R v A
[2015] NSWSC 76
At a glance
Source factsCourt
Supreme Court of NSW
Decision date
2015-02-11
Before
Bellew J, Mr P
Catchwords
- (2000) 116 A Crim R 536 R v Yates [2002] NSWCCA 520 Wilson v R [1970] HCA 17
Source
Original judgment source is linked above.
Catchwords
Judgment (19 paragraphs)
Judgment
- The accused has pleaded not guilty to the manslaughter of her infant son. Senior Counsel for the accused has raised objection to a number of discreet pieces of evidence upon which the Crown wishes to rely.
THE CROWN CASE
- In order to place the issues which are raised on the present application in their appropriate context, it is necessary to set out the terms of the Crown case statement filed in the proceedings. In doing so, I should note that this document was prepared at a time when the Crown had indicted the accused on a charge of murder. The accused has now been indicted on a charge of manslaughter. The Crown case, as opened to the jury, is based upon an allegation of gross criminal negligence, based upon a failure by the accused to provide appropriate medical assistance to her son in circumstances where he was obviously ill. In setting out the Crown case statement the names of any person(s) whose identity might lead to the identity of the deceased have been anonymised, and references to addresses have been deleted. 1. The deceased was born on 28 December 2009. He was the child of the accused, born 20 May 1981, and (KI), born 15 October 1966. 2. From June 2012 the deceased resided at xxx with the accused, the accused's de facto partner (K) and two of the accused's children (JE) aged 4 and (JA) aged 9 and K's son (E). Medical Intervention 3. At 4.20pm on 3 August 2012 K called '000' and asked for an ambulance to attend xxx. He told the ambulance officer that the deceased had been sick for a couple of days, that he had been asleep for a couple of hours, that they had just checked on him and he was really limp and that he could feel a slight heartbeat. K performed CPR on the deceased, under the direction of the '000' operator. 4. Paramedic John Bevan was the first ambulance officer to arrive at the address at 4.27 pm. The accused was in the front yard; she appeared distressed and was speaking on a phone. She directed Paramedic Bevan into the house and said that the step dad was with the deceased. Paramedic Bevan walked through the lounge room, where he observed E watching television. Paramedic Bevan was called into a bedroom by K, who was kneeling over the deceased performing CPR. Paramedic Bevan asked K to continue whilst he set up his equipment. 5. Paramedic Bevan observed that the deceased was blue in colour and had a number of atypical bruises, including to the left jaw and the lower left abdominal area, and had no cardiac rhythm. K told him that the child had been asleep for a few hours and that his mother had checked on him about an hour ago. Paramedic Bevan commenced CPR on the deceased. Paramedic Sean Cooke arrived and intubated the deceased. Paramedics Corey Hammer and Greg Matheson assisted. A number of doses of Adrenalin and Atropine were administered to the deceased. Paramedics Darren Plumb and Robert Kembrey arrived to assist. 6. Once the deceased was stabilised sufficiently to be moved he was taken to Wollongong Hospital. 7. During the time ambulance personnel were in the house working on the deceased the accused did not come into the bedroom, and neither the accused nor K asked about the condition of the deceased. 8. Police arrived at the scene shortly after ambulance personnel. The Accused was more interested in what police were doing than the deceased. The accused said, "I will have to answer to his father about this, you watch". 9. The deceased arrived at Wollongong Hospital at 5.14pm; he was in cardiac arrest and paramedics were performing CPR. Dr Simon Binks led the resuscitation team who continued standard advanced life support on the deceased. The deceased remained unresponsive and resuscitation was ceased at 5.49pm. Dr Binks noticed multiple small bruises on the deceased's lower back and a 4x2cm bruise on his abdomen. 10. Dr Susan Piper was allocated the role of speaking to the deceased's family. Resuscitation had been continuing at the hospital for about 10 minutes and the family had not arrived in the resuscitation room. Dr Piper went to look for the family and was told by ambulance officers that the family had wanted to have a smoke before coming into the Emergency Department. Dr Piper spoke with the family and tried to bring them into the resuscitation room, however the Accused and K were reluctant to come in. 11. Dr Piper spoke with the accused who told her that the deceased had been unwell for a few days, but had seemed better that morning. The accused said that she had put the deceased down for a sleep about 12.30pm that day and had checked on him about an hour before the ambulance was called. The accused said that she checked on the deceased again about 4.20pm and he wasn't breathing. She called out to K who was in the back yard, K came inside and an ambulance was called. 12. Dr Piper spoke with K who told her that he tried to resuscitate the deceased; K was crying as he spoke of this. 13. The accused, KI, and K were taken to the resuscitation room where they stayed for 5 minutes. After this occurred Dr Piper spoke to the accused about the deceased's medical history. Dr Piper found the accused vague and it was difficult to get precise timings about the current illness. Medical findings 14. A post mortem examination was conducted by Dr J Duflou, between the 4 - 15 August 2012. During the examination the following injuries were identified; a. Multiple bruises to the surface of the body. b. Blunt force head injury with; i. Multifocal cerebral subdural haemorrhages. ii. Multifocal subarachnoid haemorrhage, up to several days old. iii. Recent thrombosis. iv. Contusions. v. Multifocal cortical ischemia of differing ages. vi. Isolated axonal spheroids, corpus callosum. vii. Moderate cerebral swelling. viii. Spinal subarachnoid haemorrhage ix. Bilateral recent optic nerve sheath haemorrhage. x. Sparse recent bilateral superficial retinal haemorrhages c. Multiple skeletal injuries; i. Fractured ribs 5, 6, &7 on the left laterally. ii. Fractured left clavicle. iii. Fractured right scapula. iv. Bilateral distal radius fractures v. Periosteal reaction of upper extremity long bones. d. Abdominal blunt force injury; i. Peritonitis with 300ml turbid fluid in peritoneal cavity. ii. Retroperitoneal blunt force injury. iii. Transmural jejunal injury. e. Early pneumonia f. Prolonged 'stress response'. g. The victim was described as small for his age and the cause of death was opined to be "multiple injuries". h. The proximate cause of death was bilateral subdural haematomas. The right dural convex haematoma was up to several days old. 15. Dr Kristina Prelog examined x-rays of the deceased. The fractures can be dated as follows: a. Right humerous-2 weeks b. Right radius and right scapula-2-3 weeks c. Clavicle and left radius-more than 3 weeks d. Distal left ulna-more than 6 weeks 16. Dr Hugh Martin examined Post Mortem Photographs and specimens and formed a view that the peritonitis was caused by blunt force trauma to the abdomen in the days before death. This is supported by photographs showing bruises to the abdominal wall and the presence of plaque on the wall of the bowel. 17. Dr Paul Taite reviewed the material, in particular a photograph taken of the deceased's abdomen on 29 June 2012 and was of the opinion that the bruise was suggestive of a punch with a closed fist. In addition he viewed autopsy photographs of the abdominal bruise and found them consistent with blunt force, possibly a kick. Bruising to the lumbrosacral area on the deceased's back was consistent with a punch with a closed fist. 18. Dr Taite noted that there had been significant head trauma on at least two occasions, the most recent probably within 24 hours of death. The days leading up to the offence 19. On 24 July 2012 the accused had an argument with K. During this argument she took the deceased and JE from xxx to KI's house at xxx. She left the children with KI and returned to xxx where she continued to argue with K. This argument culminated with her stabbing herself in the abdomen and being admitted to Wollongong Hospital for surgery. 20. The accused was in Wollongong Hospital from Tuesday 24 July to Monday 30 July 2012. The deceased was in the care of KI from Tuesday 24 July to Sunday 29 July 2012. On Friday 27 July 2012 the deceased attended (day care) where he was reported to be well. 21. On Saturday 28 July 2012 a witness saw the deceased with KI at 1/8 Henrietta Street, Towradgi. The deceased was clean and happy and running around playing. He had a small bite mark on his cheek. 22. K collected the victim from KI about 4.00pm on Sunday 29 July. K said that the deceased was a bit 'sniffly' but otherwise well, and had a small bruise on his chin. He did not notice other bruises while bathing the deceased. 23. On Monday 30 July 2012 K took the deceased with him to collect the accused from hospital. CCTV footage shows the deceased to be walking, and (K's mother) says the deceased was walking around and eating well. DT, the mother of the accused, spoke to the accused on the phone and the accused told her that the deceased was well and eating food. 24. On Tuesday 31 July 2012 JT went to the accused's house. She saw the deceased, he looked alright and was walking and leaning on the lounge. 25. The deceased's condition began to deteriorate on Wednesday 1 August 2012. K looked after the deceased for two hours whilst the accused went shopping. The accused says that the deceased was fine when she returned home. 26. Between lunch time and mid-afternoon JT visited the accused at xxx; the accused did not know that she was coming. The deceased was crying and unhappy, his eyes were red and puffy and he looked weak and lethargic; there was a bruise on his forehead. 27. Later that evening the deceased vomited after eating dinner; this is the last time he consumed food. The accused told police that she thought the deceased had a 'tummy bug'; he was bathed and put to bed, and was 'whingey' and unsettled during the night. 28. The accused had a doctor's appointment at 9.40am the following day. That evening she sent a text message to RC asking if she could mind the children; RC replied that she could not because she was sick. 29. On Thursday 2 August 2012 the deceased woke with a dirty nappy. He had diarrhoea that smelt strongly like ammonia and was tired and lethargic. 30. K urged the accused to take the deceased with her to the doctor's. Instead, the deceased and JE were taken to KI's house at xxx. KI saw that the victim was pale, had blue lips, was shivering and shaking, and was very lethargic. 31. At 9.40am the accused attended Dr Bernard Lee's surgery for her appointment. She told Dr Lee that the deceased was sick but she didn't want to wake him, and made an appointment for the deceased for the following Monday. 32. At 12.30pm the accused and K went to xxx to collect the deceased. KI told the accused that the deceased was ill and that unless they took him to the doctor's he would. The accused said she would look after it. The accused and K took the deceased and JE for KFC at the beach and went home. The deceased refused lunch however had a drink. 33. (The accused's father) visited the accused around lunchtime. The deceased, accused and K were sitting at the front of the house. He did not see any marks on the deceased who looked tired and lethargic. 34. The accused put the victim to bed at 7.30pm; he still had diarrhoea 35. On Friday 3 August 2012 the accused drove E to school and JA to KI's house; KI was to take JA to day care. The accused told KI that the deceased was too ill to attend day care. 36. The deceased woke at about 9.40am; he still had strong smelling diarrhoea. The accused arrived home and gave him some toast which he did not eat. The accused and K played computer games whilst the deceased sat on the lounge watching television until about 12.30pm. The deceased was put in his cot about 12.30pm. 37. JT visited the accused at about 11.30am on Friday 3 August. She saw the accused bent over in the kitchen, then carrying the deceased down the hallway; he was crying. The accused returned, she told JT that the deceased had a stomach bug. JT offered to get some hydrolite however the accused declined. The accused did not look herself at this time. 38. About 1.40pm the accused left the deceased, asleep in his cot, in the care of K whilst she ran errands. She returned to the house briefly before leaving again to collect E from school. She is unsure when she checked on the deceased, and did not "have a real good check of him." 39. The accused checked on the deceased at 4.20pm and found him grey and unresponsive. She called out to K who came into the house, called an ambulance, and commenced cardio pulmonary resuscitation on the deceased with telephone assistance from the "000" operator. History of prior injuries (a) swollen right foot and 1x3cm scabbed healing abrasion on right upper abdomen 8 June 2012 40. On 7 June 2012 K took the deceased to see Dr Banijamili because of a swollen right foot; this had been present for one month. The deceased then saw Dr Goodhew on 8 June 2012 and was referred to the Emergency Department for an xray. Dr Binks saw the deceased in emergency; his right foot was moderately bruised and swollen and was diagnosed as a soft tissue injury. Additionally there was a 1x3cm scabbed healing abrasion on the deceased's right upper abdomen. Dr Binks reported the injuries to DoCS. (b) Injuries noted by staff at (day care) from 29 June 2012 41. The deceased attended (day care) on Fridays from 2 March to 27 July 2012. 42. (On 27 June 2012 KB saw the deceased at her son's birthday party. She picked the deceased up, with her hands under his arms. The deceased screamed. KB moved the deceased to her hip and he continued to scream. The deceased was pale and had very dark circles under his eyes.) 43. On 29 June staff saw bruising on the deceased's left abdomen, back, buttocks, forehead and hip. A report was made to DoCS. 44. On 6 July staff saw a large bruise on the deceased's abdomen. A report was made to DoCS. On the same day staff spoke with KI and a further report was made to DoCS. 45. On 13 July staff discussed the bruises with the accused. 46. There were no further bruises noted on 20 or 27 July. The deceased appeared well and happy on 27 July. 47. On 3 July the centre were informed that the deceased would not attend due to illness. Lies about the deceased's health 48. DT, the accused's mother, spoke with the accused up to three times each day between 30 July and 3 August 2012; the accused did not mention that the deceased was sick. 49. AB, the accused's cousin, spoke with the accused about five times in the week before the deceased died. The accused did not tell her that the deceased was unwell. 50. On 2 August 2012 the accused had an appointment with Dr Bernard Lee. She told Dr Lee that she was intending to bring the deceased to the appointment however he was asleep at home and she decided not to wake him. The previous night the accused had tried to arrange for RC to mind the deceased, and that morning the accused had dropped the deceased with KI. 51. On 3 August 2012 the accused told JT that she would buy hydrolyte and glucose for the deceased. Despite attending shops after that conversation the accused did not do this. Hiding of the deceased's injuries 52. The deceased developed a noticeable limp in the weeks prior to 8 June 2012. JC noticed the injury and told K to take the deceased to the doctors. He was taken by K and the accused for medical treatment. 53. The accused did not seek medical treatment for the deceased after being informed by the day care centre that he had multiple bruises. 54. The accused did not seek medical treatment for the deceased for multiple fractures incurred on at least two occasions. The deceased did not have fractures in his lower limbs. 55. On Wednesday 1 August the accused, K and JE were walking in xxx; the accused was pushing (the deceased) in a pram. K stopped to speak with RH; the accused did not stop to talk but kept walking up the street 56. The accused tried to organise for RC to mind the deceased rather than leaving him with KI or taking him to see Dr Lee. The accused failed to take the deceased to see Dr Lee, or any doctor, despite being urged to do so by KI. 57. In her record of interview on 8 August 2012 the accused told police that she did not take the deceased to KI's house on Friday 3 August because she was sick of the deceased coming home with bruises. In her record of interview in 20 August 2012 the accused told police that she did not take the deceased to day care on Friday 3 August 2012 because he wasn't well enough. However she said that he had improved on that day and talked and danced. However, she did leave the deceased with KI the previous day. A strong inference to be drawn is that the deceased suffered further injuries after being collected from KI on 2 August and the accused was hiding those injuries. 58. The deceased was visibly unwell and upset when seen by JT on the morning of 3 August 2012. Rather than comforting the deceased the accused quickly took him to his bedroom and put him in his cot. Evidence that the deceased was an unwanted child 59. When ambulance personnel attended xxx on 3 August 2012 the accused was more interested in what police were doing than the deceased. Police and ambulance personnel noted her behaviour as odd. Hospital staff found it unusual that the accused was not interested in the resuscitation attempts on the deceased. 60. The accused referred to the deceased as a haemorrhoid. 61. KB, sister in law of the accused, heard the accused say that she wanted JA and JE; she never heard the accused say that she wanted the deceased. 62. KB saw the deceased over Christmas 2011. He was visibly distressed and the accused walked away from him saying that she had had enough. 63. KB saw the deceased on 27 June 2012 at her son's birthday party. The deceased wandered around the play centre with his arms up crying and whinging. The accused continually ignored the deceased. Evidence of residents 64. The accused resided at xxx prior to moving to xxx. 65. TH never saw the accused interacting with her children. He never saw the deceased. 66. SS always saw the deceased in a cot or walker, she didn't see the accused spend a lot of time with him. When the deceased wanted the accused's attention the accused would get annoyed. 67. ST never saw the accused with the deceased as a newborn; KI was the main caregiver. She saw the accused pick up the deceased by the arm, lift him, and throw him over a small wall in front of xxx. She saw the deceased fall down 4-5 stairs. The neighbours ran to help him, the accused was the last to arrive. The accused took the deceased to xxx and put him in a cot with his bottle before returning to K's house. 68. SM saw the accused pick up the deceased and throw him about a metre over a wall. The deceased whimpered and then crawled away. She saw the deceased fall down some stairs. Neighbours asked the accused to get him checked out, however she said he would be fine. 69. JA, the accused's brother, regularly saw the accused leave the deceased in his cot so that she didn't have to deal with him; she did not respond when the deceased cried. The accused did not give the deceased any of her time. 70. JC saw the deceased and JE locked outside PK's house whilst the accused and K were having sex. 71. KB saw the deceased crying and the accused said that she was sick of him crying all the time. 72. LA saw the deceased standing in his cot crying or knocking on the bedroom window most days. Often the accused was in the driveway when this occurred. In February or March 2012 she saw the deceased fall down her flight of stairs and get a large lump on his forehead. After others had assisted the deceased the accused took him and tried to put him to sleep. 73. KA noticed that the accused did not look after the deceased or show much interest in him. She saw the deceased fall down a flight of stairs. KA told LA that the deceased might have concussion and needed to go to hospital. The accused told her that the deceased would be fine and put him in his cot before returning outside. 74. WM often sat with the accused outside while the deceased was in his cot. 75. ZA saw the accused leave the children unattended while she was drinking out the front or at the neighbour's house. 76. KP, a friend of K, was visiting K and spoke with the accused about the deceased who was at home alone at the accused's house. The accused told her that that the deceased could not get out of his cot. 77. CS saw the accused pick up the deceased by the arm and throw him over the front fence. She saw the deceased in the upstairs bedroom of the house whilst the accused was at PK's house. 78. RD often saw the deceased standing in his cot banging on the bedroom window. 79. In June 2012 LE found the deceased wondering in the street in a jumpsuit at 9.30pm at night. She found out whose child he was and took him to the accused at a neighbour's house. The accused put him in the kitchen and continued socialising. Evidence of neglect Residents 80. RH saw that the XXX house and yard were filthy, with dog poo and nappies in the yard and rubbish in the house. 81. SS saw that the children were always grubby and wore the same clothes day after day; they did not have appropriate clothes for the weather. The house was putrid and smelled. 82. SM saw that the house and surrounds were extremely bad. The children were dirty and always hungry. There was animal faeces in the lounge room and the house smelt. 83. JA saw that the deceased was almost always dressed in a shirt and a soggy nappy, regardless of the time of day. The children ate mainly bread and sausages, sometimes the accused would buy food for herself and the children would have bread. The house was unsanitary. 84. LA saw that the children wore inadequate clothes in winter and wore the same dirty clothes for days on end. The deceased often wore a dirty, drooping, wet nappy all day. The house was filthy, filled with clothes and rubbish, and smelt. 85. KA looked after the deceased, he was always hungry and she gave him food. His clothes were always dirty and his nappy was sagging. His face and hands were dirty. The house was full of animal mess, dirty clothes, and food lying around. 86. AW saw that the deceased was always in a dirty nappy and was inside most of the time. The accused's children were filthy and hardly wore any clothes; they lived on pizza. 87. CG saw that the deceased and JE never had shoes, and were always dirty. The deceased often wore only a nappy, even outside in winter. 88. RD saw that the deceased and JE were neglected; JE was dirty and wore the same clothes for days. 89. The deceased and JA often visited LE; they always asked immediately for food, which LE gave them. The accused's family 90. The accused's mother said that the children were often unclean and she asked the accused about bathing them. She was visiting the accused and the deceased was wearing only a singlet and nappy. She asked for some warm clothes for the deceased and the accused said "He hasn't got any, KI's got them." 91. WT, the accused's son, said that he was often left to care for the deceased whilst the accused was at K's house. The house was dirty and there was no food. 92. RC visited the accused in xxx; the house was dirty and the deceased was always smelly, dirty and hungry. 93. LC saw the deceased and JE whilst she was visiting DT; both looked dirty and neglected. 94. AB visited the accused at xxx. The house was a mess with rubbish, dog faeces and urine, and clothes on the floor. There were mice and cockroaches. The children were dirty and wore inadequate clothes. 95. JT visited the accused at xxx on a number of occasions, the house was filthy and smelt, the deceased was dirty and smelly and needed a bath. JA also visited the accused at xxx. The house had the same hygiene problem as xxx. Obsession with K Residents 96. SS says that once the accused got together with K she didn't care about her kids anymore. 97. ST saw that as soon as the accused was with K nothing else mattered to her and she had even less time for the kids. 98. SM saw that after the accused began her relationship with K her neglect of the children became even more severe. 99. KB noticed that the accused was more neglectful of the kids because she was with K, and more interested in K than the kids. 100. ZA saw that the accused wanted freedom from the kids and needed their father to take them away almost every day so that she didn't have to look after them. This allowed her to continue her relationship with K uninterrupted. In May 2012 there were arguments between the accused and K; the accused was jealous that K wanted to spend time with his family. 101. KP saw that the accused blamed the kids a lot for the troubles in her relationship with K. The accused was willing to give the kids up to the father for K. 102. The accused told ST in a lawfully recorded telephone call on 10 August 2012 that K needed to kick her out of the house so that he could get his son back. She asked ST to talk to the detectives about what K was like and said, "I'm not letting him get his son back over me" and "just that I've got to leave so he can get E home. He's not gonna get E home. We've got to make sure he doesn't." 103. The accused told JC in a lawfully recorded telephone call on 11/8/2012 that T (K's ex de facto and E's mother) was off the drugs and wanted to marry K and settle down. T only found out about the accused a couple of weeks ago. The accused said, "I just didn't know out, a, how, how, a way out of this." The accused's family 104. DT says that the accused left I with the kids and stayed with K overnight. She received calls from neighbours saying that the children were on their own; DT attended the house and took the children with her. 105. The accused told DT that she was upset about K having other women come to his house. The argument between the accused and K which culminated in the accused stabbing herself was caused by K talking to other women and putting money into their bank accounts. 106. The accused made WT care for the deceased whilst she was at K's house. 107. YT saw that the accused was always at K's house, most times she left the deceased and JE with JA. Every day KI would come to the house to check on the kids and stay until about 7.00pm. 108. KB saw that the accused neglected the children because of K. 109. AB spoke with the accused at 8.30pm on 24 July 2012. The accused was upset and crying and asked AB to look after the kids if something happened to her. On 25 July 2012 she spoke with the accused again. K meant everything to the accused and everything she said on that day was centred around K. 110. T knew that the accused listened to K's phone calls; the accused and K had arguments over K talking with T. The accused was obsessed with K and did not like him going anywhere without her. Recorded conversations 111. The accused told Ks, in a lawfully recorded telephone conversation at 8.00pm 21 August 2012, "You didn't kill the kid." The accused told KI, in a lawfully recorded telephone conversation at 8.12pm 16 October 2012 "You didn't kill my son, so fucking what does it matter." Arrest 112. At 8.50am Wednesday 26 June 2013, the accused was cautioned, arrested and taken to Lake Illawarra Police Station. She declined to participate in a further record of interview.