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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 >> A Council v LG & Ors [2014] EWHC 1325 (Fam) (01 April 2014) URL: http://www.bailii.org/ew/cases/EWHC/Fam/2014/1325.html Cite as: [2014] EWHC 1325 (Fam) |
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The judgment is being distributed on the strict understanding that in any report no person other than the advocates or the solicitors instructing them (and other persons identified by name in the judgment itself) may be identified by his or her true name or actual location and that in particular the anonymity of the children and the adult members of their family must be strictly preserved.
FAMILY DIVISION
Strand, London, WC2A 2LL |
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B e f o r e :
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A COUNCIL |
Applicant |
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- and - |
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LG (1) DS (2) GS AND LS (3) (by their Children's Guardian) |
Respondent |
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Fiona Jamieson (instructed by PCB Solicitor LLP) for the First Respondent
Caroline Baker (instructed by Mortimers Solicitors) for the Second Respondent
Mair Mihangel (instructed by Wace Morgan Solicitors) for the Third Respondent
Hearing dates: 24, 25, 26, 27, 28, 31 March 2014
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Crown Copyright ©
Mr Justice Keehan:
Introduction
Application and Issues
a) she fabricated symptoms of epilepsy in respect of LS in accounts she gave to medical professionals on no less than 9 occasions between 23 June 2011 and 8 May 2013;
b) as a result of those false accounts LS was prescribed unnecessary medication;
c) she gave a false account to the school, the nursery and the health professionals that LS had been diagnosed with a brain tumour. Very unfortunately GS and LS became aware of this false account;
d) on 2 occasions, 26 June 2011 and 23 October 2012, she gave false histories of prescribed medication for LS to health professionals;
e) she falsely claimed LS had a peanut allergy which led to the prescription of an epipen; and
f) she falsely reported to nursery staff that she had been medically advised that LS should drink 3000ml of liquid per day.
a) the mother's allegation that GS had been hit by a car on 6 December 2011;
b) there were numerous incidents of domestic violence between the parents some of which the children when the children were present; and
c) on 13 September 2013, in breach of the child protection plan, the parents met at the railway station when LS present.
a) 'taking a back seat';
b) not challenging the mother's accounts;
c) not following up on his suspicions about her accounts and actions; and
d) not attending any medical appointments with either child prior to June 2013;
reasonable or excusable in the circumstances of this case?
a) the mother gave a truthful account of the circumstances in which GS suffered fractures of her left radius and ulna on 28 February 2011;
b) the mother gave a truthful account of the circumstances in which LS suffered a wound to her abdomen on 23 October 2012; and
c) the mother gave a truthful account of the circumstances in which LS suffered fractures of her left radius and ulna on 8 May 2013
a) she is the perpetrator of a non-accidental injury; or
b) she knows but has not revealed the true version of the events which led to the injury.
Law
Background
a) a consultant paediatrician at the Hospital caused the injury when examining LS;
b) when LS was getting off a bus with her mother she experienced an epileptic seizure and caught her arm in the bus door;
c) LS had been banging her arm;
d) LS' arm may have become trapped in her pushchair;
e) the mother simply did not know the cause of the fracture;
f) in October 2013, the mother told the social worker that her sister and her sister's boyfriend had been giving LS a 'leg and a wing' in a local park when her arm got bent behind her back. The mother said LS ran to her saying 'my arm' and that she could see a curve in LS' arm. Rather than seeking immediate medical treatment the mother waited until a scheduled medical appointment arranged for that day to report the injury; and
g) during a conversation with the mother and the social worker on 27 February 2014 the mother gave a finesse on the sixth explanation, namely that during her sister and her sister's boyfriend giving LS a 'leg and a wing' she had been dropped and the boyfriend had then stood on LS' arm causing it to fracture.
The Evidence
a) pathological lying;
b) some historic traits;
c) early evidence of emotional instability and emerging borderline personality disorder traits; and
d) evidence of anti-social personality traits [E112-113].
Analysis and Findings
a) when seen in triage at 14:05 on 23 October 2012 the mother is recorded as reporting "child pulled pen out of wound in R upper abdomen blood on pen to 1.5cm" [GA24];
b) when LS was examined by a doctor at 14:15 the notes record "accidental stabbing [with] pen……. Child fell onto floor [with] pen ? stabbed. No blood loss 3cm deep mum extracted" [GA25];
c) when examined by a surgical senior house officer at 15:35 the history and presenting complaint reported by the mother is recorded as "landed face down hand to pen in side – LS pulled out pen was in her hand (by the time mother got to LS pen was out) went in [about] 1.50cm Bleeding after some time" [GA28].
a) on examination at 14:15 it is described as a "small puncture wound [no] bleeding" [GA 26];
b) on examination at 15:35 it is described as a "self sealed wound….. [no] bleeding….. wound soft no evidence of foreign body in wound" [GA28a];
c) in the hospital notes at GA29 the injury is described as a "stab wound" but in the treatment codes below there is no reference to the wound being dressed, cleaned or closed;
d) the discharge summary described the injury as a "non penetrating injury to abdomen" [GA398]; and
e) in the nursing notes at 1000 on 24 October 2012 there is a reference to "wound site clean and dry" [GA215];
f) in those notes at 1400 there is a reference to "dressing changed. Wound clean and dry. [illegible] dressing applied [GA 216];
g) the general practitioner's note of a consultation on 26 October 2013 reads "penetratin (sic) abdominal wall injury……dressing on abdomen changed". There is reference to LS being prescribed a course of antibiotics [GA 267].
a) LS suffered a puncture wound to her abdomen which was observed at hospital;
b) during her short admission the wound was dressed and the dressing were then changed; and
c) her general practitioner changed the dressing on 26 October 2013 and prescribed antibiotics. In the absence of any other presenting complaint described in the notes for that consultation, I can only assume that prescription was given because the wound was infected.
a) the mother gave a false history at the hospital of LS suffering a convulsion that day;
b) the various accounts given of how far the pen punctured LS' abdomen, who extracted the pen and whether there was any bleeding are wholly inconsistent one with each other;
c) I do not believe the mother has given a truthful account of the events which caused the wound;
d) I have considered whether this is in fact a non accidental injury inflicted by the mother;
e) I consider it unwise to make such a finding in the absence of any other evidence supporting such a conclusion;
f) The injury occurred when LS was in the sole care of her mother.
a) she is culpable for the injury sustained by LS; and
b) she has failed to give a truthful account of the cause of the same.
a) she was not present in the park when the 'leg and wing' incident took place;
b) she had never told the mother that the best way to improve her relationship with the father was to say that LS was ill;
c) she had never suggested to the mother she should make up a story about LS' fracture; and
d) the mother had never told her that the cause, a possible cause, of LS' fracture was a result of falling during the 'leg and a wing' game.
a) the mother is culpable for the fractures sustained by LS; and
b) the mother has failed to give a truthful account of the cause of the same.
Conclusion