"I have carefully considered whether in such exceptional circumstances it can be justified not to publish the Executive Summary. As Chair for SCB, I recognise the need for the Executive Summary to be published for the important lessons to be learnt and recommendations to be put in place following conclusion of the review. Also, as Corporate Director for … Social Services I consider it is essential that the Local Authority is transparent and informs the community of what went wrong in this case … It is important for the families we work with and the wider community to feel safe and protected where the issue of children's welfare and safety is concerned. Publishing the Executive Summary will mean the family will be easily identified within the community … I am acutely mindful that it would cause further distress for Y should Y's local community and Y's peers become aware of what happened to Y … It is in the future welfare interests of the children to protect them from intrusion and to be provided information about recent incidents only from family members. The children are currently emotionally vulnerable … The publication of the Executive Summary will no doubt attract media attention and information in the public domain will spread and potentially be repeated back to the children."
"In reaching my decision to seek variation of the Reporting Restriction Order to enable the SCB to publish the Executive Summary I have given careful consideration to the welfare of [the children]. I have also deliberated on the importance of publication for future safeguarding children arrangements across those agencies that have a statutory responsibility to safeguard and protect children and young people."
"(1) The objective of a Local Safeguarding Children Board established under section 31 is— (a) to co-ordinate what is done by each person or body represented on the Board for the purposes of safeguarding and promoting the welfare of children in the area of the authority by which it is established; and (b) to ensure the effectiveness of what is done by each such person or body for those purposes. (2) A Local Safeguarding Children Board established under section 31 is to have such functions in relation to its objective as the Assembly may by regulations prescribe (which may in particular include functions of review or investigation). (3) The Assembly may by regulations make provision as to the procedures to be followed by a Local Safeguarding Children Board established under section 31."
"A local authority in Wales and each of their Board partners must, in exercising their functions relating to a Local Safeguarding Children Board, have regard to any guidance given to them for the purpose by the Assembly."
"(1) A Board must undertake a review (a "serious case review") in accordance with this regulation in any of the following cases where, within the area of the Board, abuse or neglect of a child is known or suspected, and— (a) a child has died, or (b) has sustained a potentially life-threatening injury, or (c) has sustained serious and permanent impairment of health or development. … (3) The purpose of a serious case review is to identify steps that might be taken to prevent a similar death or harm occurring. (4) In carrying out a serious case review, a Board must— (a) ask each representative body to provide the Board with a written report of its involvement with the child who is the subject of the review, unless the Board is of the opinion that such a report is unnecessary in the circumstances; (b) following receipt of each report referred to in sub-paragraph (a), produce a written report (referred to in these Regulations as an "overview report") that— (i) identifies steps to be taken to reduce the risk of a similar death or harm occurring; and (ii) recommends the time by which, and identifies the persons by whom, those steps should be performed; (c) produce an anonymised summary of each overview report and make it available for inspection at the Board's principal office. (5) The Board must provide the National Assembly for Wales with a copy of— (a) each report provided by a representative body in accordance with paragraph (4)(a) above; (b) each anonymised summary; and (c) each overview report. (6) The Board must provide each representative body with a copy of— (a) each anonymised summary; and (b) unless the Board considers it inappropriate, each overview report." "
"(1) The functions of an LSCB in relation to its objective (as defined in section 14(1) of the Act(1)) are as follows— … (e) undertaking reviews of serious cases and advising the authority and their Board partners on lessons to be learned. (2) For the purposes of paragraph (1)(e) a serious case is one where— (a) abuse or neglect of a child is known or suspected; and (b) either— (i) the child has died; or (ii) the child has been seriously harmed and there is cause for concern as to the way in which the authority, their Board partners or other relevant persons have worked together to safeguard the child."
"In my view Parliament by s.7(1) has required local authorities to follow the path charted by the Secretary of State's guidance, with liberty to deviate from it where the local authority judges on admissible grounds that there is good reason to do so, but without freedom to take a substantially different course."
"The purpose of serious case reviews carried out under this guidance is to identify steps that might be taken to prevent a similar death or harm occurring and in so doing, to: establish whether there are lessons to be learned from the case about the way in which local professionals and agencies work together to safeguard children; identify clearly what those lessons are, how they will be acted upon, and what is expected to change as a result; and as a consequence improve inter-agency working and better safeguard children; and identify examples of good practice."
"On receiving an overview report the LSCB should; … clarify to whom the report, or any part of it, should be made available; disseminate report or key findings to interested parties as agreed make arrangements to provide feedback and de-briefing to staff, family members of the subject child, and the media, as appropriate; arrange for an anonymised executive summary to be prepared, to be made publicly available at the principle offices of the Board (consideration should also be given to publishing executive summaries more widely, including on agency internet sites); provide a copy of the overview report, executive summary, action plan and individual agency reports to the Welsh Assembly Government (Children's Health and Social Services Directorate or such other part of the Assembly that may be notified to Boards); and Provide each representative body with a copy of the anonymised summary and unless the Board considers it inappropriate the overview report."
"Local Safeguarding Children Boards should consider carefully who might have an interest in reviews – e.g. elected and appointed members of authorities, staff, members of the child's family, the public, the media – and what information should be made available to each of these interested parties. There are difficult interests to balance, among them: the need to maintain confidentiality in respect of personal information contained within reports on the child, family members and others; the accountability of public services and the importance of maintaining public confidence in the process of internal review; the need to secure full and open participation from the different agencies and professionals involved; the responsibility to provide relevant information to those with a legitimate interest; and constraints on sharing information when criminal proceedings are outstanding, in that access to the contents of information may not be within the control of the LSCB."
"It is important to anticipate requests for information and plan in advance how they should be met. For example, a lead agency may take responsibility for de-briefing family members, or for responding to media interest about a case, in liaison with contributing agencies and professionals. In all cases, the LSCB overview report should contain an executive summary that will be made public, which includes as a minimum, information about the review process, key issues arising from the case and the recommendations which have been made. Such publication will need to be timed in accordance with the conclusion of any related court proceedings. The content will need to be suitably anonymised in order to protect the confidentiality of relevant family members and others."
"The Local Authority has brought this matter before the Court because of the difficult interests to balance. On the one hand, its Director wishes to publish the anonymised executive summary so that it can be seen that the Local Authority is seeking to put right what went wrong and has learned lessons from X's death. On the other hand, it is conscious of the impact upon the … children of taking this step."
"At the present time, apart from some isolated references to them in the press, there has been no public reference to the fact that X has siblings. The key objection that is raised to the publication of the executive summary in its current form is that it discloses their existence."
"The resolution of these conflicts involves a balancing exercise between the Convention rights protected by Article 10 and those protected by Article 8. These are not theoretical comparisons but comparisons that must be undertaken with a close focus on the particular facts that exist in the individual situation. Of course it is the case that the rights that arise under Article 8 are of crucial importance to a small number of people, while the rights under Article 10 are usually of broader importance to a great number of people, but what matters is the individual circumstances of the case. The authoritative treatment of this issue is that of Lord Steyn in Re S (A Child) (Identification: Restriction on Publication)[2004] UKHL 47 ,[2005] 1 AC 593 in which he famously referred to the requirement for an intense focus on the respective rights, the balancing of these rights and the achievement of proportionate remedies in order to interfere with them as little as possible. I also had in mind the judgement of the former President, Sir Mark Potter, in A Local Authority v W[2005] EWHC 1564 (Fam) in which he observed that the decision in Re S had made it clear that the Court must be prepared to take a hard-headed and (what may appear in this jurisdiction) a hard-hearted approach. There is no presumption or precedence between the rights that are involved."
"[Counsel] argues that good local governance is as much a function of democracy as open justice; that transparency is of particular importance to support public confidence, particularly where it has been lacking; that the safeguarding of children is an issue of high public importance; that there have in this case been serious failings; and that it is in the public interest for those to be made known."
"to publish the recommendations alone would satisfy the Board's responsibilities and the purpose of the review, but that the publication of the document in its current form, or indeed in a further redacted form, would be disproportionate."
"During the course of this hearing, at my invitation, the parties conducted an exercise to see whether a redaction of the executive summary might leave a document that could be published with acceptance of all. That was not possible, and accordingly a decision in principle has to be taken. However, as part of that exercise and together with the parties, there has been discussion about the content of the review and the extent to which it could be altered to the benefit of the children."
"In the course of argument, I asked for assistance from the parties as to what is the purpose of putting an executive summary of a serious case review into the public domain. The answer on behalf of the family was that it enabled the public to know that the matter had been investigated, that lessons had been leant and put into effect, but when I asked the question "
"In my view, the purpose of the provisions requiring the publication of an anonymised executive summary is to inform those outside the immediate circle of knowledge of what has been done in a way that can be understood. That, of course, does not mean that there will not be circumstances in which such a summary cannot be published because of the pre-eminent rights of others, and in particular of other children, but the suggestion that in this case (and I think in almost any other) a summary can be produced which consists merely of recommendations about disembodied events which are not described completely neuters the purpose of the process. The object is not simply to inform professionals, but also the wider public, most likely through media outlets, and so I am of the view that those who are arguing for no publication or publication in an unidentifiable form understate the importance of the serious case review process and the purpose of it being made public where possible."
"… although the publication of an executive summary in some form has the potential to create difficulties for the … children, that potential can be significantly reduced by the manner in which the report is drafted. There are (as I discussed with counsel during the course of this hearing) a large number of obvious ways in which the profile and identity of the … children can be lowered, but their existence cannot, in my view, be eliminated from the review because a review which refers only to events in relation to X and excludes any references to previous difficulties within the family, would, in my view, be unsatisfactory and misleading in the circumstances of this case. Set against that are the very real concerns about the welfare of these children. Having carefully considered the written arguments on all sides, and had the advantage of further submissions from those parties represented before me, I have nonetheless come to the conclusion that the correct balance to be struck in this instance is for the Court to give the Local Authority, on behalf of the Safeguarding Board, an opportunity to present an executive summary that takes into account the significant amendments considered during the course of the hearing, in order to identify the fact that there are other children but to say little or nothing about who they are or how old they are. I recognise that this may bring problems for the family, but I will hear submissions from the parties in relation to another important matter, which is the timing of the release of the documents, requiring as it does an amendment to the existing Court Order. I am of the view that there should be something of a pause at this point to allow the publicity … to die down somewhat, and to give the family the opportunity to prepare for the publication of this further report. It may very well be that the focus following the publication of a report of this kind will fall far more upon the authorities than it will upon the family, but even taking account of the alternate possibilities, in my judgement, the balance falls in favour of a carefully controlled and limited publication The situation of any children in these circumstances is unenviable, but in the circumstances of these particular children … I have to take into account not only their interests but also the wider public interest in reaching the decision that I have made."
"In making the proportionality assessment under article 8, the best interests of the child must be a primary consideration. This means that they must be considered first. They can, of course, be outweighed by the cumulative effect of other considerations."
"Freedom of expression is, of course, intrinsically important: it is valued for its own sake. But it is well recognised that it is also instrumentally important. It serves a number of broad objectives. First, it promotes the self fulfilment of individuals in society. Secondly, in the famous words of Holmes J (echoing John Stuart Mill), "the best test of truth is the power of the thought to get itself accepted in the competition of the market": Abraham v United States (1919) 250 US 616, 630, per Holmes J (dissenting). Thirdly, freedom of speech is the lifeblood of democracy. The free flow of information and ideas informs political debate. It is a safety valve: people are more ready to accept decisions that go against them if they can in principle seek to influence them. It acts as a brake on the abuse of power by public officials . It facilitates the exposure of errors in the governance and administration of justice of the country "
"Nothing in this Order shall prevent any person from … publishing the anonymised Executive Summary of the Serious Case Review carried out in relation to [name] and dated July 2012 (this Court having secured assurances from the [local authority] in relation to the form of the Summary and its date of publication)."
"That judgment when drawn up, instead of reciting what the order of the Court was and what the defendants were restrained from doing, only refers to continuing an injunction granted by Rowlatt J, varied by Roche J, and continued by Greer J, without stating what it is that the Court was ordering the defendants to abstain from doing. That appears to me to be very bad practice … It is a matter of very great importance that the orders of the Court … should make it quite clear what the Court is ordering to be done. There is considerable laxity in this matter … Practitioners and the officers of the Court should see that orders are not passed unless they are in proper form."
"I do want to protest as strongly as I can at the granting of injunctions in that form. It means then that the person against whom the injunction is granted … has to look at another document in order to see what it is that he is enjoined from doing … It cannot be too clearly understood … that a person is entitled to look and look only at the order to see what it is that he is enjoined from doing. He looks at that order and finds out from the four walls of it and from no other document exactly what it is that he must not do."