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Neglect Found to Have Contributed to Death Where There Was Post-Operative Bleeding

<!-- wp:paragraph --> <p>Abigail represented the family of Maxine Spittlehouse who underwent a total abdominal hysterectomy at Kinvara Private Hospital on 16 July 2024. The Deceased was being treated as an NHS patient.</p> <!-- /wp:paragraph --><!-- wp:paragraph --> <p>Post-operatively, Mrs Spittlehouse suffered significant pain. She then deteriorated overnight with symptoms including pain, tachycardia, reduced urine output, and reduced, and later unrecordable, blood pressures.</p> <!-- /wp:paragraph --><!-- wp:paragraph --> <p>Mrs Spittlehouse’s overnight care was provided by a single junior doctor and two nurses. During the night, the two nurses had repeatedly expressed their concerns about Mrs Spittlehouse’s deterioration and stated that they felt that she needed to be transferred to Rotherham District Hospital where post-operative bleeding could be definitively diagnosed and treated.</p> <!-- /wp:paragraph --><!-- wp:paragraph --> <p>The Coroner found Mrs Spittlehouse had started to suffer with internal bleeding at around 01:30 am and that by 3:30 the junior doctor had thought that this was the cause of Mrs Spittlehouse’s deterioration. Nonetheless, the junior doctor did not seek input from Mrs Spittlehouse’s treating consultant surgeon until after 5am. During that telephone conversation, the Coroner found that the junior doctor failed to convey important information regarding the woman’s deterioration and the consultant failed to ask questions to enable him to identify that Mrs Spittlehouse was suffering with internal bleeding.</p> <!-- /wp:paragraph --><!-- wp:paragraph --> <p>There was then a further delay in transferring Mrs Spittlehouse to a hospital that was equipped to deal with the internal bleeding until after Mrs Spittlehouse had suffered a cardiac arrest after 07:30. Mrs Spittlehouse died of a hypoxic brain injury arising from the cardiac arrest.</p> <!-- /wp:paragraph --><!-- wp:paragraph --> <p>The Coroner found that there were cumulative failings on the part of the junior doctor and consultant surgeon in failing to ensure that basic checks were made to identify if Mrs Spittlehouse was bleeding internally. These included not obtaining blood results earlier, not escalating concerns to the consultant surgeon earlier and not effecting transfer of Mrs Spittlehouse to a hospital where her internal bleeding could be treated.</p> <!-- /wp:paragraph --><!-- wp:paragraph --> <p>The Coroner concluded that the high threshold for a finding of neglect as part of her narrative conclusion was met and that, ultimately, Mrs Spittlehouse’s death was avoidable.</p> <!-- /wp:paragraph --><!-- wp:paragraph --> <p><em>Abigail was instructed by <a href="https://www.medical-solicitors.com/about-us/christine-brown/" target="_blank" rel="noreferrer noopener">Christine Brown</a> and <a href="https://www.medical-solicitors.com/about-us/gita-sarda/" target="_blank" rel="noreferrer noopener">Dr Gita Sarda</a> at Medical Solicitors. Their press release can be found <a href="https://www.medical-solicitors.com/news/inquest-support-for-family-of-fatal-private-hysterectomy-patient/" target="_blank" rel="noreferrer noopener">here</a>. </em></p> <!-- /wp:paragraph --><!-- wp:paragraph --> <p><em>Further details reported by <a href="https://www.bbc.co.uk/news/articles/c14xd166e08o" target="_blank" rel="noreferrer noopener">the BBC</a>.</em></p> <!-- /wp:paragraph --><!-- wp:paragraph --> <p></p> <!-- /wp:paragraph -->

10th June 2025 | PLP Trust and Probate Conference

<!-- wp:paragraph --> <p>Join our specialist barristers at the PLP Trust and Probate Conference to be held at the Queens Hotel on Tuesday 10th June.</p> <!-- /wp:paragraph --><!-- wp:paragraph --> <p>The price per delegate is £75.00 + VAT and includes lunch, afternoon refreshments and a post-conference drinks reception.</p> <!-- /wp:paragraph --><!-- wp:paragraph --> <p></p> <!-- /wp:paragraph --><!-- wp:paragraph --> <p><strong>Programme</strong></p> <!-- /wp:paragraph --><!-- wp:paragraph --> <p>12:00 - 13:15 - Registration &amp; Lunch</p> <!-- /wp:paragraph --><!-- wp:paragraph --> <p>13:15 - 13:30 - Welcome</p> <!-- /wp:paragraph --><!-- wp:paragraph --> <p>13:30 - 14:00 - <a href="https://www.parklaneplowden.co.uk/our-barristers/sarah-harrison/" target="_blank" rel="noreferrer noopener">Sarah Harrison</a><br><em>“Protecting Trustees From Liability"<br></em>Beddoe Orders, indemnities, liens and other stuff</p> <!-- /wp:paragraph --><!-- wp:paragraph --> <p>14:00 - 14:30 - <a href="https://www.parklaneplowden.co.uk/our-barristers/marisa-lloyd/" target="_blank" rel="noreferrer noopener">Marisa Lloyd</a><br><em>“Navigating Fiduciary Duties: Insights from Irwin Mitchell Trust Corporation v PW &amp; Anor [2024] EWCOP 16”</em></p> <!-- /wp:paragraph --><!-- wp:paragraph --> <p>14:30 - 15:00 - <a href="https://www.parklaneplowden.co.uk/our-barristers/anna-metcalfe/" target="_blank" rel="noreferrer noopener">Anna Metcalfe</a><br><em>“Understanding remedies for breach of trust – identifying the right remedy against the right person”</em></p> <!-- /wp:paragraph --><!-- wp:paragraph --> <p>15:00 - 15:30 - Tea Break</p> <!-- /wp:paragraph --><!-- wp:paragraph --> <p>15:30 - 16:00 - <a href="https://www.parklaneplowden.co.uk/our-barristers/cait-sweeney/" target="_blank" rel="noreferrer noopener">Cait Sweeney</a><br><em>“Trust Issues: When it’s all just a sham”</em></p> <!-- /wp:paragraph --><!-- wp:paragraph --> <p>16:00 - 16:30 - <a href="https://www.parklaneplowden.co.uk/our-barristers/nicola-phillipson-tep/" target="_blank" rel="noreferrer noopener">Nicola Phillipson</a><br><em>“In Dogs/Cats/Sheep we Trust"<br></em>Nicola Phillipson considers pets and purpose trusts</p> <!-- /wp:paragraph --><!-- wp:paragraph --> <p>16:30 onward - Networking &amp; Drinks</p> <!-- /wp:paragraph --><!-- wp:paragraph --> <p><em>Please confirm your attendance by emailing our events team:&nbsp;<a href="mailto:events@parklaneplowden.co.uk" target="_blank" rel="noreferrer noopener">events@parklaneplowden.co.uk</a>.</em></p> <!-- /wp:paragraph --><!-- wp:paragraph --> <p></p> <!-- /wp:paragraph -->

Cases of parental death before protective measures – a reaffirmation of the Children Act&#8217;s adaptability? – [2025] Fam Law 538

<!-- wp:paragraph --> <p>We are pleased to announce that Parklane Plowden pupil, Avaia Williams, has again had an article published in the Family Law Journal (April 2025).</p> <!-- /wp:paragraph --><!-- wp:paragraph --> <p>In this article, Avaia explores two recent High Court decisions, with wholly unique backgrounds, in which members of chambers Martin Kingerley KC, Rebecca Musgrove, and Nathaniel Garner acted respectively. In both A Local Authority v W [2024] EWFC 350 ('Re W') and A Local Authority v C [2024] EWFC 336 ('Re C'), the children’s mothers had died in tragic circumstances leaving nobody able to exercise parental responsibility.</p> <!-- /wp:paragraph --><!-- wp:paragraph --> <p>A key theme within both judgments was whether harm caused pre-birth could be attributed to a parent who is deceased when the date for proceedings having been issued is post-death. In Re W, the mother took her own life whilst the baby was in utero, thus creating a lacuna whereby for a period of time, post mother’s death but before the child’s birth, there were no legal people in existence. In Re C, the mother also took her own life via a house fire, in the process almost killing C, here an issue arose whereby the Local Authority only issued proceedings a month later.</p> <!-- /wp:paragraph --><!-- wp:paragraph --> <p>Mr Justice Peel found in Re W that:</p> <!-- /wp:paragraph --><!-- wp:paragraph --> <p><em>“The court may not have jurisdiction until the child is born, but in my judgment the court is entitled, when considering threshold, to take into account the parental care given to the child before birth, even if the parent is dead at the relevant date point of either protective measures starting or at the point of application. If the question posed is: “can the care given by the parent encompass care given to a child in utero” I suggest that the answer, in principle, is yes.”</em></p> <!-- /wp:paragraph --><!-- wp:paragraph --> <p>And noted in Re C:</p> <!-- /wp:paragraph --><!-- wp:paragraph --> <p><em>“. . . the attributability requirement is not to be confined to, or aligned with, the date of the application. C was at the date of the application suffering significant harm. That harm was, on the evidence currently available, attributable to the actions of her mother a mere 7 days previously. It would be extraordinary if, in such a situation, the Local Authority could not take steps to protect the child. It would lead to the anomalous situation that the court would not be able even to inquire into threshold, however, desirable that might be, or seek protective orders. The purpose of Part IV of the Act is to enable children who are suffering, or likely to suffer, significant harm caused by parents to be protected from that harm by Local Authority intervention. To neuter s31 because the parental perpetrator of harm is no longer alive would be an unexpected, and unfortunate consequence. But in my judgment that is not the intention of the Act, nor is it what the Act says. A plain reading of the words in s31(2)(b) that the harm must be attributable to “the care given to the child” must include past care, i.e before the date of the application, which led to the application itself. The wording does not expressly add “at the time of the application” or some such rider. Nor does it say that a parent must be alive at the time of the application. If my analysis is correct, then it matters not whether the parent is alive, or dead, or missing. What matters is whether the LA can establish (i) harm at the date of the application (or, if earlier, when protective measures implemented and carried through to the date of the application) and (ii) attributability of that harm i.e that it is a consequence of parental acts or omissions.”</em></p> <!-- /wp:paragraph --><!-- wp:paragraph --> <p>Avaia explores the impact and potential consequences of these two judgments, questioning whether Parliament intended for unborn children to be considered in the way that Mr Justice Peel allowed for, a question which raises legitimate concern given the legal definition of a foetus was not clarified in law until after the drafting of the Children Act 1989.</p> <!-- /wp:paragraph --><!-- wp:paragraph --> <p>The court also relied on the judgment in Re M [1994] 2 FLR 577 which causes concern that the goal posts in relation to threshold may have been moved; drug or alcohol use in utero to establish a basis for pre-birth harm almost always arises as an issue as being a risk of significant harm for the future, not necessarily relied upon as a sole condition or actual harm caused – to consider a hypothetical where a mother uses drugs or alcohol for the first 5 months of pregnancy, she then stops completely and it is agreed she has made a full recovery, upon birth the baby has drug and/or alcohol related concerns, is threshold established? Prior to the judgments of Peel J, it would have been more readily argued no, now, the situation is not so clear.</p> <!-- /wp:paragraph --><!-- wp:paragraph --> <p>For more about the judgments and potential implications in practice, and to read the discussion, you can find Avaia’s full article in Family Law Journal (April 2025 issue) <a href="https://plus.lexis.com/uk/document/?pddocfullpath=%2Fshared%2Fdocument%2Fanalytical-materials-uk%2Furn:contentItem:6FHB-X6W3-RSP5-648C-00000-00&amp;selectedTocLevelKey=TAABAABAAKAAC&amp;crid=1c13272e-a979-4a69-9025-d4faca8557a8&amp;cbc=1" target="_blank" rel="noreferrer noopener">here</a>.</p> <!-- /wp:paragraph --><!-- wp:paragraph --> <p><a href="https://www.parklaneplowden.co.uk/our-barristers/avaia-williams-pupil/" target="_blank" rel="noreferrer noopener">Avaia Williams</a> is a second-six family and COP pupil and is quickly building a busy children law and Health and Welfare practice. He has already acted in multi-day final hearings and complex capacity matters.</p> <!-- /wp:paragraph --><!-- wp:paragraph --> <p><a href="https://www.parklaneplowden.co.uk/our-barristers/rebecca-musgrove/" target="_blank" rel="noreferrer noopener">Rebecca Musgrove</a> is a family and Court of Protection barrister who often acts in lengthy and complex proceedings and regularly appears in the High Court. She has particular expertise in Deprivation of Liberty cases concerning children.</p> <!-- /wp:paragraph --><!-- wp:paragraph --> <p><a href="https://www.parklaneplowden.co.uk/our-barristers/nathaniel-garner/" target="_blank" rel="noreferrer noopener">Nathaniel Garner</a> is a specialist family practitioner, with emphasis on serious and complex cases involving children. He is recognised by Chambers and Partners for his exceptional work and is often instructed in high profile cases on Circuit.</p> <!-- /wp:paragraph --><!-- wp:paragraph --> <p><a href="https://www.parklaneplowden.co.uk/our-barristers/martin-kingerley-kc/" target="_blank" rel="noreferrer noopener">Martin Kingerley KC</a> is a door tenant who took silk in 2020 and was appointed a Deputy High Court Judge in 2023. He is instructed in some of the most serious and complex public law cases and is an expert on matters concerning surrogacy and conception.</p> <!-- /wp:paragraph --><!-- wp:paragraph --> <p></p> <!-- /wp:paragraph -->

Parklane Plowden Announces New Head of Chambers

<!-- wp:paragraph --> <p>Parklane Plowden Chambers is delighted to announce the election of a new head of chambers.</p> <!-- /wp:paragraph --><!-- wp:paragraph --> <p><a href="https://www.parklaneplowden.co.uk/our-barristers/elizabeth-hodgson/" target="_blank" rel="noreferrer noopener">Elizabeth Hodgson</a> succeeds <a href="https://www.parklaneplowden.co.uk/our-barristers/james-murphy/" target="_blank" rel="noreferrer noopener">James Murphy</a>, who held the position for five years.</p> <!-- /wp:paragraph --><!-- wp:paragraph --> <p>Liz is the first woman to be head of chambers at Parklane Plowden. She was called to the bar in 1993 and has practised in personal injury and clinical negligence throughout her career. She joined Plowden Chambers in 2001. She has been a Recorder (Family) and a Deputy District Judge on the North Eastern Circuit since 2020. She has been a deputy head of chambers since 2021.</p> <!-- /wp:paragraph --><!-- wp:paragraph --> <p>Commenting on her new role, Liz said:</p> <!-- /wp:paragraph --><!-- wp:paragraph --> <p>“Chambers has thrived under James’s outstanding leadership over the past five years, furthering its reputation as a progressive set committed to developing positive outcomes in all our specialist practice areas.</p> <!-- /wp:paragraph --><!-- wp:paragraph --> <p>I thank him, both on behalf of Chambers and personally, for the enormous contribution he has made to Chambers’ success in that time.</p> <!-- /wp:paragraph --><!-- wp:paragraph --> <p>I look forward to working with our excellent senior management team to build upon that success as we continue to grow and evolve Chambers for the benefit of our clients, our staff and our members.”</p> <!-- /wp:paragraph --><!-- wp:paragraph --> <p>James remains an active member of Chambers, with a prominent practice in industrial disease and serious personal injury.</p> <!-- /wp:paragraph -->

Coroner’s Court: Neglect Resulted in Lung Cancer Death

<!-- wp:paragraph --> <p>Megan Crowther represented the family of JJ who tragically died in November 2023, just six months after being diagnosed with lung cancer.</p> <!-- /wp:paragraph --><!-- wp:paragraph --> <p>The Deceased had attended the Queen Elizabeth Hospital in Gateshead in April 2022 with a fractured leg and had a chest x-ray as part of his investigations. The chest x-ray was ‘red flagged’ and the reporting radiographer recommended referral to a chest physician due to suspicions of cancer. The x-ray and report were not reviewed by the clinical team at any point during the Deceased’s inpatient admission or after he was discharged following surgical treatment for his leg.</p> <!-- /wp:paragraph --><!-- wp:paragraph --> <p>The Coroner found that the failure to consider the results of a test (in this case, the x-ray) was a gross failure to provide basic care. He found that checking the reason for the ‘red flag’ on the x-ray was a basic check that should have been undertaken, and failure to carry out that check amounted to neglect. The evidence was clear that had the x-ray been reviewed, the Deceased would have been diagnosed with early stage lung cancer which would have been susceptible to treatment. The inquest concluded that the Deceased died of natural causes contributed to by neglect.</p> <!-- /wp:paragraph --><!-- wp:paragraph --> <p>Megan was instructed by Stuart Bell at Irwin Mitchell.</p> <!-- /wp:paragraph -->