THE COURT ORDERED that no one shall publish or reveal the name or address of JR222 or publish or reveal any information which would be likely to lead to the identification of JR222 or of any member of JR222’s family in connection with these proceedings.
[2024] UKSC 35
On appeal from: [2022] NICA 57
JUDGMENT
In the matter of an application by JR222 for Judicial Review (Appellant) (Northern Ireland)
Before
Lord Lloyd-Jones
Lord Burrows
Lord Stephens
Lord Richards
Lady Simler
30 October 2024
Heard on 20 March 2024
Appellant
John F Larkin KC
Natasha Fitzsimons
(Instructed by McCann & McCann (Belfast))
Respondent
Peter Coll KC
Philip McAteer
Leona Gillen
(Instructed by the Departmental Solicitor’s Office (Belfast))
Notice Party
Sean Doran KC
Denise Kiley
(Instructed by Solicitor to the Muckamore Abbey Hospital Inquiry (Belfast))
First and Second Interveners
Monye Anyadike-Danes KC
Aidan McGowan
(Instructed by Phoenix Law (Belfast))
Third Intervener
Conor Maguire KC
Victoria Ross
(Instructed by O’Reilly Stewart (Belfast))
Appellant: JR222
Respondent: Minister of Health
Notice Party: Muckamore Abbey Hospital Inquiry
First Intervener (written submissions only): Aaron Brown (by his father and next friend Glynn Brown)
Second Intervener (written submissions only): Bryan McCarry (by his sister and next friend Brigene McNeilly)
Third Intervener (written submissions only): NP3
LORD STEPHENS (with whom Lord Lloyd-Jones, Lord Burrows, Lord Richards and Lady Simler agree):
Introduction
The issue on this appeal is, when all is said and done, a very short point as to the true interpretation of section 13(1) of the Inquiries Act 2005 (“the Act”) which enables a public inquiry to be suspended. Section 13(1) provides that:
“The Minister may at any time, by notice to the chairman, suspend an inquiry for such period as appears to him to be necessary to allow for—
the completion of any other investigation relating to any of the matters to which the inquiry relates, or
the determination of any civil or criminal proceedings (including proceedings before a disciplinary tribunal) arising out of any of those matters.” (Emphasis added).
The issue is:
whether, as the appellant contends, the word “necessary” only qualifies the period of suspension. On this interpretation the Minister should first decide whether to suspend an inquiry for one of the purposes set out in section 13(1)(a) or (b) and thereafter, if the Minister decides to suspend an inquiry, the Minister should then determine the period of time as appears to him to be necessary for the events in section 13(1)(a) or (b), as applicable, to occur; or
whether, as the respondent contends, the word “necessary” also qualifies the decision of the Minister to suspend an inquiry. On this interpretation the Minister can only suspend an inquiry for one of the purposes in section 13(1)(a) or (b) if it appears to him that it is necessary to do so, and the suspension can only be for the period as appears to him to be necessary for the events in section 13(1)(a) or (b), as applicable, to occur.
The appellant, JR222, a former staff nurse at Muckamore Abbey Hospital (“the Hospital”) brings these judicial review proceedings challenging two decisions of Robin Swann, the then Minister of Health (“the Minister”) whereby he refused to suspend an inquiry until the determination of criminal proceedings against her on the basis that it was not necessary to suspend the inquiry for that purpose. The decisions were communicated to JR222 in letters from the Minister dated 29 June 2022 and 3 August 2022. A ground of challenge to the decisions of the Minister (and the only remaining ground in this court) is that he incorrectly applied the concept of necessity to the entirety of his discretion under section 13(1) of the Act. This ground, along with several other grounds, were dismissed by Colton J in his judgment dated 15 September 2022 ([2022 NIKB 3]). JR222’s appeal to the Court of Appeal was dismissed in a judgment delivered by Keegan LCJ dated 11 October 2022 with which Treacy and Horner LJJ agreed ([2022] NICA 57).
JR222 now appeals to this court. The Minister is the respondent to the appeal and the Inquiry is a notice party. This court has permitted the following persons to intervene in the appeal, namely: (a) Aaron Brown, a former patient at the Hospital, by his father and next friend, Glynn Brown; (b) Bryan McCarry, another former patient at the Hospital, by his sister and next friend, Brigene McNeilly; and (c) the mother of a former adult patient, now deceased, who spent time in the Hospital between 2016 and 2018. The mother is anonymised as NP3.
Factual background
In setting out the factual background I draw upon the very comprehensive and thorough judgments of the courts below.
The Hospital, the patients at the Hospital and concerns as to their care
At all times relevant to these proceedings the Hospital provided inpatient assessment and treatment facilities for vulnerable people with severe learning disabilities, mental health needs, and challenging behaviour.
The medical circumstances of Aaron Brown, whose anonymity has been waived, illustrate the vulnerability and the needs of patients at the Hospital. Aaron was admitted to the Hospital in May 2017 when he was 21 years old and remained there until February 2020. Aaron’s father, Glynn Brown, states that:
“Aaron suffers from several significant difficulties. He has been diagnosed with autism, severe learning disability, ADHD, epilepsy, hypertrophic cardiomyopathy, and sensory issues. He is non-verbal and requires 24-hour care and assistance with feeding, toileting, medication, dressing, bathing, and all personal care. … Aaron is an exceptionally vulnerable individual who lacks capacity and [has] a similar level of functioning to a very young child.”
Aaron’s father describes how Aaron lived at home with his family but how, at about the age of 19, he began to develop significant aggressive behavioural traits. Matters came to a head when Aaron seriously injured his mother and as a result was admitted to the Hospital as a voluntary patient.
The medical circumstances of Bryan McCarry, whose anonymity has also been waived, further illustrates the vulnerability and the needs of patients at the Hospital. His sister, Brigene McNeilly, states:
“My brother Bryan has been diagnosed with autism and bipolar disorder. He also has a severe learning disability and is essentially non-verbal, communicating with us mainly through gestures and expressions. He is an extremely vulnerable person. … Until he was 21 years, Bryan lived at home with our family. … However, his behaviour became more difficult to manage as he got older. Then in February 1988 there was an incident at home when Bryan unexpectedly attacked our mother. … On 22 February 1988, when Bryan was 21 years old, he was admitted to [the Hospital]. … Since Bryan’s admission, a member of our family has been to visit him every day, except for the period when visits were stopped due to the Covid-19 pandemic. … [The visits involve] a 100-mile round trip [for me and other siblings] which we willingly make. He is our brother, and we love him.”
In late August 2017 concerns began to emerge as to alleged inappropriate behaviour towards and the alleged abuse of patients by some staff in the Hospital. Several relations of patients, including Glynn Brown, formed a group known as “Action for Muckamore” to campaign to discover the truth about what had happened to family members in the Hospital.
Two reports in response to concerns as to the care of patients at the Hospital
In response to these concerns the Belfast Health and Social Care Trust (“the Trust”) commissioned an independent team, chaired by Dr Margaret Flynn, to undertake a Serious Adverse Incident review to examine safeguarding practices at the Hospital between 2012 and 2017. The independent team began their work in January 2018 and reported in November 2018 under the title “A Review of Safeguarding at Muckamore Abbey Hospital – A Way to Go”. The report revealed systemic failures.
The Department of Health considered that that report had not sufficiently explored leadership and governance arrangements at the Hospital or at the Trust. Accordingly, a further independent review was commissioned to critically examine the effectiveness of the Trust’s leadership, management and governance arrangements in relation to the Hospital for the five-year period preceding late August 2017 (“the Leadership and Governance Review”). The independent panel began their work in January 2020, and their report was completed in July 2020. The report highlighted that while the Trust had appropriate corporate governance and leadership arrangements in place, it failed to appropriately implement them at various levels within the organisation. The report concluded that this failure resulted in harm to patients.
As a result of above described events several members of staff at the Hospital have been suspended.
The police investigation and the criminal proceedings
The concerns also led to an investigation by the Police Service of Northern Ireland (“the PSNI”). As a result of those investigations there have been eight arrests to date and in April 2021 the Public Prosecution Service for Northern Ireland (“the PPS”) decided to charge JR222, along with seven other co-accused, with criminal offences in respect of alleged abuse committed in the course of their employment at the Hospital between April and June 2017.
JR222 and her seven co-accused have been committed for trial in the Crown Court and their trial is still pending.
The trial of JR222 and her seven co-accused is but one outworking of a large scale criminal investigation. There are said to be additional files under consideration by the PPS. It is also said that the investigation by the PSNI has not yet been completed. Accordingly, it may be that others will be prosecuted as a result of the ongoing police investigation and the ongoing consideration of files by the PPS.
Consideration by the Minister to establishing an inquiry under the Act
In 2020 and prior to receiving the report into the Leadership and Governance Review, the Minister was considering whether to order an inquiry under the Act. In a briefing from officials dated 16 January 2020 two options were put to the Minister: do nothing or establish a public inquiry. In relation to the option of establishing a public inquiry the Minister was alerted to issues that might arise in respect of the parallel running of an inquiry and a criminal investigation and criminal proceedings. In his response the Minister sought further advice from his officials which was provided in a briefing paper dated 28 January 2020. He was advised that:
There is some precedent for public inquiries proceeding in parallel with criminal investigations, most notably at present in the case of the Grenfell Tower Inquiry.”
The advice went on to explain how the Grenfell Tower Inquiry was being dealt with by the chair with particular reference being made to a Memorandum of Understanding between the Grenfell Tower Inquiry and the Metropolitan Police Service who were undertaking criminal investigations into the fire, independently of the Inquiry. The Minister was further advised:
The [Memorandum of Understanding in the Grenfell Tower Inquiry] also states that the Chairman of the Inquiry will use all reasonable efforts, so far as consistent with his statutory duty under the Inquiries Act 2005, to conduct the Inquiry in a way which does not impede or compromise the [Metropolitan Police Service] investigation or its integrity.
…
In summary, while there doesn’t appear to be any legislative barrier to a public inquiry proceeding in parallel with ongoing criminal investigations and some precedent for this approach does exist, there is an obvious potential for a conflict of interest between the two processes. Witnesses called by a public inquiry may also be under investigation as part of the criminal investigation, and any evidence they might provide could potentially impact negatively on the criminal investigation. At the very least it would be important to have a clear delineation of the respective remits and roles of the parallel investigatory processes to avoid any potential prejudice to the outcome of the criminal investigation and cases against individuals.”
On 11 March 2020 a submission was provided to the Minister recommending that he issue a letter to the then Chief Constable of the PSNI, Simon Byrne:
“seeking his view on whether or not a public inquiry would interfere with ongoing investigation and potentially prejudice future prosecutions.”
Such a letter was issued on 16 March 2020 and on 17 April 2020 the Chief Constable replied indicating that the PSNI:
“will work with the Department of Health should [the Minister] make a decision to call a public or other inquiry but [the Chief Constable] would ask for due consideration in protecting the integrity of the criminal investigation.”
Thereafter, the Minister awaited and considered the report from the Leadership
and Governance Review concerning events at the Hospital.
After receipt of that report, the Minister received a further briefing from officials on 3 September 2020 which updated the Minister on the progress of the criminal investigation. The Minister was informed:
The police investigation into the abuse is ongoing and is likely to continue for some time (at least 2 - 4 years). To date, 7 individuals have been arrested and 63 members/former members of staff are on precautionary suspension (22 of these from January 2020 to date and 4 since the launch of the report of the Review of the Leadership and Governance Review). To date, the police have not advised the Department of any findings other than this is the largest adult safeguarding investigation ever conducted in the UK.
Families we have spoken to consider that the criminal justice process is likely to take care of those members of staff (front-line workers) who were involved in the actual abuse but they are concerned that senior members of staff, who, through ineffective management allowed the abuse to happen, will not be held to account.
It is also worth noting that as well as the ongoing police investigation there are likely to be professional misconduct hearings at some point; for instance, through the Nursing and Midwifery Council … and there may also be internal disciplinary proceedings. In addition, the Review PaneI has recommended that the [Trust] should consider immediate action to implement disciplinary action where appropriate on suspended staff.”
In the briefing from officials dated 3 September 2020 the Minister was provided with five options for his consideration and was briefed on the risks and benefits of each option. I will set out the five options. Colton J in his judgment at paras 67-73 set out in detail the risks and benefits of several of those options but I will confine the risks and benefits to option 1 which is the option with which in the event the Minister agreed.
Option 1 was to commission an inquiry under the Act to run concurrently with the police investigation. The benefits of such an approach were described as including:
“This will satisfy the families and other interested parties who want answers about what happened at [the Hospital] and how it was allowed to happen sooner rather than later and don’t think that the police investigation needs to conclude before a public inquiry starts.
There is no statutory barrier to a public inquiry operating in parallel with an ongoing police investigation, and there is some recent precedent for this approach in both the Grenfell and Leveson Inquiries.”
Among the risks the following were identified:
“Running the two processes in parallel has the potential of interfering with the criminal investigation – we understand this has led to some difficulties in the Grenfell Inquiry.
Individuals have the right to refuse to give evidence to an Inquiry which may leave him or her open to prosecution (the right against self-incrimination).
Potentially witnesses may, in giving evidence, incriminate someone else leaving that person/persons open to potential future prosecution.
An undertaking that evidence presented by witnesses will not be used in a prosecution may have to be given (as was employed for example in the [Renewable Heat Incentive] Inquiry).
Individuals could argue that the evidence heard at a Public Inquiry, the public reaction to this and the findings of an Inquiry may all make it difficult for them to obtain a fair criminal hearing.”
Option 2 was to commission a non-statutory public inquiry. Option 3 was to commission an inquiry under the Act and then immediately suspend it to allow the police investigation to conclude. Option 4 was to wait for the criminal investigation to come to a conclusion and then establish an inquiry under the Act. Option 5 related to the establishment of an independent inquiry panel to examine wider issues than those which arose at the Hospital bringing a greater focus on accountability and the role of wider organisations pending conclusion of the police investigation.
By email dated 4 September 2020 the Minister responded to the 3 September 2020 briefing paper indicating his intention to “give further consideration of a Chair/Lead, but as previously highlighted with a Terms of Reference that doesn’t affect the PSNI/PPS Service; that would give the Chair discretion to adopt Option 3.” He meant by this that he preferred Option 1 but mistakenly believed that the chair of the inquiry could immediately suspend it. However, the chair does not have discretion to suspend an inquiry, this being a matter for the Minister to determine. The Minister was disabused of this misconception when the issue of suspension subsequently arose.
It is apparent that prior to deciding on whether to establish an inquiry under section 1 of the Act the Minister was fully sighted as to the potential implications of an inquiry overlapping with criminal investigations and proceedings.
Establishment of the Inquiry
On 8 September 2020, the Minister exercising his power under section 1 of the Act ordered an inquiry (“the Inquiry”) to examine, amongst other matters, the issue of abuse of patients at the Hospital. The Minister appointed Tom Kark KC as chair of the Inquiry and Professor Glynis Murphy and Dr Elaine Maxwell as panel members.
The terms of reference of the Inquiry require it to report and make findings on events that occurred between 2 December 1999 and 14 June 2021. The core objectives of the Inquiry in the terms of reference are to:
examine the issue of abuse of patients at [the Hospital];
determine why the abuse happened and the range of circumstances that allowed it to happen;
ensure that such abuse does not occur again at
[the Hospital] or any other institution providing similar
services in Northern Ireland.”
On 28 June 2022 the Inquiry commenced hearing evidence. It has continued and still continues with its work some two years later. Counsel, solicitor and administrative teams have been appointed for the duration of the Inquiry; core participants have been designated, documents have been obtained and over 100 witnesses identified; premises have been secured and technical staff employed. The Inquiry currently employs a full-time staff of approximately 20 personnel. The considerable investment in the Inquiry reflects its public importance.
Overlap between the Inquiry and the criminal investigations and proceedings
The Inquiry is tasked with making findings on events that occurred at the Hospital between 2 December 1999 and 14 June 2021. The criminal prosecutions of JR222 and her seven co-accused relate to events which are alleged to have occurred at the Hospital between April and June 2017. Accordingly, the work of the Inquiry includes but also extends prior to and beyond the timeframe of the prosecutions. At para 106 of his judgment Colton J addressed the extent of the overlap between the work of the Inquiry and the criminal proceedings. He also identified that the work of the Inquiry extended significantly beyond just a consideration of the conduct of individuals. He stated:
“[106] …. The period of time relating to the charges against [JR222] is therefore only a small part of the Inquiry’s considerations. Further, the Inquiry is charged with the responsibility of examining a multiplicity of issues that extends significantly beyond the conduct of individuals, including: the role of staff at all levels and those responsible for management and oversight within the Trust and beyond; the processes for identifying and responding to concerns; recruitment, retention, training and support; the use of CCTV; the adequacy of policy and processes in place for discharge and resettlement of patients; the legal and regulatory framework. In addition, the Inquiry’s work has an important forward looking aspect; it is expected to make recommendations on a wide range of matters with a view to ensuring that abuse does not recur at [the Hospital] or any other comparable institution within Northern Ireland. ….”