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MSbP

Consensus Report

Consensus Update

9th November 2005
DCA consultation - Child Care Proceedings

5th September 2005
Forced fast-track adoption

19th July 2005
Mismanagement of Social and Family Policy

20th May 2005
Consensus Report

26th April 2005
Consensus Report

Press Articles

25th May 2006
Secret witch-hunt syndrome

24th May 2006
No names, no proof, no consensus

18th May 2006
No Consensus Over Mysterious Report

23rd April 2006
Innocent parents accused of abuse

30th August 2005
How social services can seize our children

20th August 2005
Stolen by the State

11th August 2005
Council rejects child snatcher claims

14th May 2005
Scandal of the stolen children

19th October 2004
It's getting worse for vulnerable parents

21st January 2004
New hope for parents who had children taken away

4th November 2003
New family protocol to speed up childcare cases

6th July 2003
Secret courts that steal our children

Munchausen syndrome
Munchausen syndrome is a form of psychological disorder, Sufferers feign disease or illness in spite of the risks to their health in order to get attention or sympathy. The term is also used to refer to medical professionals who intentionaly harm a patient so they are able to later treat or heal the patient and receive attention or compliments from co-workers. 1951 Sir Richard Asher was the first to describe a pattern of self-harm, where individuals fabricated histories and symptoms of illness. Asher named this condition Munchausen's Syndrome after the fictional German character baron Karl von Münchhausen because of his tall tales.

Munchausen syndrome by Proxy
In 1977 the English pediatrician Sir Roy Meadow, professor of Paediatrics at the University of Leeds in England, described a form of child abuse in which mothers deliberately induced or falsely reported illnesses in their children. He referred to this behaviour as Munchausen Syndrome by Proxy. In March 2002 the Royal College Of Paediatrics and Child Health called it Fabricated or Induced Illness (FII).

During the 1990's and early 2000's, Sir Roy Meadow was called as an expert witness in several murder cases where FII was at issue, some of which resulted in parents being convicted of murdering their children and imprisoned. In addition several children were taken into care. During 2003 a number of high-profile acquittals brought Meadow's ideas into serious disrepute. Some people deny even the existence of FII, despite observations on hospital surveillance cameras which have caught abusers in the act. Around 250 cases resulting in conviction in which Meadow was an expert witness were reviewed, with few changes. Meadow was investigated by the British General Medical Council over one aspect of one case - the statistical likelihood of sudden infant death syndrome (SIDS) occurring twice in a family. The GMC in July 2005 came to a verdict of guilty of "serious professional misconduct" which judge J Collins described at appeal as "irrational" and set aside. The case had almost nothing to do with SIDS, since neither prosecution nor defence suggested that the children involved suffered SIDS, and Collins' judgement raises important points of the liability of expert witnesses - his view is that referral to the GMC by the losing side is an unacceptable threat and that only the Court should decide whether its witnesses are seriously defficient and refer them to their professional bodies. The case of Dr Jayne Donegan may also be relevant to this.

Signs of Fabricated or Induced Illness

  • A child who has one or more medical problems that do not respond to treatment or that follow an unusual course that is persistent, puzzling and unexplained.
  • Physical or laboratory findings that are highly unusual, discrepant with history, or physically or clinically impossible.
  • A parent who appears to be medically knowledgeable and/or fascinated with medical details and hospital gossip, appears to enjoy the hospital environment, and expresses interest in the details of other patients’ problems.
  • A highly attentive parent who is reluctant to leave their child’s side and who themselves seem to require constant attention.
  • A parent who appears to be unusually calm in the face of serious difficulties in their child’s medical course while being highly supportive and encouraging of the physician, or one who is angry, devalues staff, and demands further intervention, more procedures, second opinions, and transfers to other, more sophisticated, facilities.
  • The suspected parent may work in the health care field themselves or profess interest in a health-related job.
  • The signs and symptoms of a child’s illness do not occur in the parent’s absence (hospitalization and careful monitoring may be necessary to establish this causal relationship).
  • A family history of similar or unexplained illness or death in a sibling.
  • A parent with symptoms similar to their child’s own medical problems or an illness history that itself is puzzling and unusual.
  • A suspected emotionally distant relationship between parents; the spouse often fails to visit the patient and has little contact with physicians even when the child is hospitalized with serious illness.
  • A parent who reports dramatic, negative events, such as house fires, burglaries, or car accidents, that affect them and their family while their child is undergoing treatment.
  • A parent who seems to have an insatiable need for adulation or who makes self-serving efforts at public acknowledgement of their abilities.

High Profile MSbP cases

What is the Consensus Report

There was a cover-up at Ministerial / Permanent Secretary level.

A brief summary of events is as follows

  • on 26 April 2005 , hard copies of the initial Consensus report were sent to the five ministers concerned with a request that the DfES civil servant concerned (Mr Bruce Clark) be investigated.
  • on 28 April 2005 the Permanent Secretary of the DfES, Sir David Normington, gave a written undertaking to conduct a full investigation into Mr Clark (subject to final submission of the evidential papers)
  • on 19 July 2005 Consensus lodged the final suite of evidential papers, which included the report published on your website
  • a period of 2 months was agreed for the formal DfES investigation
  • on 20 September 2005, Sir David Normington replied with the results of his investigation, exculpating anyone from any blame.

This investigation, conducted internally into Mr Clark by colleagues and associates of Mr Clark, was a sham.

As agreed, and in default of a proper investigation, in Septmber 2006 the Consensus reports (including the MSBP report) were duly 'released' in hard copy format to a readership outside the Ministerial circle. It seems that one consequence is the Cross Party Group of MPs on MSBP.

The outgoing letter of Consensus to Sir David Normington, dated 3 November 2005, noted correctly, "In one sector, Ministers were misled. In both, family policy is distorted. The problem, which remains unaddressed, passes in enlarged form to Ministers, professionals and the public".

Consensus has Sir David's confirmation that the relevant Ministers at that time were fully briefed on the Bruce Clark issue and were content with Sir David's internal investigation.

 

 
SUMMARY: THE CONSENSUS REPORT
99 pages fully-sourced and referenced released 19 September 2005
‘Assessing Ordinary Parents as Abusers
Assessing Ordinary Children as Victims’
Potential Problem Areas with the official 2002 Guidelines on MSbP / FII:
‘Safeguarding Children in whom Illness is Induced or Fabricated’
A. THE FII GUIDELINES: Flawed Intellectual Architecture?
p16: The 2001 departmental Working Group (‘WG’) adopted a mistaken remit
p17: The WG’s stated aim was to devise “correct” methods of “identifying” FII cases
p18: The WG went off on a tangent, setting up machinery to process supposed FII cases
p21: The WG’s membership lacked expertise/qualifications to evaluate the FII hypothesis
p22: The WG did not consider medical evidence sceptical of the FII hypothesis
p25: “A defective WG, working to the wrong brief, produced the wrong guidelines”
p26: “Sick children were reclassified as abused children”. The 2001 draft Guidelines:
  • - lowered the standard requirement for significant harm (p29)
  • - listed many ordinary behaviours as telltales of abusive FII parents (p31)
  • - listed many ordinary behaviours as telltales of abused FII children (p33)
  • - directed referrals to Social Services on a ‘possibility’ FII ‘might’ be involved (p5)
  • - gave no / almost no consideration to medical explanations other than FII (p35)
p37: The Department’s own statistics concede that there is no significant FII problem
p41: The 2001 departmental public consultation on the draft guidelines was misdirected
p42: The widespread reservations about the draft guidelines were not taken into account
p45: In 2002, the flawed guidelines went to tens of thousands of non-medical practitioners
p47: During this wide dissemination, the flawed guidelines were further ‘dumbed down’
p49: Official training in the guidelines has added elements of anti-medical extremism
p64: The promised review of the FII hypothesis (post-Cannings) was circumvented
B. THE FII GUIDELINES: Possible Effects?
p50: There are some 570,000 referrals to Social Services (all causes) each year - 2003 quoted
p51: There are some 264,000 Social Services ‘Initial Assessments’ (all causes) each year
p52: A number of these interventions (x000s?) could be for misplaced FII concerns*
p55: Marked regional variations could suggest that some counties might be over-zealous
p51: Each needless initial assessment can seriously damage a family*
p51: Some 90-95% of Social Service interventions seem to be misplaced:
  • - 95% of referrals do not lead to placement on the At Risk register p51
  • - 90% of Initial Assessments do not lead to placement on the At Risk register p51
p52: Some children may be on the At Risk register for invalid FII concerns*
p53: Some children may have been removed from their parents for invalid FII concerns*
p56: Some children may be adopted for FII (despite a tacit official admission of no FII)*
p15: Areas of primary need-and-risk may be skimped in the quest for nebulous FII-cases
*Statistical information / research on the likely scale of any problem may be a priority
Summary prepared by the Cross-Party Parliamentary FII Group. For evidence, see the full text as per page citations
Attachment to the letter March 2006 from the Chair to the Minister
4 pages correspondence, showing:
- the bogus internal DfES investigation
- the Permanent Secretary tried a cover-up
Note the last line of the 4 October 2005 letter to the DfES:
"The problem, which remains unaddressed, passes in enlarged form to Ministers, professionals and the public."

Family Law Reform
57 Cornwall Grove Bletchley Milton Keynes MK3 7HX Tel 01908 630856

Sir David Normington Permanent Secretary
Sanctuary Buildings
Great Smith Street
London SW1P 3BT
14 October 2005

Dear Sir David,

DfES INTERNAL MISMANAGEMENT: Policy on Children

Thank you for your letter of 20 September 2005 proffering the results of your internal investigation. Perhaps you will accept that this inquiry evinces a certain lack of rigour?
I am sure we can agree your explanations do not (see over) cover the facts. The upshot is:
Private family law cases: Section 8 Contact Disputes
Two years’ work, by two government departments, has been wasted:
  • - the benefits innate to the EI project (killed by its Fam Res substitute) are the stated
    objective of Government policy
  • - you concede that EI was replaced by Family Resolutions before work on EI started

Government family policy is now inoperable: it is based on an elementary factual error.

Public family law cases: Social Services and MSbP

The DfES’s agreed objective was to develop diagnostic criteria for MSbP to protect the innocent and identify the guilty. Instead, and as you concede, the DfES launched a nationwide protocol - on the basis that innocent activities are indicators of guilt.

In one sector, Ministers were misled. In both, family policy is distorted. The problem, which remains unaddressed, passes in enlarged form to Ministers, professionals and the public.
Yours sincerely,
David Mortimer
c.c. various
Encl.


MISMANAGEMENT of FAMILY POLICY (Public Law)

The DfES Internal Investigation: 20 September 2005
Sir David Normington, Permanent Secretary, DfES (re Mr Bruce Clark)

What Went Wrong: the Government undertook to develop diagnostic criteria to establish if-and-when parents were ‘guilty’ of MSbP. Instead, the DfES launched a nationwide scheme enabling innocent parents to be processed for MSbP on an assumption they might be guilty.


Sir David’s Explanation? : To offer no defence
Sir David’s response merely recounts the salient facts, agreeing them with no particular demur. In this vein, he cites a new text - which re-confirms that the DfES’s remit was to find ways of correctly identifying MSbP cases.
Otherwise, Sir David’s inquiry advances nothing to counter the main charge (which is, by virtue of what the Guidelines say, impossible to deny).
The Obvious Difficulty
The Guidelines introduced by Mr Bruce Clark:
  1. define swathes of ordinary domestic behaviours as possible indicators of MSbP
  2. say a possibility that MSbP may be involved should lead to a referral to Social Services
Guidelines based on these twin premises [(i) and (ii)] are irresponsible and dangerous.

A Mitigating Factor ?
The DfES Internal Inquiry puts forward the point that, in preparing and launching these Guidelines, Mr Clark (who led the small and inappropriate Working Group) did not mislead Ministers.

The question at issue is not whether Mr Clark misled Ministers.

Elementary Error
The actual issue is due diligence.

It is not easy to understand how the obvious problem with the Guidelines was overlooked.
Irrespective of whether Mr Clark omitted elementary safeguards from the Guidelines deliberately – or whether Ministers were misled - the Guidelines are misconceived, substandard and untenable.

 

MISMANAGEMENT of FAMILY POLICY (Private Law)
The DfES Internal Investigation: 20 September 2005
Sir David Normington, Permanent Secretary, DfES (re Mr Bruce Clark)
What Went Wrong:
the EI project went into the DfES - but the Fam Res project (the opposite of EI) came out. Government policy is based on EI - but work on EI never started
CHALK: Sir David’s Explanation
“At no point did the responsible Minister agree to pilot the NATC (Early Interventions) project”
This assertion is used as a platform for Sir David to concede an otherwise inexplicable fact (hitherto denied): that work on the NATC EI project never started. This new stance underpins the denial that Ministers were misled – because, according to this version, Ministers never believed that the NATC EI project was being progressed.
CHEESE: The Stated View of the Ministers
“In no sense has there been any abandonment of the Early Interventions initiative proposed by the NATC”
Lord Filkin, Parliamentary Under Secretary for State, Children and Families (13 April 2005 2005/0015774 POLF). This assertion is one of an extended line of documented official pronouncements made, and Ministerial meetings held, on the basis that the EI project, and/or the principles in the EI project, continued in progress.

The Central Mistake

Sir David, in giving his departmental officials a clean bill of health, writes:
‘[The] pilot project had been outlined in a paper submitted by the ad hoc group chaired by District Judge Nicholas Crichton… This was the project which was implemented by DfES officials’
The project proposed to Government by the ad hoc group was the NATC Early Interventions project - submitted in fully-defined form by the Ad Hoc Group on 8.10.03 in the NATC document (entitled Early Interventions: Towards a Pilot Project) endorsed by the judiciary.
What Actually Happened
After Mr Bruce Clark decided (in or around October 2003) to ignore the EI project, the EI papers were mislaid, possibly without being read. Instead, Mr Clark consulted almost exclusively with those opposed to, or ignorant of, the EI project. The project name was changed amidst assurances that this was no more than a name-change. Mr Clark (unaware of first principles in this area) then began a different project, from scratch, unwittingly reversing the specific EI (or ‘Florida’) principle adopted by Government.
Meanwhile - as DJ Crichton confirms - Mr Clark maintained that the principles in the original EI project (which he had buried) continued under development. The judiciary, and hundreds of others, were misled.
The Government remains under the misapprehension that the cornerstone presumption on which its policies are based, and which it supports, and which EI would have introduced, is already in place.


Confirmation that Ministers knew:

Family Law Reform
57 Cornwall Grove Bletchley Milton Keynes MK3 7HX Tel 01908 630856

Sir David Normington Permanent Secretary
Sanctuary Buildings
Great Smith Street
London SW1P 3BT
3 November 2005

Dear Sir David,

DfES MISMANAGEMENT: FAMILY POLICY – Shielding Mr Bruce Clark
Thank you for your letter of 27 October 2005 averring that “Ministers were not… misled; nor was family policy distorted.” It is a posture contradicted by the facts:

Public Law – The Distortion of Policy
The 2002 Guidelines on MSbP are predicated on Mr Clark’s belief that scores of innocent familial activities (set out in long lists) can be tokens of guilt which warrant referral to Social Services.

The Clark Guidelines replace the customary presumption of innocence with a presumption of guilt. Unless Ministers intended to cross this line, family policy is of necessity distorted.

Private Law – The Misleading of Ministers
The 2004 Green Paper Parental Separation is predicated on a basic legal error (that there already is a legal presumption of meaningful or reasonable contact between parents and their children ).

There is no such presumption. The Green Paper, and the resulting Bill, are built on air.

It is assumed you do not seek to imply that Ministers over-rode Mr Clark - and elected of their own initiative to mislead the public on a point of fundamental importance.

Lord Adonis is currently taking a Bill through Parliament, unaware that two years ago Mr Clark jettisoned the presumption on which the Bill is supposedly founded.

Are you absolutely sure it is proper to withhold this information from your Ministers?Yours sincerely,
David Mortimer

 

 


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