early 2016) because there were no clinical signs warranting them.
Background
i) A bruise to the right cheek 0.5cm in diameter, with horizontal skin abrasion overlying it;
ii) A bruise to the left cheek 1.5cm in diameter;
iii) A fracture to the 7th (neck of) posterior left rib inflicted between 31 December 2015 and 11 January 2016; and
iv) A fracture to the right clavicle on an unknown date nearer to birth.
The pleaded grounds further alleged a failure to protect in that there had been a failure to report the cause of, or any concerns about, the injuries.
i) A bruise to the right cheek 0.5cm in diameter, with horizontal skin abrasion overlying it;
ii) A bruise to the left cheek 1.5cm in diameter; and
iii) A fracture to the 7th (neck of) posterior left rib between 31 December 2015 and 11 January 2016.
i) On 7 October 2021 he granted permission to DS and the maternal grandmother to intervene in the proceedings, made further case-management orders, and listed the application for further directions on 21 February 2022.
ii) On 1 November 2021 he granted permission to Dr JT to intervene and gave the necessary consequential directions.
iii) On 24 November 2021 he directed that his order of 7 October 2021 and the mother's application dated 10 August 2021 be disclosed to the solicitors representing the Trust.
That application is before me.
Legal principles
"The doctrine of res judicata rests on the twin principles which cannot be better expressed than in terms of the two Latin maxims 'interest reipublicae ut sit finis litium' and 'nemo debet bis vexari pro una et eadem causa'. These principles are of such fundamental importance that they cannot be confined in their application to litigation in the private law field. They certainly have their place in criminal law. In principle they must apply equally to adjudications in the field of public law."
In R (on the application of DN (Rwanda)) v Secretary of State for the Home Department [2020] UKSC 7 Lord Carnwath cited that passage and stated at [47]:
"It is clear from the passage quoted above that the case did not rest on any peculiarity of planning law, but was based on a principle of "fundamental importance" in both private and public law, unless excluded by the particular statutory scheme. Nor is there anything to suggest that the principle is one-sided, in public law any more than in private law. It may be invoked by either party, public or private. Indeed, the two Latin maxims quoted by Lord Bridge make clear that it is a principle of general public concern, quite apart from the particular interests of the parties, public or private." (Emphasis added)
"I find it very difficult to conceive of any situation or circumstance in which the … doctrine of res judicata could be applicable, but it is impossible to consider every hypothetical set of circumstances which might come before a court. However, in the context of care proceedings, it is most unlikely ever to be applicable."
"'Estoppel' merely means that, under the rules of the adversary system of procedure upon which the common law of England is based, a party is not allowed, in certain circumstances, to prove in litigation particular facts or matters which, if proved, would assist him to succeed as plaintiff or defendant in an action. If the court is required to exercise an inquisitorial function and may inquire into facts which the parties do not choose to prove, or would under the adversary system be prevented from proving, this is a function to which the common law concept of estoppel is alien. It may well be a rational rule to apply in the exercise of such an inquisitorial function to say that if a court having jurisdiction to do so has once inquired into the truth of a particular allegation of fact and reached a decision thereon, another court of co-ordinate jurisdiction in the exercise of its own discretion should not re-embark on the same inquiry, but should accept the decision of the first court. But this is a different concept from estoppel as hitherto known in English law. It will be interesting to watch its development in future cases …"
I draw attention to the statement of Diplock LJ that estoppel is part of the rules of our "adversary system of procedure". However, as explained by Lord Sumption, it is more correctly to be seen as a rule of substantive law.
"…the courts' inquisitorial function means that the strict doctrine of issue estoppel can rarely, if ever, apply in children's cases …"
"Such instances are bound, in the nature of things, to be extremely rare. The willingness of the family jurisdiction to relax the ordinary rules of issue estoppel … does not originate from laxity or benevolence but from the recognition that where children are concerned there is likely to be an infinite variety of circumstances whose proper consideration in the best interests of the child is not to be trammelled by the arbitrary imposition of procedural rules. That is a policy whose sole purpose, however, is to preserve flexibility to deal with unusual circumstances. In the general run of cases the family courts … will be every bit as alert as courts in other jurisdictions. The maxim 'sit finis litium' is, as a general rule, rigorously enforced in children cases, where the statutory objective of an early determination of questions concerning the upbringing of a child expressed in section 1(2) of the Children Act 1989 is treated as requiring that such determination shall not only be swift but final.".
I draw attention to Waite LJ's characterisation of issue estoppel as a mere example of "procedural rules", capable of being arbitrarily imposed.
"But the questions of fact raised in this case are precisely the same as those which were inquired into and determined in a previous suit in this very court. In both suits the husband is charged with the same matrimonial offence, that of cruelty. That issue having been tried, and found in the husband's favour in the former suit, the wife now seeks to have it tried over again, and it is argued that she is entitled to reiterate those identical charges, because she has tacked on to them a charge of adultery. I think that cannot be allowed. According to the practice of every court, after a matter has once been put in issue and tried, and there has been a finding or a verdict on that issue, and thereupon a judgment, such finding and judgment is conclusive between the same parties on that issue. In all courts it would be treated as an estoppel. There is abundant reason why, in this court especially, the same questions should not be tried over again. In most cases the trials are at the cost of the husband, and the Court ought not to allow a wife to persecute a husband as she could do if she were allowed to repeat charges which have once been found against her. The allegations of cruelty must be struck out of the petition."
So, the inquisitorial nature of the proceedings did not prevent the application of the estoppel in that case. Equally in Thoday itself, Diplock LJ accepted and applied the law of estoppel. He held that no estoppel per rem judicatam arose as the wife was alleging a different matrimonial offence in the second proceedings (constructive desertion) to that which she had pleaded in the first (cruelty). No issue estoppel arose because the judge in the earlier proceedings had not made sufficiently precise findings to be able to say that a given issue had been decided in an identifiable way. All he had done was to decide that the wife had not established the matrimonial offence of cruelty she alleged. Thus Diplock LJ concluded his judgment:
"It is, in my view, very desirable that in cases of this kind, where a failed case of cruelty may be later followed by a case based on actual or constructive desertion, judges should state their findings on each of the issues. But it was not done in this case and consequently, in my view, no "issue estoppel" arises either."
Therefore, notwithstanding Diplock LJ's doubts, it is clear that in this paradigm of an inquisitorial process – a defended divorce – the general law concept of estoppel is fully applicable.
"… [would] apply equally where there are later proceedings about the same child and where there are later proceedings about another child of the same parents. The issue will only arise where it is suggested that there is further evidence that might make a difference."
Thus, Re B would apply in a true issue estoppel situation where the later case not only had the same parties but precisely the same issue as had been previously litigated.
"…whether there is any reason to think that a rehearing of the issue will result in any different finding from that in the earlier trial; there must be solid grounds for believing that the earlier findings require revisiting."
In Re CTD (A Child: Rehearing) [2020] EWCA Civ 1316 at [4] Jackson LJ elaborated this test:
"….at the first stage the applicant must show that there are solid grounds for believing that a rehearing will result in a different finding. Mere speculation and hope are not enough."
"…all estoppels are not odious, but must be applied so as to work justice and not injustice and I think the principle of issue estoppel must be applied to the circumstances of the subsequent case with this overriding consideration in mind."
I note that this famous dictum was cited by Hale J in Re B at 128.
i) First, and obviously, an anterior judgment can be challenged on the grounds that it was fraudulently obtained: Takhar v. Gracefield Developments Limited [2019] UKSC 13, [2020] AC 450.
ii) Second, an anterior judgment can be challenged on the ground that new facts have emerged which strongly throw into doubt the correctness of the original decision. In Arnold v National Westminster Bank Plc [1991] 2 AC 93 at 109 Lord Keith of Kinkel stated:
"….there may be an exception to issue estoppel in the special circumstance that there has become available to a party further material relevant to the correct determination of a point involved in the earlier proceedings, whether or not that point was specifically raised and decided, being material which could not by reasonable diligence have been adduced in those proceedings. One of the purposes of estoppel being to work justice between the parties, it is open to courts to recognise that in special circumstances inflexible application of it may have the opposite result …"
This exception echoed the well-known decision of the House of Lords in Phosphate Sewage Company Limited v Molleson (1879) 4 App Cas 801 where Lord Cairns LC held that an anterior judgment can be challenged where additional facts had emerged which 'entirely changes the aspect of the case' and which 'could not with reasonable diligence have been ascertained before.' In Allsop at [26] the continuing validity of this exception was affirmed by the Court of Appeal.
'"It is now eleven years since I observed in A v A [2007] EWHC 99 (Fam), [2007] 2 FLR 467, paras 19, 21 (though, of course, at the time I was a mere puisne), that "the [Family Division cannot] simply ride roughshod over established principle" and that "the relevant legal principles which have to be applied are precisely the same in this division as in the other two divisions." In Richardson v Richardson [2011] EWCA Civ 79, [2011] 2 FLR 244, para 53, we said that, "The Family Division is part of the High Court. It is not some legal Alsatia where the common law and equity do not apply." And in Prest v Petrodel Resources Ltd and others [2013] UKSC 34, [2013] 2 AC 415, para 37, Lord Sumption JSC observed that "Courts exercising family jurisdiction do not occupy a desert island in which general legal concepts are suspended or mean something different."'
"English law, and it is safe to say, all comparable legal systems, place high in the category of essential principles that which requires that limits be placed upon the right of citizens to open or to reopen disputes. The principle which we find in the Act of 1858 is the same principle as that which requires judgments in the courts to be binding, and that which prohibits litigation after the expiry of limitation periods. Any determination of disputable fact may, the law recognises, be imperfect: the law aims at providing the best and safest solution compatible with human fallibility and having reached that solution it closes the book. The law knows, and we all know, that sometimes fresh material may be found, which perhaps might lead to a different result, but, in the interest of peace, certainty and security it prevents further inquiry. It is said that in doing this, the law is preferring justice to truth. That may be so: these values cannot always coincide. The law does its best to reduce the gap. But there are cases where the certainty of justice prevails over the possibility of truth (I do not say that this is such a case), and these are cases where the law insists on finality. For a policy of closure to be compatible with justice, it must be attended with safeguards: so the law allows appeals: so the law, exceptionally, allows appeals out of time: so the law still more exceptionally allows judgments to be attacked on the ground of fraud: so limitation periods may, exceptionally, be extended. But these are exceptions to a general rule of high public importance, and as all the cases show, they are reserved for rare and limited cases, where the facts justifying them can be strictly proved."
'The court has to guard very carefully indeed against using "justice" as a "get out of jail free card" in this sphere. Res judicata is a concept carefully honed over many years, based on the Latin maxims: Nemo debet bis vexari pro una et eadem causa and Interest rei publicae ut finis sit litium, "no-one should be vexed twice in the same matter and there should be finality in litigation". It applies if all the conditions for it are in place and one cannot contemplate some airy-fairy discretion to dis-apply it. The assertion and exercise of such a general discretion would lead to uncertainty and forensic chaos, together with much unnecessary expense.'
This case
"On behalf of the NHS Trust, Mr Roche called the two radiographic department staff who carried out the skeletal survey on C: VW, Paediatric Radiographer, and AS, Senior Radiographer, and also CW, Staff Nurse. Between them, in their written statements and their oral evidence, they gave an account of an x-ray session which was difficult and stressful, because, despite previous sedation, C woke up and cried, and, although she was comforted, Father was angry and disruptive, swearing and trying to stop the process. They explained how the process of the skeletal survey was routinely carried out, demonstrating with a doll, and denied that anything out of the ordinary had been done to C. They specifically denied that any pressure had been applied to C's chest. In cross-examination they rejected suggestions that the rib fracture might have been I accidentally caused during the skeletal survey."
And at [28]:
The suggestion has been advanced that C's chest might have been compressed to restrain her during the skeletal survey and so her rib might have been accidentally broken. The necessary mechanism might have been present if that had happened, but there is no evidence at all that it did happen. None of the witnesses says that somebody pressed down hard on C's chest. The techniques for carrying out a skeletal survey, which were explained and demonstrated in Court, do not involve the application of any pressure at all to the child's chest. If Grandmother, a solicitor, or Father, who had promised to protect C, or Mother, had seen excessive force applied, one or all of them would have made an immediate complaint to the Hospital. But they did not.
Bruises
"32. I have anxiously considered the bruising. I was dubious about the expert witnesses' con?dent statements that bruising could only be caused by the application of more force than would be applied in the course of handling and moving a child. In particular I was unsure that Dr W had any research basis for his assertions about the degree of force required to cause bruises of the kind suffered by C. However, there is no evidence to contradict what Dr W says. His invitation to anybody who doubts him to try causing a bruise to himself may appear to be a trivial or facile answer, but it is a good way of demonstrating something which cannot be explained in words.
33. C suffered bruises which may well have occurred at the same time, on both sides of the lower part of her face. This was not over the jawbone or the cheekbone. Considerable force must have been required to cause these bruises. There is no way in which that could conceivably happen accidentally. In particular, holding the face to insert eye-drops, or to assist a doctor's examination, or bumping against Father's chest, or scratching with the baby's fingernails, or any other suggestion for an accidental cause must be rejected. None of them would involve the application of sufficient force to cause bruising. Pinching with the thumb and fore?nger of an adult hand would be one way of doing it. Since no accidental cause can be conceived of, on the balance of probabilities I conclude that the bruises to both checks were non-accidental."
"49 No consideration or reference has been made to the possibility that the bruising seen in C was the result of a number of persons handling her face over a short period of time: 31.12.15 (Dr T), 04.01.16 nurses, 08.01.16 (operative procedure) in addition to being handled by the mother, the step father and MGM when winding C after feeding. The possibility of compound bruising occurring at a sensitive site and scratches over sites already made sensitive by some bruising does not appear to have been explored. This would appear to fit well with a bruise that visibly grew larger over from the 8 to 9 January 2016.
50. The proposition that C still had left and right bruises and scratches from before the 4.1.16 was potentially inconsistent with C not having any residual marks or bruises from her rib being fractured by a two-handed squeezing mechanism before the 4.01.16.
51. NICE guidelines (last revised in March 2016) in relation to dating of bruising from colour are very clear, and cites the systematic review carried out by Maguire et al, 2005: "A bruise cannot accurately be aged from clinical assessment in vivo or on a photograph. At this point in time the practice of estimating the age of a bruise from its colour has no scientific basis and should be avoided in child protection proceedings"
52. It does not appear the NICE Guidelines or the Maguire paper was before the court.
53. Finally, in relation to bruising, I note that the platelets reading for C was 579 on the 5.1.16 and 771 on the 10 January 2016, where the normal range is 150-450. In his report, Dr W states at paragraph 104, that an "elevated platelet count can cause abnormal bleeding or bruising", but then does not go on to consider how this may have been applicable in C's case in particular given the increase in the levels from 5-10 January. At paragraph 131 of his report he simply states it is a common finding in babies with infection and it "cannot cause easy or abnormal bruising". He does not however state in terms that C's bruising was either "easy" or "abnormal". By the time of the 10 January reading, C had been treated with antibiotics at least since the procedure on the 4.1.16. For her to be still suffering from the effects of infection by the 10.01.16 with no medical staff making reference to this, seems a little strange. The issue of the raised platelets at the material time is therefore unresolved."
i) The number of people who had handled C;
ii) The inaptness of dating a bruise by its colour; and
iii) The possibility that the elevated platelet count had led to easy bruising.
The rib fracture
i) Having regard to the histopathological tests recorded in the Raynor paper:
' …it is difficult to see how Recorder Reading could have come to the conclusion that given evidence of early callus formation seen on the scan of 26.01.16, the fracture was likely caused within the 11 days prior to the skeletal scan on the 11 January 2016, as opined by Dr S. If that were the case then by the 26.01.16 what would be seen would not be early callus formation but callus bridging the fracture site and remodelling of the primary callus. Indeed, if the fracture was as early as the 31.12.15, what may have been seen on the 26.01.16 was formation of lamellar bone. Instead, what was identified by Dr W as "early callus" is seen between 0-14 days in histopathology, which comfortably dates back to the fracture having occurred on the 11.01.16.'
This again repeats, albeit with an appearance of medical support, the mother's oft-expressed belief that the fracture occurred at the survey.
ii) It is possible that C suffers from OI. As she displayed no clinical signs of this condition then, under the standards applicable in 2016 she was rightly not tested for the condition. But standards have changed, as a result of research.
i) The 2018 Raynor paper did not advance new scientific evidence about the dating of fractures. Rather, the fractures analysed in that paper were aged histologically using the technique explained of Klotzbach et al in their 2003 paper, supplemented by methods derived from three research papers published in 1994, 1995 and 2009. Thus, the Raynor paper was based on research that should have been well-known in 2016.
ii) The Raynor paper advanced a specialist histopathological evaluation of the fractures under study. It did not purport to provide an analysis of how fractures would appear in a radiological examination. This is particularly relevant given that the specialist histopathological evaluation could only be performed on a dead child, because deep samples were taken from the bones. No such histopathological examination could have been undertaken then of C's bones. The paper cannot cast doubt on the conclusions drawn by the experts and the court at the hearing from the available radiological evidence.
iii) However, the paper is noteworthy in that it refers to a study in which 95% of posterior rib fractures in the sample group were found to have occurred through 'non-accidental' means.
iv) There is nothing in the Raynor paper that provides the solid grounds for believing that the findings need to be revisited.
v) Similarly, the review conducted by the Hospital in 2018 referred to at [4] above does not provide the necessary solid grounds. The letter states that the review team would have expected the court to have 'considered' tests for a metabolic bone disease. But the issue of a metabolic bone disease was specifically addressed in the evidence of Dr W. Dr W set out the considerations in respect of a metabolic bone disease and concluded:
"C's x-rays are reported to show normal bones with no evidence of inherited or metabolic bone disease. She does not have a history of other previous or subsequent fractures and I have not been provided with a history of a close relative with an inherited disorder causing easy or abnormal fracturing of bones. C's metabolic blood tests included a bone profile that showed normal calcium, phosphate and alkaline phosphatase levels. The normal alkaline phosphatase level excludes Ricketts as a possible cause of her fractures and this conclusion is supported by the finding of a normal vitamin D level. All this information makes it highly unlikely that C has an acquired or inherited disorder that caused or contributed to her clavicle and rib fractures. "
Therefore, the issue of a metabolic bone disease was properly considered in the proceedings. The evidence before the court was that it was highly unlikely. The mother did not seek to challenge this evidence.
"…if, for the purpose of the requisite foundation, X's consignment to a pool has a value of zero on its own, it can, for this purpose, have no greater value in company."
This scenario is so conjectural as to be irrelevant to my decision. However, were it to eventuate it is my opinion that the pool-finding is now so remote, and its evidential value so minimal, that it should be excluded from consideration in any future proceedings concerning a different child.