Later in his evidence Dr Ellis agreed with a suggestion that such a coincidence would be an "amazing" coincidence.
24 In cross-examination Dr Ellis said that he could not exclude the possibility that Mrs Thomas had been assaulted and had some time later died from natural causes, that is from a spontaneous breaking of the aneurism.
25 Dr Collins had not himself conducted any post mortem examination of Mrs Thomas' body. He had, however, been provided with a copy of Dr Ellis' post mortem report, transcripts of Dr Ellis' evidence at the committal proceedings and at the trial, photographs of Mrs Thomas' body, a copy of the appellant's interview by the police and certain other material.
26 Dr Collins said in his evidence that, in his opinion, the cause of Mrs Thomas' death "has been unascertained". He was then asked by counsel for the appellant at the trial whether he had considered "possible causes of death" and he replied in the affirmative.
27 Dr Collins said that it could be argued that death was related to the presence in the cranial cavity of the blood detected by Dr Ellis, which could have been caused by the rupturing of the aneurism through natural causes. On the other hand, it could be argued that death was not related at all to the presence of blood in the cranial cavity but had been caused by "natural disease processes". In this connection, Mrs Thomas had suffered from epilepsy and epilepsy can cause death. Other "natural disease processes" which can cause death are asthma and myocarditis, that is inflammation of the heart. Dr Collins concluded "all of those areas are possibilities… which… cannot be definitively excluded".
28 Later in his evidence Dr Collins said that if the blood in the cranial cavity was related to a rupture of the aneurism, then that rupture could have occurred (1) spontaneously (2) through a sudden increase in the pressure of the blood passing through the aneurism or (3) from trauma to the head.
29 According to Dr Collins, one simply could not say what was the cause of the blood in the intracranial cavity or what was the cause of any rupture of the aneurism.
30 A Dr Kwan, who had been Mrs Thomas' general practitioner, gave evidence. He had seen Mrs Thomas frequently and regarded her as "almost part of the family". He confirmed that Mrs Thomas had suffered from epilepsy and that she had had an inoperable cerebral aneurism. Mrs Thomas had also suffered from a bipolar condition. Dr Kwan gave no evidence that Mrs Thomas had suffered from either asthma or myocarditis.
31 The passage in his Honour's summing up on which the outstanding grounds of appeal are based was a short part of a longer passage, which was quoted in the written submissions of counsel for the appellant. This longer passage was as follows:-
"The death is described as arising in three alternative ways:
1. The trauma to the head which resulted in the intracranial bleeding.
2. The fright or fear over the assaults which caused a rise in blood pressure, resulting in rupture of the aneurism.
3. From natural causes or the spontaneous rupture of the aneurism, unassociated with actions of the accused or the accused with Campbell.
If you think that it was a reasonable possibility that it was number 3, that is to say from natural causes or from spontaneous rupture or epilepsy, unassociated with the actions of the accused or the accused with Campbell, then you must acquit the accused.
Has the Crown eliminated the reasonable possibility that death resulted from natural causes or spontaneous rupture or epilepsy, unassociated with the actions of the accused and/or Campbell. Almost anything is possible. That is why I have emphasised the word 'reasonable'. The Crown does not have to eliminate something that is merely possible. Dr Collins does not say spontaneous death or death from unassociated causes was a reasonable possibility, so he does not raise any issue that it was. He referred to those events being only a possibility. Dr Ellis, on the other hand, said it would be an amazing coincidence. It is a matter for you if he was there saying that it was not a reasonable possibility that death resulted from a spontaneous unrelated rupture of the aneurism.
If, on the other hand, you are satisfied beyond reasonable doubt that the cause of the death was either number 1 or number 2, that is to say the assault upon the deceased or the raising of the blood pressure as a result of what was happening, then you are entitled to find that it was the act of the accused or the act of Campbell for which the accused was criminally responsible that caused her death".
32 At the next short adjournment after the trial judge had delivered this part of his summing-up, objection was taken by counsel for the appellant "in respect of your Honour's summing-up of Dr Collins' evidence as to reasonable possibilities". It is clear from the terms of the discussion between the trial judge and counsel in the absence of the jury, that the only part of what his Honour had said which was objected to was the part in which his Honour had said:-
"Dr Collins does not say spontaneous death or death from unassociated causes was a reasonable possibility, so he does not raise any issue that it was. He referred to those events being only a possibility".
33 After the discussion with counsel for the appellant, the trial judge decided not to alter what he had said to the jury.
34 Near the conclusion of the summing-up the jury asked same questions, one of which is relevant to the grounds of appeal now being considered. This question was:-
"What constitutes intent to murder and on the way the jury might approach the matter of the cause of death?"
35 In answering this question the trial judge said:-
"Now, on 4. The cause of death. The Crown in this case cannot establish the precise act which caused the death of the deceased. All it can prove is that death, on the view of Dr Ellis, resulted from bleeding into the cranial cavity and on the evidence of Dr Collins, if you accept that, was unascertained. The Crown must eliminate any reasonable possibility that death resulted otherwise than as a result of the assault upon the deceased. If the Crown does not establish beyond reasonable doubt that it was the act of the accused that caused the death, then you must acquit the accused".
***
"Now, the death is described as arising in three alternative ways; 1. The trauma to the head which resulted in the intracranial bleeding; 2. The fright or fear of the assaults which occasioned a rise in blood pressure resulting in rupture of the aneurism; 3. From natural causes or the spontaneous rupture of the aneurism, unassociated with actions of the accused or the accused with Campbell.
If you think that it was reasonably possible that it was number 3, that is to say from natural causes or spontaneous rupture or epilepsy, unassociated with the actions of the accused or of the accused and Campbell, then you must acquit the accused.
Has the Crown eliminated the reasonable possibility that death resulted from natural causes or spontaneous rupture or epilepsy, unassociated with the actions of the accused or the accused and Campbell? Almost anything is possible. That is why I have emphasised the word 'reasonable'. The Crown does not have to eliminate something which is merely possible. Dr Collins does not say spontaneous death or death from unassociated causes was a reasonable possibility, so he does not raise any issue that it was. He referred to those events being only a possibility. Dr Ellis, on the other hand, said it would be an amazing coincidence. It is a matter for you if he was there saying it was not a reasonable possibility that death resulted from a spontaneous unrelated rupture of the aneurism.
If on the other hand you are satisfied beyond a reasonable doubt that the cause of death was either number one or number two, that is to say the assault upon the deceased or the raising of the blood pressure as a result of what was happening, then you are entitled to find that it was the act of the accused or the act of Campbell for which the accused was criminally responsible that caused her death. So if you are satisfied beyond a reasonable doubt that haemorrhaging caused the death of the deceased and resulted from an assault upon her in one of the ways described, then you are entitled to conclude from the nature of the act itself, that either the accused or both he and Campbell intended to inflict either death or grievous bodily harm and that he is guilty of murder".
36 All three grounds of appeal were argued together by counsel for the appellant, all of the grounds being based on the same short passage appearing twice in the summing up, which I have quoted in par 31 of this judgment.
37 It was accepted by counsel for the appellant that otherwise the summing up was impeccable, and, in particular, his Honour had been correct, when directing the jury on causation, to tell the jury that what the Crown had to eliminate was any reasonable possibility that death had resulted from some cause other than an act of the appellant and that the Crown did not have to eliminate any possibility at all that death had so resulted. However, it was submitted that in this short passage occurring twice in the summing up his Honour had erred.
38 It was submitted that an important issue in the trial was whether the Crown could prove beyond reasonable doubt that an act of the appellant had caused Mrs Thomas' death or, differently expressed, whether the Crown could eliminate any reasonable possibility that Mrs Thomas' death had occurred otherwise than as a result of an act of the appellant. It was for the jury to determine whether any such possibility raised in the evidence was a reasonable possibility. The jury could conclude that such a possibility was a reasonable possibility, even though it had not been characterised as a reasonable possibility in the evidence of any witness.
39 It was contended that in this passage in the summing up the trial judge had directed the jury that, because Dr Collins had not in his evidence characterised the third alternative cause of death, that is death from natural causes or from a spontaneous rupturing of the aneurism, unassociated with any act of the appellant, as being a reasonable possibility, the issue of whether there was a reasonable possibility that death had been caused by this third alternative was withdrawn from the jury or, if the issue was not withdrawn from the jury, the trial judge had directed the jury that Dr Collins' evidence could not be used by the jury in deciding the issue.
40 I would accept the submissions made by counsel for the appellant that it was for the jury to determine whether any possible cause of death raised in the evidence was a reasonably possible cause and that the jury could decide that a possible cause was a reasonably possible cause, without it being necessary for the cause to have been characterised as a reasonably possible cause by any witness.
41 However, I do not accept the further submissions made by counsel for the appellant.
42 The trial judge did not withdraw from the jury the issue of whether there was a reasonable possibility that Mrs Thomas' death had resulted from natural causes or a spontaneous rupturing of the aneurism, unassociated with any act of the appellant. In parts of the summing up which I have quoted and elsewhere in the summing up, the trial judge directed the jury to the effect that they could not convict the appellant, unless the Crown had eliminated any reasonable possibility that Mrs Thomas' death had resulted from natural causes or a spontaneous rupturing of the aneurism. In directing the jury on the issue the trial judge mentioned the possible causes Dr Collins had mentioned in his evidence. In directing the jury on the issue, the trial judge did not reverse the onus of proof. The trial judge consistently told the jury that the onus of proof to eliminate any reasonable possibility rested on the Crown.
43 I am also of the opinion that, when the summing up is read as a whole, it is clear that the trial judge did not withdraw Dr Collins' evidence from the jury on this issue. On the contrary, he summarised Dr Collins' evidence at some length in the summing up (pages 190-195 of the summing-up), in a way which has not been the subject of any complaint on the hearing of the appeal. In summarising Dr Collins' evidence the trial judge referred to all the various possibilities Dr Collins had raised, including a spontaneous rupturing of the aneurism and death from natural causes such as epilepsy, asthma and myocarditis.
44 In the passage in the summing up which has been criticised the trial judge said that "Dr Collins does not say spontaneous death or death from unassociated causes was a reasonable possibility".
45 This was an accurate comment on Dr Collins' evidence. In his evidence Dr Collins said that he considered that the cause of death had not been ascertained. When asked by counsel for the appellant about possible causes of death, he gave a number of possibilities. Dr Collins did not assign any degree of likelihood to any of the possible causes he mentioned. Included in his list of possible causes were asthma and myocarditis, although there was no evidence that Mrs Thomas, a woman who was frequently seen by her general practitioner, suffered from either of these conditions.
46 The trial judge then said "so he does not raise any issue that it was". In my opinion, these words were intended by the trial judge and would have been taken by the jury as a comment by the trial judge on Dr Collins' evidence. In the context of the whole summing up, including the repeated directions by the trial judge on the elements of the offence charged and the summary by the trial judge of Dr Collins' evidence, the jury would not have thought that they did not have to decide the issue of whether the Crown had eliminated any reasonable possibility that Mrs Thomas' death had resulted from natural causes or a spontaneous rupturing of the aneurism or that in deciding that issue they were obliged to disregard Dr Collins' evidence.
47 In the summing up the trial judge directed the jury that "the facts are your sole responsibility and province; I have nothing to do with the facts". He used words to this effect several times. Further, he said several times that it was for the jury to decide whether the acts of the accused had caused the death. The trial judge also said with regard to the evidence of Dr Ellis and Dr Collins:-
"The forensic pathologists Dr Ellis called by the Crown and Dr Collins called by the defence are in substantial agreement as to a number of possible mechanisms of death. They disagree in some respects which you may or may not consider significant but it is for you to accept or reject the evidence of those witnesses just as you do in respect of any other evidence".
48 Later in the summing up the trial judge told the jury:-
"Members of the jury, it is necessary for you to consider all of this medical evidence and take a practical and sensible approach to considering whether or not you are satisfied beyond reasonable doubt that the death of the deceased resulted from the acts of the accused …".
49 I do not consider that any error by the trial judge has been established and in my opinion the appeal against conviction should be dismissed.
50 An application for leave to appeal against sentence was not pressed at the hearing and should also be dismissed.
51 BELL J: I agree with the reasons of James J.