“In any event DL must change the way he has behaved towards his parents as this has compromised the extent to which they have the capacity to make all decisions in respect of their lifestyle, living arrangements, personal and inter personal relationships.”
“It is now clear, in my judgment, that the court exercises 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 jurisdictions in relation to children. The court exercises a 'protective jurisdiction' in relation to vulnerable adults just as it does in relation to wards of court.”
"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."
“46. It has always been recognised that the jurisdiction is exercisable in relation to any adult who is for the time being, and whether permanently or merely temporarily, either disabled by mental incapacity from making his own decision about the matter in hand or, although not mentally incapacitated, unable to communicate his decision: see in particular Lord Goff of Chieveley in In re F (Mental Patient: Sterilisation)[1990] 2 AC 1 at pages 75-76. 47. It has also been recognised that the jurisdiction is exercisable on an interim basis "while proper inquiries are made" and while the court ascertains whether or not an adult is in fact in such a condition as to justify the court's intervention: see In re S (Hospital Patient: Court's Jurisdiction)[1995] Fam 26 per Hale J (as she then was) esp at pages 33, 36. 48. The question is whether the jurisdiction extends further. In my judgment it does. I must now explain why.”
"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." 56. Lord Donaldson of Lymington MR made some general comments at page 113 which are important in the present context: "
"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."
"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." 67. Picking up the chronological thread, I refer next to what Hedley J said in In re Z (Local Authority: Duty)[2004] EWHC 2817 (Fam) ,[2005] 1 WLR 959 , at para [13]: "
"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 )."
“76. In the light of these authorities it can be seen that the inherent jurisdiction is no longer correctly to be understood as confined to cases where a vulnerable adult is disabled by mental incapacity from making his own decision about the matter in hand and cases where an adult, although not mentally incapacitated, is unable to communicate his decision. The jurisdiction, in my judgment, extends to a wider class of vulnerable adults. 77. It would be unwise, and indeed inappropriate, for me even to attempt to define who might fall into this group in relation to whom the court can properly exercise its inherent jurisdiction. I disavow any such intention. It suffices for present purposes to say that, in my judgment, the authorities to which I have referred demonstrate that the inherent jurisdiction can be exercised in relation to a vulnerable adult who, even if not incapacitated by mental disorder or mental illness, is, or is reasonably believed to be, either (i) under constraint or (ii) subject to coercion or undue influence or (iii) for some other reason deprived of the capacity to make the relevant decision, or disabled from making a free choice, or incapacitated or disabled from giving or expressing a real and genuine consent. 78. I should elaborate this a little: i) Constraint: It does not matter for this purpose whether the constraint amounts to actual incarceration. The jurisdiction is exercisable whenever a vulnerable adult is confined, controlled or under restraint, even if the restraint is only of the kind referred to by Eastham J in Re C (Mental Patient: Contact)[1993] 1 FLR 940 . It is enough that there is some significant curtailment of the freedom to do those things which in this country free men and women are entitled to do. ii) Coercion or undue influence: What I have in mind here are the kind of vitiating circumstances referred to by the Court of Appeal in In re T (Adult: Refusal of Treatment)[1993] Fam 95 , where a vulnerable adult's capacity or will to decide has been sapped and overborne by the improper influence of another. In this connection I would only add, with reference to the observations of Sir James Hannen P in Wingrove v Wingrove (1885) 11 PD 81, of the Court of Appeal in In re T (Adult: Refusal of Treatment)[1993] Fam 95 , and of Hedley J in In re Z (Local Authority: Duty)[2004] EWHC 2817 (Fam) ,[2005] 1 WLR 959 , that where the influence is that of a parent or other close and dominating relative, and where the arguments and persuasion are based upon personal affection or duty, religious beliefs, powerful social or cultural conventions, or asserted social, familial or domestic obligations, the influence may, as Butler-Sloss LJ put it, be subtle, insidious, pervasive and powerful. In such cases, moreover, very little pressure may suffice to bring about the desired result. iii) Other disabling circumstances: What I have in mind here are the many other circumstances that may so reduce a vulnerable adult's understanding and reasoning powers as to prevent him forming or expressing a real and genuine consent, for example, the effects of deception, misinformation, physical disability, illness, weakness (physical, mental or moral), tiredness, shock, fatigue, depression, pain or drugs. No doubt there are others. 79. I am not suggesting that these are separate categories of case. They are not. Nor am I suggesting that the jurisdiction can only be invoked if the facts can be forced into one or other of these headings. Quite the contrary. Often, indeed, the facts of a particular case will exhibit a number of these features. There is, however, in my judgment, a common thread to all this. The inherent jurisdiction can be invoked wherever a vulnerable adult is, or is reasonably believed to be, for some reason deprived of the capacity to make the relevant decision, or disabled from making a free choice, or incapacitated or disabled from giving or expressing a real and genuine consent. The cause may be, but is not for this purpose limited to, mental disorder or mental illness. A vulnerable adult who does not suffer from any kind of mental incapacity may nonetheless be entitled to the protection of the inherent jurisdiction if he is, or is reasonably believed to be, incapacitated from making the relevant decision by reason of such things as constraint, coercion, undue influence or other vitiating factors. 80. It will be noticed that I have referred to the inherent jurisdiction as being exercisable not merely where a vulnerable adult is, but also where he is reasonably believed to be, incapacitated. As I have already pointed out, it has long been recognised that the jurisdiction is exercisable on an interim basis "while proper inquiries are made" and while the court ascertains whether or not an adult is in fact in such a condition as to justify the court's intervention. That principle must apply whether the suggested incapacity is based on mental disorder or some other factor capable of engaging the jurisdiction. As Singer J put it in Re SK (Proposed Plaintiff) (An Adult by way of her Litigation Friend)[2004] EWHC 3202 (Fam) ,[2005] 2 FLR 230 , at para [9], and I agree, the court has power to make orders and to give directions designed to ascertain whether or not a vulnerable adult has been able to exercise her free will in decisions concerning her civil status.”
“82. In the context of the inherent jurisdiction I would treat as a vulnerable adult someone who, whether or not mentally incapacitated, and whether or not suffering from any mental illness or mental disorder, is or may be unable to take care of him or herself, or unable to protect him or herself against significant harm or exploitation, or who is deaf, blind or dumb, or who is substantially handicapped by illness, injury or congenital deformity. This, I emphasise, is not and is not intended to be a definition. It is descriptive, not definitive; indicative rather than prescriptive. 83. The inherent jurisdiction is not confined to those who are vulnerable adults, however that expression is understood, nor is a vulnerable adult amenable as such to the jurisdiction. The significance in this context of the concept of a vulnerable adult is pragmatic and evidential: it is simply that an adult who is vulnerable is more likely to fall into the category of the incapacitated in relation to whom the inherent jurisdiction is exercisable than an adult who is not vulnerable. So it is likely to be easier to persuade the court that there is a case calling for investigation where the adult is apparently vulnerable than where the adult is not on the face of it vulnerable. That is all.”
“68. Section 47 apart, if a local authority seeks to control an incapacitated or vulnerable adult it must enlist the assistance of either the Court of Protection or the High Court: see Re BJ (Incapacitated Adult)[2009] EWHC 3310 (Fam) ,[2010] 1 FLR 1373 , at paras [21]-[22], and cf Re Z (Local Authority: Duty)[2004] EWHC 2817 (Fam) ,[2005] 1 FLR 740 , at para [19], and E (by her litigation friend the Official Solicitor) v Channel Four; News International Ltd and St Helens Borough Council[2005] EWHC 1144 (Fam) ,[2005] 2 FLR 913 , at paras [2], [69]. Otherwise it may find itself being sued in tort: see Re S (Vulnerable Adult)[2007] 2 FLR 1095 at para [19]. The Court of Protection has statutory jurisdiction under theMental Capacity Act 2005 in relation to adults who lack capacity. The High Court has an inherent jurisdiction in relation not merely to adults who lack capacity but also to vulnerable adults: see Re SA (Vulnerable Adult with Capacity: Marriage)[2005] EWHC 2942 (Fam) ,[2006] 1 FLR 867 .”
“does not merely compel the state to abstain from….interference: in addition to this primarily negative undertaking, there may be positive obligations inherent in an effective ‘respect’ for family life.”
‘While the essential object of Art 8 is to protect the individual against arbitrary interference by the public authorities, it does not merely compel the State to abstain from such interference: in addition to this negative undertaking, there may be positive obligations inherent in effective respect for private or family life. These obligations may involve the adoption of measures designed to secure respect for private life even in the sphere of the relations of individuals between themselves…. In order to determine whether such obligations exits, regard must be had to the fair balance that has to be struck between the general interest and the interest of the individual’
“"It is a flexible remedy and adaptable to ensure the protection of a person who is under a disability … 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), to use the common law as the great safety net to fill gaps where it is clearly necessary to do so”. (3) Miss Lieven Q.C. submits that it was always the Court’s position that the inherent jurisdiction operated as a short term mechanism to fill the gap that existed and meet the needs of those who would fall through that gap. That approach was subsequently widened to incorporate, within the inherent jurisdiction, not only those who lacked capacity, but adults who did have capacity but who might be under constraint, subject to coercion or undue influence. In SA ibid Munby J set the position out in paras [76] – [79]. (4) Miss Lieven Q.C. summarised the principles that emerged in the scope of the inherent jurisdiction before the MCA: (i) Autonomy: (see B v An NHS Trust[2002] EWHC 429 (Fam) Dame Elizabeth Butler-Sloss P para [27]). This principle could only be violated in restricted circumstances, which in the common law was described as the principle of necessity. Cases have expressly emphasised that the right of choice or autonomy exists whether the reasons for that choice are rational or not. These principles are not limited to cases concerning medical treatment (see D-R (Adult Contact)[1999] 1 FLR 1161 ). (ii) Capacity: The principle of autonomy is based upon a condition precedent, that the individual has capacity to reach the decision. Every adult is presumed to have that capacity, but that presumption is one which can be rebutted. The general rule is that the test of capacity is the ability to understand the nature and quality of the transaction at stake, whether that is marriage, sexual intercourse, the making of a will, to consent to medical treatment or to conduct litigation. The scope for intervention was extended in Re SK[2004] EWHC 3202 (Fam) by Singer J in a forced marriage case. Due to the specific characteristics of forced marriage the individual concerned may be incapacitated by virtue of duress/coercion (para [8]). In Local Authority X v MM and KM[2007] EWHC 2003 (Fam) Munby J summarised the law as to capacity at para [92]. (iii) Necessity: This doctrine renders lawful that which absent consent would otherwise be unlawful. (iv) Best Interests: In reaching conclusions as to whether a remedy is in fact in the best interests of the individual concerned, both courts and local authorities alike must not act as “social engineers” (Re O (a minor)(custody or adoption) [1992] 1 FCR 378 per Butler-Sloss LJ). (v) The right to counsel or advice: The court has upheld (specifically in respect of the right to have treatment withdrawn or the right to refuse treatment) that an individual assessed as having the requisite capacity to reach a decision can be dissuaded from adopting that course. Where there is capacity advisors can explore the scope of the decision and seek to persuade the individual to alter that decision. (vi) Vulnerability: In SA (supra) Munby J attempted to provide a definition for what might be a vulnerable adult, making it plain that such a person could not be rigidly and narrowly defined (see paras [81] – [83]). (5) Miss Lieven Q.C. places emphasis on the fact that SA predates implementation of the MCA, as the foundation of her main submission is that the MCA filled the gap. She refers to para 64 of the Joint Committee Report (supra) and, what she submits, is the plain intention that the Bill provide a comprehensive approach to issues around capacity and best interests: 64. We note that the only exception in current law to the principle that a competent person has a right to make such decisions for him/herself is in the case of treatment for a mental disorder where the wishes of a competent person could, under specific circumstances, still be over-ruled under the terms of the Mental Health Act, 1983. In all other situations a person's 'decision-making capacity' is the pivotal issue that determines whether his/her decision must be respected or not. The same principle of autonomy also applies to decisions outside that of health care. It was likewise accepted that a fundamental right for all individuals with capacity was to make decisions that might be deemed unwise or irrational (see paras 72 and 78). Miss Lieven Q.C. submits that what was envisaged in such circumstances was ultimately to provide a level of support to safeguard against abuse and no more, absent incapacity. It was also acknowledged in the report that whomsoever one resided with or whom one spent a considerable degree of time with there would be a degree of influence. Therefore, the Bill was drawn up with express consideration of the issues around the potential influence (and by implication potential duress) that may exist in a person’s home and from close family members (see para 104). She relied on recommendation 16 from The Joint Committee and the Government’s response set out at paragraphs 42 and 43above. Having traced through this history Miss Lieven Q.C. submits that the MCA codifies the gaps that the inherent jurisdiction had filled. Whilst the common law retains significant relevance as to the interpretation of the Act, it must be recalled that such common law only emerged as a consequence of a gap identified by the courts. With the MCA and its accompanying Code of Practice, all rights pertaining to capacity have been codified and a new Court has been created to hear the determination of those rights. It has been held that the common law cannot go behind statute where that statute was intended to be exhaustive (see Black v Forsey [1988] S.C. (H.L) 28). (6) Miss Lieven Q.C. submits the cases that have considered the inherent jurisdiction since the coming into force of the MCA have dealt with importantly different situations to the present case. (see: Ealing LBC v KS, LU and others[2008] EWHC 636 (Fam) ). In A: A Local Authority v (1) A (2) B and Equality and Human Rights Commission (intervenor); In the matter of Claimant: A Local Authority v (1) Claimant (2) Defendant (3) E and Equality and Human Rights Commission (intervenor)[2010] EWHC 978 (Fam) , Munby LJ (sitting as a first instance judge in the Court of Protection) briefly confirmed that it was his view that the High Court retained the SA jurisdiction in relation to vulnerable adults, but the case concerned children and incapacitated adults so, submits Miss Lieven Q.C., are of little or no assistance on the issue before the court. In A Local Authority v Mrs A (by her Litigation Friend the Official Solicitor) and Mr A[2010] EWHC 1549 (Fam) Bodey J heard an application from a local authority seeking a declaration that (i) Mrs A lacked capacity to decide whether to use contraception and (ii) that it was in her best interests to receive contraception. Bodey J dealt with the question of the retention of the inherent jurisdiction. Miss Lieven Q.C. relies of what he states at para [79] “...The purpose in respect of a capacitated but vulnerable adult, is to create a situation where he or she can receive outside help free of coercion, to enable him or her to weigh things up and decide freely what he or she wishes to do.”