“In my opinion, the bruising at and near the genitalia is clearly an inflicted injury. I struggle to comprehend any possible accident which could cause such an injury, particularly in a child still in nappies. Similarly, the injuries at the uppermost part of the thighs (Dr Hewertson injuries 11 & 12) in my opinion are clearly inflicted. It is difficult to see how a child could suffer, at much the same time, accidental injuries in both these locations, especially a child still in nappies. In my opinion, the injuries to both ears on 07.02.2018 represent inflicted injuries. Bruising at the ears is not common as a result of an accident; it would be astounding if a child were so unlucky as to have an injury at one ear which was accidental, and, at the same time, an injury to the other ear which was also accidental. The same applies, in my opinion, to the injuries to the cheeks on that date. Regarding the other injuries; EF had only one, or a very small number, of these injuries, and no other injuries elsewhere, it would be reasonable to consider that that injury, or that small number of injuries, might be accidental. The combination, however, of multiple injuries, including some clearly inflicted, makes it probable that all, or the great majority, of his injuries, seen of the two occasions in February, were inflicted. The person or persons who inflicted the injuries can say how they were inflicted.”
“However – if Dr Hewertson is clear that, when he saw EF, there was a clear demarcation on the shaft of the penis, separating more normal penis proximally, from swollen and more abnormal penis distally, then I would entirely agree with him that a ligature could cause that appearance and, further, that there is a clear likelihood that a ligature or similar was used. In brief, therefore, my position is not that no ligature was used. A ligature may have been used. A ligature could not cause all of the genital injury. If there is a clear demarcation, then a ligature is a very real possibility. Other trauma was occasioned to the genitalia, as well as any ligature.”
“If EF and GH are separated there is a likelihood that they will be impacted on as they have a very close bond with each other”