EL claims after the Enterprise and Regulatory Reform Act; the recrudescence of Middle English law?

On Saturday 30th November, Charles Feeny delivered the above lecture at the Personal Injury Bar Association Northern Conference.

As a follow up, Charles has provided some additional thoughts on the lecture and how the changes are influencing the law. A copy of the lecture powerpoint is available at the bottom of the page.

My starting point in this talk was that Sections 69 of the Enterprise and Regulatory Reform Act is essentially legislation from the golf club bar reflecting the sustained antipathy in the form of anti-EU sentiment amongst the middle English.  However, the reality is as Lord Denning identified and predicted in 1974 that European law would become a part of English law and its influence would flow up our estuaries and rivers.  Further, and significantly in this context, it is not just that the law has become integrated but that the climate of industrial safety has been radically improved by a systematic and rigorous approach, in particular reflected in guidance given by the HSE.

This is not to say that Section 69 will have no effect.  The provision operates to reverse the previous presumption of civil liability under legislation and regulation made under the Health and Safety at Work Act 1974.  It must follow that if a Claimant can only prove a breach of a statutory duty of strict application, the Claimant will now fail, whereas previously the Claimant would have succeeded (albeit likely to be subject to a very significant discount for contributory negligence).

Such claims, however, will likely be rare as they were prior to Section 69.  Stark v the Post Office was apparently perceived as being representative of European over-regulation by the application of strict duty.  Clearly, if this case was re-litigated on the same facts and findings, the Claimant would fail rather than succeed as a result of the provision in Section 69.  Consideration of the facts of the case would indicate it is unlikely that in a similar case now the Claimant could not deploy arguments to succeed without having to rely upon breach of a statutory duty of a strict nature.  The facts in Stark are briefly set out in the Court of Appeal judgment, and only to the extent necessary to explore the discrete point of law.  The Judge at first instance made a finding that the defect which caused the accident could not have been discovered on rigorous examination and therefore there was no negligence.  The defect was said to be the result of either metal fatigue or manufacturing defect.  It is not clear to what extent arguments based on negligence were pursued with any vigour at first instance given the case on breach of statutory duty and the Claimant’s correct perception that the Defendants’ position was indefensible on breach of statutory duty.

It would appear that the area where those advising Claimants are considering most difficult is in relation to equipment and machinery claims.  Such claims have, in reality, substantially proceeded on the basis of strict liability within the working lifetime of all currently practising lawyers.  In fact, rather ironically, some of the old fashioned Anglo Saxon provisions which predated European regulation, such as Section 14 of the Factories Act 1961, provided for a much stricter duty than has been imposed in any context from Brussels.

To this extent, having to prove fault beyond breach of strict statutory duty represents a cultural change for Claimants’ lawyers but it should not, in the vast majority of cases, present an insurmountable challenge.

The Courts have taken an approach where, in simple terms, something has gone wrong, that there is at least an evidential onus on the Defendant to explain and justify this position.  This was exemplified in the slipping case of Ward v Tesco Stores Limited.  It is not clear how this approach can be squared with the confines of res ipsa loquitur, the Courts in this context, as in certain clinical negligence cases, disavowing the application of the maxim but in fact applying a lower threshold of proof for practical purposes.  Be that as it may, the starting point of any defective equipment or machinery must be that it is a situation which requires some justification.

Many Defendants will struggle to present the type of evidence necessary to form the background of the justification of a defect or fault, for example comprehensive and up to date maintenance and inspection records.  Whilst the absence of such documentation would not in itself prove a causative breach of duty, it would nonetheless put the Defendant very substantially on the back foot.

Further, the Employers Liability (Defective Equipment) Act 1969 has not been repealed.  It had become largely obsolete because of the Stark case but it can now be relied upon as it was characteristically prior to 1993.  It is to be noted that the definition of fault within the Act is very broad including “other act or omission which gives rise to liability in tort in England or Wales”.  It therefore seems reasonably arguable that a defect can be assessed by reference to the Consumer Protection Act 1987 which is stricter in its application than a simple allegation of negligence in manufacture.  The definition of defect relates to “the safety of the product is not such as persons generally are entitled to expect”.  If a defect in this sense is proved then a defence according to the statute must be demonstrated, and these are rigorous including a requirement that the producer or supplier must demonstrate that they could not reasonably have known of the defect in the light of scientific and technical knowledge.

Reconsidering the facts of Stark against this background, it is clear that if the ultimate finding was that there was a defect in manufacture, Mr Stark would have succeeded even without strict liability.  The alternative of metal fatigue is difficult to interpret, giving the very limited reference to it.  However, it could be reasonably argued that the metal fatigue was either foreseeable or unforeseeable.  In other words, it occurred after a certain period in use or it could occur at any time during the course of the use of the bicycle.

In the former scenario, it would be reasonable to argue that the Defendants should have had a system whereby bikes were not permitted to remain in use when they were subject to failure through metal fatigue.  In fact, there was evidence in Stark that the Post Office routinely withdrew bikes from use after 10 years, whereas the bicycle Mr Stark was using was 14 years old.  This is not explained from the Court of Appeal judgment but clearly an argument could be developed on these lines.

If, on the other hand, the defect was unforeseeable and could occur at any time, then the bicycle would be defective within the meaning of the Consumer Protection Act 1987.

The clear impression therefore is that a Claimant in the Stark type of case could succeed but might have to deploy considerably more forensic energy in the process rather than having the easy option of relying upon a strict statutory duty.

The other area in which the apparently restrictive effect of Section 69 will be substantially mitigated is in the application of breach of regulation and guidance, as evidence of negligence.  Lord Faulks in the House of Lords referred to a breach of regulation as “strong prima facie evidence in negligence” (Hansard 22 April 2013 Column 1328).

In this context, it is important to appreciate that because of the way much of the Regulation is framed, in particular in terms of reasonable practicability, that the crucial assessment is not necessarily made by reference to the Regulation but rather by reference to guidance issued by the Health and Safety Executive.  This was illustrated by the case of Mr Simpson, for whom I acted earlier this year.  Mr Simpson fell down from a ladder on a building site suffering very serious- near fatal- injuries.  His case was that the ladder was incorrectly lashed, but the Judge rejected this at trial.  However, the Judge accepted an alternative case based on the Working at Height Regulations 2005, in particular that Mr Simpson had been climbing a ladder which was constituted by a single run of 25 feet.  The Claimant’s case was that this was inappropriate and inconsistent with the guidance provided by the Health and Safety Executive in relation to the Working at Height Regulations in that single runs of ladders, as opposed to scaffolds with intermediate platforms, should only be used for occasional and short term access.  The Defendants attempted to argue by way of reference to risk assessments that they had correctly assessed the work as being occasional and short term, and the use of a ladder was justified.  The Judge’s finding was that although the use was occasional and short term in the sense that Mr Simpson was not working from the ladder but rather going up and down it a few times a day to access the roof, this could not be considered to justify the use of a ladder within the Health and Safety Executive Guidance.  Although each use was short term and arguably occasional, the ladder was being used over a prolonged period and the Judge found that a scaffold should have been erected.

The critical point here is that the finding was ultimately not based upon the terms of the statutory duty but rather upon the guidance given in relation to the statutory duty.  The Judge would, post Section 69, make an identical finding in negligence unless he considered that the employers should not have followed the guidance.  It was suggested in discussion that the effect of the guidance would be diluted by Section 69, since the guidance was based upon a statutory regime which substantially presupposed civil liability for breach.  However, I do not think this is likely.  There is clear authority in the Courts, for example in relation to British Standards, in Ward v Ritz Hotel (London) Limited, and other cases, that a Defendant must justify not following what might be described as authoritative, if not necessarily statutory guidance.

The Regulations remain in force and indeed create criminal liability.  It would not usually be anticipated that the level of conduct which would attract a criminal sanction would be significantly lower than that, which would amount to a breach of civil duty.

In the current climate, it would be a very bold Judge who, in the context of a serious or even fatal accident, would follow his or her own assessment of what should or should not have been done, as opposed to guidance given by the Health and Safety Executive.  Whilst readers of the Daily Express and the Daily Mail might take different views, a Judge would no doubt be mindful that these are not the only publications in which such a decision might be discussed.

It was also suggested that the absence of a legal burden in civil litigation for a Defendant to show reasonable practicability could have some significant effect.  Again, I would doubt this. The legal burden probably only matters when it has been overlooked at first instance, as in Larner v British Steel.  In practical terms, if a breach of regulation is pleaded as evidence of negligence, then a Defendant will have to engage in the issue and there would be likely, as discussed above, an evidential burden.  In this context, in the final analysis a Court would have to consider whether the Defendant had demonstrated taking all reasonably practical measures, and this would be determined on the balance of probabilities.  Cases where the legal burden might prove decisive, against this background, are likely to be few and far between.

Some members of the audience felt that I was being over sanguine.  However, I did wonder whether this was another manifestation of the middle English penchant for determined and sustained gloom, as evidenced by the resolution of the plot in Brief Encounter.  However, I would remain of the view that law based on spin, as opposed to proper consideration of the law, is unlikely to have any effect, citing the example of Section 1 of the Compensation Act 2006.  Most importantly, Lord Denning predicted correctly, and there has been as a result of European regulation, a massive and welcome cultural change in relation to industrial safety, and it cannot be imagined that it would either be desirable or possible to move backwards from this position, in particular by reference to such a simplistic provision as Section 69.

Charles Feeny*

*I would like to thank Charles Austin for his help in preparing this lecture and additional note.

Causation in asbestos: Minimal or material? Risk or probability?

[fusion_builder_container hundred_percent=”yes” overflow=”visible”][fusion_builder_row][fusion_builder_column type=”1_1″ background_position=”left top” background_color=”” border_size=”” border_color=”” border_style=”solid” spacing=”yes” background_image=”” background_repeat=”no-repeat” padding=”” margin_top=”0px” margin_bottom=”0px” class=”” id=”” animation_type=”” animation_speed=”0.3″ animation_direction=”left” hide_on_mobile=”no” center_content=”no” min_height=”none”][fusion_vimeo id=”80817446″ width=”767″ height=”450″ autoplay=”yes” api_params=”” class=””][fusion_separator style_type=”none” top_margin=”20px” bottom_margin=”20px” sep_color=”#dbdbdb” border_size=”1px” icon=”fa-play” icon_circle=”yes” icon_circle_color=”” width=”” alignment=”center” class=”” id=””/][/fusion_builder_column][fusion_builder_column type=”2_3″ last=”no” spacing=”yes” center_content=”no” hide_on_mobile=”no” background_color=”” background_image=”” background_repeat=”no-repeat” background_position=”left top” hover_type=”none” link=”” border_position=”all” border_size=”0px” border_color=”” border_style=”” padding=”” margin_top=”” margin_bottom=”” animation_type=”” animation_direction=”” animation_speed=”0.1″ animation_offset=”” class=”” id=””][fusion_title size=”3″ content_align=”left” style_type=”default” sep_color=”” margin_top=”” margin_bottom=”20px” class=”” id=””]About this Webinar[/fusion_title][fusion_text]The webinar explores both the legal and epidemiological issues which arise in asbestos cases.

The webinar is split into three sections. The first is an introductory talk on epidemiology by Prof. Damien McElvenny from the Institute of Occupation. The second is a lecture by Dr Sandy Steel of King’s College London entitled ‘Statistical evidence of causation in English tort law’. Finally, the webinar presents two interactive case studies involving carcinoma of the lung and mesothelioma.

Participants:

  • Mr Charles Feeny
  • Dr Sandy Steel, King’s College London
  • Professor Damien McElvenny, Institute of Occupational Medicine
  • Dr Charles Hind, Consultant Physician in General and Respiratory Medicine

We are grateful to Charles Austin for his help in writing the content of this webinar.

CPD points: 2.5 (SRA accreditation only).[/fusion_text][/fusion_builder_column][fusion_builder_column type=”1_3″ last=”yes” spacing=”yes” center_content=”no” hide_on_mobile=”no” background_color=”” background_image=”” background_repeat=”no-repeat” background_position=”left top” hover_type=”none” link=”” border_position=”all” border_size=”0px” border_color=”” border_style=”” padding=”” margin_top=”” margin_bottom=”” animation_type=”” animation_direction=”” animation_speed=”0.1″ animation_offset=”” class=”” id=””][fusion_title size=”3″ content_align=”left” style_type=”default” sep_color=”” margin_top=”” margin_bottom=”20px” class=”” id=””]Supporting Documents[/fusion_title][fusion_button link=”http://pvl.helloplaza.uk/wp-content/uploads/2016/04/Case-studies-powerpoint.pdf” color=”default” size=”” stretch=”yes” type=”” shape=”” target=”_blank” title=”Download” gradient_colors=”|” gradient_hover_colors=”|” accent_color=”” accent_hover_color=”” bevel_color=”” border_width=”” icon=”fa-folder” icon_position=”left” icon_divider=”yes” modal=”” animation_type=”0″ animation_direction=”left” animation_speed=”1″ animation_offset=”” alignment=”center” class=”” id=””]Case studies powerpoint[/fusion_button][fusion_separator style_type=”none” top_margin=”20px” bottom_margin=”” sep_color=”” border_size=”” icon=”” icon_circle=”” icon_circle_color=”” width=”” alignment=”center” class=”” id=””/][fusion_button link=”http://pvl.helloplaza.uk/wp-content/uploads/2016/04/Prof.-McElvenny-powerpoint.pdf” color=”default” size=”” stretch=”yes” type=”” shape=”” target=”_blank” title=”Download” gradient_colors=”|” gradient_hover_colors=”|” accent_color=”” accent_hover_color=”” bevel_color=”” border_width=”” icon=”fa-folder” icon_position=”left” icon_divider=”yes” modal=”” animation_type=”0″ animation_direction=”left” animation_speed=”1″ animation_offset=”” alignment=”center” class=”” id=””]Prof. McElvenny’s powerpoint[/fusion_button][fusion_separator style_type=”none” top_margin=”20px” bottom_margin=”” sep_color=”” border_size=”” icon=”” icon_circle=”” icon_circle_color=”” width=”” alignment=”center” class=”” id=””/][fusion_button link=”http://pvl.helloplaza.uk/wp-content/uploads/2016/04/Feedback-questions-1.doc” color=”default” size=”” stretch=”yes” type=”” shape=”” target=”_blank” title=”Download” gradient_colors=”|” gradient_hover_colors=”|” accent_color=”” accent_hover_color=”” bevel_color=”” border_width=”” icon=”fa-folder” icon_position=”left” icon_divider=”yes” modal=”” animation_type=”0″ animation_direction=”left” animation_speed=”1″ animation_offset=”” alignment=”center” class=”” id=””]Feedback questionnaire [/fusion_button][fusion_separator style_type=”none” top_margin=”20px” bottom_margin=”” sep_color=”” border_size=”” icon=”” icon_circle=”” icon_circle_color=”” width=”” alignment=”center” class=”” id=””/][fusion_button link=”http://pvl.helloplaza.uk/wp-content/uploads/2016/04/Statistical-evidence-of-causation-in-English-tort-law.pdf” color=”default” size=”” stretch=”yes” type=”” shape=”” target=”_blank” title=”Download” gradient_colors=”|” gradient_hover_colors=”|” accent_color=”” accent_hover_color=”” bevel_color=”” border_width=”” icon=”fa-folder” icon_position=”left” icon_divider=”yes” modal=”” animation_type=”0″ animation_direction=”left” animation_speed=”1″ animation_offset=”” alignment=”center” class=”” id=””]Dr Steel’s lecture handout[/fusion_button][fusion_separator style_type=”none” top_margin=”20px” bottom_margin=”” sep_color=”” border_size=”” icon=”” icon_circle=”” icon_circle_color=”” width=”” alignment=”center” class=”” id=””/][fusion_button link=”http://pvl.helloplaza.uk/wp-content/uploads/2016/04/Causation-in-asbestos-supporting-questions.pdf” color=”default” size=”” stretch=”yes” type=”” shape=”” target=”_blank” title=”Download” gradient_colors=”|” gradient_hover_colors=”|” accent_color=”” accent_hover_color=”” bevel_color=”” border_width=”” icon=”fa-folder” icon_position=”left” icon_divider=”yes” modal=”” animation_type=”0″ animation_direction=”left” animation_speed=”1″ animation_offset=”” alignment=”center” class=”” id=””]Supporting questions and CPD code[/fusion_button][/fusion_builder_column][/fusion_builder_row][/fusion_builder_container]

Crossover Issues for the PI & COP Practitioner: a view from the middle Joint Meeting APIL NORTH WEST REGIONAL GROUP
 & COURT OF PROTECTION PRACTITIONERS ASSOCIATION

There are currently many unresolved conflicts in the mental capacity sphere, which have implications for both Court of Protection and Community Care practice and personal injury litigation. The purpose of this talk is to highlight some of these tensions (as time permits) and provide food for thought for both the adult welfare and personal injury professional.

The law in this area is in a remarkable state of flux. In many instances, I can only signpost some of the imminent judicial resolutions or flag up some of the issues which are likely to fall for consideration in due course.

Capacity and its assessment 

Most if not all of you will be familiar with the relevant parts of the Mental Capacity Act 2005 and the accompanying Code of Practice, so I will take these briefly.

What does the Act mean by ‘lack of capacity’? Section2(1) of the Act states: “For the purposes of this Act, a person lacks capacity in relation to a matter if at the material time he is unable to make a decision for himself in relation to the matter because of an impairment of, or a disturbance in the functioning of, the mind or brain.”

There are two stages to the assessment process (commonly referred to as the diagnostic and functional tests or components).

Firstly, a person asserting the incapacity of another must prove that P has an impairment of the mind or brain, or some sort of disturbance that affects the way their mind or brain works. If a person does not have such an impairment or disturbance of the mind or brain, they will not lack capacity under the Act.

Secondly, for a person to lack capacity to make a decision, the Act says: “P’s impairment or disturbance must affect his or her ability to make the specific decision when needed.”

Before making such an assessment, P must be given all practical and appropriate support to help them make the decision for themselves. Stage 2 only applies if all practical and appropriate support to help the person make the decision has failed.

For the purposes of the Act (see section 3(1)), a person is unable to make a decision if they cannot:

  • Understand information about the decision to be made (the Act calls this ‘relevant information’);
  • Retain that information in their mind;
  • Use or weigh that information as part of the decision-making process; or
  • Communicate their decision (by talking, using sign language or any other means).

Litigation capacity 

Although there have always been cases in which the assessment was more difficult than in others, until more recently the law in this area was relatively settled, practitioners taking Masterman-Lister v Jewell1 as both their start and end point.

However, the Supreme Court is currently seized of the Dunhill v Burgin litigation.2 In brief summary, the claimant suffered severe brain injury as the result of a road traffic accident on June 25, 1999. The nature and extent of her injuries were not fully explored or appreciated by her own advisers. Proceedings were issued, the claim having been limited to £50,000, and were the subject of a court door settlement in the sum of £12,500. Having first issued a professional negligence action against her former advisers, the claimant then sought to reopen the original litigation on the grounds that at all material times she had liked capacity conduct that litigation (so called Masterman-Lister proceedings).

The issue of the claimant’s capacity to litigate was tried by Silber J who delivered judgment on March 7, 2011. The parties were at odds regarding nature of the Court’s enquiry when looking retrospectively at a particular transaction and, therefore, defined the main issue as follows:

Whether in considering the issue of capacity historically rather than prospectively, should the court:
(a)Confineitselftoexaminingthedecisionsinfactrequiredoftheclaimantinthisaction; 
or(b) Expand its consideration to include decisions which might have been required if the litigation had been conducted differently. 

Giving judgment for the defendant, Silber J held that: “when the court is considering if the consent order might be set aside on grounds of lack of capacity, the fundamental question for the court when considering this issue of capacity historically, is confined to examining the decisions in fact required of the claimant in the action as drafted… It should not expand its considerations to include decisions which might have been required if the litigation had been conducted differently”.

On appeal, the Court of Appeal (Lord Justice Ward giving the only judgment) disagreed:

“In my judgment Silber J fell into error, perhaps misled by the narrow focus of the issues as they had been defined, in treating the relevant transaction as the actual compromise negotiated outside court leading to the consent order made on January 7, 2003. The proper question as settled by Masterman-Lister and Bailey, was whether the claimant had the necessary capacity to conduct the proceedings or, to put it another way, the capacity to litigate…Since the compromise is not a self- contained transaction but inseparably part of the proceedings, the question is not the narrow one of whether she had capacity to enter into that compromise but the broad one of whether she had the capacity to conduct those proceedings” (at [fusion_builder_container hundred_percent=”yes” overflow=”visible”][fusion_builder_row][fusion_builder_column type=”1_1″ background_position=”left top” background_color=”” border_size=”” border_color=”” border_style=”solid” spacing=”yes” background_image=”” background_repeat=”no-repeat” padding=”” margin_top=”0px” margin_bottom=”0px” class=”” id=”” animation_type=”” animation_speed=”0.3″ animation_direction=”left” hide_on_mobile=”no” center_content=”no” min_height=”none”][24]) and hypothetical issues (if the proceedings had been conducted differently) were to be taken into account (at [27]).”

In light of the Court of Appeal’s decision, a second question fell for consideration (as mooted by Chadwick LJ in Masterman-Lister supra at 1537 A-B [68]):

The Court having declared that the Claimant lacked capacity to enter into the compromise agreement of 7 January 2003 and the Defendant declining to ask this Court to approve the compromise retrospectively, does CPR Part 21.10 have any application where the Claimant brought a claim in contravention of CPR Part 21.2 so that in the eyes of the Defendant and the Court she appeared to be asserting that she was not under a disability?

This issue was tried before Mr Justice Bean on 3-4 October 2012. Prior to handing down his decision, the Supreme Court granted permission to appeal the Court of Appeal’s judgment. Accordingly, by consent the Court issued a leapfrog certificate and both appeals will be heard together on 3-5 February 2014.

Whatever the outcome, the Supreme Court’s ruling is likely to have significant implications on practice in both the civil courts and Court of Protection.

Deprivation of liberty, safety and best interests 

On 21-23 October 2013, the Supreme Court heard consolidated appeals in P v Cheshire West & Chester Council3 and P & Q v Surrey County Council4 concerning the Deprivation of Liberty Safeguards. Similarly, the Supreme Court’s decision here is likely to have significant implications for both mental capacity and personal injury practitioners alike. It is not possible here to provide a rehearsal of (or mini lecture on) the issues in these appeals, suffice to record that irrespective of whether or not somebody is cared for at public or private expense (or perhaps a combination of both) a balance must be struck between flexibility and certainty, so that the legality of any restrictions are appropriately scrutinised whilst promoting the best interests of disabled people.

I can, however, give two examples of cases in which both the Court of Protection and the civil courts have been seized of the same subject matter – with drastically different results.

In Sedge v Prime5, Court of Protection proceedings has preceded an application for an interim payment to establish an accommodation and care package within a personal injury claim. As part of a multidisciplinary assessment, it had been concluded that it was in P (or C)’s best interests for him to live in the community. Giving judgment in favour of the claimant, the Deputy Judge commented upon the earlier determination as follows6:

“I do not regard myself as in any way bound by that decision. At the same time I do not regard it as irrelevant. The fact that those experienced in caring for others and/or arranging such care unanimously concluded that it would be in the claimant’s best interests for him to be cared for in the community suggests that a considerable body of experienced opinion did not reject community care as a potential realistic option for the claimant. But the decision offers limited support for the claimant’s case since the test the court has to apply is different.”

Clearly an earlier best interests decision is relevant information as part of a subsequent decision in connection with a compensation claim, but is the latter assessment entirely unfettered? Are the injured party’s rights (and Court’s obligations) arising under Articles 5 and 8 not potentially engaged in each case? Equally, would respect for dignity in those who lack capacity to make decision regarding their own personal care arrangements not inform the assessment of what was reasonable by way of private expenditure?7

In Roult v North West SHA8, partial approval of settlement was made in a liability admitted birth injury claim on the basis that the claimant would be accommodated by his local authority in a ‘group home’.

This was news to the local authority. In ignorance of the proposals for the claimant’s care, the local authority (with the support of the Official Solicitor, who was in a similar state of darkness) pursued a welfare application in the Court of Protection owing to safeguarding concerns.

Ultimately, the Court of Protection concluded that it was in the claimant’s best interests (with the agreement of his new advisers in the clinical negligence proceedings) for him to live in his own property as part of a proposed supported living arrangement. As the terms of the partial settlement excluded any liability on the part of the defendant to meet such costs, the interested parties remain at loggerheads as to how the claimant’s future care needs should be met.

The weighing of risk versus personal autonomy is a common feature of Court of Protection and personal injury claims, particularly in borderline capacity cases. Although the aims are often very similar, practitioners in the latter discipline typically have little if any familiarity of representing clients in a welfare jurisdiction and vice versa. Having the benefit of some experience in both, I am firmly of the view that there is much gained by at least a rudimentary knowledge of the judicial approach in each jurisdiction.

Re MM [2009] FLR 443, Munby J (as he then was) observed as follows at [120]:

“A great judge once said, ‘all life is an experiment’, adding that ‘every year if not every day we have to wager our salvation upon some prophecy based upon imperfect knowledge’ (see Holmes J in Abrams v United States (1919) 250 US 616, at 624, 630). The fact is that all life involves risk, and the young, the elderly and the vulnerable, are exposed to additional risks and to risks they are less well equipped than others to cope with. But just as wise parents resist the temptation to keep their children metaphorically wrapped up in cotton wool, so too we must avoid the temptation always to put the physical health and safety of the elderly and the vulnerable before everything else. Often it will be appropriate to do so, but not always. Physical health and safety can sometimes be bought at too high a price in happiness and emotional welfare. The emphasis must be on sensible risk appraisal, not striving to avoid all risk, whatever the price, but instead seeking a proper balance and being willing to tolerate manageable or acceptable risks as the price appropriately to be paid in order to achieve some other good – in particular to achieve the vital good of the elderly or vulnerable person’s happiness. What good is it making someone safer if it merely makes them miserable?”

Reading this passage in abstract, one might as readily assume the learned Judge to be talking about sexual relations and contact decisions in connection with a vulnerable adult (the actual subject matter the proceedings) as a decision whether or not to order the trial of a home or supported living placement (say, for example, where there is uncertainty as to how well the risks to the claimant, family members or professional carers might be managed in that environment).

Concerns expressed in the context of adult welfare proceedings are occasionally echoed by rehabilitation professionals working in the NHS and private sphere9:

“There are unfortunately too many brain-injured people who having been awarded generous personal injury settlements continue to lead impoverished lives with little self-determination or independence. They are not living their lives the way they wish to, but the way well-intentioned health professionals have determined they should live it. They may be ‘‘safe’’ but unfulfilled. They may be ‘‘stable’’ but their life has little meaningful activity.”

Using the example of a residence issue, in personal injury proceedings the tension is typically a financial one: the cost of success or failure will be borne (at least in part) by the tortfeasor. In Court of Protection proceedings, the focus will normally be on expressed wishes and respect for autonomy. For example, in P v M (Vulnerable Adult)10 and Re M (Best Interests – Deprivation of Liberty)11 the learned Judge in each case held that the risks (of potentially life-threatening consequences in each case) did not outweigh the benefit in each case of ordering P’s return home with a package of support, at least on a trial basis, thereby giving respect for family life and autonomy.

There are some capacity issues which throw up similar difficulties, irrespective of whether or not the vulnerable adult has a personal injury claim. Last summer, BABICM’s summer conference focused on all aspects of relationship following head injury12. In the recent case of AB v LM & Others13, the Court of Appeal has finally had an opportunity to grapple head on with issue of capacity to engage in sexual relations. Hopefully, the case will provide clarification, as the issue of capacity in this context is of practical significance and acute sensitivity for injured people and those fulfilling a supporting role (family, case managers, carers etc).

It is also a sphere of human activity where, as observed in the authorities, the State should tread carefully (safeguarding authorities and the Courts etc).

In conclusion, whilst there is some tension between best interests and reasonableness, the respective tests in each jurisdiction, it would surely be illogical and inconsistent if the reasoned approach of one judge dealing with a COP case (if not exactly the same subject matter, as in the case of Sedge) does not inform the approach of another judge dealing with similar issues in a private claim (and vice versa).

Loughlin v Singh and Others14

This case throws up a number of important issues and practice points for both the COP and PI practitioner:

Firstly, an important if subtle point is the judicial evaluation of expert evidence. On a number of occasions the Judge emphasises the extent to which the experts have15 (or have not16) made a detailed and careful review of the relevant material. Moreover, the Judge expressly attaches particular weight to one expert’s practical experience in cases of a similar nature17:

“Dr O’Driscoll is a consultant neuropsychiatrist with considerable experience, both in community based rehabilitation and in the clinical tertiary setting. He emphasised that neuropsychiatrists focussed mainly on the behavioural and emotional aspects of frontal lobe injury… Not only did he have expertise that comprehensively embraced all the issues as regards capacity, he had also considerable practical experience in working with cases, such as the present one, which were at the margin between capacity and incapacity. He had before him all the information, gathered over many years, about the claimant’s behaviour, and the assessments made by others.”

Secondly, the Judge – albeit with some reticence – took into account the views of other professionals who have been in close and frequent contact with the claimant. Such reserve is surprising. The importance of such evidence has been emphasised in a number of cases18. Moreover, it would fly in the face of the Mental Capacity Act 2005 not to take into account such evidence, as reflected in the Code19:

“The Act places a duty on the decision-maker to consult other people close to a person who lacks capacity, where practical and appropriate, on decisions affecting the person and what might be in the person’s best interests. This also applies to those involved in caring for the person and interested in the person’s welfare. Under section 4(7), the decision-maker has a duty to take into account the views of the following people, where it is practical and appropriate to do so:

  • Anyone the person has previously named as someone they want to be consulted,
  • Anyone involved in caring for the person,
  • Anyone interested in their welfare (for example, family carers, other close
    relatives, or an advocate already working with the person),
  • An attorney appointed by the person under a Lasting Power of Attorney, and
  • A deputy appointed for that person by the Court of Protection.”

Thirdly, the Judge discounted past professional care and case management services by 20% on a broad brush basis. The precise jurisprudential basis is unclear20, but this is a cause of significant concern for both the lawyer and professional deputy assisting a claimant with acquired brain injury. It is imperative that all professionals supporting an injured person understand and, if appropriate, scrutinise paid care and case management roles21 and that all services are appropriately estimated.22

Fourthly, and finally for these purposes, a number of issues are raised in relation to disclosure of documentation before (and/or prepared in connection with) the Court of Protection proceedings.

Given the importance of the decisions under consideration, it is undoubtedly correct that all material which has a bearing on P’s capacity should be placed before the Court of Protection.23

This gives rise to the thorny question of “what disclosure might be made of reports made available to the Court of Protection for these purposes in subsequent civil proceedings?”24 – No doubt this issue will fall for further judicial consideration in due course.

MATTHEW STOCKWELL

St Johns Buildings Chambers

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