"It was clear that she had significant difficulties understanding the meaning of relatively simple words and it was also clear that at times she had significant difficulty understanding verbal instructions. When this was compared to her ability to follow non-verbal instructions, such as in the CTONI, this difference was marked."
"It is my opinion that [SA] would be, to some extent, suggestible given that she has significant difficulty understanding information presented verbally and also because she appears to have significant difficulties understanding complex concepts presented in spoken English, which then must be presented to her in BSL. It is my opinion that it is highly likely that the nuances of any conversations that were occurring around her, even if translated to BSL, would not be understood by her. Therefore, I believe that, although she may not be particularly suggestible, it would be extremely easy to mislead [SA] and in that sense she would be both suggestible and vulnerable."
"[SA] is not able to understand any information given to her that is not translated into BSL. Her ability to understand BSL would, from the evidence of my clinical assessment, appear to be a good understanding. It was clear at times that the translator was conveying complex concepts to her using BSL and [SA] did appear to understand them. It was also clear by observing the translation, that such concepts were being presented in an extremely nonverbal way. That is, that they relied on her nonverbal intelligence. For example some complex tasks were broken down into their constituent parts and related to [SA] in stages. It is therefore my opinion that even if the information is presented to her in written English, it is likely that her understanding will be incomplete."
"To summarise, it is therefore my opinion that [SA] is only able to comprehend what is said to her if it is presented in British Sign Language."
"In my opinion [SA] is able to at times forcefully explain her views in BSL. During the clinical assessment [SA] was clearly able to form an opinion and then be able to argue why she held that opinion and, as discussed earlier, was not suggestible in the sense that it was not possible to persuade her from that opinion. [SA]'s ability to convey her opinion in any other medium than BSL, including written English, is in my view extremely limited and she would have extreme difficulty expressing herself in any other medium."
"On a number of occasions [SA] made it extremely clear that although she wished to travel to Pakistan in order to obtain a husband through an arranged marriage in accordance with the customs of her Muslim background, she would not wish to live in Pakistan and would wish to return to [her home town] to live either in the family home or to set up home with her husband. She clearly stated that if it were not possible to return to [her home town] due to immigration laws or because her partner was not willing to return with her, she would not wish to marry that particular individual. At this point I attempted to discuss with her what would happen if the immigration authorities did nor permit her husband to enter the UK, but despite significant attempts to convey and explore this concept with her, it became clear that she did not understand this concept, she simply responded in an extremely concrete way saying that they would come back to [her home town]. At this point both the translator and I attempted to convey the concept that this may not be possible but [SA] did not appear to understand."
"She has significant difficulty in understanding concepts presented in spoken English. She also does not have knowledge of any other spoken language. All information given to her must be translated into British Sign Language, and there is significant potential given her overall level of understanding that this will significantly reduce her capacity to understand the implication of a specific marriage. Therefore my conclusions are that, although she understands the concepts and responsibilities of marriage generally, she will have significant difficulty understanding the implications of a specific marriage contract to a specific individual. I have significant concerns that should, for example, the implications of that marriage be that she was not able to return to [this country] due to either that her potential husband would not wish [to come] to [this country] with her or was legally prevented from doing so, that she would not understand the implications of this for the marriage and may not be making a fully informed choice in a specific instance."
"Should she enter into a Marriage Contract where her husband was not able to communicate with her or where she was placed outside of the United Kingdom and may be surrounded by people who were not able to communicate with her in her first language, BSL, then in my opinion it is highly likely that she will become extremely distressed and there is a significant risk that she may develop psychological difficulties as a result of this. If she was to find herself outside of [the UK] and in a situation where she was not able to communicate with those around her, including her husband, it is highly likely that she would feel extremely isolated. The psychological implication of being in such circumstances and being extremely isolated are significant and, in my view, would pose a significant risk to her future wellbeing and mental health."
"due to her limited intellectual functioning which although I do not assess to be in a learning disability range of functioning, nevertheless, when combined with here reliance on British Sign Language for communication, will mean that she will have considerable difficulties understanding the proceedings in court and also in understanding and processing complex concepts in a legal framework."
"the tests for what I will call "litigation capacity" and "subject matter capacity" are not identical, and ... an adult who lacks the capacity to litigate – lacks "litigation capacity" – may none the less have capacity with regard to the matters which are the subject of that litigation – "subject matter capacity"."
"Were [SA] to visit Pakistan at this time, the Guardian feels that any possible benefits such as the cultural experience and the opportunity to see family would be outweighed by the risk of her being involved in an unwanted marriage. The Guardian feels that [SA] would be very vulnerable in Pakistan. Her lack of hearing and speech means that she could be unaware of what was going on around her and of any plans being made in relation to her. She would be unable to seek assistance if she did become aware of any concerns. Furthermore [SA]'s naivety and immaturity could mean that she may not even recognise any risk or danger that may arise."
"it is therefore of great importance that any arrangements for [SA] to be married are made through the medium of sign language, so as to ensure [SA's] continued well being."
"[SA], even on reaching her majority, needs some element of continuing protection by the court, in relation to the specific issue of a marriage being arranged."
"what protective measures it can put in place in respect of [SA] when she reaches her majority, to ensure that she is able to give a valid consent to any marriage being arranged."
"In the 12 years and more that have passed since the House of Lords gave judgment in In re F (Mental Patient: Sterilisation)[1990] 2 AC 1 the jurisdiction has developed in many important respects ... I have little doubt that this wholesome and entirely beneficial jurisdiction will continue to develop at least until such time as the legislature sees fit to intervene."
"For most practical purposes the declaratory jurisdiction in relation to incompetent adults is the same as that of a court exercising the parens patriae jurisdiction"
"The inherent declaratory jurisdiction has developed considerably since the House of Lords gave judgment in Re F (Mental Patient: Sterilisation) and in ways which few might have foreseen in 1989. It will, I do not doubt, continue to develop. It is right that it should. It probably must if the court is to meet its obligations under the Convention."
"[96] From the above decisions I draw the propositions that the circumstances within which a court will exercise the inherent jurisdiction through the common law doctrine of necessity are not restricted to granting declarations in medical issues. It is a flexible remedy and adaptable to ensure the protection of a person who is under a disability. It has been extended to questions of residence and contact. Until there is legislation passed which will protect and oversee the welfare of those under a permanent disability the courts have a duty to continue, as Lord Donaldson of Lymington MR said in In re F (Mental Patient: Sterilisation)[1990] 2 AC 1 , 13, to use the common law as the great safety net to fill gaps where it is clearly necessary to do so. Further, as Sedley LJ pointed out in In re F (Adult: Court's Jurisdiction)[2001] Fam 38 , the European Convention adds an additional dimension to the exercise of the principles enunciated in the cases decided before the European Convention applied. One consequence of the European Convention is the obligation upon the court as a public authority to take positive steps, as described in Marckx's case. [97] I am satisfied, therefore, despite the absence of any previously decided cases, that I can properly exercise the inherent jurisdiction of the High Court in order to consider whether I should restrain publication of ... the report. In the previous cases about adults under a disability, the issues have been the lawfulness of the proposed course of action and considerations as to their best interests. That cannot be the correct approach in the present case. The application of the inherent jurisdiction would seem more appropriately to be treated as the exercise of a "protective jurisdiction" rather than a "custodial jurisdiction"
"I respectfully agree with the President's analysis. The simple fact is that we have come a long way since the decision in In re F (Mental Patient: Sterilisation)[1990] 2 AC 1 . The courts have created and now exercise what is, in substance and reality, a jurisdiction in relation to incompetent adults which is for all practical purposes indistinguishable from its well-established parens patriae or wardship jurisdiction in relation to children. Indeed, the President's reference in the passage I have just quoted to the 'protective' and 'custodial' jurisdictions is a straight borrowing from wardship: see S v McC, WvW[1972] AC 24 and In re Z (A Minor) (Identification: Restrictions on Publication)[1997] Fam 1 ."
"the inherent jurisdiction of the High Court can, in an appropriate case, be relied upon and utilised to provide a remedy ... the inherent jurisdiction now, like wardship has been, is a sufficiently flexible remedy to evolve in accordance with social needs and social values."
"although in the normal habeas corpus case the applicant for relief is totally incarcerated, the cases reveal that it is not limited to such cases and if it prevents someone being at liberty freely to go at all times to all places whither he will or amounts to a significant curtailment of the freedom to do those things which in this country free men are entitled to do then the writ will run."
"It is submitted on this principle that interference by a custodial parent with the other parent's access to a child is capable of being remedied by habeas corpus. That is a view with which I agree, and ... if this is a case in which either contrary to the will of C if she is able to express her will, or, if contrary to her best interests as found by the court she is not being allowed to see her mother and not being allowed to have access and is otherwise being restrained, then habeas corpus would definitely be available."
"I have come to the conclusion that if the plaintiff had wished there was material, if her contentions are right, to found an application for habeas corpus, and I am inclined to agree with the submission that if the grounds apply for relief in that drastic form it does support very much the contention that there should be relief available by way of the lesser declaration."
"Actual physical custody is obviously not essential. "
"Although the issues of capacity and genuine consent or rejection are separate, in reality they may well overlap, so that a patient in a weakened condition may be unduly influenced in circumstances in which if he had been fit, he would have resisted the influence sought to be exercised over him."
"at the time of apparent consent or refusal the patient may not, for the time being, be a competent adult. Her understanding and reasoning powers may be seriously reduced by drugs or other circumstances, although she is not actually unconscious."
"When considering the effect of outside influences, two aspects can be of crucial importance. First, the strength of the will of the patient. One who is very tired, in pain or depressed will be much less able to resist having his will overborne than one who is rested, free from pain and cheerful. Second, the relationship of the "persuader" to the patient may be of crucial importance. The influence of parents on their children or of one spouse on the other can be, but is by no means necessarily, much stronger than would be the case in other relationships. Persuasion based upon religious belief can also be much more compelling and the fact that arguments based upon religious beliefs are being deployed by someone in a very close relationship with the patient will give them added force and should alert the doctors to the possibility – no more – that the patient's capacity or will to decide has been overborne. In other words the patient may not mean what he says."
"it has long been recognised that an influence may be subtle, insidious, pervasive and where religious beliefs are involved especially powerful. It may also be powerful between close relatives where one may be in a dominant position vis-à-vis the other. In this case Miss T had been during her childhood subjected to the religious beliefs of her mother and in her weakened medical condition, in pain, and under the influence of the drugs administered to assist her, the pressure from her mother was likely to have a considerably enhanced effect. I find it difficult to reconcile the facts found by the judge with his conclusion that the influence of the mother did not sap her will or destroy her volition. The degree of pressure to turn persuasion or appeals to affection into undue influence may as Sir James Hannen P said in Wingrove v Wingrove (1885) 11 PD 81 , 82-83, be very little."
"If the restrictions were lifted ... it is probable that the situation would revert to what it was prior to March 2004. G's mental health would deteriorate to such an extent that she would again become incapacitated to take decisions about the matters referred to. Such a reversion would be disastrous for G."
"[90] [Counsel's] submissions seem to me to have serious practical flaws and very undesirable consequences. Both experts acknowledged that but for the court's protective framework G probably would revert to her mental state prior to 10 March, with the consequences I have already referred to. If then I have to dismiss the local authority's application for lack of jurisdiction, that is to say because the local authority has failed to establish G's mental incapacity as of today, the court's protective framework must therefore fall away. Thus, contact between G and her parents would be unrestricted; there would be no control over the father and his conduct vis-a-vis G's mental health, her health care needs and team. It is probable that G's mental health would deteriorate and she would become incapacitated. The local authority in such circumstances might feel obliged to institute proceedings all over again, the court would put into effect another protective framework, G might well recover her capacity leading to the same result in those fresh proceedings. Thus the purpose of the court's inherent jurisdiction in cases such as these would be completely defeated. Further, the logic of [counsel's] submission is, as he acknowledged, that had the court's protected framework not had the impact that, in fact, it did have, and G had remained lacking in mental capacity, the court would have had jurisdiction. [91] Thus, in my judgment, the court's jurisdiction would be entirely dependent on the shifting sands of whether or not G did, or did not, have the requisite mental capacity at the time of the final hearing. I do not find that to be an attractive submission."
"[103] .... To adopt the sentiment expressed by Lord Justice Thorpe ... , it would be a sad failure were the law to determine that I had no jurisdiction to investigate and if necessary make declarations as to G's best interests to ensure that the continuing protection of the court put in place with effect from11 March 2004 is not summarily withdrawn simply because she has now regained her mental capacity in respect of the matters referred to, given the likely consequences to G if the court withdrew its protection. [104] If the declarations sought are in G's best interests, the court, by intervening, far from depriving G of her right to make decisions as submitted by [counsel], will be ensuring that G's now stable and improving mental health is sustained, that G has the best possible chance of continuing to be mentally capable, and of ensuring a quality of life that prior to11 March 2004 she was unable to enjoy. [105] In my judgment the court does have jurisdiction in this matter. Up to at least the seeking of the court's protective framework on10 March 2004 the agreed medical evidence is that G was mentally incapacitated in the respects which I have set out. But for the court's intervention and orders the strong likelihood is that that incapacity would have continued. What was instrumental in reversing that situation was and is the court's protective framework, in particular in relation to the father. If the protective framework goes the probability is that G's mental health will regress and she will again become incapacitated."
"[111] Why then should G, now an adult, be worse off than she would have been had the matters arisen if she was a child? Why should the court be powerless where there is, as in the instant case, a justiciable issue? I repeat the words of Lord Donaldson MR in In re F (Mental Patient: Sterilisation)[1990] 2 AC 1 , at page 13: "
"It would in my opinion be a sad failure were the law to determine that [the court] has no jurisdiction to investigate and, if necessary, to make declarations as to T's best interests to ensure that the protection that she has received belatedly in her minority is not summarily withdrawn simply because she has attained the age of 18."
"There is a legal presumption in favour of capacity but that could have been rebutted by evidence of inability to assimilate the issues, or fully appreciate the consequences, or being unduly influenced by the views of others or by undue concern for the burden that her condition imposed on others."
"This young woman, therefore, if a child, would be protected by the court, which would make orders of the sort I am making but adapted to the fact that a child can be made a ward of court. An adult cannot be made a ward of court, but the inherent jurisdiction of the High Court can, in an appropriate case, be relied upon and utilised to provide a remedy. I believe that the inherent jurisdiction now, like wardship has been, is a sufficiently flexible remedy to evolve in accordance with social needs and social values. If an adult is deprived of the capacity to make relevant decisions, then, if there is disagreement about what should be done in his or her best interests, or if there is a serious issue as to the propriety of what is proposed, recourse can be had to the court for declaratory relief. Clear resemblances are to be discerned, in my judgment, with cases such as that of the Norwegian deprived of the capacity for autonomy by the after-effects of a stroke (see Re S (Hospital Patient: Court's Jurisdiction)[1996] Fam 1 ,[1995] 1 FLR 1075 )."
"[3] ... Consular officers in Bangladesh and London have, from a variety of sources, received information concerning the young woman who is the proposed plaintiff which, if true, is gravely disquieting. It is quite unnecessary, I think, for present purposes to go into the detail of the reasons for that anxiety or how they have been communicated. Suffice to say that if they prove to be substantially well-founded they would certainly satisfy me that there would be serious cause for concern about her capacity to control her own life and destiny at the moment. This, notwithstanding that she is an adult and is emancipated, at least in terms of English law, and should not be the subject of duress or force or be deprived of the ability to make her own decisions. [4] There is, as I say, information which if true (and that of course is as yet untested) would lead me to believe that she may be being kept by relatives or friends of relatives and family in Bangladesh contrary to her will, and that her anticipated return to this country (the expected date for which has been seriously delayed) may be being frustrated as part of an attempt to marry her forcibly. It may transpire indeed that she may be or is a young woman in relation to whom that has already happened. In either event the activities involved to those ends would be or would have been a gross interference with her human rights and might have involved the commission of criminal offences against her. If, in truth, she were forced to marry or if, in truth, that is the outcome which she may contemplate and fear, then steps taken in furtherance of those ends would be a series of acts to which she did not consent. Indeed her very capacity to consent would have been overborne by fear, duress or threat."
"it is within this court's power, notwithstanding that this English resident is currently abroad, to make orders and to give directions designed to ascertain whether or not she has been able to exercise her free will in decisions concerning her civil status and her country of residence. It may, of course, turn out to be the case that all is well and that she is content with whatever arrangements are currently in place. But as I say, the causes for anxiety are such and sufficiently cogent in my view to justify this court's interference in the first instance, at least to the extent and for the purpose of evaluating her circumstances."
"to do what can be done properly to order defendants where binding orders are indeed appropriate, and to invite and encourage other persons and authorities where they are not subject to this court's orders, to arrange for the plaintiff to be seen by an appropriate official at the High Commission in Dhaka for the purpose of establishing what SK's true wishes are in an environment where, it is to be hoped, she will feel able to express them."
"proceedings such as these are in appropriate situations available, and ... the courts are accessible to investigate the circumstances of adults as well as children. I should add that the same is true in the courts of, for instance, the Islamic Republic of Pakistan and in Azad Kashmir where the ancient writ of habeas corpus has been turned to contemporary use. In a case of suspected restraint with a view to or subsequent to forced marriage, habeas corpus is effective there to secure the attendance of children and young adults at court, so that the judge may ascertain their true wishes and, if coercion is established, ensure their release and (if they wish) their return to this country."
"who is or may be in need of community care services by reason of mental or other disability, age or illness and who is or may be unable to take care of him or herself, or unable to protect him or herself against significant harm or exploitation."
"The court has jurisdiction to grant whatever relief in declaratory form is necessary to safeguard and promote the incapable adult's welfare and interests."
"There is no doubt that, generally speaking, this branch of the court's inherent jurisdiction extends not merely to declaratory relief but also to the grant of injunctive relief: see AvA Health Authority, In Re J (A Child), R (S) v Secretary of State for the Home Department[2002] EWHC 18 (Fam/Admin),[2002] Fam 213 , at para [44]. And notwithstanding the qualification which I there expressed it is now, in my judgment, clearly established that the jurisdiction in such cases is not limited to the grant of interlocutory injunctions but extends to the grant of final injunctions. I have myself granted such injunctions in previous unreported cases involving incompetent adults."
"In appropriate circumstances there is jurisdiction to make an order to restrain those responsible for an adult lacking capacity from entering into a contract of marriage whether formal or informal if it is required to protect that adult's best interests."
"what is sought in this case is the preservation of the status quo while proper inquiries are made. The appropriate way to achieve this is obviously by way of an interlocutory injunction ... if the position is not yet known, then as long as there is a serious question to be tried (in accordance with the principles laid down in American Cyanamid Co v Ethicon Ltd[1975] AC 396 ), it may well be just and convenient to preserve the status quo while it is determined. Of course, in this case the status quo can be preserved by an injunction in negative terms. A more difficult problem arises in a case such as the Riverside case,[1994] 1 FLR 614 , where drastic, positive, coercive steps may be needed to achieve this. I hold, therefore, that there is power to grant an interlocutory injunction to prevent the patient's removal and thus to preserve the present position pending the hearing of the plaintiff's originating summons."
"[50] ... The court has jurisdiction to grant whatever relief in declaratory form is necessary to safeguard and promote the incapable adult's welfare and interests. If the court thinks that his interests will best be served by a judicial identification of some third party as the most appropriate person to be responsible not merely for his care but also for taking the kind of decisions to which I have already referred ... then, in my judgment, there can be no objection whatever to the court so declaring. Indeed, were the court not to do so in an appropriate case, it would, as it seems to me, be failing in its duties under both the common law and the Convention. After all, to declare that some specified person who is, in the eyes of the court, the most appropriate person to assume responsibility for this aspect of a patient's care is also to be clothed with practical decision-making on behalf of the patient, is merely to state explicitly that he has those powers and responsibilities which would in any event be reposed in him by the doctrine of necessity. Moreover, some such mechanism is essential if those caring for the incapable are to allowed to get on with their task without the need for endless reference to the court – something which (cases in the 'special' category apart) would serve neither the public interest nor the interests of the mentally incapacitated. [51] So, subject always to being satisfied that this really is in the best interests of the mentally incapacitated person, the court has, and in my judgment always has had, power to declare that some specified person is to be, in relation to specified matters, what is, in effect, a surrogate decision-maker for the incapable adult."
"[106] ... The parents may well believe that marriage is in S's best interests. There is a powerful cultural motivation for this and a history of resistance to views other than their own. I cannot rely on their protestations to the contrary. S requires protection from family pressures drawn by cultural priorities when the parents' protection regrettably cannot be trusted. A protection against a risk that is neither understood nor accepted by those responsible for safeguarding S is no protection when faced with strong motivation to ignore the risk. [107] In my judgment, the parents' lack of understanding and insight, their hostility to any interference as shown by the father, their lack of realism and logic, and their inadvertent admissions that they have marriage in mind persuade me that there is a real risk that they would carry this out. The evidence in its totality makes it, in my judgment, likely to a high degree. The consequences for S would be a real disaster."
"If, therefore, she has been through or faces the prospect of going through a ceremony of marriage with which she is, in fact, not in agreement it would be a voidable marriage, but nevertheless one which might engender irreparable and severe physical and emotional consequences for its victim."
"it has always been the principle of this court, not to risk the incurring of damage to children which it cannot repair, but rather to prevent the damage being done."
"is founded on the obvious necessity that the law should place somewhere the care of individuals who cannot take care of themselves, particularly in cases where it is clear that some care should be thrown around them."
"An application for wardship ... may be made by a relative, a friend close to the young person, or by ... CAFCASS ... Social services are not able to make a child a ward of court."
"The making of a care order with respect to a child who is a ward of court brings that wardship to an end."
"No court shall exercise the High Court's inherent jurisdiction with respect to children ... so as to make a child who is the subject of a care order a ward of court."
"No application for any exercise of the court's inherent jurisdiction with respect to children may be made by a local authority unless the authority have obtained the leave of the court."
"It is submitted that, applying the above principles to the issue of forced marriages and having regard to the need in such cases for urgent, immediate and effective relief, the inherent jurisdiction is the only route available to safeguard and protect a "child" and to prevent the child from suffering significant harm, particularly by removal from the jurisdiction of the court. In such cases, there is often no effective interested party who is able to make the application other than the local authority. Therefore, the local authority should confidently apply for leave to invoke the inherent jurisdiction and the court's approach to such an application should be sympathetic and robust as in Re A (Wardship: Jurisdiction)[1995] 1 FLR 767 ; and Re KR (Abduction: Forcible Removal by Parents)[1999] 2 FLR 542 . Where the victim of the forced marriage and abduction is an adult the inherent jurisdiction should also be invoked on similar principles as those which apply in cases where the subject of the proceedings is unable to make the application personally due to some incapacity."
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