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Derbyshire County Council v A Mother and A Father [2013] EWHC 1864 (Fam)

Sep 29, 2018, 21:13 PM
Care proceedings were initiated in relation to the two children, A and O. O suffered from quadriplegia, secondary cerebral palsy and was visually impaired. A had no disabilities but had been exposed to frequent invasive medical treatment which meant that he had been artificially fed throughout his life and had spent protracted periods of time in hospital.
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Meta Title : Derbyshire County Council v A Mother and A Father [2013] EWHC 1864 (Fam)
Meta Keywords : Care proceedings – Fact-finding hearing – Mother’s somatisation disorder – Salt poisoning
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Date : Jul 9, 2014, 04:46 AM
Article ID : 114435
(Family Division, Eleanor King J, 25 June 2013)

Care proceedings – Fact-finding hearing – Mother’s somatisation disorder – Salt poisoning

 Please see the attached file below for the full judgment.

Care proceedings were initiated in relation to the two children, A and O. O suffered from quadriplegia, secondary cerebral palsy and was visually impaired. A had no disabilities but had been exposed to frequent invasive medical treatment which meant that he had been artificially fed throughout his life and had spent protracted periods of time in hospital.

A was admitted to hospital with a suspected thigh infection and remained in hospital for a number of weeks during which time blood tests revealed he had an unexpectedly high level of sodium in his blood leading treating medics to be concerned that he had been administered sodium by a third party.

 Care proceedings were initiated and the mother moved out of the family home leaving the child in the care of the father and paternal grandmother. Pending a fact-finding hearing reports were obtained from a consultant psychiatrist who diagnosed the mother as suffering from a somatisation disorder. The court was asked to determine whether the child had sustained salt poisoning due to the actions of the mother.

It became clear during proceedings that not all of the medical data was available including urine chemistry and weight calculations.

The view of the consultant nephrologist was that the child’s high sodium levels were due to a sodium overload without dehydration based upon the difficulty the mother would have had administering salt orally to the child. However, once he was reminded of the child’s gastrostemy still being in place and the possibility of the mother diluting the salt and putting it in the gastrostemy tube, he was certain that that was the explanation. A consultant paediatric pathologist was less certain of this explanation but as a clinician she was inclined to be more cautious in making such a serious diagnosis where some of the recommended data was missing.

On the balance of probabilities the mother had administered salt to the child on two occasions causing a sodium overload.

The fully referenced, judicially approved judgment and headnote will appear in a forthcoming issue of  Family Law Reports. A detailed summary and analysis of the case will appear in Family Law.


 
 Neutral Citation Number: [2013] EWHC 1864 (Fam)
 Case No: ER12C00080

 IN THE HIGH COURT OF JUSTICE FAMILY DIVISION
 Birmingham Civil Justice Centre, 33 Bull Street, Birmingham B4 6DS.

 25/06/2013

 
 
B e f o r e :
 
MRS JUSTICE KING DBE
 ____________________

 Between:

 DERBYSHIRE COUNTY COUNCIL
 Applicant

 - v-

 A MOTHER And  A FATHER
 1st Respondent
 2ndRespondent

 ____________________

 Tape Transcription by Marten Walsh Cherer Ltd., 1st Floor, Quality House, Quality Court, Chancery Lane, London WC2A 1HP. Telephone No: 020 7067 2900. Fax No: 020 7831 6864

 ____________________

 MR A HAYDEN, Q.C. and MR G SEMPLE, of counsel, appeared for the Applicant
 MISS KNOWLES, Q.C. and MISS HEALING, of counsel, appeared for the First Respondent
 MISS CHEETHAM, of counsel, appeared for the Second Respondent
 MISS ROGERS, of counsel, appeared for the younger children
 MISS BUDDEN, of counsel, appeared for the older children

____________________ 
 
 

 JUDGMENT

 Derbyshire County Council v A Mother and A Father [2013] EWHC 1864 (Fam) 
 
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