“All the injuries except for a small graze and bruise across the bridge of her nose, the small bruise under one eye and a mark on her back over the left shoulder blade were caused when, at about 6.30 a.m. on the morning of the 17th July, Lola fell or was propelled by the dog from top to bottom of stairs during which she may have struck the banister at the top of the stairs, the walls on either side going down, the hand rail, the stairs themselves, the laminate floor and the radiator opposite the stairs.”
“There is only one rule of law, namely that the occurrence of the fact in issue must be proved to have been more probable than not. Common sense, not law, requires that in deciding this question, regard should be had, to whatever extent appropriate, to inherent probabilities." , the statistical frequency of the occurrence of an event generally is surely of very limited relevance, if any, in the determination by the court, on all the relevant direct evidence, whether that event actually happened. As John Maynard Keynes wrote in 1921: “[t]o a stranger the probability that I shall send a letter to the post unstamped may be derived from the statistics of the Post Office; for me those figures would have but the slightest bearing on the question.”
“It is well recognised that children and adults with ADHD have a higher prevalence of anti-social behaviour than the rest of the population. This can include a defiance of authority figures and angry outbursts. They are often impulsive, touchy, defiant and easily annoyed by others. Those with Asperger’s have poor social interactions.”
“If he can’t get any money. He’s very very impulsive, that’s no excuse for his behaviour, I know that, that’s part of his condition, that’s what I was told, that’s what we were struggling with as a family, never his dad, always towards me. I think he blamed me a lot for working and leaving him with his dad which wasn’t a very good relationship. But I moved many a time and I always felt he was my son, I need to be putting up with it. It wasn’t something, now after having many interviews, I know the behaviour was wrong.”
“I went to school with Kyle when I was 15, he was quite an aggressive person at school, even after school he was selling drugs on the Mount, he used to sell spice, I knew him as quite a dangerous person to be around, he was violent and had a very big history of drug abuse. I was frightened to go into his company. I had seen him be violent on a couple of occasions. The main incident I saw of Kyle being violent was one Christmas, I can’t remember what year, about 5 years ago. I was down the bus stop with IY funnily enough and Kyle was off his head on something, I don’t know what it was, and he approached 5 different people in the public bus stop and was violently trying to fight with them, throwing punches, punching the bus stop, so I rung the police and he was arrested, the police officers had to restrain him because he was very aggressive. I don’t know what he was on. I warned Sinead of what Kyle was like when I found out they’d got into a relationship. I told her I’d seen that act of violence when he was off his face on drugs. Also I knew he was selling drugs when he lived on the Mount Estate in Milford. I felt he wasn’t safe to be around her and the children, she chose to ignore that and he threatened me when I warned her. … The way he turned on adults, if you can do that to an adult you can do it to children. But I haven’t seen him do anything to a child. From the minute I warned her I was then not to see IY and I had a threatening message from Kyle he wanted to come to my address and fight me, I diffused the situation and said if he did turn up I would call the police. This was about 3 days after I found out they’d been in a relationship, when they’d first got together in February.”
“Introduced you to [B] you didn’t know him properly and now all your sales are going to him what’s wrong with me and Sinead we meant to be mates … leave it at that or I’ll come meet you now and we’ll sort this out proper I’m fucking frothing you cunt.”
“It wont be im nothing like that i had a dodgy tablet and drinking thats not me like xxx … Im genuinly sorry if i scared u or kids i wasnt in control of my body honestly didnt know what i was doing xxxx … Wont be drinking for a long time xxx … Im cleaning up now and feel like a monster thats all xxxxx.”
“Im dangerous am i yeah, you will see lola when shes 16 im moving aswell to little to late lola dont need you and your bullshit and your bullshit friends! She can make her mind up when shes 16 weather she wants to see you or not.. have a good life.”
“On the 7th of July Sinead messaged me on Facebook. She seemed in good spirits, we were having a laugh and just talking crap on Facebook. At 10:07 Sinead messaged me asking if she could come over with Lola and VH. IY was at school. I called Sinead and spoke to her on the phone. She asked for a pack of fags. I could hear Kyle shouting in the background "I’m not a nonce, I’m not a nonce. I’m not a rapist". I told her to hurry up, leave the house and get to mine. Sinead then tried calling me 3 times to let me know Kyle was walking up to mine with her. She messaged saying "stick the kettle on and make a fuss of Lola. she coming up on her electric bike". I’ve allowed the officer to take a screenshot of the message. I produce this as my exhibit CM/3. Everyone was still in bed. I went downstairs and put the kettle on. An hour must have passed and Sinead was still not here. I went out for a fag. As I got to the door Kyle was outside with VH in the pram. He came in to the house, went through the living room into the kitchen, grabbed the fags and walked out. VH was still outside in the pram on her own. Kyle got outside, I could see he was off his face on drugs. He shouted "fuck it" and pushed VH in the pram into the road. He didn't care, he just pushed it. I had no clue what was going on then I saw Sinead coming round the corner with Lola. Sinead jumped onto the road and grabbed the pram, she walked up to mine and came inside the house. At this point Kyle was at the bottom of the road. I watched him, he was sweating, foaming round the mouth. I grabbed my fags from the living room. Sinead walked through the house and sat in the living room. Within seconds Kyle walked in through the living room and into the kitchen. He was loud, pacing. I shut the living room door and told Sinead "get him out of my house now". There was awkward tension between Kyle and Sinead but no arguments. Lola was very quiet that day which I thought was unusual. Sinead and I went out the back for a fag. Kyle came outside too. He said "I told you I was going to humiliate you and belittle you". I was saying to Sinead his behaviour was not normal. All she said was "I know". Lola was in the kitchen, watching this. She sat on the floor and watched me, she would not move or leave my side. Normally she's pulling my curtains down or grabs a yoghurt from the fridge but not on that occasion. Kyle was still going on saying Sinead didn't want sex with him that morning. He said "before it gets blown out of proportion, yes I did go to grab Sinead around the throat. How do you expect me to have a wank with three kids in the house." That was the final straw for me. He went off on one, I told him and Sinead to get out of my house. I basically threw the pair of them out of the door. Lola and VH stayed with me. I now identify certain aspects of Mr Bevan’s behaviour on17 July 2020 which throw light on his personality and disposition.”
“You've properly made me feel like you don't care... YOU WON'T EVEN FUCKING TOUCH ME. I GOT NEEDS LIKE EVERY OTHER MAN.. I tried yesterday as well didn't even want me to come to bed... How do you think I feel.”
“As Kyle was explaining what had happened he was very clam (sic) in his behaviour, it was only when he noticed that Dr Drake was writing down what he was saying he went from being very calm to immediately very aggressive towards Dr Drake and I. It was explained to him that notes are always taken in circumstances like this, but he continued to be rude and aggressive swearing and saying something like “What the fuck are you writing down? I am going to get that paper and rip it up”
“Your a waste of spunk you useless cunt when I come to milford later im banging you out useless cunt Ive walked here she's not even my daughter .. fuck you wind me up”
“Just for record I did got to hospital you shit stiring cunt …Youknow fukall so stay out of it and out lives…She's stabe and fine now and wasn't me or Sinead she fell diwn the stairs playing with dog… Dogs gone now aawell we gave it away so do me a favour you fat smelly rat... Fuck off”
“Q: What had you done to get that reaction? A: I messaged Tracey [Taylor, another neighbour], I heard shouting outside and Sinead with the police outside the front door, she was shouting to Kyle open the door. I messaged Tracey to see if she was ok. I had not spoken to Kyle that day. I had not sent him any message by that point. Q: That message, was it typical or out of character? A: He was like that all the time towards me, he took an instant dislike to me I think. I have no idea why.”
“We do not suggest that our client is a nice man. He clearly isn’t. Apart from Sinead James, no one seems to have liked him other than his mother and brother, and even his mother has her reservations.”
“Ms James told me on a number of occasions that she always tried to please others and had a strong tendency to place other people’s needs above her own. She also repeatedly said that she did not like confrontation and would avoid this whenever possible, stating that confrontation had made her feel frightened and scared. She would therefore merely accept the demands, needs, or unreasonable behaviour of other people around her, reportedly submitting to what they wished her to do (e.g. taking amphetamine despite this repeatedly making her feel ill and vomit; drinking alcohol when she reportedly did not really want to; passively accepting Mr Bevan’s refusal to provide his personal details for her domestic violence advocate to be able to complete background checks upon him, etc). These personality characteristics of submissiveness and avoidance of confrontation are not what are needed when one has to stand up to a potentially violent, aggressive, or manipulative new or existing partner. However, in my opinion, Ms James most probably did not fully understand this and had instead formed short-term decisions and had acted upon whatever was happening at the material time, taking the route of least resistance. In my opinion, Sinead James would probably not have formed any real conceptual understanding of the potential consequences of passively accepting the short-term gains (e.g. of avoiding confrontation) rather than acting on the long-term benefits of thinking about the potential risks over the longer term and ensuring the future safety of her children and herself.”
“This statement is in relation to an incident that occurred at 97 City Road, Haverfordwest at approximately 21:45hrs on the4th January 2020 . I provided a statement at the time to PC R and following consideration I now wish to withdraw this statement and any complaint I made at the time in relation to police action being taken against [SH]. Although I made allegations in my initial statement I felt under pressure from my family to make that statement and if it was not for them I would not of even spoken to the police. My family and friends have never liked him and have always looked for a way to get rid him. Therefore my reasons for withdrawing my statement are as follows; having had time to think and reflect and I have made this decision in the interests of my children and no one has put me under any pressure to retract my statement. I haven't even discussed the fact that I'm withdrawing my statement with any one else. I feel that not having contact with [SH] is affecting my children. They are constantly asking for him and when they are going to see him next, especially at bedtimes. [IY] who is not his daughter has a very good relationship with him and she is missing him the most. I feel that [SH] has learned his lesson and as l have now ended the relationship with him I'm not planning on seeing him face to face again. I just want to move on with my life, do up my house and focus on myself and my children.”
“M meets with SH at Play King, Llanelli whilst he is on bail. She takes the children with her. She says she was scared of him so agreed. M also telephoned her mother and Casey that day to attempt to persuade them not to support a prosecution of SH at SH’s behest. M and SH also had food with the children after Play King and both consumed alcohol. M says that SH managed to persuade her to stay at his father’s flat with him and the children. M says that IY was wanting to go and, ‘it was easier to just agree to this’ and SH drank on the train. No one was at the flat and VH was put in a travel cot. SH became argumentative, told M he was going to hit her and told her she had to leave. M contacted her aunt, SD who collected her from Carmarthen after her aunt L paid for a taxi from Swansea to Carmarthen. M out in the cold after 1:00am with the children.”
“13:30 – 15:30: M left [VH] with KB whilst she went to the park with [IY] and Lola. When she returned, VH was crying which KB attributed to the dog having knocked her over when it heard the door – she had a red mark on the side of her chest from where the dog apparently hit her.”
“AB: Don't let her sleep wake her up FFS get Sinead up and get her to AE she could have concusion. KB: I caaaant wake her full stop watch’ AB: Its not your fault if she fell you need to get her to hospital Kyle.”
“what’s happening Kyle?”
“dog started to jump all over her and she went flying down the stairs and its hard floor at the bottom and loads of crap I don’t know what she landed on but when I came round the corner it was just like she was winding on the floor or something.”
“yeah, obviously but you’ve got to get it bang on like”
“well I’m saying exactly what you told me I can remember what you said from word to word.”
“Pathological examination of Lola James' eyes and orbital contents removed at autopsy revealed bilateral retinal haemorrhages in multiple layers, present both at the posterior pole and the periphery of the eyes, including areas of sub-retinal bleeding and in the right eye, pre-retinal bleeding. No typical crater-like peri-macular folds were identified macroscopically, but folds were identified microscopically in this location (with sub-retinal haemorrhage on the left and overlying haemorrhagic retinoschisis, retinal splitting, on the right) which could correlate with the clinical identification of peri-macular folds in life. There was bilateral severe optic nerve sheath haemorrhage, and bilateral mild peri-papillary scleral haemorrhage at the optic nerve-scleral junction. There was also bilateral bleeding into the orbital fat, extraocular muscles and around non-optic cranial nerve trunks. There were no developmental abnormalities in the eyes that could explain bleeding. Inflammation was present in the cornea of the right eye, but this is not related to any of the bleeding seen in the eyes or orbital contents. Haemosiderin deposition was present in association with bleeding in the optic nerve sheaths, left posterior sclera, orbital soft tissue and very subtle tiny foci were seen in the right retina. In the absence of an underlying medical cause, such as severe blood clotting disorders, rare metabolic disorders, severe infections (sepsis, bacterial meningitis) and leukaemia, the finding of numerous bilateral multi-layered retinal haemorrhages, extending to the periphery of the retina, clinically identified peri-macular folds (with microscopic consistent features), severe bilateral optic nerve sheath haemorrhages, bilateral peri-papillary scleral haemorrhage and orbital soft tissue haemorrhage, in combination with intracranial subdural haemorrhage, is indicative of a severe traumatic head injury. The constellation of ophthalmic pathology findings can be seen in accidental head trauma, but such accidental traumas are usually of a very severe nature. The presence of extensive multi-layered retinal haemorrhages in combination with peri- macular folds or retinoschisis has only very rarely been reported in accidental head injury, in the context of a high level multi-storey accidental fall, head crush injury and fatal motor vehicle collisions. Review of the literature pertaining to low-level and stairway falls indicates that most stairway and low level falls in children do not cause serious head injuries.”
“Perimacular folds are typically associated with abusive head trauma rather than accidental injuries. They have only been reported very rarely in accidental injuries, in the case of very severe fatal accidents, eg high speed motor injuries, or a high level multi storey fall, not typically in a domestic household fall.”
“I do not consider that there is evidence suggestive or indicative of a natural disease process, congenital or acquired, that may have been causative or contributory to the death of Lola James or the injuries she sustained. The totality of findings from the post-mortem examination would in my opinion indicate that the death of Lola James would be explicable on the basis of Severe Head Injury [comprising bruising to the head, acute subdural haemorrhage, acute subarachnoid haemorrhage, acute cerebral oedema (brain swelling), cerebral perfusion failure (aka hypoxic/ischaemic brain injury or hypoxic/ischaemic encephalopathy), acute ischaemic myelopathy (cervico-medullary junction), bilateral retinal haemorrhage, bilateral severe optic nerve haemorrhage, bilateral mild peri-papillary scleral haemorrhage at the optic nerve-scleral junction, and bilateral bleeding into the orbital fat, extraocular muscles and around non-optic cranial nerve trunks]. As discussed [below], I would regard the identified severe head injury and bruises as being due to traumatic aetiology. I would concur with Dr Leadbeatter and his relevant commentaries in that it cannot be accepted that the totality of injuries, including the severe head injury, has arisen from a fall down stairs. Having regard to the explanatory comments Dr McPartland offered in her report having regard to the neuropathology findings, and given all my previous commentaries herein, I would regard it highly unlikely that the identified severe head injury may in this instance be explicable on the basis of accidental injury occurring in a domestic environment, such as falling down stairs, and I would regard it highly likely that the identified severe head injury would in this instance be explicable on the basis of non-accidental injury. I would therefore take the view that the overall assessment of the evidence available to me in relation to the death of Lola James (D.O.B.30/09/2017 – D.O.D.21/07/2020 ) would direct one to the conclusion that her death would best be explained on the basis of Non-Accidental Severe Head Injury.”
“It makes this very unlikely to be in the context of an accident as described, fall down the stairs for example. … Because you don’t expect them there, you expect them to be on the less protected areas of the head, the areas that are protruding, when you are having an accidental injury you expect them to be forehead, top of the head, chin, teeth, nose, not on the pinna of the ear, behind the ears.”
“When I say constellation, I am not only using the external but also the internal injuries identified. It’s the pattern of the injuries and their extent. The pattern of the injuries to the brain and the eyes in the medical professionals experience requires a transmission to the body of very high energy. So lots of energy to be transmitted. And if we are dealing with differentiating accidents for example in a domestic environment, e.g. falling down the stairs in the context of having some interaction with the dog, you need to take into account the laws of physics. A body falling down will receive from an impact the energy which is in line with the height from where it fell and the mass of the body. The two bodies combine when they fall together down. This amount of energy would not have been sufficient to the injuries we see to the brain and to the eyes in particular. So those in the optic nerve sheath, the muscles around the eye, the fat around the eye, this type of injuries we get them when there is very high amount of energy transmitted to the body, and we compare it to a fall from a significant height, when we say we are talking about falling from a first or second floor balcony to the ground, or a road traffic collision: that’s the amount of energy you need to get these types of injuries to the brain and the eyes.”
“RHQC: It’s the multiple blows bit, it’s more likely than not there is more than one severe blow to Lola? AM: It is more likely than not. RHQC: You can say that because when you look at the external injuries there was not one single mechanism that explains them all. AM: Yes.”
“JTQC: so the absence of bruising, does that exclude the possibility there was an impact to the back of the head during that process? … AM: The major problem is not the bruises we see. The major problem with what your client describes is the internal injuries. That description could if we push it account for some of the bruises. But it fails to explain the internal injuries. That’s the biggest problem with that. so I know that approach in law is to break down the findings and try each one of them, whether it’s possible or not, but in medicine, in pathology, we have to approach the case on, go for the forest rather than the leaf of a tree. And the forest here tells us such a description would fail to explain the findings we have. JTQC: We’ll come to the forest in a moment. For the moment, can we stick to the question: does the absence of bruising or swelling to the back of the head exclude the possibility there was an impact to the back of the head during the process I’ve described? AM: In the context I explained the answer is no it doesn’t exclude the possibility. Just to help the court, I know you want to ask the questions the way you want to, but to put into context possibilities and probabilities. It’s possible if I walk in the middle of the Sahara desert a pot with flowers will fall on my head. It’s not probable. So the answer simply to the proposed mechanism is that we can go through every single finding of external bruises and I will be answering yes it could be possible. It’s not probable in the context of the constellation of findings. JTQC: In answer to the question whether it’s possible there was an impact to the back of the head without leaving bruising or swelling, the answer is yes that is a possibility. AM: Similar to a pot falling on my head in the Sahara desert. Judge: Which internal injury – the eyes? AM: The combination of the neural and ophthalmic pathology. You can’t have those together in that extent and severity in a fall or in an event as the one described. It goes against the laws of physics. … JTQC: You say that when addressing some of the questions asked of you in this case, you’re approaching it on the balance of probabilities and not in a criminal case, beyond reasonable doubt. AM: Yes JTQC: Is that how you’ve approached all the issues, don’t think that’s a criticism, but you make it clear you understand the difference, so am I right in thinking you’ve approached all the questions on the balance of probabilities? AM: Yes JTQC: So when you say I would regard it as highly unlikely the severe head injury was a result of a fall down the stairs but highly likely the injuries would be explicable by a non accidental injury, can we take it you are saying on the balance of probabilities it is far more likely to have been something other than a fall down the stairs? AM: Comparable probabilities to my example of a pot falling on my head in the middle of the Sahara desert. Judge: Balance of probabilities strictly speaking means 51%. What is your probability scale? AM: For this case, I would go close to 95%, 98%. Judge: I see. That’s still the balance of probabilities, it just happens to be the scales have swung very strongly in one direction. JTQC: But a fall down the stairs, particularly if Lola was propelled down the stairs, still remains a possibility, albeit an unlikely one. AM: Yes, it does, comparable to the example of a pot falling on my head. … AM: … The type of energy transfer we need for these injuries to happen is only known to occur when forces comparable to a fall from the balcony, so 3 – 4 metres fall, so that’s the amount of energy you need. I don’t think, I cannot understand how, a child being pushed by a dog on a staircase in a house within that space, would have fallen in a way that would have generated so much energy to produce all this. I don’t understand it.”
“Judge: Can you see what I’m showing you? These are the stairs, this is from the video. You can see they are carpeted and the length; you can more or less work out the pitch. In your view, as a matter of probability, could those injuries have been caused by her being given a shove by the dog and falling down these stairs? AM: I cannot see how. Highly unlikely.”
“As described above, Lola has sustained severe bruising to all areas of her skin. The bruising was explained as falling down the stairs on 17/7/20 and hitting her head on the table few days before as the dog pushed her. Both of these events can cause bruising, even significant bruising, however, the extent of the bruising and scratching is not in keeping with the history that was provided. … There are linear bruises noted on the right upper thigh, which could not be explained by falling down the stairs. They are most likely caused by the physical assault with an object. … Lola had very obvious bruising of the ear, which cannot be explained by the mechanism provided by Kyle Bevan – he said that the dog was playing with her putting paws near her ears. It that case, she would have scratches from the paws noted on her ears. This is very pathognomonic for non-accidental injury. … Lola has suffered extensive bruising and in all my years working in paediatrics I have not seen such extent of injuries in a child falling down the stairs. … The extensive and severe injuries seen on Lola are not compatible with the history of falling down the stairs. The injuries cannot be explained by the prior medical condition. In my opinion, Lola has suffered severe and extensive physical assault and the injuries are in keeping with non-accidental injury - physical abuse.”
“Judge: Have you ever seen injuries like this before? LS: Not in my paediatric practice. I mean I’ve seen injuries but not in totality. Judge: What about car crashes? LS: I’ve done quite a lot of picking people up from car crashes on the road, so I’ve very commonly seen that, including going to the accidents, I’m not a regular dermatologist, I’ve done all of that. Judge: Have you see things like this after a motor accident? LS: Well yes and no, but those were basically such severe injuries that the contents of the brain were found around the patient. Judge: Head was split open? LS: Exactly.”
“RHQC: Thank you. I’m going to conclude my cross- examination by going back to where I started with 101 separate injuries. I’ve looked at all the various constellations of injuries, but then you stand back and look at the totality. Is it still your opinion that this is a severe, sustained assault, of numerous blows, namely hits, kicks, blows? LS: Yes RHQC: Is that the most likely thing that happened to Lola? LS: Yes, I believe that is the most likely thing.”
“LS: Sorry, no. I feel the brutality of the injuries is far beyond her falling down the set of steps, even with a high impact I don’t think that’s the case. …No, however I still feel her even being propelled, she would have less points of contact: she would fall down and then bounce off and bounce off. So she would probably have less points of contact. So if she would be propelled she would fall once and then bounce and probably end up at the bottom of the stairs. So there would be less than what she had, more severe perhaps, but less bruising than she has. And I can’t explain why she would have so much bruising on her face. Judge: Ears are a bit difficult to understand? LS: Yes Judge: And the neck. LS: Yes Judge: She’s rolling down the stairs, her starting speed on this scenario is not zero if pushed by the dog, multiple rotations, angular forces, lots of hard edges, it’s being suggested this is not impossible, you are saying you don’t accept that? LS: The injuries are on so many sides I don’t think we can say this is purely from the fall down the stairs, it’s something I can’t understand with years of working.”
“Lola James was taken to hospital by ambulance in the morning on17/07/2020 . According to her mother’s partner, Kyle Bevan, Lola had fallen down the stairs. Lola’s conscious level was reduced, and she was breathing abnormally. A CT scan performed approximately 4 hours later revealed extensive subdural haemorrhage on the left side of the brain, ischaemia in multiple locations, worse on the left than the right, and midline shift due. Lola also had bilateral retinal haemorrhages and extensive bruising and skin marks over her head, neck, torso, arms, hands, legs, feet, back and buttocks. Lola’s intracranial injuries progressed over the next few days. Lola died of her brain injuries on21st July 2020 . In my opinion, on the balance of probability, Lola’s intracranial injuries were caused by severe trauma. Although children can suffer serious injuries following a fall downstairs, on the balance of probability, it is more likely that one or more episodes of more severe trauma occurred leading to her extensive injuries and ultimately her death. It is also possible that Lola was subject to repeated episodes of trauma. Assessment of bruising is outside of my area of expertise and outside of the remit of this instruction. However, the extent of the bruising on Lola is striking and not what I would expect from a fall downstairs.”
“We can’t be objective about the degree of force, what we can do is apply clinical experience and our expectation of what we see from other mechanisms where it is witnessed. The type of injury we see would be the type I might expect to see from a road traffic accident, from a fall from a height, multiple stories, or very forceful missile injuries, being struck around the head with something with force. But I can’t give you a threshold or number. RHQC: In terms of the injuries that come into the trauma centre, where does this rank in terms of severity? TL: I would consider this to be an extremely severe thoracic brain injury. RHQC: Have you ever seen anything of this nature in the domestic sphere? TL: In a domestic sphere, from a fall off a sofa or work surface I haven’t seen an injury like this. Of course I haven’t seen everything, we need to account for the very rare and unusual, it’s for those we turn to the literature to try to understand whether such injuries are possible. We think it is possible but there are specifics about the mechanisms in those cases when they occur, and they are extremely rare.”
“Judge: Each of the scenarios – you see what my problem is. If the primary insult is at the beginning of the sequence, I find even allowing for human nature, the idea that further less serious injuries would have been inflicted on a child then unconscious seems to be to be almost unimaginable. The other way round the child would have been screaming, no one ever heard any screams. Then we have the alternative, that she fell down the stairs, and the unanimity from the experts is these injuries were not the result of falling down the stairs. TL: I understand the dilemma. I don’t think I can make a judgment about which order the injuries came in. PHQC: So it could be either scenario? TL: Correct PHQC: It does seem to have been a consensus that all the intercranial injuries are consistent with all happening in one incident on the morning of 17 July. I think you agreed with that TL: yes PHQC: His Lordship has mentioned the context, his attention has been drawn to a particular period that morning between 6 and 6.30 and perhaps more particularly between 6.20 and 6.30. Can you tell me if this is consistent with your interpretation of the neuroimages: there was an episode which comprised of a number of traumatic parts to it within a relatively short period of time between 10-15 minutes. Is it potentially significant the most significant head trauma was at the start and then lesser thereafter, all within 10-15 minutes? TL: I think all the impacts were happening in a short period of time, yes. Whether, again, whether the very big impact came first or last in the sequence I can’t say. Judge: That’s a very difficult issue. You said the trauma to the brain was likely suffered on the left hand side. Was the brain examined to see if that was where the injury took place? TL: I’m not a pathologist. My understanding is yes.”
“Not necessarily, interestingly enough we tend not to see terrible injuries from falls down the stairs. That may seem odd but we don’t. It may be because the process of the fall, the falling from a certain height and then hitting a step and falling again, that process is cushioning the fall. So you may get lots of injuries, but they might not be too severe. Our experience would suggest they are not. That’s not to suggest you can’t die falling down the stairs, we know you can. But it would be rare. So on the balance of probabilities, in my opinion, that is not the case here.”
“The relevant experts (except Dr Olsen and Dr Solman because it was outwith their expertise) agreed that the eye injuries and brain injuries Lola sustained are likely to have occurred at the same time. As to timing the relevant experts agreed (Dr McPartland deferring) that she is likely to have collapsed immediately after the last severe traumatic event. In relation to mechanism, they agreed that impact was the more likely and predominant cause but there may have been shaking as well. In relation to the external skin injuries all the experts deferred to Dr Solman who maintained the opinion she had expressed in her report. When looking at the photographs at K149-163 Dr Solman stated that they would be consistent with a fall onto the edge of a table. On the basis of the photographs in the phone records she did not appear to have any other visible bruising prior to midnight on16 July 2020 . All the experts agreed, subject to the ambit of their own areas of expertise, that on the balance of probabilities there is no abnormality of Lola’s brain, no medical underlying cause, no metabolic disorder, no genetic disorder or condition, no infection or accident identified on the face of the papers, including the account of a fall down the stairs, which could account for the injuries Lola sustained. On the balance of probabilities, in their opinion the injuries are inflicted injuries caused by severe trauma. Dr Solman, Dr Hogarth and Mr Lawrence agreed (Dr Herron, Dr McPartland and Dr Marnerides deferring) that the failure to seek medical attention for Lola immediately in response to her collapse, contributed to her death.”
“The combination of extensive bilateral retinal haemorrhaging in all four quadrants affecting multiple layers of the retina, possible retinoschisis, left perimacular folds and bilateral optic nerve sheath haemorrhage is one that points to abusive head trauma. In my opinion, it is highly unlikely that the above combination of injuries to the eyes would have been caused by a fall down ten carpeted stairs as described by Kyle Bevan. Taking into account Lola’s other life limiting injuries, it is my opinion that the most likely cause for her eye injuries is abusive head trauma with some form of impact consider soft tissue injuries to her head.”
“Lola’s scans show evidence of acute (recent) subdural haemorrhages at several different sites and extensive hypoxic-ischaemic brain injury. There are also areas of soft tissue scalp swelling. The appearances are not those of accidental head trauma and the suggested mechanism of falling down the stairs would not in my view account for the intracranial abnormalities. The intracranial bleeding and brain injury that led to Lola’s death are therefore likely to be due to abusive head trauma which is likely to have occurred as a result of a shaking mechanism, forceful impacts (punches or slaps) to the left side of the head or a combination of both of these mechanisms.”
‘That could have been so much worse than what it was when I actually worked out what happened , it took me a while cuz I was in a different room lol if that jar would have smashed she would never have looked the same again that would have been a hospital job babe makes you think don’t it ..Hopefully she’ll learn not to play on the stairs now tho I doubt that tho unall lol xxxxxxx’