(Family Division, Moor J, 4 March 2014)
Care proceedings - Fabricated illness - Excessive doses of insulin
The 7-year-old boy suffered from Type 1 diabetes and was insulin dependant. The mother had a troubled history with mental health problems. She had on occasion attempted to commit suicide. The father did not have parental responsibility and took no part in the child's life.
The local authority initiated care proceedings while the mother was in hospital and the child was made subject to a series of interim care orders. He currently lived with the maternal aunt and uncle and had contact with the mother three times per week.
The local authority asserted that this was a case of fabricated illness in which at times the mother had given the child excessive doses of insulin causing him to suffer hypoglycaemic episodes necessitating hospital treatment. She had also fabricated illness in relation to herself telling the child that she had cancer.
It was inevitable that the threshold had been crossed on the balance of probabilities, in reliance of the medical evidence the mother had given the child excessive doses of insulin. By the time of the hearing the mother accepted that inevitability. In those circumstances in furthering the overriding objective, it was unnecessary to conduct a full fact-finding hearing.