“I am not sure you [Dr S] can help any further. You are acting as the treating physician here. We, as a department, have said we are concerned. This concern (to put it bluntly for social care) is that we think the children are victims of FII at a level of the balance of probability. […] it is now for CSC and Child Care Legal to decide how they manage this. They could decide that threshold has been crossed and commence Proceedings. An independent expert report would be sought on behalf of the Court. They might form the view that, as the concerns are now widely understood by all those interacting with the children, and because the concerns have not involved major intervention eg like surgery etc, that this could be managed without Proceedings. Here the risk would be that opinions far outside our remit and control have been obtained for them – some of them privately for dubious reasons. It would be difficult to ensure that these other opinions were shared with professionals working with the family without an order.”
“This is all a little unusual and not the way that my colleagues and I understand that FII case investigations are conducted. I have already provided comprehensive chronologies for both children and shared these at the initial meeting. The unanimous view of my colleagues and I is that there are significant concerns that these children are at risk of harm, primarily emotional harm because of restrictions placed upon them and evolving reported medical issues. The above chronologies do not provide any new information to that which has already been shared. This is clearly a very difficult case, but the next step is for Children’s Social Care and the Legal Team to decide how best to manage this situation. If the way forward is unclear then it would be sensible to invite the local Designated Doctor to the next meeting for her valuable opinion and input - and this is what I would suggest. We are not concerned about immediate harm and so this can be arranged so that all those involved can attend. As the treating doctor, I also need to be at future meetings, but do need more notice than a few days.”
“She said it’s not the usual way for FII cases and that she has given everything she can give. She said it is not her job, but everyones together. She said there is no new information in the chronologies to change her view. She does feel there is risk of significant harm, but she does not think the children are going to be poisoned or at immediate harm, so there is time to plan. She said that it is a difficult case and needs to be decided how to manage it and she is not an expert witness. She said that the designated Dr K should be included.”
“After careful consideration and deliberation it is felt that on balance that the children are potentially experiencing emotional and physical harm. When considering the possible ways forward the safest option appears to be care proceedings because there is strong evidence suggesting that mum does not adhere to the agreements made with health professionals, indicating that she would not adhere to the requests made under child protection. The chronology highlights that mum has not listened to Dr S’s requests, therefore indicating that she is willing to disregard professional advice and act in a cover manner. A Child Protection Plan is only safe if parents agree to work alongside it, openly, honestly and transparently. The evidence indicated that this is unlikely therefore; Child protection procedure could increase the risk to the children and be unmanageable from a social care point of view. What we know is that mother is exhibiting signs of heightened anxiety and Child Protection procedures are only going to increase this. Again this will increase the risks for the children. A strong worry is that health has already done the advising but mum has not listened and continues to take the children to London to seek private consultation… The level of potential risk, the unknowns and the history of mum’s engagement with health leads us to concluded that the potential harm for the children is significant and that child protection procedures would not be a robust enough threshold to work under in order to proceed. By being in care proceedings the court would assist in ensuring that relevant professional assessments were undertaken and that parents understood the seriousness of the concerns.”
“Parents would be arrested and interviewed and we all agreed that this needed to take place when the children were not in parents care. Social care advised that the court documents would be filed with court the week following this meeting and asked the police to co-ordinate with social care, so that any powers used to remove the children did not run out before an order was made to safeguard the children”. (ii) One version of the notes records that the court paperwork was “almost completed”; that an urgent hearing could be requested; and that the police would need to search house to gather evidence. It was anticipated that there would be a further meeting once the timeframe for action was known, which would be a “strategy discussion between Police and Social care looking at practical elements to Intervening whilst protecting the children and potential evidence”. (iii) On17 May 2017 DS Pope noted her understanding of the meeting’s outcome on the police log as being that the arrest of both parents was to “occur on the same day that SC [D1] go to court for the care order”
“I just want to be really clear about this, having spoken to Hannah and receiving the below I am a little concerned that the court paperwork has not yet gone in. It was agreed that the action would be taken W/C 22nd May, this action was the arrest of the parents on the same day that SC took this to court. It was agreed that this need[s] to be done before half term. There is no monitoring of the children during half term and I would be very concerned to leave them without any monitoring. The school is our safety net at this moment in time. It was agreed at the meeting that this week we would further liaise and agree a date for next week to take the action. This is clearly not going to happen if the court paperwork has not been submitted and is unlikely to be done until tomorrow. Whilst we can act very quickly if the need arises, the best outcome would be for the planned approach we agreed upon as we need time to arrange to have the required number of officers for the day in question. This is to ensure that we are able to gather best evidence on the day and be able to plan other work commitments around this, something that we are struggling with at the moment. Can I ask that I am kept up to date with your current position and you express the urgency to your legal department for a date? I appreciate that you are also very busy, I just feel strongly that we need to stick to the agreement from the strategy meeting to ensure that this goes as smoothly as possible.”
“I understand your concern and maybe I was not clear in the logistics of issuing care proceedings. I said that the court paper work would be filed the week beginning22nd March 2017 . This is sent to legal and then legal write the threshold document and make the application. It is up to legal whether threshold is met for an urgent hearing or the standard 14 day. We are on target for filing today and legal are up to date with our positions. There are some logistical issues with half term coming up and we can ask for a urgent hearing but the argument maybe that the children have been in the home during half term without them being placed at immediate risk. It maybe that it has to be done over the half term but legal will make the final decision. I know that you have staffing issues to sort and as soon as I have heard from legal I will let you know”
“Reason for believing child was at risk of immediate significant harm…Concerns have been raised by medical professionals that parents are fabricating illness in their two children which is leading to unnecessary medical treatments and appointments. There is policy around fabricated and induced illness to state that the children are at an increased risk at harm when the parents become aware of these concern”
“The case concerns fabricated illness. On the24th May 2017 both GHI and JKL were taken into Police Protection after the Police had arrested the parents earlier that day. The Police have indicated to the Local Authority that they were concerned regarding fabricated illness and wanted to act without warning being given to the parents in order to preserve evidence for their criminal investigation.”
“(1) An interim order is inevitably made at a stage when the evidence is incomplete. It should therefore only be made in order to regulate matters that cannot await the final hearing and it is not intended to place any party to the proceedings at an advantage or a disadvantage. (2) The removal of a child from a parent is an interference with their right to respect for family life under Art. 8. Removal at an interim stage is a particularly sharp interference… (3) Accordingly, in all cases an order for separation under an interim care order will only be justified where it is both necessary and proportionate. The lower (‘reasonable grounds’) threshold for an interim care order is not an invitation to make an order that does not satisfy these exacting criteria. (4) A plan for immediate separation is therefore only to be sanctioned by the court where the child’s physical safety or psychological or emotional welfare demands it and where the length and likely consequences of the separation are a proportionate response to the risks that would arise if it did not occur. (5) The high standard of justification that must be shown by a local authority seeking an order for separation requires it to inform the court of all available resources that might remove the need for separation.”
“The social workers were at all times dealing with a challenging situation which required balanced judgments to be made, not only as to past facts…but as to future courses of action, each of which involved advantages and disadvantages which had to be weighed up, with no certainty of a good outcome whatever they did. The actions required of them in such situations were not obvious…”
“1. Everyone has the right to respect for his private and family life, his home and his correspondence. 2. There shall be no interference by a public authority with the exercise of this right except such as is in accordance with the law and is necessary in a democratic society in the interests of national security, public safety or the economic well-being of the country, for the prevention of disorder or crime, for the protection of health or morals, or for the protection of the rights and freedoms of others.”
“Although this passage is concerned with the margin of appreciation that should be, it seems to me that there is much here that has application when the national court is reviewing the decision of an authority to seek to remove a child from those who have custody of him or her. An authority such as the Council in the present case is better equipped than the court to judge how urgent a situation is, and whether in all the circumstances removal of the child is necessary. In my view, therefore…[social workers]…should be allowed some latitude by the court when reviewing their decisions in these difficult cases where they have reasonable cause to believe that a child is at risk of significant harm. Of course, the court should never lose sight of the fact that the removal of children from those who have custody of them is an extreme form of interference with family life and calls for compelling justification.”
“If the custody officer has reasonable grounds for believing that the person’s detention without being charged is necessary to secure or preserve evidence relating to an offence for which the person is under arrest or to obtain such evidence by questioning the person, he may authorise the person arrested to be kept in police detention.”