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Jury finds shortcomings, flaws and missed opportunities in care of detained patient: Leila Benyounes acts in Article 2 Inquest

<!-- wp:paragraph --> <p>Leila Benyounes represented the Family of Donna Levin in an Article 2 inquest at Teesside Coroner’s Court presided over by the Senior Coroner for Teesside and Hartlepool, Ms Clare Bailey, sitting with a jury.</p> <!-- /wp:paragraph --><!-- wp:paragraph --> <p>Donna, who was a much loved 54-year-old mother of three and special educational needs teacher, was admitted to Roseberry Park Hospital on 28 December 2019 following increased concerns for her safety by her Family. She had been struggling with her mental health for a few months and had been diagnosed with obsessive compulsive disorder. Donna died on 8 January after being found unresponsive in her room at the hospital on 4 January 2020 whilst she was detained under the Mental Health Act.</p> <!-- /wp:paragraph --><!-- wp:paragraph --> <p>Following a seven-day inquest during which fourteen live witnesses gave evidence, the jury found that there were shortcomings, flaws and missed opportunities in the care provided to Donna.</p> <!-- /wp:paragraph --><!-- wp:paragraph --> <p>The jury found that key risk information was not included in a verbal handover from day staff to night staff or recorded in the electronic medical records, some of which were amended after events. These shortcomings meant that Donna’s risk levels were not amended in a risk assessment, and there was no change to the minimum hourly level of observations and engagements, which should have been increased.</p> <!-- /wp:paragraph --><!-- wp:paragraph --> <p>After Donna asked to leave the ward to kill herself, and Donna was detained under the Mental Health Act, the jury found that there was no further assessment to take into account Donna’s further deterioration. Planned hourly checks were not undertaken, the observation sheet was falsely completed, and there were several missed opportunities in the doctor seeing Donna. Significantly, the jury found that the risk management plan and risk safety were not updated appropriately.</p> <!-- /wp:paragraph --><!-- wp:paragraph --> <p>In concluding that Donna died by suicide due to suffering from a mental illness, the jury found that the risks of encouraging sleep to support long term treatment did not outweigh the risk of ensuring short term safety and the risks should have been further considered until the doctor saw Donna.</p> <!-- /wp:paragraph --><!-- wp:paragraph --> <p>Links to local news articles:</p> <!-- /wp:paragraph --><!-- wp:paragraph --> <p><a href="https://www.thenorthernecho.co.uk/news/25351119.family-stockton-teacher-donna-levin-release-statement-inquest/">Family of Stockton teacher Donna Levin release statement after inquest</a></p> <!-- /wp:paragraph --><!-- wp:paragraph --> <p><a href="https://www.gazettelive.co.uk/news/teesside-news/donna-levin-roseberry-park-death-32162956">Family’s ‘painful clarity after clear shortcomings’ in bubbly mum’s care at Roseberry Park Hospital</a></p> <!-- /wp:paragraph --><!-- wp:paragraph --> <p><a href="https://www.gazettelive.co.uk/news/teesside-news/donna-levin-inquest-roseberry-park-32151354">Jury retire in inquest into ‘full of joy’ teacher allegedly failed by Roseberry Park Hospital</a></p> <!-- /wp:paragraph --><!-- wp:paragraph --> <p><a href="https://www.thenorthernecho.co.uk/news/25339276.staff-missed-check-patient-roseberry-park-hospital/">Staff missed check on mum at Roseberry Park Hospital before tragedy</a></p> <!-- /wp:paragraph --><!-- wp:paragraph --> <p>Ms Benyounes was instructed by Lois Hepworth of Watson Woodhouse Solicitors.</p> <!-- /wp:paragraph --><!-- wp:paragraph --> <p><em>Leila Benyounes is Head of the Inquests Team&nbsp;at Parklane Plowden Chambers and&nbsp;is ranked by Legal 500 and Chambers and Partners for Inquests and Inquiries and Clinical Negligence. Leila is appointed as an Assistant Coroner in two coronial areas and Leila regularly represents interested persons in a wide range of inquests including Article 2 jury inquests and complex medical matters. She has a special interest in obstetric, birth injury and fatal cases providing representation at inquest and in clinical negligence claims. She has been appointed to the Attorney General Regional Civil Panel Band A since 2010. Her full profile can be accessed </em><a href="https://www.parklaneplowden.co.uk/barristers/leila-benyounes"><em>here</em></a>.<em></em></p> <!-- /wp:paragraph --><!-- wp:paragraph --> <p></p> <!-- /wp:paragraph -->

Triathlon: Remediation Contribution Orders under the Building Safety Act 2022 – Part Two Review

<!-- wp:paragraph --> <p>Listen to Parklane Plowden’s latest PLP Podcast – Triathlon: Remediation Contribution Orders under the Building Safety Act 2022 – Part Two Review</p> <!-- /wp:paragraph --><!-- wp:paragraph --> <p>Following the earlier <a href="https://www.parklaneplowden.co.uk/rcos-orders-under-the-building-safety-act-2022-part-one/">podcast</a> examining Remediation Contribution Orders (RCOs), PLP chancery, commercial and property barristers <a href="https://www.parklaneplowden.co.uk/our-barristers/bryan-patterson-whitaker/" target="_blank" rel="noreferrer noopener">Bryan Patterson-Whitaker</a>&nbsp;and&nbsp;<a href="https://www.parklaneplowden.co.uk/our-barristers/dominic-crossley/" target="_blank" rel="noreferrer noopener">Dominic Crossley</a> look at the recent Court of Appeal case <em>Triathlon Homes LLP v Stratford Village Development Partnership</em> [2025] EWCA Civ 846.</p> <!-- /wp:paragraph --><!-- wp:paragraph --> <p>After finding significant building safety defects in five residential towers in East London, Triathlon Homes applied to the First-tier Tribunal for a RCO against the site’s developers.</p> <!-- /wp:paragraph --><!-- wp:paragraph --> <p>The RCO was granted and a leapfrog appeal was launched by the developers to the Court of Appeal. Bryan and Dominic look at the two key grounds behinds the appeal.</p> <!-- /wp:paragraph --><!-- wp:paragraph --> <p>The first ground was whether it was just and equitable to grant an RCO. Sub-grounds to this included whether the First-tier Tribunal had wrongly created a presumption that it was just and equitable to grant an RCO, Triathlon’s motivations behind applying for an RCO as well as the availability of public funding for remedial works. &nbsp;&nbsp;&nbsp;</p> <!-- /wp:paragraph --><!-- wp:paragraph --> <p>In its ruling upholding the RCO, several significant points were made about validity of the First-tier Tribunal’s decision in its interpretation of the Building Safety Act.</p> <!-- /wp:paragraph --><!-- wp:paragraph --> <p>These include primary responsibility for costs, the changing identity of beneficial owners and the relevance of pursuing claims against other parties such as contractors.</p> <!-- /wp:paragraph --><!-- wp:paragraph --> <p>The two also examine the grounds as to whether RCOs can be made retrospectively so that they have application before the provisions laid out in the Building Safety Act came into force.&nbsp;</p> <!-- /wp:paragraph --><!-- wp:paragraph --> <p>Finally, Bryan and Dominic consider what the likely implications are from this ruling for different parties including developer and funders, managing agents and leasehold owners as well as legal practitioners.</p> <!-- /wp:paragraph --><!-- wp:paragraph --> <p>Listen to the podcast below:</p> <!-- /wp:paragraph --><!-- wp:paragraph --> <p><strong>Helpful resources and further reading:</strong></p> <!-- /wp:paragraph --><!-- wp:list {"ordered":true} --> <ol class="wp-block-list"><!-- wp:list-item --> <li><a href="https://d34xi2cisccwsg.cloudfront.net/reported-cases/Triathlon-v-SVDP.pdf">Court of Appeal ruling</a></li> <!-- /wp:list-item --></ol> <!-- /wp:list --><!-- wp:paragraph --> <p></p> <!-- /wp:paragraph -->

Continuing her excellence, Sarah Harrison is again acknowledged as a National Leader in the 2025 High Net Worth Guide

<!-- wp:paragraph --> <p><strong>Sarah Harrison</strong>&nbsp;remains ranked in the&nbsp;<a href="https://chambers.com/lawyer/sarah-harrison-high-net-worth-21:1232060">High Net Worth Guide</a>&nbsp;as a National Leader (Outside London) for traditional Chancery work.</p> <!-- /wp:paragraph --><!-- wp:paragraph --> <p>Sarah specialises in probate, trusts and tax work.&nbsp;Those interviewed said the following:</p> <!-- /wp:paragraph --><!-- wp:paragraph --> <p><em>“Sarah is highly knowledgeable and very practical. Her ability to advise on tax as well as legal issues makes her the ideal choice for any complex estate or trust dispute.”</em></p> <!-- /wp:paragraph --><!-- wp:paragraph --> <p><em>&nbsp;“Sarah is a ferocious advocate who I always want on my side going into any hearing or mediation.”</em></p> <!-- /wp:paragraph --><!-- wp:paragraph --> <p><em>“Sarah is great at being really direct and getting to the crux of the issue.”</em></p> <!-- /wp:paragraph --><!-- wp:paragraph --> <p>For further details about&nbsp;<a href="https://www.parklaneplowden.co.uk/barristers/sarah-harrison">Sarah</a>&nbsp;and other members of the&nbsp;<a href="https://www.parklaneplowden.co.uk/expertise/probate-inheritance-trusts-barristers/">Probate, Inheritance, Trusts and Tax Team</a>&nbsp;please contact&nbsp;<a href="mailto:stephen.render@parklaneplowden.co.uk">Stephen Render</a>.</p> <!-- /wp:paragraph --><!-- wp:paragraph --> <p></p> <!-- /wp:paragraph -->

Fiat accompli? R (Campbell) v HM Attorney General for England and Wales [2025] EWHC 1653 (Admin)

<!-- wp:paragraph --> <p>There are two ways of reading the judgment in <em><a href="https://www.judiciary.uk/wp-content/uploads/2025/07/Campbell-v-Attorney-General.pdf">R (Campbell) v HM Attorney General for England and Wales [2025] EWHC 1653 (Admin)</a>.</em></p> <!-- /wp:paragraph --><!-- wp:paragraph --> <p>For those who are fans of legal theory, there is a meticulous examination of the role and functions of the Attorney General. The Divisional Court considered his functions (for it is currently a “he”) relating to criminal law (such as consenting to certain prosecutions, dealing with contempt of court, and appeals against unduly lenient sentences) and civil law (for example, in relation to vexatious litigants and special advocates). It conducted a detailed examination of the limitations on the justiciability of his decisions. It concluded with a carefully reasoned decision, ultimately refusing permission to apply for judicial review.</p> <!-- /wp:paragraph --><!-- wp:paragraph --> <p>For everyone else, there’s paragraph 56.</p> <!-- /wp:paragraph --><!-- wp:paragraph --> <p><strong>The question</strong></p> <!-- /wp:paragraph --><!-- wp:paragraph --> <p>Mr Campbell’s brother, Geoffrey, was killed when the North Tower of the World Trade Centre collapsed on 11<sup>th</sup> September 2001. HM Senior Coroner for West London held an inquest in January 2013, in which she recorded that an aircraft was flown into the building as part of Al-Qaeda’s co-ordinated attack, thereby causing its collapse.</p> <!-- /wp:paragraph --><!-- wp:paragraph --> <p>Mr Campbell does not accept that the building collapsed due to the impact of the aircraft. He believes it was caused by the detonation of pre-planted explosives or incendiaries.</p> <!-- /wp:paragraph --><!-- wp:paragraph --> <p>Section 13(1)(b) of the Coroners Act 1988 permits the High court to quash an inquisition and direct a fresh investigation (or a first investigation, where none has been held). Before doing so, the High Court must be satisfied either that the coroner has refused or neglected to hold an inquest or an investigation which ought to be held, or that it is necessary or desirable in the interests of justice to hold another investigation where the first was tainted by fraud, rejection of evidence, irregularity of proceedings, insufficiency of inquiry, the discovery of new facts or evidence or otherwise. The application to the High Court must be made by or under the authority or "fiat" of the Attorney General.</p> <!-- /wp:paragraph --><!-- wp:paragraph --> <p>Mr Campbell accordingly applied to the Attorney General for authority to apply to the High Court. It was refused.</p> <!-- /wp:paragraph --><!-- wp:paragraph --> <p>Mr Campbell sought judicial review of that refusal. It was said that the Attorney General (in fact, the Solicitor General who made the decision on his behalf) had erred in law, made a decision which was irrational and unreasonable, and had failed to give adequate reasons. The Summary Grounds of Defence asserted that the challenged decision was not justiciable at all (or alternatively was challengeable only on exceptional grounds, such as fraud, corruption or bad faith).</p> <!-- /wp:paragraph --><!-- wp:paragraph --> <p><strong>The answer</strong></p> <!-- /wp:paragraph --><!-- wp:paragraph --> <p>The short answer is that the Attorney General’s decision was not justiciable. Permission to apply for judicial review was refused.</p> <!-- /wp:paragraph --><!-- wp:paragraph --> <p>The slightly longer answer involves consideration of authorities stretching back to 1855. The courts developed the clear position that decisions taken by the Attorney General in the exercise of his “public interest” functions were not justiciable in proceedings seeking the prerogative writ of mandamus (the forerunner to modern judicial review). If the Attorney General was answerable to anyone, it was to Parliament.</p> <!-- /wp:paragraph --><!-- wp:paragraph --> <p>A key case was <em><u>Gouriet v Union of Post Office Workers</u></em>[1978] AC 435. Broad observations were made in that case by the House of Lords as to the courts’ lack of jurisdiction to review the Attorney General’s decisions. <em><u>Gouriet</u></em> concerned the Attorney General’s refusal of consent to bring relator proceedings (actions brought by private individuals in the Attorney General’s name, in order to enforce a public right), but the principle is not confined to such proceedings. In <em><u>R v Attorney General ex p. Ferrante</u></em> (unreported, 1<sup>st</sup> July 1994) it was said that <em><u>Gouriet</u></em> is of general application, and that whether or not a decision is amendable to judicial review depends on its nature and subject matter.</p> <!-- /wp:paragraph --><!-- wp:paragraph --> <p>The Divisional Court concluded that the authorities demonstrated that there is a class of discretionary functions of the Attorney General “whose exercise [are] categorically immune from review”. That class includes the Attorney General’s powers to enforce the law by bringing criminal or civil proceedings in the public interest, and powers to authorise or terminate such proceedings by others. The function in section 13(1)(b) of the 1988 Act is one such power.</p> <!-- /wp:paragraph --><!-- wp:paragraph --> <p>Accordingly, the refusal of consent was not justiciable, and it was not open to Mr Campbell to seek judicial review of it.</p> <!-- /wp:paragraph --><!-- wp:paragraph --> <p>In the alternative, the Divisional Court said that if the decision <em>had</em> been justiciable, then the only grounds for review would have been dishonesty, bad faith or an exceptional circumstance (none of which applied in this case).</p> <!-- /wp:paragraph --><!-- wp:paragraph --> <p><strong>The future?</strong></p> <!-- /wp:paragraph --><!-- wp:paragraph --> <p>This is not a decision which appears to have been reached with any degree of enthusiasm.</p> <!-- /wp:paragraph --><!-- wp:paragraph --> <p>The Divisional Court noted that the identification of a category of decisions as immune from review on any grounds appears “anomalous”. The fact that the Attorney General is accountable to Parliament, said the Court, “hardly distinguishes those decisions from many others which today would certainly be justiciable” (paragraph 47). In paragraph 54, the Court noted that it must be for a higher court to say if the principle in <em><u>Gouriet</u></em> is no longer good law in relation to the Attorney General’s powers. The combined effect of existing authority “is that it is not now open to any court below the Supreme Court to decide otherwise, however anomalous this may seem in the light of the rest of the modern law of judicial review”.</p> <!-- /wp:paragraph --><!-- wp:paragraph --> <p>One to watch.</p> <!-- /wp:paragraph --><!-- wp:paragraph --> <p><em>Peter Yates is part of the Inquests Team at Parklane Plowden. Peter's profile can be accessed&nbsp;<a href="https://www.parklaneplowden.co.uk/our-barristers/peter-yates/">here</a>.</em></p> <!-- /wp:paragraph --><!-- wp:paragraph --> <p></p> <!-- /wp:paragraph -->