S69 J.G.H. -v- Residential Institutions Review Committee & anor [2017] IESC 69 (24 October 2017)


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Supreme Court of Ireland Decisions


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URL: http://www.bailii.org/ie/cases/IESC/2017/S69.html
Cite as: [2017] IESC 69

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Judgment
Title:
J.G.H. -v- Residential Institutions Review Committee & anor
Neutral Citation:
[2017] IESC 69
Supreme Court Record Number:
23/2016
Court of Appeal Record Number:
2014/1342
Date of Delivery:
24/10/2017
Court:
Supreme Court
Composition of Court:
Clarke C.J., O'Donnell Donal J., MacMenamin J., Dunne J., O'Malley Iseult J.
Judgment by:
Clarke C.J.,       O'Donnell Donal J.
Status:
Approved
Result:
Appeal allowed


THE SUPREME COURT
[Appeal No: 2016/23]

Clarke C.J.
O’Donnell J.
MacMenamin J.
Dunne J.
O’Malley J.
      Between/
J.G.H.
Applicant/Appellant
and

Residential Institutions Review Committee

Respondent
and

Residential Institutions Redress Board

Notice Party

Judgment of the Chief Justice delivered the 24th October, 2017.

1. Introduction
1.1 The scheme to provide redress in relation to the harm suffered by so many in residential institutions over the years represented an important part of the way in which the State has sought to address the grave problems which began to come into the public domain over the last 20 years or so. The Commission to Inquire into Child Abuse also represented an important part of the State’s response. However, the Residential Institutions Redress Act, 2002 (“the 2002 Act”) provided for a scheme of compensation for those who had been resident in certain residential institutions which are specified in that legislation.

1.2 This appeal concerns one question of statutory interpretation which has at least the potential to make a significant difference to the circumstances of the applicant/appellant (“Mr. H.”). Mr. H. applied, under the terms of the 2002 Act, to the notice party (“the Redress Board”), which made a relatively small award in his favour. Thereafter, again in accordance with the terms of the 2002 Act, Mr. H. sought a review by the respondent (“the Review Committee”). For present purposes it is sufficient to note that the Review Committee did increase the award of compensation to Mr. H. but it appears to be accepted that it did not award him compensation in respect of injuries suffered by him while he was in a nursing home (“the Nursing Home”). It is that issue which lies at the heart of these proceedings and this appeal. It should be noted in passing that, by virtue of s. 28(6) of the 2002 Act, no information should be revealed which might identify either a claimant under the 2002 Act or any relevant institution.

1.3 Mr. H. had been resident in a Hospital (“the Hospital”). As a result of what would appear to have been accepted to be a misdiagnosis he was transferred to the Nursing Home. The Review Committee accepted that his transfer in those circumstances amounted to abuse within the broad definition of that term which is provided for in the 2002 Act. While in the Nursing Home Mr. H. was subject to a regime which was particularly harsh. The doctor in the Hospital who had, in substance, arranged for the transfer of Mr. H. to the Nursing Home was also in charge of the regime in that latter institution and so would have been fully aware of the regime which Mr. H. was likely to suffer on transfer. However, unlike the Hospital, the Nursing Home is not an institution covered by the 2002 Act. In those circumstances an issue arose as to whether the injuries suffered by Mr. H., as a consequence of the decision taken in the Hospital to send him to the Nursing Home but which actually occurred while he was in the Nursing Home, came within the scope of the 2002 Act. It was against that backdrop that Mr. H. brought these proceedings.

2. The Proceedings to Date
2.1 Mr. H. commenced judicial review proceedings in which he principally sought an order of certiorari in respect of the Review Committee’s decision on the basis of an assertion that the Review Committee was wrong in law not to award him compensation in respect of the relevant events which occurred at the Nursing Home. On the 16th July, 2014 Kearns P., in the High Court, determined that Mr. H. was entitled to an award under the 2002 Act in respect of injuries suffered while in the Nursing Home and made an order of certiorari quashing the decision of the Review Committee and remitting the matter back to that Committee for further consideration. (See ex tempore judgment of the High Court (unreported, Kearns P., 16th July, 2014)).

2.2 The Review Committee appealed against that decision to the Court of Appeal. On the 9th December, 2015, the Court of Appeal (through judgments of Kelly and Hogan JJ.) set out the reasons for allowing the appeal of the Review Committee and discharged the order of certiorari. (JGH v. Residential Institutions Redress Review Committee (2015) IECA 285).

2.3 Thereafter Mr. H. sought leave to appeal from the decision of the Court of Appeal to this Court under Art. 34.5.3 of the Constitution. By a determination made on the 14th December, 2016, (JGH v. Residential Institutions Redress Review Committee (2016) IESC DET 148) this Court gave leave to pursue such an appeal in respect of the following questions:-

      “1. Could a decision by a scheduled institution as prescribed by the 2002 Act to transfer a child to a non-scheduled institution constitute abuse within the meaning of the Residential Institutions Redress Act 2002?

      2. In making a determination that such a decision constituted abuse within the meaning of the Act, was the Respondent entitled to apply common law principles of negligence including the principle of forseeability, having regard to


        (a) the definition of abuse in s. 1 of the Act, which includes “the wilful, reckless or negligent infliction of physical injury on, or failure to prevent such injury to, the child”, and

        (b) the prohibition on addressing or making findings relating to any issue of fault or negligence set out in s.5 of the Act?”

2.4 This judgment, therefore, relates to the issues which this Court permitted to be raised on appeal by virtue of that determination.

3. The High Court and the Court of Appeal
3.1 Kearns P., in the High Court, came to the conclusion that what happened to Mr. H. in the Nursing Home amounted to abuse as that term is defined in the legislation. Neither of the judgments of the Court of Appeal disagreed with that finding and there is no appeal before this Court on that issue. Therefore, this judgment must operate on the basis that what happened to Mr. H. in the Nursing Home does constitute abuse for the purposes of the 2002 Act.

3.2 However, as both the High Court and the Court of Appeal judgments acknowledge, there is a second question which is as to whether injuries resulting from that undoubted abuse can be said to be compensatable under the terms of the 2002 Act given that the Nursing Home is not one of the institutions which are specified in the Schedule to that Act. It was on the proper interpretation of the legislation in that regard and its application to the facts of Mr. H’s case that the High Court and the Court of Appeal disagreed.

3.3 It also requires to be recalled that at all material times there was a finding that the decision to send Mr. H. to the Nursing Home was as a result of a misdiagnosis and that same amounted to abuse within the very broad definition of that term which is to be found in the 2002 Act. There is no challenge to that finding at this stage. The High Court, therefore, proceeded, quite correctly, on the basis that the decision to send Mr. H. to the Nursing Home amounted to abuse but then went on to consider the question of whether the injuries suffered by Mr. H. while in the Nursing Home were compensatable under the 2002 Act having regard to the fact that the Nursing Home itself was not, as has already been pointed out, a scheduled institution.

3.4 Kearns P. posed the question in the following way:-

      “Is the connection between a wrongful act and its sequelae severed in this case by the express terminology of the Act in such a way as to foreclose on this particular applicant and confine him to such rights as he may have had whilst a patient in (the Hospital)?”
Having noted that the particular abuse identified by the Review Committee included the decision, by virtue of a misdiagnosis, to send Mr. H. to the Nursing Home, Kearns P. came to the conclusion, by analogy with common law principles, that there was a sufficient connection between the harm or injury which befell Mr. H. in the Nursing Home (which the trial judge found to be a foreseeable consequence of his transfer) and the abuse or wrongful act of transferring Mr. H. to that institution, so as to bring the injuries suffered by Mr. H. in the Nursing Home within the ambit of injury for which he was entitled to compensation under the 2002 Act. In so holding, Kearns P. expressed the opinion that to take an alternative view would be to adopt an excessively narrow interpretation of the legislation by confining compensation to injuries suffered while actually in a scheduled institution as opposed to extending it to injuries suffered as a consequence of abuse occurring within the scheduled institution concerned.

3.5 However, the Court of Appeal took a different view of the proper interpretation of the legislation concerned. As both judgments of that Court make clear, the entitlement to compensation under the scheme established by the 2002 Act is dependent on meeting the criteria which the Oireachtas has specified in that legislation. Thus, as the Court of Appeal pointed out, claimants either meet or do not meet the statutory criteria so that the entitlement of any claimant either to compensation generally or, as in this case, to compensation in respect of a particular injury, is dependent only on whether the statutory criteria are met in the particular circumstances of the case in question.

3.6 Both Kelly and Hogan JJ. came to the view that, on a proper interpretation of the legislation, it was necessary that the injuries in respect of which compensation could properly be awarded had to be incurred while the claimant was resident in the scheduled institution concerned. On that basis, it was held that injuries suffered in an institution which was not a scheduled institution and while the claimant was no longer resident in a scheduled institution were not compensatable even if there was some foreseeable connection between the injuries suffered and abuse which took place in the relevant scheduled institution.

3.7 Thus, the key difference between the judgments of the two courts below, and indeed the key difference in the submissions made to this Court, centred on the proper interpretation of the legislation and in particular whether it can, as the Review Committee argues, be taken to confine compensation by excluding from its remit injuries suffered after a person ceased to be resident in a particular scheduled institution even where those injuries can be said to have been a foreseeable consequence of the transfer of the person concerned to a different, non scheduled, institution and where the transfer itself has been held to amount to technical abuse for the purposes of the 2002 Act.

3.8 As the argument developed, that, in reality, was the net issue which the Court had to address. However, in the context of that general issue of construction, a further point was made on behalf of Mr. H. which was concerned with the proper approach which this Court should adopt to construing the 2002 Act. For that reason it is appropriate to turn first to that question before going on to analyse the issues which arose in respect of the proper construction of the 2002 Act itself.

4. The Proper Approach to the Construction of the 2002 Act
4.1 This Court has already expressed the view that the 2002 Act is remedial in nature and is to be interpreted on that basis: see A O’G v Residential Institutions Redress Board (2015) IESC 41. On that basis Hogan J. in the Court of Appeal in J. McE v Residential Institutions Redress Board (2016) IECA 17, suggested that it followed that the 2002 Act should be construed as widely and liberally as can fairly be done by reference to the observations of Walsh J. in Bank of Ireland v Purcell (1989) I.R. 327 at page 333.

4.2 The Court of Appeal accepted that such was the proper approach to the interpretation of the 2002 Act for the purposes of this case, with Kelly J. citing the observation of Denham C.J. in A O’G. Nor did I understand counsel for the Review Committee to argue otherwise. I agree, therefore, that the proper approach to statutory interpretation for the purposes of resolving any questions of difficulty in construing the ambit of the 2002 Act is to adopt the approach identified by Hogan J. in J. McE and to construe the Act as widely and liberally as can fairly be done. But there are, of course, two elements to that description. The legislation should be given a generous interpretation in favour of affording compensation because that was the clear intent of the Oireachtas. However, in so doing the Court can only adopt an interpretation which can be said fairly to arise on the wording of the legislation itself. To go beyond a meaning which can fairly be attributed would be to impose a liability on the State which it could not properly be said that the Oireachtas intended to accept.

4.3 The backdrop to that aspect of the debate must involve an acknowledgement that the criteria for the grant of compensation under the 2002 Act are themselves generous towards applicants. There are, undoubtedly, very strong reasons of policy why such an approach should have been adopted. The abuse which undoubtedly occurred in residential institutions frequently left those who suffered from such abuse in very vulnerable positions. The passage of time would have made it quite difficult to establish precise facts in a court applying ordinary rules of evidence. While there undoubtedly would have been cases where applicants could have succeeded before the Courts in bringing claims based on well established legal principles, many applicants might have found difficulty in that regard. Doubtless the reasoning of the Oireachtas in putting in place the scheme which is to be found in the 2002 Act took those factors into account. The scheme does not, therefore, require applicants, for example, to establish on the balance of probabilities that they suffered abuse, but rather an applicant is only required to establish an injury which is consistent with abuse occurring while the applicant was resident in a scheduled institution.

4.4 However, in adopting that broad approach to the question of compensation the Oireachtas clearly applied some limitations which, again doubtless for good reasons of policy, were considered necessary to ensure some reasonable cap to the overall cost of the scheme. Claims are, at least in general terms, confined to institutions which have been scheduled under the 2002 Act. There would be no remit for a Court, even exercising a generous or liberal approach to the interpretation of that Act, to extend its remit to institutions which are not scheduled even though there might, on the merits, be an argument in favour of a relevant institution having been included. Likewise, the 2002 Act provides for certain time limits which have been the subject of some of the case law to which reference has already been made. While the Courts have, having regard to the remedial nature of the legislation, taken a generous approach to the interpretation of those time limits, it could not be suggested that they could simply be ignored.

4.5 The underlying principle behind the proper approach to the interpretation of remedial legislation is that it must be assumed that the Oireachtas, having decided that it is appropriate to apply public funds to compensate a particular category of persons, did not intend that potentially qualifying applicants would be excluded on narrow or technical grounds, for that would be wholly inconsistent with the purpose of the legislation. On the other hand the Oireachtas is entitled, when deciding to apply public funds in a particular way, to define, within constitutional bounds, the limits of any scheme which it is decided should be put in place. Where that scheme is remedial, Courts should not be narrow or technical in interpreting those bounds but they should not be ignored either. Against that backdrop I turn to the specific issues of interpretation which arise on this appeal.

5. The 2002 Act
5.1 Before going on to consider the specific provisions of the legislation which impact on the issue which arises on this appeal, there are a number of matters with which it may be useful to deal at this point on the basis that they do not really give rise to any controversy.

5.2 First, it should be acknowledged that the legislation does not on any view confine compensation to cases where the abuse or injury in respect of which that compensation is to be awarded actually occurred within a relevant scheduled institution. It will be necessary to turn to what is, perhaps, the principal operative section of the 2002 Act, being s. 7, in due course. However, the scheme of s. 7(1) requires that a relevant claimant must assert that “he or she was injured while so resident” with the reference to resident being to “resident in an institution during his childhood” as provided for in subsection (b). Thus the underlying condition is that there be an allegation of having been injured while “resident” in an institution. The section does not require that the actual injury itself occur in the institution.

5.3 This view is further strengthened by s. 1(2) which provides as follows:-

      “References in this Act to abuse of children in institutions or which occurred in institutions include references to any case in which abuse of a child took place, not in an institution, but while the child was residing or being cared for in an institution and the abuse was committed or aided, abetted, counselled of procured by, or otherwise contributed to by an act or omission of, a person engaged in the management, administration, operation, supervision or regulation of the institution or a person otherwise employed in or associated with the institution.”
5.4 There can be no doubt, therefore, that the fact that an injury takes place outside of an institution but while the relevant child was residing or being cared for in the institution concerned can give rise to a legitimate claim where the abuse concerned was attributable, in the manner described in subs. (2), to persons associated with the institution in question.

5.5 Thus, there would be no difficulty in a straightforward case where a child, who was resident in an institution, was abused, for example, by an employee of that institution while away on a trip or, indeed, where, due to the negligence of a manager, such a child was placed in a situation of danger which allowed them to suffer a relevant injury outside the institution itself. Such issues do not arise on the facts of this case but it is important to make clear that the legislation does not narrowly confine the compensation scheme to cases where the actual injury or abuse physically occurred within the institution concerned.

5.6 The second point to note is that there can be little doubt but that if one were to apply the ordinary legal principles which govern liability for damages in, for example, tort, then injuries of the sort which are involved in this appeal would undoubtedly be compensatable. A person who, through their negligence, allowed another person to whom they owed a duty of care to be moved into an institution where the person concerned was aware that they would be likely to suffer injury would undoubtedly be liable to compensate for such injuries. The fact that the injuries did not occur as a direct result of the person’s negligence, but rather were a foreseeable consequence of that negligence, would nonetheless bring those injuries within the scope of the proper assessment of compensation.

5.7 It follows that a person, such as Mr. H, would undoubtedly be able to claim damages for injuries suffered in the Nursing Home if they were in a position to establish a civil wrong against a defendant which lead to them suffering foreseeable injuries in the Nursing Home even though the wrong occurred somewhere else.

5.8 However, the real question which lies at the heart of this appeal is as to whether the wording of the 2002 Act is such that it would make it inappropriate to adopt an approach to the scope of compensation which included such claims, on the basis that such claims cannot be said to be fairly open even on a generous or liberal approach to the construction of the relevant provisions of the 2002 Act.

5.9 That leads to a consideration of s. 7 of the Act which provides as follows:-

      “7(1) Where a person who makes an application (an “applicant”) for an award to the Board establishes to the satisfaction of the Board –

      (a) proof of his or her identity,

      (b) that he or she was resident in an institution during his or her childhood, and

      (c) that he or she was injured while so resident and that injury is consistent with any abuse that is alleged to have occurred while so resident,

      the Board shall make an award to that person in accordance with section 13(1)”

5.10 It is also necessary to consider the provisions of s. 10(4) which is in the following terms:-
      “When making an application the applicant shall provide the Board with evidence of –

        (a) his or her identify,

        (b) residence at the institution concerned,

        (c) the abuse received while so resident, and

        (d) the injury received as a consequence of such abuse.”

5.11 On one view s. 5(3) might also be of some relevance to the issue. That section is in the following terms:-
      “When considering an application under this Act the Board –

        (a) shall not address any issue of fault or negligence arising out of evidence given in an application under this Act, and

        (b) shall not make a finding of fact relating to fault or negligence referred to in paragraph (a).”

However, it does not seem to me that s. 5(3) is of any materiality to the issue which this Court has to decide. The sub-section in question simply provides that the Board does not have to concern itself with questions of fault or negligence. That provision in itself does not say anything about the precise injuries which may be compensatable under the scheme provided for in the 2002 Act. Section 5(3) is also consistent with certain other provisions of the Act such as s. 13(11) which provides that an award is not to be construed as a finding of fact to the effect that a person who is referred to in an application actually carried out the acts complained of in that application. Similarly, to like effect, s. 11(12) provides that the making of an award, in a case where there may have been a conflict of evidence, should not be taken to constitute a finding of fact relating to fault or negligence on the part of any relevant person. Thus, for obvious enough reasons, the whole scheme of the 2002 Act is designed to ensure that the making of awards, having regard to the very low threshold involved, cannot be taken to amount to adverse findings against any individual or institution.

5.12 There are also certain other provisions of the 2002 Act which one or other side suggested might have some bearing on the proper approach to construction. Nonetheless, it seems to me that the two key sections are sections 7(1) and 10(4). If one were to look at s. 7(1) entirely on its own then there would, in my view, be a strong case for the argument advanced on behalf of the Review Committee. Section 7(1) speaks of the injuries for which compensation is to be paid occurring while the claimant was resident in a relevant institution. On that basis it is argued, as the Court of Appeal accepted, that the legislation excludes compensation for any injuries which occurred after the claimant had ceased to be resident in the institution concerned. In that context it is appropriate, also, to make clear that the argument put forward on behalf of the Review Committee did not suggest that it was inappropriate to take into account the continuing consequences of an injury actually suffered while the claimant was resident in the relevant institution. Clearly there were many cases where those who were resident in such institutions suffered very long term consequences, not least psychological and psychiatric problems, which were as a result of injuries suffered by them at the time when they were resident. However, the distinction which the Review Committee seeks to urge on the Court is that there is a difference between the consequences of an injury actually first suffered while resident in an institution, on the one hand, and an injury suffered after the claimant had ceased to be a resident in an institution, on the other hand, even though there might, as on the facts of this case, be a causal connection between the injury concerned and actions taken while resident in the institution in question.

5.13 As noted earlier, if one looked at s. 7(1) in isolation and applied ordinary principles of construction there might well be a strong argument for the interpretation which the Review Committee seeks to place on the legislation as a whole. However, it seems to me that it is important also to have regard to the fact that s. 10(4) requires an applicant to include evidence of “the injury received as a consequence of such abuse” when making an application. Clearly there would be little point in requiring an applicant to supply evidence unless it were considered that such evidence might be material to the final decision of the Board. Thus, s. 10(4) might be taken to imply that compensation was available in respect of any injury received as a consequence of abuse even where the relevant injury occurred after the applicant had ceased to be resident in the institution concerned. It might, of course, be said, as was argued by the Review Committee, that s. 10(4)(d) was simply designed to require an applicant to supply evidence of any consequences of abuse and could not be taken to extend the scope of the injuries which were amenable to compensation as a result of what was argued to be the clear wording of section 7.

5.14 There might well be an argument that, applying ordinary principles of construction to the legislation as a whole, s. 10(4) would have to yield to s. 7(1) given that the principal section which defines the limits of compensation might be said to be section 7(1). However, it seems to me that s. 10(4) at least creates a significant doubt as to whether the legislation as a whole demonstrates a clear intention on the part of the Oireachtas to exclude from compensation injuries suffered by a claimant as a consequence of abuse even where the injury concerned occurred after the claimant had ceased to be a resident in a scheduled institution.

5.15 For the reasons analysed earlier I am satisfied that it is appropriate, consistent with the previous jurisprudence of this and other Courts, to adopt a generous or liberal approach to this undoubtedly remedial legislation. If I was satisfied that the intention of the Oireachtas was to exclude consequential injuries occurring after a claimant had ceased to be resident in a scheduled institution, then it would follow that it would be necessary also to conclude that an interpretation which permitted compensation in such cases could not fairly be said to arise on the wording of the legislation itself, and thus such an interpretation would not be permissible. However, I am not, for the reasons which I have set out, satisfied that such a clear intent of the Oireachtas can be discerned from the legislation as a whole and in particular have come to that view because a clear intent to exclude such injuries seems to me to be inconsistent with s. 10(4).

5.16 In those circumstances I would, therefore, conclude that the proper construction of the legislation as a whole allows for the payment of compensation in cases where the claimant suffers injuries after the claimant has ceased to be a resident in a scheduled institution but where the injuries concerned can be found to be a foreseeable consequence of abuse occurring while the claimant was so resident. It being accepted that the Review Committee did not, in the circumstances of this case, award Mr. H. damages arising out of the injuries suffered in the Nursing Home, it seems to me that the Review Committee was in error.

6. Conclusion
6.1 In those circumstances I would propose that this Court should allow the appeal of Mr. H. against the decision of the Court of Appeal and should direct that the matter be referred back to the Review Committee to determine the appropriate amount of compensation to be paid to Mr. H. on the basis that such compensation should be calculated by including appropriate compensation for any foreseeable injury, arising out of abuse occurring in the Hospital, which was suffered by Mr. H. while in the Nursing Home.

6.2 In doing so I have come to the view, for the reasons already analysed, that the proper approach to the construction of this legislation is to adopt a generous or liberal approach having regard to the remedial nature of the legislation concerned. While a narrow or more technical approach to its construction might arguably lead to the interpretation urged on behalf of the Review Committee, I am not satisfied that the intention of the Oireachtas to exclude compensation in cases such as this is sufficiently clear that it would be unfair or inappropriate to adopt such a broad interpretation.





Judgment of O’Donnell J. delivered the 24th day of October 2017

1 This case concerns interpretation of provisions of the Residential Institutions Redress Act 2002 (“the 2002 Act”) which created a statutory scheme to compensate certain persons for abuse carried out in certain institutions. Having regard to the prohibition on disclosing information contained in s. 28 of that Act and in light of the general importance the legislative scheme attaches to confidentiality I propose to refrain from naming either the applicant, the Hospital or the Nursing Home the subject-matter of these proceedings.

2 It appears that the applicant JGH, when a little more than two and a half years old, was admitted to a children’s hospital (which I will call hereafter “the Hospital”) perhaps for a circumcision procedure although this like many other aspects of the case is unclear. The Hospital is a scheduled institution for the purposes of the Residential Institutions Redress Act 2002. Under the Act if a claimant can satisfy a limited number of requirements, he or she may receive compensation for abuse and injury suffered in a scheduled institution. It appears that while in the Hospital he was diagnosed with suspected rheumatic fever. Subsequently on the 28th of August 1962, it is alleged he was transferred to a nursing home (which I will call “the Nursing Home”) and was certainly admitted to the Nursing Home on that date. The Nursing Home was dedicated to the treatment of rheumatic fever. That illness was unfortunately commonplace in early and mid 20th century Ireland. The Nursing Home is not an institution for the purposes of the 2002 Act.

3 A key feature of this case is that a consultant at the Hospital was also the director of the Nursing Home. JGH was treated there by enforced bed rest for a very prolonged period, a treatment which it now appears was not appropriate even by the standards of the time. He claims that he was also treated harshly by staff and recounts a number of traumatic incidents. His family life was troubled. His father died young, his mother was bipolar. The prolonged and forced separation from his family at an early age has, it is said, caused him serious psychological trauma and he has had an unhappy life. The events in the Nursing Home as recounted, would it appears satisfy the standard for “abuse” and “injury” within the 2002 Act and these proceedings have been dealt with on that assumption. However, it is argued that a decision in the Hospital (or by the consultant who was both employed by the Hospital and the director of the Nursing Home) led to him being in the Nursing Home. Is this in itself sufficient to constitute abuse and injury in a scheduled institution (“the Hospital”) to permit him to recover compensation for the abuse and injury suffered in an institution (“the Nursing Home”) which was not scheduled, and accordingly in respect of which he could not directly recover compensation under the Scheme?

4 This is a question of statutory interpretation. That task involves a careful analysis of the provisions of any piece of legislation which is to be understood against the legal and factual background which is discernible from the Act or which is expected to be known by those to whom the Act is addressed. While the language of the Act is the primary guide to its interpretation, that task is not to be approached as an abstract exercise. As Judge Learned Hand said in Cabell v Markham (1945) 148 F 2nd 737,739:

This is one of the earliest statements of what has come to be described as a purposive approach, although it might as easily be understood as an explanation of the modern approach to the exercise of seeking to understand and give effect to legislation. As Lord Bingham of Cornhill put it in R(Quintavalle ) v Secretary of State for Health [2003] 2W.L.R 692;
      “The Court’s task within the permissible bounds of interpretation, is to give effect to Parliament’s purpose. So the controversial provision should be read in the context of the statute as a whole, and the statute as a whole should be read in the historical context of the situation which led to its enactment”.
5 A botanist visiting parts of the West of Ireland would readily be able to discern both the direction and ferocity of the prevailing winds from the manner in which a tree grows and has been bent over time. A geologist may deduce from rock formation that considerable force was applied at some period in the distant past. Similarly, a common law lawyer from another jurisdiction encountering the 2002 Act for the first time, and without any accompanying commentary or background knowledge, would be able to conclude that it was the product of very significant and substantial forces at play when the legislation was enacted. Of course anyone familiar with one of the darkest passages in recent Irish history would be able to identify those forces immediately. It emerged at the end of the 20th century, when Ireland prided itself on being an economically poor but morally strong country with a compassionate culture drawn from a strong Christian belief that children had been committed to institutions, often by the State, or under the supervision of the State, run by religious orders, then respected and even revered within the broad community and that some of those children had been subjected to sexual abuse by employees of the institution, and even more shockingly, members of the religious order, and that many others had experienced severe physical abuse, and still more had experienced neglect and privation. All of these matters, have come to be referred to compendiously in ordinary speech as “abuse”. These discoveries shocked a community. There was considerable debate about the extent of such abuse, and the responsibility for it. These revelations emerged in a 21st century world very far removed from the hard, impoverished but devout 1950s. The Ireland that viewed these matters was increasingly prosperous, cosmopolitan, and of rapidly decreasing piety, a process that was accelerated by these matters, and by the broader issues of sexual abuse by priests and other persons who had held respected positions within the community. There was much debate and argument as to responsibility. But contemporary commentary is not rigorous social history. And there is in any event a large gap between a generalised picture and the establishment of individual wrong doing for which damages are recoverable at law. This is particularly so when an incident occurred a long time ago, the alleged perpetrator is either very old or even dead, and the incident is still genuinely disputed. This becomes more difficult and traumatic when the process of determining such matters occurs in public which may cause distress to a victim. Therefore, the present day politics of reflecting a national sense of horror and shame encountered the limitations of individual actions for tort. Accordingly an inquiry process was set up and in parallel a compensation scheme was established by the Act of 2002.

6 Section 7: a first impression.
The central issue which arises in this case is an interpretation of the terms contained in s.7 of the Act of 2002, which is headed “Entitlement to award”. In particular s.7(1)(c) provides that an applicant must establish, among a very limited number of other matters, that “he or she was injured while … resident” in a scheduled institution, and moreover suffered injury that is consistent with abuse that is alleged to have occurred while so resident. “Resident” in this sentence means resident in an institution for the purposes of the Act. It is possible indeed to make a first and reasonably accurate attempt at establishing the meaning of s.7(1)(c) and applying it to the facts of this case from a consideration of the language alone. Returning to the question posed at the outset of this judgment therefore, the language certainly suggests on first impression that the alleged abuse and the consequent injury must be suffered while resident in the institution concerned. On the facts asserted here, JGH suffered injury while in the Nursing Home, consistent indeed with the abuse he alleges to have been committed there. It is however difficult to say that he suffered abuse in the Hospital, and more difficult and perhaps impossible to say that he was injured there. At first sight therefore his claim does not come within the statutory scheme. However, the subsection must be understood in the context of the whole section and then placed in the context of the Act as a whole, and its statutory and factual background. Accordingly it is necessary to consider the detailed provisions of the Act

7 The Act of 2002
The long title of the Act provides that it is:

      “An Act to provide for the making of financial awards to assist in the recovery of certain persons who as children were resident in certain institutions in the State and who have or have had injuries that are consistent with abuse received while so resident and for that purpose to establish the Residential Institutions Redress Board to make such awards and to provide for the review of such awards by the Residential Institutions Review Committee and to provide for related matters.”
Three things at least might be gleaned from this description. First, and most obviously, that a compensation scheme is being established which will be administered by a redress board whose decisions and awards may be subject to review by a committee. Second, that this scheme will extend only to certain persons who were children resident in certain institutions. Awards may not be made to all residents in a named institution during a certain period. Nor will any scheme extend to persons who suffered injury while in any institution. The third and important feature is what links those certain children to certain institutions and brings them within the scheme. That is they have or have had injuries “that are consistent with abuse received while so resident”. The language here is also notable. The long title does not say (and as we shall see the Act does not say) that awards are payable to persons who were abused or who suffered injury while resident in institutions. Instead the key feature is to have or have had an injury consistent with abuse. The threshold for recovery is being very deliberately reduced. It is not necessary to show culpability, responsibility or even causal connection: it is sufficient to show injuries consistent with abuse.

8 Finally, in relation to the issue which is the subject matter of these proceedings, it can be said of course that this language points in the direction of recovery based only on abuse received while so resident. If indeed this language was reproduced in the body of the Act, or if s.7 could be read in such a way that it was not inconsistent with that reading, then it might be possible to conclude that the only requirement of the Act was that abuse (as broadly defined within the Act) occur within an institution and that it was irrelevant where the injury was suffered. Indeed, it is common case that recovery may be made for psychological and even physical sequelae experienced in later life as a consequence of abuse and injury suffered within an institution. If so, and if abuse can be given a very broad interpretation to cover decisions leading to abuse committed in other locations, then the claimant might succeed. However, the long title cannot take precedence over the specific provisions of the Act, and as stated, its formulation can perhaps be most easily understood as reflecting no more than the general view that in most, if not all of the cases, which were in the contemplation of the drafters and enacters of the legislation, the abuse and injury will both be suffered while resident in an institution.

9 Section 1 of the Act is the interpretation provision. The first definition is that of abuse. It provides as follows:

      “(1) In this Act, unless the context otherwise requires—

        “abuse”, in relation to a child, means—

        (a) the wilful, reckless or negligent infliction of physical injury on, or failure to prevent such injury to, the child,

        (b) the use of the child by a person for sexual arousal or sexual gratification of that person or another person,

        (c) failure to care for the child which results in serious impairment of the physical or mental health or development of the child or serious adverse effects on his or her behaviour or welfare, or

        (d) any other act or omission towards the child which results in serious impairment of the physical or mental health or development of the child or serious adverse effects on his or her behaviour or welfare,


      and cognate words shall be construed accordingly;”
10 The first three headings correspond broadly to different types of treatment that could be, and have been, described in ordinary language as “abuse”. In each case the conduct is directed towards the child and is wrongful. The first covers physical mistreatment covering intentional assault or conceivably where the injury is caused by negligence. It appears clear however that this category is limited to physical injury. This is apparent from the language used in subsection (a), but also from the fact that in categories (c) and (d) specific reference is made to “physical or mental health” while the only injury contemplated under subsection (a) is “physical”. Subparagraph (b) in turn relates to sexual abuse, and it is noteworthy that the definition is broad enough to extend beyond any question of sexual assault as commonly understood. It is sufficient that the child is used for sexual gratification even if that did not involve physical contact. The third category addresses what might be considered neglect in any care regime. There is no question here of deliberate physical brutality, but rather a failure to care for children resulting in adverse effects on health or behaviour or welfare.

11 Even if the Nursing Home in the present case was an institution within the Act, the facts do not fit neatly within any of these three categories. Apart from a few specific instances the thrust of the claim now made is related to an unjustified regime of care by prolonged bed rest coupled with sedation that separated the child from his family for a significant period and caused long lasting psychological scars. Attention is focussed in this case therefore on the fourth category. This is, however, not a stand alone category of abuse setting out some general definition. Instead it must be read as a catchall provision attempting to capture cases which would be understood as abusive, but which do not fit easily within categories (a), (b) or (c). In that sense it must take some of its colour from the preceding three categories. That is clear from the words “any other act or omission”. This subsection is clearly related to the preceding provisions. It is however broad enough to cover the unjustified medical treatment in the Nursing Home, and accordingly would permit recovery if the Nursing Home was a scheduled institution. On that basis, the applicant would have suffered an injury while resident in the Nursing Home, consistent with abuse alleged to have occurred there.

12 In this case it is sought to give s.1(1)(d) an even broader interpretation so that it covers the act or decision of transferring the applicant to the Nursing Home. It is said that that was an “act … towards the child” which “resulted” in serious impairment of the mental health or development of the child or had serious adverse effects on his behaviour and welfare. It can certainly be argued that the subsection contains no limitation, and therefore that any act which “results in” harm is covered. If this is so, it has some striking consequences. First, since this case occurs, rather unusually, in the context of a medical hospital rather than a residential institution, then it could be said that anything which constituted medical negligence is itself covered by this provision. That would be surprising since there would be no reason to provide a compensation scheme for only a limited number of hospitals. Strikingly however, on this reading of the subsection it is not even necessary that the action be negligent: it is sufficient that it results in an impairment of physical or mental health. Thus, if an operation is carried out in a hospital which carries an acknowledged risk of injury or side effect, and the operation is carried out without negligence and the side effects occur it could be said to be an “act” resulting in “serious impairment” to physical or mental health. Again, in the context of this case attention has tended to focus in this Court on the allegation that the transfer to the Nursing Home resulted in a form of treatment which caused a prolonged and unnecessary rupture of relations between the child and his family which caused psychological damage and which the Hospital or consultant, ought to have known was an unnecessary and unjustified form of treatment. However, under the broad reading of s.1(1)(d) it is not necessary that there should be culpability to come within the subsection. Thus, if the treatment was entirely appropriate but required long term isolation of a child from his family, with consequent psychological damage, then this could constitute abuse under s.1(1)(d). This type of prolonged treatment was not unknown in the early or mid part of the 20th century, not just for rheumatic fever, but also for diseases such as polio or tuberculosis. It is now recognised that such separation from a family at an early age can be psychologically damaging. On the broad surface interpretation of s.1(1)(d), such treatment, even in accordance with medical practice at the time, might nevertheless constitute “abuse” for the purpose of the Act. Similarly, in relation to the incidents of physical mistreatment alleged by the applicant, such as the treatment by nurses and the incident in the sluice room, it would appear that on this reading of s.1(1)(d) the act of transferring the applicant to the Nursing Home would be an act of “abuse.” This is because it was an act which resulted in an impairment of the physical and mental health and development of the child, even if at the time there was no way in which the Hospital could have known that such incidents might occur, and therefore there would be no culpability or blame in normal terms attaching to the Hospital in carrying out such a transfer in such circumstances. Of course all of this is a consequence of the inclusion of a small number of hospitals (by my count 10 of almost 130 institutions listed in the Act) in the list of scheduled institutions. It is not clear that this was thought through. In my view it was probably intended merely that where the type of abuse which was known to have occurred in residential institutions occurred in one of the named hospitals there should be recovery, rather than that there was any intention to expand the types of actions that could give rise to a claim. The range of abuse which might have been contemplated to have taken place in the average institutional home is significantly less than the number of acts which occur in a hospital which can result in an adverse impact on health. It will be necessary to consider later, and come to a conclusion on the interpretation which should be given to “abuse” and in particular s.1(1)(d) of the Act.

13 “Injury” is also defined in broad terms as including “physical or psychological injury and injury that has occurred in the past or currently exists and cognate words shall be construed accordingly”. A “relevant person” is defined as a person referred to in an application as “having carried out the acts complained of”, and in the case of an institution, being “an institution that is referred to in an application as being the institution in which the acts complained of in the application were carried out.” The relevant person is a person who was concerned with the systems of management, administration, operation, supervision, inspection and regulation of such institution as the institution concerned may determine and specify in writing to the Board.

14 Section 1(2) and s.1(3) provide for two important specific circumstances where the Act is to be given an extended scope. Section 1(2) provides that references to abuse in institutions or which occurred in institutions includes references to any case in which abuse of a child took place “not in an institution, but while the child was residing or being cared for in an institution and the abuse was committed or aided, abetted, counselled or procured by, or otherwise contributed to by an act or omission of, a person engaged in the management, administration, operation, supervision or regulation of the institution or a person otherwise employed in or associated with the institution”. This appears to refer to abuse off site, (“not in an institution”) but while the child was resident or being cared for in an institution. Perhaps significantly, it also requires some culpable causal involvement of a person engaged in the operation of the institution.

15 Section 1(3) provides for an extended application of the Act in the case of a transfer and provides:

      “An applicant who was resident in an institution and was transferred from that institution to another place of residence which carried on the business of a laundry and who suffered abuse while resident in that laundry shall be deemed, at the time of the abuse, to have been resident in that institution.”
This is the only provision in the Act which explicitly deals with the question of transfer, and appears intended to deal with the situation of residents, normally girls, who when old enough to leave the institution were in fact transferred from a home to certain laundries run by religious orders. This was a phenomenon that was well known and controversial at the time of the passage of the legislation. On its face however, it is difficult to square this provision with the broad interpretation of s.1(1)(d) advanced since if transfer to an institution in which abuse takes place is itself an act resulting in injury, it would not be necessary to make specific provisions to bring these cases within the scope of the Act.

16 Section 3 provides for the establishment of the Residential Institutions Redress Board (“the Board”). Pursuant to s.5 the Board is under a duty to “make awards in accordance with this Act which are fair and reasonable having regard to the unique circumstances of each applicant”. It is also obliged to ensure that insofar as practical hearings are conducted as informally as possible. Under s.5(3) it is provided that when considering applications the Board is precluded from either addressing any issue of fault or negligence arising from evidence given, or making any finding of fault or negligence. This is one of the very distinctive features of the Act, to which it will be necessary to return.

17 Section 7 is at the heart of the Act and its interpretation is central to this case. It provides as follows:

      “(1) Where a person who makes an application (an “applicant”) for an award to the Board establishes to the satisfaction of the Board—

        (a) proof of his or her identity,

        (b) that he or she was resident in an institution during his or her childhood, and

        (c) that he or she was injured while so resident and that injury is consistent with any abuse that is alleged to have occurred while so resident,


      the Board shall make an award to that person in accordance with section 13 (1).”

18 Subsections (a) and (b) are matters of formal proof i.e. identity and residence in an institution as a child. Accordingly it is s.7(1)(c) which contains the core of the Act. That requires that the child was injured while so resident, and that that injury is consistent with any “abuse” that is alleged to have occurred while so resident. If this much is established, then the Board is under an obligation (“shall”) to make an award to that person. Two things may be observed about s.7(1)(c). First, the statutory requirement is injury while resident and not abuse while resident. Given the fact that each term is specifically defined this is a clear and deliberate decision. Subsection (c) makes it clear that what is required is proof of injury while resident, and that such injury is consistent with abuse alleged to have occurred while so resident. It will be necessary to consider in due course why the Act is framed in this way, but it is unmistakably the structure of the legislation that it focuses on injury which is consistent with abuse alleged rather than abuse itself. Second, it is not necessary to establish that the injury was caused by the abuse. Instead it is sufficient to establish that injury is consistent with an allegation of abuse. This is a notably lower requirement than proof of abuse causing injury.

19 Section 7 also contains a number of important additional provisions providing for the interaction of an award or the potential of an award under the Act with a claim at law. Under s.7(2) a person who has received an award from a court or settled any action arising out of circumstances which could give rise to an application before the Board is barred from making any application for redress under the Act. Similarly where a court has made a determination in an action (and presumably has dismissed a claim), that too is a bar to proceedings. However, s.7(4) provides that the making of an application to the Board does not involve the waiver of any other right of action. Section 7(5) provides that an applicant is not required to produce any evidence of negligence on the part of a person, or on the part of any employer. This corresponds with s.5(3) which precludes the Board from addressing any question of negligence. Section 7(7) exempts from the bar in s.7(3) any determination concerning the Statute of Limitations or any interlocutory matter. It seems clear, therefore, that only a determination on the merits, and consequently a dismissal of a claim, will be sufficient to act as a bar under s.7(3).

20 Section 8 provides for an application to be made within 3 years of the establishment day, and for the extension of that period at the discretion of the Board in exceptional circumstances. Section 9 contains an unusual provision in relation to deceased applicants. A person who would have qualified as an applicant and had not received an award and who died after the 11th May 1999, before making an application may nevertheless be the subject matter of a determination, and the children or spouse of that person may apply on behalf of the deceased person. Similarly, where an applicant dies after making an application the claim may be continued by the children or spouse.

21 Under s.10 hearings on application will be conducted otherwise than in public. The applicant is required to provide the Board with evidence under s.10(4) of four specified matters namely, (a) his or her identity, (b) residence at the institution concerned, (c) the abuse received while so resident, and (d) the injury received as a consequence of such abuse. This mirrors s.7. Again, and consistent with the rest of the Act, and in particular s.7, s.10 treats abuse and injury as separate matters. Section 10(5) permits an applicant to provide evidence either orally or by written statement. Under s.10(6) the Board is given power to request “any person to produce to the Board or to the applicant any document” relating to the matters set out at s.10(5). This seems to permit the Board to direct institutions or other bodies to produce documentation which may prove identity, residence and conceivably abuse or injury. Section 10(8) permits the Board to request the applicant to provide oral evidence if evidence has been provided by written statement. Such oral evidence may however only relate to the matters referred to at paragraphs (c) and (d) of s.4, that is abuse and injury. The scheme involves a threshold which the applicant must surmount. After that the Board may obtain evidence to establish the extent of the applicant’s claim. At s.10(9) the Board is obliged to make a preliminary decision as to whether the applicant is entitled to an award and under s.10(10) may make an interim award. Under s.10(11) the Board, where it makes a preliminary decision in favour of an applicant, may then request advisors appointed by the Board under s.11 with appropriate medical and related expertise to provide a report on the injuries received by the applicant. Section 10(14) provides that an applicant or a relevant person and any person giving evidence on behalf of an applicant or relevant person may be asked questions by the Board or by counsel for the Board or by both. Thus, it is clearly not contemplated that a relevant person (that is the person against whom an allegation is made or a person designated to deal with the allegation by or on behalf of the institution) may either by himself or herself or through counsel ask any question of an applicant or a person giving evidence on behalf of an applicant.

22 Section 11 permits the appointment of advisors and counsel who may call expert witnesses as the Board may require. Section 11(8) deals with the question of notification to relevant persons in respect of whom allegations of abuse are made, or representatives of an institution in which it is alleged abuse and injury occurred. The Board is obliged to take “such reasonable steps as are necessary” to inform a relevant person of an application in which the person is referred to and they invite that person to provide the Board with “any evidence in writing concerning such application as a relevant person considers appropriate”. The Board may allow the relevant person to give oral evidence. Section 11(8)(c) permits the relevant person with the consent of the Board to cross-examine the applicant, but for the limited purposes of correcting any mistake of fact, defending the relevant person in relation to any allegation or defamatory or untrue statement, and protecting and vindicating the personal and other rights of the relevant person. An applicant may in turn cross-examine a relevant person, and the Board may consent to such cross-examination if it considers it necessary in the interests of justice to do so for any of the purposes so specified. The cross-examination is limited therefore in two significant respects. First, permission must be sought, and second, both the applicant and the relevant person are limited to cross-examination in respect of the matters specified in s.11(8)(c)(i) to (iii).

23 These and other provisions in the Act serve to illustrate the significant difference between a claim under the Act and proceedings in court. Where there is conflict of evidence which the Board cannot resolve the Board is obliged to request the medical and other advisors to prepare a report. Section 11(12) provides, however, that in the making of an award to an applicant, notwithstanding a conflict of evidence, an award “shall not constitute a finding of fact relating to fault or negligence on the part of the relevant person”. The award of the Board is determined by reference to the evidence adduced, the regulations, and the expert reports. Where it considers it appropriate, the Board may hear oral evidence of the applicant or his or her advisors. The award includes expenses incurred in making the application and also medical expenses. Section 13(6) provides that where an applicant accepts an award he or she is obliged to waive any right of action against any public body and any person who has made a contribution under s.23(5), and to discontinue any such proceedings. Accordingly, acceptance of an award bars a claim against any public body, but only any other institutions which itself has made a contribution under s.23. Under s.13(10) where an award is not accepted and a claimant elects instead to commence proceedings, the period during which the application was made and considered by the Board and on review, is not to be reckoned for the purposes of the Statute of Limitations. Again, s.13(11) provides that an award shall not be construed as a finding of fact that a person who is referred to in the application has carried out the acts complained of, and s.13(12) provides a limited bar on proceedings by a person who has received an award.

24 The foregoing provisions concern proceedings before the Redress Board itself. These proceedings however concern the conduct of the Review Committee established under s.14 of the Act. It is important to note that the committee’s powers are limited. Thus, the Review Committee shall review the amount of an award submitted under s.13(4)(b) or s.13(13) by the Minister. Thus, the relevant person cannot seek a review of the amount awarded. Under s.13(9) the Board could decide that the matters specified in s.7(1) had not been established. In such a case the applicant could submit that decision to the Review Board and it was obliged to review such decision. This is the only method by which the Board’s decision on entitlement to compensation can be reviewed. Thus it appears that no person (either the Minister or the relevant person) had a right to ask the Review Committee to review a decision of the Board that s.7 was satisfied and that the applicant was entitled to an award.

25 An important distinction is made in the Act between a review conducted by the Review Committee of the amount of an award, and the review of a decision that an applicant is not entitled to an award. This case was treated as an application by the applicant for review of the amount of an award. The Review Committee was, therefore, limited when reviewing the award to a consideration of the regulations made by the Minister and the evidence given to the Board. Accordingly s.15(2) applied. The Review Committee was limited when reviewing an award to regulations made by the Minister (setting out classes of cases and groups of awards), the report referred to in s.10(12) that is the report of the experts, the medical reports submitted by the applicant, and the evidence given to the Board by the applicant and by any witness called by the applicant. Thereafter, the Review Committee could uphold the amount of the award or increase or decrease it. Importantly, therefore, the function of the Review Committee in respect of such an application was a review of the decision of the Board, by reference to the evidence and material before the Board. In the case of a decision under s.13(9), that is a decision that the applicant was not entitled to an award, the scope of a review was broader. In such a case, the Review Committee could review the evidence and hear oral evidence from the applicant and his or her advisor, and hear submissions on behalf of the applicant and other evidence as it considered appropriate. In the event that the Review Committee made a decision that the applicant was entitled to an award, the matter was then referred back to the Board, as if the Board had made a preliminary decision of entitlement under s.10(10). Again, in this respect the power of the Review Committee was limited in that it could not make its own award. Thus a review of the award was limited to the material before the Board, and a review of entitlement to the award could only be initiated by the unsuccessful applicant and oral evidence could only be heard from the applicant or his or her advisor. In a number of important respects, therefore, the review process was subject to significant limitation.

26 Finally there are a number of miscellaneous provisions which are also of interest. Section 16 provides for the making of a general report on categories of abuse and advice and recommendations in respect of the range of amounts to be paid. Section 17 permits the Minister to make regulations in respect of such categories. Section 19 makes any statement made inadmissible against that person in any criminal or civil proceedings. Section 20 permits the Board or Review Committee to require a person to give evidence on oath. Section 21 also allows the Board to establish procedures to provide for financial assistance to applicants in respect of any award made. Section 22 makes specific provision in respect of the complicated funding arrangements of the Board. The Board was to be funded by monies provided by the Oireachtas, and also monies provided by persons who, with the consent of the Minister and the Minister for Finance, were permitted to make a contribution to awards. In practice this was to cover religious orders administering the institutions and seeking the benefit of the bar on proceedings created by an award. In such a case, monies provided by such bodies went only to pay awards made, whereas the general monies voted by the Oireachtas could also be used to defray the costs of the Board and the administration of the Act. The purpose of s.23(5) was it appears to permit persons or institutions scheduled in the Act to make contributions to the Compensation Scheme, and in return become entitled to the waiver by a successful applicant under s.13(6) of any cause of action, and the bar on such an action contained in s.13(12). Section 24 provides that where an award is made and accepted there can be no claim for indemnity or contribution against the State or a public body arising out of the same or substantially the same matters. Section 28 contains significant provisions on the prohibition of disclosure of information. The Board is only entitled to keep a record of the name, address and date of birth of an applicant, the name of an institution concerned, the period in which the applicant was resident in the institution and the amount awarded. Under s.28(6) there is a prohibition on publication of any information concerning an application for an award under this Act which could reasonably lead to the identification of any person including the applicant, a relevant person, or an institution referred to in an application made under the Act. Section 30 disapplies the Data Protection Act, and s.31 limits the application of the Freedom of Information Act. Finally, s.32 amends the Act of 2000. That Act was the Commission to Inquire into Child Abuse Act 2000, which established a commission to enquire generally into allegations of abuse of children in residential institutions. That Act established two forms of inquiry: one in which there was a full adversarial hearing in relation to the allegations of abuse, and a second in which residents of institutions were permitted to give evidence in general as to their experience without the necessity of an inter partes adversarial hearing. After certain consequences and provisions the Act sets out a list of almost 130 institutions. Under s.1(1) institution is defined as meaning an institution specified in the schedule.

27 Observations on the Scheme of the Act

It would be apparent to an observer broadly familiar with the common law system of compensation for injury that the Act is a very specific provision tailored to particular circumstances which existed in Ireland at the turn of the millennium. It is not unusual unfortunately, in the common law world, that a large number of people may be injured because of either a single event, or incident, or because they have been the subject of a persistent practice. In such cases, the question of compensation will often arise. The private law system of recovery of damages in tort will sometimes be the vehicle for determining such matters, particularly where only private parties are involved. But often where the claims are directed against or may involve State parties there is an incentive to look elsewhere. Private law tort claims can be cumbersome, inefficient and costly. Each case is treated as an individual claim with a full entitlement to expert evidence, often detailed medical evidence, and legal representation, all of which inevitably adds to the cost of assessing and delivering compensation, and the difficulty of establishing an entitlement to it. Often such claims face difficulties of proof or other legal hurdles. From the prospective defendant’s point of view, the extent of such claims might, if conceded, be ruinous or if State parties are involved, cause an enormous drain on budgetary resources. It is to be expected, therefore, that such claims will be strenuously defended and at significant cost. Faced with these difficulties, it is not uncommon for compensation schemes to be established which provide for a streamlined and, it is hoped, a more sensitive, speedy, and cost efficient system of dealing with such claims. However, such schemes depend upon a comprehensive uptake by claimants. If some claimants persist in private litigation, then the outcome of such litigation can easily destabilise a scheme. If an award made in court is higher or dramatically lower than the Scheme routinely provides, or if findings are made which reflect on liability, the Scheme may not have the comprehensive uptake which will make it attractive to participants. In some countries it is possible of course simply to convert all private causes of action to be dealt with under a compensation scheme. Other countries, including Ireland, however, recognise a constitutional right to litigate claims, and accordingly, any compensation scheme must seek to encourage potential participants, and in particular claimants, to voluntarily adopt the scheme.

28 A common law visitor to Ireland familiar with such matters, therefore, would immediately recognise that the Act establishes a compensation scheme and contains a number of elements designed to attract claimants to ensure the vast majority of claimants process their claims through the scheme. First, and most obviously, since most of the events contemplated will have taken place some many years ago, the fact that such a claim can be maintained within 3 years of the passage of the Act, and without reference to the provisions of the Statute of Limitations, is a substantial, and perhaps, critical attraction for claimants. Proceedings are streamlined. They are heard in private by informal procedures on limited evidence, including only written evidence, and without the persistence presence of a well resourced defendant to challenge evidence in relation to the claim, or in relation to the extent of injuries or the quantum of compensation. Cross-examination is limited. In circumstances where the subject matter of the allegations are traumatic, these procedures may be particularly attractive to claimants. The fact that the Scheme concerns abuse which may be deeply upsetting to revisit is reflected in the sensitive procedures established and the high importance placed on confidentiality. All of these features of the Scheme - confidentiality, simplicity, low threshold of proof, assistance by the Board in making a claim - might all be readily understood to be directed towards facilitating claimants.

29 However, there are a number of additional and unusual features in this Scheme which cannot be explained by a desire to encourage claimants to participate in the scheme. For example, the prohibition contained in s.5(3)(a), and reinforced in subsection (b), in relation to issues, evidence or findings concerning fault; the requirement that, in addition to proof of residency and injury, there is an establishment that such injury is consistent with abuse; the provision for relevant persons or institutions to cross-examine for the purposes identified in s.11(8)(c); the statutory restriction on the interpretation of the awards as a finding of fault (s.11(11)); and finally, the specific prohibition in s.11(13) that an award is not to be interpreted as a finding that a person carried out the acts alleged cannot be explained as being features designed to attract applicants. An observer might note these matters, and perhaps be able to speculate as to the objective of such provisions, and the reasons why they were included. Once again a person familiar with recent events in Ireland, and in particular the progress of the Commission of Inquiry under the 2000 Act, which was stalled pending the enactment of the Compensation Scheme, would have little difficulty in explaining the provisions. The Act, in addition to providing compensation to claimants, was also designed to encourage institutions to participate, and indeed to contribute to it. At a general level it might be said that the scheme had attractions for such institutions because it would bring some resolution to a difficult and damaging episode for institutions, particularly where such institutions were run by surviving members of a religious order. At a more pragmatic level, a scheme offers the prospect of avoiding years, and indeed decades, of damaging and expensive litigation. But the Act is clearly a balancing act designed to attract both claimants and putative respondents. If the scheme involved direct finding of fault on the part of individuals or institutions, then such institutions might consider themselves duty bound, or perhaps that it was simply in their interest, to defend themselves and their members from those allegations. The concerns, therefore, of all potential stakeholders, and the tenuous compromise effected between all interests, are discernible in the provisions of the Act of 2002.

30 Section 7 reconsidered.

Returning to s.7 therefore, it is now possible to read it against the background of the Act as a whole. It is clear that the section is key to recovery since it sets out the only matters which a claimant must establish in order to obtain an award. Those matters are to be established by proceedings which are informal and where there is only limited provision for the testing of evidence by the Board (and still less on review of an award) or by any other interested party. As such it seems clear therefore that injury while resident in an institution is an essential component of the scheme, and furthermore, that such injury is to be distinguished from abuse. A different scheme might have provided compensation for anyone resident in indentified institutions within a certain time period or conversely might have required proof of actual abuse on the balance of probabilities. However, this Scheme, quite deliberately took a middle course and required proof of injury while resident in an institution that was consistent with an allegation of abuse. It is not, therefore, that this scheme considers injury while resident in an institution as an intrinsically important matter, but rather that it was a component in the balance which was sought to be achieved by the Act, and consequently the scheme. If proof of abuse while in an institution was the essential criterion for compensation then persons in institutions may have felt duty bound to defend such allegations, and would have a strong argument to be entitled to do so by reference to the full adversarial procedures permitted when serious allegations are made reflecting on reputation. But if that procedure was adopted the scheme would have been correspondingly less attractive to claimants and less likely to succeed. Proof of injury in an institution (as distinguished from abuse in an institution) is therefore a central feature of the scheme.

31 The factual background to this case

It is difficult, and perhaps somewhat misleading, to set out certain matters as “facts” in this case. The papers are difficult to follow, and perhaps more importantly, the nature of the proceedings before the Board and the Committee are such as to not produce any findings of fact. In addition, the judicial review proceedings are meant to be focussed on issues of law rather than contested issues of fact. It is perhaps better to outline, therefore, the development of the claim and the progress of these proceedings.

32 On the 9th of December 2005, and therefore six days before the expiry of the original three year period before making an application to the Redress Board, the applicant JGH submitted an application for redress. It appears that the application was completed by his sister OH with whom he now lives in the family home in Dublin. The institutions identified were both the Hospital and the Nursing Home. It seems clear that both the applicant and his sister were initially under the impression that it was possible to recover compensation in respect of abuse committed in the Nursing Home, and the complaint essentially was directed towards what was alleged to have occurred while he was a resident there. It was said that the applicant who was admitted to the Hospital, “was sent” to the Nursing Home when only two years of age and resided there for an extended period between 1962 and 1965, with some breaks. The form also recounted incidents of alleged force feeding, of being made to walk by nurses who held him tightly between their legs, of being required to give back a toy to which he had become attached to, of not even being allowed out of bed to attend a carnival which came to the grounds, and most seriously, that he had been taken through the sluice room and dangled from a window by his legs. Given his age at the time he could not identify any of the nurses involved. It was also said that he suffered from obsessive compulsive disorder, although this has not subsequently been referred to; that he had difficulties in education and had suffered emotional deprivation by being removed from his family at such a young age.

33 The application, once made, was not advanced with any urgency. It seems clear that the Board and staff took a view, and communicated to JGH and his sister, that the Nursing Home was not as such a scheduled institution and compensation was not recoverable in respect of conduct occurring there. The Board also made considerable attempts to have the applicant clarify any claim that was made in respect of the Hospital. The Board also exercised its power to seek documentation. It transpired that the Hospital’s records had been transferred when the Hospital was amalgamated, and were no longer available within the amalgamated institution and probably had been destroyed in the normal course. Somewhat ironically in the light of what subsequently transpired, the bulk of the information which was available was obtained from the Nursing Home which supplied it on the basis that it was not an institution within the meaning of the Act, but in order to assist the Board in its enquiries. In addition to some very detailed charts tracking the sad treatment of a young child meticulously measuring pulse, breathing, temperature on a daily basis, for the weeks and years that he was resident in the Nursing Home, the documentation also showed that he had been admitted in August 1962. The documentation also included some documentation from the Hospital. There was a handwritten note on hospital notepaper recording an admission in August 1964, and a typewritten note by the consultant Dr LW which recorded his condition, and that he had been discharged to the Nursing Home in October 1964. It also recorded indirectly that he had been admitted to the Nursing Home in August 1962, and had been discharged in March 1964, before being readmitted.

34 A limited amount of other documentation was submitted by the applicant. A handwritten note from a general practitioner dated the 13th of May 2009, recorded that he had attended the surgery suffering from chronic nervous debility, and mood disorder, and that he said that it was related to abuse while living in the Nursing Home. There was also a note from his GP in 2002 referring the applicant for treatment, recording that he was very stressed as the result of a family dispute in respect of his mother’s will. There was also a detailed note from St James’ Hospital in December 2002, which contained a description of his original admission to the Nursing Home in his own words: “They came for me at night in an ambulance”. This vivid description was repeated at other points in the papers. The note also recorded that he had been bullied at school, and other incidents during a troubled childhood.

35 All this information was referred to the expert appointed by the Board. This case shows the benefits of that procedure. Her report recorded admission to the Hospital in August 1964 and noted that it had been stated that he had been admitted to the Hospital for circumcision in either 1961 or 1962. The report referred to a psychiatric assessment in 2002 in connection with stress following a family dispute continued: “Hospital notes at that time [2002] refer to adverse factors in his childhood including illness and time in care return home aged five not knowing his father and siblings, death of his father, difficult time at school including physical bullying by a teacher and subsequent school absence. Diagnosis was of emotional problems including low self-esteem. He was not seen, at that time, as clinically depressed”. The report concluded: “unable to comment except to state in general terms that abuse suffered in childhood is indeed likely to contribute to adulthood difficulties”.

36 The information available to the Board was accordingly extremely limited. During this time, the Hospital informed the Board that in the light of what appeared to be said, that no allegation was made against the Hospital, and it was not proposing to take part in the proceedings. The Board attempted to schedule hearings to bring the matter to a conclusion. The applicant gave evidence suggesting at one point that some of the matters he had described, and in particular the incident of nurses pushing him between their legs and forcing him to walk, occurred not in the Nursing Home but in the Hospital. He also gave evidence of rough treatment administered to him in the Hospital when he was admitted for appendicitis in 1968.

37 The Board delivered a written determination which was sympathetic and comprehensive. It stated that notwithstanding the low standard of proof required, it could not satisfactorily conclude that the abuse alleged in relation to the Hospital had occurred there, at least in respect of the incident with the nurses, because the applicant had previously given a clear account of it occurring in the Nursing Home. It also considered it could not deal with matters which occurred in the Nursing Home since it was not a scheduled institution. However, the Board was prepared to accept that there had been incidents of harsh treatment within the Hospital which could come within the definition of abuse. It also considered the question of psycho social sequelae as follows:

      “The Board has already referred to difficulties in the applicant’s life in the proceeding heading. It is clearly the case that the Applicant suffered the death of his father when he was only eight years of age and he has described wandering the streets looking for him after he died. He appears to have been a much younger child than his siblings and it would appear that his mother had a history of bi-polar affective disorder. It is not clear from the records as to how much his mother’s illness impacted on family life. He also described being subjected to physical and emotional abuse by a teacher at school and he describes how, when his mother could not manage him, he was sent to relations which he describes as being “abandoned again”. In later life he was subjected to an attack with an iron bar by a man in a betting shop. He is a single man with a somewhat solitary lifestyle. He has low self esteem. He has difficulties trusting people. The records state that he presented with difficulties at his General Practitioner’s surgery as a result of difficulties in relation to his mother’s will. It is very clearly the case that the genesis of the Applicant’s psycho-social makeup is multi-factorial.”
38 In the light of this evidence, the Board accepted that he suffered a limited maladjustment as a result of the limited abuse he experienced as discussed above. The Board allowed two points in respect of the abuse, and one point for the psycho social sequelae which resulted in a total of three points on the Board’s scale, and an award of €6,000.

39 The applicant sought a review of the award. As set out earlier, there is only a limited scope for such review. However, when the case came before the Review Committee, the Committee of its own motion raised the question of whether it was possible that the decision to transfer the applicant from the Hospital to the Nursing Home could be said to be abuse committed by the Hospital. This was set out in the report of the Committee as follows:

      “When the matter came before the Committee on the 30th of September 2011 the chairman … advised the applicant’s counsel that if the applicant had been transferred from the institution to [the Hospital] on the basis of a misdiagnosis it could be argued the transfer of the applicant to [the Nursing Home] was an abuse within the meaning of the Act. The chairman stated the members of the Committee were unable to interpret the medical records which had been submitted to the Board by the applicant. The chairman stated that notwithstanding the fact that the Committee could not hear new evidence the Committee was entitled to direct that the reports be reviewed by a medical expert who could advise the Committee of the import of the records and could advise by reference to the medical records whether or not the applicant should have been transferred by the institution to [the Nursing Home] and kept in bed for such a lengthy period of time. The chairman requested the applicant’s solicitor to instruct a medical expert who was familiar with the standard of medical practice at the time.”
The hearing was adjourned, and only recommenced after a further lengthy delay. The Committee sat again on the 26th of July 2013.

40 Before considering the decision of the Review Committee it is worth noting at this point that the course taken here was at least legally dubious, though once again clearly well intentioned. As I read the Act the review of an award is limited to the material that was before the Board. There is no power to direct an expert report. The only expert report under the Scheme which can be supplied is that by the expert appointed by the Board. Neither the applicant, nor the Committee can supply an expert report, and indeed one had already been provided. Apart from these procedural and legal issues that might arise from this course, there was further real and practical difficulty with the course the Committee took. In effect, the Review Committee was about to consider for the first time an allegation of abuse by reason of transfer from the Hospital to the Nursing Home in circumstances where neither the Hospital nor the Nursing Home had been notified of that possibility, and where information in relation to this new hypothesis had never been sought from either body.

41 The consultant paediatrician retained by the applicant’s solicitor produced a detailed and fascinating report. He was able to unearth considerable periodical literature on the practice of bed rest for rheumatic fever. He was also able to express the view that by 1962 the regime followed in the Nursing Home of extensive bed rest was heterodox. Indeed, he expressed the opinion that it “represented unacceptable management that would not have been condoned by any responsible paediatrician or paediatric cardiologist at the time”. Furthermore, the consultant paediatrician considered it unlikely that the symptoms exhibited by JGH on admission amounted to rheumatic fever, although the consultant doctor LW had made such a diagnosis and had identified symptoms which might justify it, and expressed himself as uncertain that “Dr LW had actually examined JGH herself”.

42 The consultant’s report also produced a useful and insightful article by a distinguished former paediatrician in Ireland, Dr Conor Ward, which gave a detailed and disturbing account of the history of the Nursing Home. Briefly, it appears Dr LW, a consultant to the Hospital, had been appointed director of the Nursing Home which was established at the instigation of the then Archbishop of Dublin, with a view to caring for children with rheumatic fever. A French order of nuns were invited to staff the Nursing Home under the direction of Dr LW. It is Dr LW who prescribed the treatment of lengthy bed rest. Although a consultant to the Hospital, it does not appear that she had particular experience or distinction. She became something of an academic recluse; she did not attend conferences, or produce research papers. Nevertheless she remained in place for a considerable time, and practiced until her mid 70s.

43 A vivid account of treatment in the Nursing Home is contained in documentation, submitted by the applicant, which contains promotional literature in respect of the Nursing Home which makes disturbing reading in the light of the information now available. It stated that:

      “Rheumatic infection is, as a rule, a long term illness enduring for months or years, and calling for the most careful nursing and unremitting attention.

      Even in the less manifest or latent forms of the infection, heart complications frequently occur which may leave the little patient a cardiac cripple for life unless the greatest care is exercised. In the face of all these problems let us see how things are managed at [the Nursing Home].

      An essential part of the medical treatment is the necessity for prolonged rest which demands a certain amount of discipline. Such restrictions of activities are easily borne when approached in the right way and mingled with the milk of human kindness. In this respect [the nuns] are preeminent, in accordance with their vocation and long traditions.

      As has already been stated the treatment of rheumatic infection is a lengthy business. It is no easy matter to keep a child contented in bed for a long time although this is the foundation-stone of treatment. … As the little patients progress by gradual stages towards recovery they are allowed up for stated intervals during the day and there is often a certain amount of pleading for these concessions. The children have themselves, coined a phrase and frequently asked “to be given a step”. It is hard to resist the pleadings of a child, but somehow the withholding of consent does not give rise to much disappointment.”

44 Eventually, as is recorded in Professor Ward’s paper, some GPs became concerned that children were being detained in the Hospital unnecessarily, that children were being diagnosed wrongly on the basis of symptoms which did not justify such a diagnosis, and once so diagnosed that they were submitted to a regime that was unjustified. The impact on young children separated from their family was significant, and some suffered psychological damage. Children were withdrawn from the Nursing Home and eventually the Nursing Home was closed. The consultant paediatrician retained by the applicant’s solicitor expressed his view that it was probably the case that JGH did not in fact have rheumatic fever at all, and that the symptoms recorded were of normal childhood conditions.

45 All this information provides a compelling and tragic story and represents a salutary piece of medical and social history. If these matters were established by evidence to the requisite standard, and if proceedings had been commenced within the limitation period, then unless convincingly contradicted, they might well establish a claim against the Nursing Home, and if that was an institution capable of being sued, and still having assets, damages might be recoverable. Again, if it could be established that the consultant Dr LW while in the Hospital and acting on behalf of the Hospital referred patients to the Nursing Home, the Hospital might have a liability if it was established that the Hospital and/or its staff knew or ought to have known that the treatment in the Nursing Home was not medically justified. Alternatively, if these matters had emerged in a different way, it might lead to a demand for compensation for everyone treated in the Nursing Home, whether they were referred to it through the Hospital or any other institution or simply attended there. However, these issues do not arise in the present proceedings. The only question is whether the award made by the Review Committee in favour of the applicant was bad in law or in excess of its jurisdiction, as the applicant now contends.

46 The decision of the Review Committee

The Review Committee considered that the transfer to the Nursing Home amounted to abuse within s.1(1)(d) of the Act. Accordingly, it increased the abuse finding from two to seven points. It also considered the question of medically established physical or psychiatric injury and in that regard considered the report of the GP, and awarded a further five points under this heading. Finally, it considered psycho-social sequelae. It adopted the view of the Board, that the applicant’s condition was multifactorial having regard to his troubled childhood. However, it increased the award under this heading also. In total this meant an award of €34,000.

47 On its face this was a substantial success for the applicant and a vindication for the application for review. Nevertheless the applicant’s solicitor considered that she was not able to advise the applicant whether or not to accept the award. This was somewhat surprising since there was in truth no viable alternative. If the award was not accepted, the applicant’s only remedy was litigation, which by 2013, was a very unlikely prospect. Even if desired to argue that the award should have been higher it may have been possible to accept it under protest. However, the applicant did not accept the award and instead commenced judicial review proceedings of the Committee’s decision.

48 The judicial review proceedings

An application for judicial review involves a contention that there has been some substantial illegality in a process, and/or some excess of jurisdiction. Here, the claim made was very broad. It was contended that the Committee had “erred in fact and in law” in awarding the applicant €34,000. This is a very general and unilluminating statement. The thrust of the applicant’s complaint appeared to be that having determined that transfer from the Hospital to the Nursing Home was abuse under s.1(1)(d) the Committee was wrong to award only €34,000. It was contended that the Committee had failed to have regard to or consider the abuse suffered in the Nursing Home. There was to be a degree of confusion on this issue, because later in supplemental affidavits both the solicitor and the applicant maintained, however, that the Committee had not said that it had had no regard to the abuse in the Nursing Home. On the other hand, the matter was further compounded by the legal position taken by the Committee in defence of the judicial review proceedings which was to plead, among other things, that the Committee had had no power to make any award in respect of abuse at the Nursing Home since it was not a scheduled institution. It may be noted from the terms of the Committee’s determination that it did not say this in express terms in its determination. Nevertheless the case has proceeded on this basis, although I am bound to say it is not at all clear to me that the Committee did not make an award in respect of that abuse. The information before the Committee in relation to any injury to the plaintiff and any psychosocial sequelae was very sparse indeed at that time. There was no report from a consultant psychiatrist and no contemporaneous account of any psychiatric treatment. The Committee quoted with approval the Board’s conclusion that the applicant’s condition was multifactorial and made specific reference to difficulties encountered in childhood and the applicant’s mother’s mental illness and the death of his father. It is not clear to me, therefore, that the Committee excluded the events in the Nursing Home from its award but rather, on the very limited evidence available considered that there was a number of factors which led to the applicant’s present condition, only one of which was the consequence of transfer to the Nursing Home.

49 These matters became further confused because the applicant then produced and sought to rely on what had been lacking up until then: a detailed and comprehensive report from a consultant psychiatrist. However, this was produced after an interview with the applicant conducted on the 6th of November 2013, long after the Committee had made its decision and communicated it to the applicant. It had never been before the committee. It should be said that the report did appear to trace the applicant’s present difficulties to the separation from his family and childhood as a result of admission to the Nursing Home. This evidence however simply cannot be relevant to the question of whether the Committee acted in excess of jurisdiction when it made the decision it did on the evidence before it, but it has tended to colour the subsequent proceedings.

50 The High Court quashed the decision of the Committee. Kearns P stated that the Committee took the view that they “would not have regard to the sequelae that eventuated in the Nursing Home … and considered only the events which occurred in the Hospital”. For reasons set out above I do not think that anything in the Committee’s decision makes it clear that it has adopted this approach. However, he described the Committee’s approach that transfer amounted to abuse as a “well intentioned fudge”. He expressed difficulty in understanding how a transfer on its own could be regarded as something capable of attracting compensation. However he said that he had to address the question “is the connection between the wrongful act and its sequelae severed in this case by the express terminology of the Act in such a way as to foreclose on the particular applicant and confine him to such rights as he may have whilst a patient in [the Hospital]? He considered that the applicant had been abused within the meaning of s.1(1)(c) and s.1(1)(d). Significantly he commented that had the admission to the Nursing Home been a direct admission by a GP referral or something of that nature he would have upheld the Committee’s decision without hesitation. The High Court accordingly quashed the award and remitted the matter to the Review Committee for further consideration.

51 The Committee appealed to the Court of Appeal. That court unanimously overturned the decision of the High Court. Judgment was delivered by Kelly P and Hogan J. Both judges expressed very considerable sympathy for the applicant but considered that the structure of the scheme was such that the abuse in the Nursing Home was not covered by it, and was the result of a clear policy decision made by the Oireachtas, and which it was for the Oireachtas to address.

52 The applicant sought and obtained leave to appeal to this Court. The Court granted leave on the following issues:

      (1) Could a decision by a scheduled institution as prescribed by the 2002 Act to transfer a child to a non-scheduled institution constitute abuse within the meaning of the Residential Institutions Redress Act 2002?

      (2) In making a determination that such a decision constituted abuse within the meaning of the Act, was the respondent entitled to apply common principles of negligence including the principle of foreseeability having regard to subparagraph (a). The definition of abuse in s.1 of the Act, which includes “the wilful, reckless or negligent infliction of physical injury on, or failure to prevent injury to, the child”, and subparagraph (b) “the prohibition on addressing or making findings relating to any issue relating of fault or negligence in s.5 of the Act?”

53 In addition to the foregoing, there has however been a further exchange of correspondence making allegations about the hearing of the appeal, the conduct of the judges, and further complaints about the conduct of the respondent Committee, and its counsel, and an attempt to submit further evidence in relation to the structure of the Nursing Home and its funding to suggest that the Nursing Home was supported by the State. I consider that much, if not all, of these matters are not merely irrelevant but also regrettable, and have served only to confuse the issue and distract from the issue of law which the Court is required to decide. I have sought so far as possible to put these matters out of my mind. However, it is only right to record that in pursuing this matter, and in particular in securing the detailed report of both the consultant paediatrician and the consultant psychiatrist, the applicant’s solicitor has also done admirable work on behalf of her client in this very sad case.

54 I do not propose to extend the length of this judgment by further debating the issues advanced by both parties, and contained in the different judgments already delivered. To some extent I consider that the issue has grown layers of confusion through the various different arguments and analyses proffered. Fundamentally, the question for the Court is one of statutory interpretation. I propose, therefore, to set out my interpretation of the Act, the reasons for it, and then to address the specific issues which arise in this case.

55 The first issue is whether, on the assumption that abuse occurs in an institution or place which is not a residential institution scheduled for the purposes of the Act, is the transfer of a child by a scheduled residential institution to a place or body where such abuse occurs capable of constituting abuse within s.1(1)(d) of the Act? On this approach the abuse which occurs off site, as it were, is direct abuse, whether assault, sexual abuse, or neglect, but what is contemplated here, is indirect abuse, that is an act, itself neutral, of transfer or release to an institution which is followed by, and therefore can be said to result in, direct abuse there, and consequently harm to a victim. For the purposes of this judgment I will call this indirect abuse, or chain of causation abuse, that is it is something which is alleged to be abuse because it leads to direct abuse. If this is so, then there will be two acts of abuse, (and two abusers), one, the off site institution school or person who commits the direct abuse, and the other, the transferring institution. However, on this hypothesis, compensation would be payable under the Scheme only in respect of the act of transfer by the scheduled institution. This type of overlapping multiple liabilities on different bases is of course something which can arise in cases in civil claims for damages. A plaintiff may sue one or more defendants in a tort action for a deliberate act, such as assault, and sue another defendant in negligence for permitting the plaintiff to be exposed to the risk of that assault. Such a claim may involve different allegations of wrongdoings against different parties. Conceptually this is possible in proceedings at law. The question is whether the Act contemplates and makes provision for a claim compensation for the same injury caused it is said by different acts, and actors.

56 As already discussed, I accept that taken in isolation and on their face the language used in s.1(1)(d) is broad enough to cover such indirect non culpable chain of causation responsibility. However, on balance I have come to the conclusion that the words should be given a narrower interpretation, and be limited as subsections (a), (b) and (c) are to acts which are both direct and culpable. In brief my reasons are as follows:

      (i) The Act does not say explicitly, or by implication, that there can be liability for transfer by a scheduled institution to a person or other institution, non-scheduled, where abuse takes place.

      (ii) Section 1(1)(d) is not a stand alone or general definition of abuse. Instead it is the fourth in a series of specific classes of abuse, and must take its colour and scope from the first three subsections. Subsections (a), (b) and (c) define recognisable acts of direct abuse within an institution. I consider the structure of the Act therefore suggests that s.1(1)(d) was designed to capture other similar examples rather than to set out a general definition which would substantially widen the potential scope of the Act, and at the same time render the first three subparagraphs redundant.

      (iii) An interpretation which would capture transfer would of necessity be extremely wide in its scope. On this interpretation there would be no requirement of culpability. Even an entirely innocent transfer, where at the time there could have been no knowledge or apprehension of a risk of abuse, would be captured. This would extend the scope of the Act quite dramatically, and lead to compensation for acts in the present case. For example, it would mean that residents of the Nursing Home who happened to be referred there by an intern in the scheduled Hospital could recover for injury perpetrated in the Nursing Home, but could not if referred by a general practitioner. At the same time, the inclusion or exclusion of claims would depend on somewhat arbitrary matters. Nothing in the structure of the Act suggests an intention to include within the scope of compensation abuse occurring in non-scheduled institutions in general. There is even less statutory justification for the necessarily arbitrary distinction which the applicant must contend for.

      (iv) The Act is very clearly and specifically directed towards scheduled residential institutions. These are, however, not the only locations where abuse in the classic sense occurred or was initiated. In particular, there are documented examples of abuse occurring in schools and by teachers. These however were clearly not covered by the Act, by a very deliberate policy decision. That focus is a reason not to extend the scope of the Act beyond direct abuse occurring in specific residential institutions.

      (v) Where the law of tort does permit overlapping and multiple liability, it recognises that responsibility between wrongdoers may be very different, and provides an elaborate and complex mechanism for the apportionment of liability between different wrongdoers, and the recovery in accordance with such an apportionment of damages paid by one defendant, and also rules preventing double recovery by the plaintiff. If however this Act contemplates multiple different abusers responsible for the same abuse, then it would be expected that these issues would also be addressed and provision made. In a case such as the present for example, it might be expected that if the Act intended that an institution, (and therefore the Scheme), could have a liability for abuse perpetrated by others, that the Scheme would be entitled to seek to recoup some if not indeed all of the damages from that wrongdoer. However the Act does not do so, or appear to contemplate the possibility. If the applicant is correct, and entitled to full compensation through the Scheme because of the fact of transfer from the Hospital, then it would appear to also that the applicant could recover separate damages against the Nursing Home if it was possible to maintain a claim at this stage and would not have to account to either the Nursing Home or the Scheme for such double recovery Certainly there would be no statutory provision barring such a claim in the same way as a claim against the Hospital would be precluded.

      (vi) It is also noteworthy that the Act makes specific provisions for at least two cases of what might be described as off site abuse which it would appear would not be necessary if indeed the broad interpretation of s.1(1)(d) was that intended. Thus s.1(2) contemplates abuse which occurs “not in an institution” but where it is carried out aided or abetted by a person involved in the management of the institution. It is clear that some degree of culpability is required before an institution can be responsible for abuse which occurs outside the institution. It seems to follow from the fact that specific provision is made by s.1(2) that such abuse is not otherwise covered. Similarly s.1(3) provides for a specific liability in the case of transfer, but only where a person is transferred from the institution to a laundry, and is abused there. Again, this specific provision would not appear necessary if the broad interpretation is correct. Furthermore, s.1(3) operates as a deeming provision. It treats abuse in a laundry, as if it occurred in the institution. This also reinforces the approach that direct abuse within the scheduled institution is regarded as central to recovery under the Act..

      (vii) Finally, and I recognise that this overlaps somewhat with the next issue, the broad interpretation would appear impossible to reconcile with the clear terms of s.7 of the Act, which is the central provision providing for recovery. If transfer from an institution is capable of constituting abuse, then it is difficult to understand why the Act requires that injury be suffered “while … in the institution”, and still less why that should be the essential test for recovery. Once injury within the institution is established, this seems to make it clear that residence, either actual or deemed, is crucial to the scheme envisaged by the Act which is that abuse and injury both occur at the time while resident. Accordingly, the broad interpretation of s.1(1)(d) where transfer to a place or institution or person where direct abuse takes place, is treated itself as abuse, would not seem to be correct. However I recognise that this argument was not pursued in any detail in the case and would not therefore rest my decision on it.

57 Even if however the broader definition of abuse is adopted, that in itself does not give rise to an entitlement to compensation. That instead is determined by s.7 which, as already noted, makes injury while resident consistent with abuse the test for recovery. For reasons already addressed, this appears to be a very deliberately and carefully drafted provision. It is very unlikely that a situation such as the present was considered at the time of drafting. It is clear that the Act contemplates everything occurring within the scheduled institution, but that in ease of both applicants and relevant parties, the claimant is not required to prove abuse itself. Once injury within the institution is established, it is possible to recover compensation for all the consequences wherever they occur: it is sufficient that injury occur while resident in the institution. But this means that injury while resident is critical. It is argued however that some artificial meaning should be given to s.7 to avoid giving effect to what appears to be the plain words. But this cannot be permissible. The argument that s.1(1)(d) must be interpreted to include transfers requires that the fullest effect must be given to the literal words contained in that section. It cannot be permissible then to change gear and refuse to adopt what is if anything the plainer meaning of s.7.

58 Contrary arguments

I am aware that the conclusion I have arrived at differs from that which was come to by the majority of the Court. I hope to explain briefly, why respecting as I do the conclusion the Court has come to, and the motivations for it, I cannot agree. There are I think a number of arguments deployed in favour of allowing this appeal. Most rely to some extent on the apparent illogicality of finding that transfer to an institution where abuse takes place is capable of being abuse, but at the same time holding that compensation for the abuse by transfer, cannot include the impact of the abuse which occurred in the institution. The first version is reflected in the High Court judgment and therefore in the first certified issue which refers to the concept of foreseeability. This argument is as I understand it that if the proceedings under the Act are viewed by analogy with a familiar claim in tort for personal injuries, then once liability is established (in this case once it is established that an act of transfer can be abuse), then all the damage which is reasonably foreseeable and flows from that wrong would be recoverable. If this case were viewed therefore as a negligence claim, then an applicant who succeeded in establishing that the transfer was wrongful and negligent, ought to be able to recover for the consequences of that transfer which naturally would include all the psychological harm suffered by the plaintiff by reason of the treatment and in particular separation from his parents, that the treatment in the Nursing Home occasioned.

59 That argument is I think a form of legal heuristic, that is reasoning by a shortcut. Such shortcuts are often very useful: where a case involves a car colliding with another on the incorrect side of the road, it is no longer necessary to go back to basic principles of negligence to explain the liability of the driver. But the use of such shortcuts depend upon the longer route having been mapped and everyone being satisfied that the shortcut will always and necessarily bring the traveller to the correct destination. Here, it is simply not possible to treat this claim as a hybrid between a statutory claim and a tort action, where it is permissible to mix and match concepts from the law of tort with the scheme to overcome difficulties in a particular case. The common law is of course the background against which the statute must be interpreted. It is precisely because the common law did not appear to provide a satisfactory method of permitting claims to be addressed, that the statute was enacted. It was however not a simple amendment of some particular area of the law of tort or adaption of procedure for the brining of such claims. Instead a separate scheme was established. Not only can the scheme not be viewed as analogous to a tort claim so that concepts can be borrowed and used interchangeably, it is probably true to say that the statutory scheme is designed to be different in almost every material respect from a private law action for damages. A claim for damages in tort involves a claim between private parties resolved after adversarial contest in public before an independent judge, on oral evidence of witnesses present, whose evidence may be challenged in every respect by the opposing party, and where a plaintiff can only succeed by establishing wrongdoing on the part of the defendant on the balance of probabilities, and when if either party is unhappy with the outcome, all aspects of the claim may be subject to appeal and rehearing and review. Even if a claim is factually sound it will fail if it is not brought within the time set out by the statute of limitations (and the defendant raises that matter in their defence) and even a successful claim will not result in recovery if the defendant is still in existence, solvent, or there is no insurance policy to satisfy judgment. If a claim succeeds against a number of defendants, there is a mechanism for apportioning liability and responsibility between the defendants. It is I hope sufficient to say that almost in every respect a claim for compensation from the Redress Board is different. It is simply inappropriate to introduce part only of the reasoning process in private law claims when addressing a question of the interpretation of a statutory scheme. I observe in passing, that the argument here would probably not have arisen, or have had the degree of attraction it has, except for the fact that the claim made by the applicant, if sustained in an inter partes hearing, might be the basis for successfully establishing negligence against the hospital. But it is important to remember that the scheme does not require negligence to be established as a condition of recovery, specifically excludes such findings, and if the interpretation advanced by the applicant is correct, it is not necessary that any wrongdoing of any sort be suggested, still less established.

60 The second argument focuses on the apparent illogicality of the position adopted by the Committee in apparently maintaining that while the transfer was abuse within the meaning of the Act, the damages awarded could not cover the abuse alleged to have been suffered in the Nursing Home to which the applicant was transferred. This seems to separate the abuse from its consequences. The point is made forcefully in the submissions made on behalf of the applicant to this Court. It was argued that if compensation was not being awarded for the abuse in the Nursing Home to which it is alleged the transfer led, then it is difficult to understand what justified the increase in compensation before the Committee since it is difficult to see what consequences followed from the transfer alone if it is divorced from the treatment in the Nursing Home. It is the weakness of any compromise position that it can be assailed from either side. It is said that if the compensation did indeed cover the abuse in the Nursing Home, it is too low, particularly in the light of the psychological evidence now adduced, but if only limited to the transfer itself and divorced from the consequences in the Nursing Home, then it is too much.

61 For reasons I have already touched on, it is not clear that the Committee did not indeed award damages in respect of abuse in the Nursing Home which on the fairly limited information available to the Committee, appeared to be one of a number of factors leading to the applicant’s present condition. However, that is not how the Committee has characterised the award for the purposes of these proceedings. I appreciate the strength of the argument that if the Committee was correct to consider transfer as abuse, then it was illogical, at a minimum to exclude the abuse carried out in the Nursing Home from the compensation payable for that abuse of transfer.

62 This argument undoubtedly attacks the Committee’s position at its weakest point but once again, the argument is based on an “if” proposition. If in this case the Committee was entitled to consider the transfer as giving rise to a claim for compensation, then more compensation should arguably be recoverable, or at least, the Committee could not exclude from its consideration the events which occurred in the Nursing Home and their consequences. But particularly when the legality of a process is challenged, I do not think we can start from that intermediate proposition based as it is on an assumption. Instead it is necessary I think to consider if the transfer was abuse, and second abuse giving rise to compensation. For reasons set out above, I do not consider that it did satisfy the test of abuse, but in any event, even if it did, it still did not give rise to an injury while resident in the Nursing Home. This argument basing itself on an assumption attributed to the Committee in truth seeks to avoid the difficulty posed by the statute, and in particular s.7.

63 Third it is said that in a case which falls undoubtedly within the Act, claimants are entitled to recover the consequences of abuse, in legal terminology - sequelae, which occur and may indeed manifest themselves long after the person left the institution. But I cannot see that this is a reason to depart from the scheme of the Act which makes residence and in particular injury while resident consistent with abuse while resident the trigger allowing recovery of compensation for the consequences of such injury. It is also said that the Court should adopt a broad purposive interpretation of a remedial statute, relying on Bank of Ireland v Purcell [1989] I.R. 327 and Gooden v St Otterans Hospital [2005]3 I.R. 617. This is of course a purposive approach. Even if this is so, the statute must still be interpreted. The process of statutory construction cannot be treated as an exercise where the words of the statute are fed in to the magician’s black box and words of incantation such as purposive, generous or literal or strict are spoken almost at random, before the desired result is extracted from the other side. As Hardiman J observed in Gooden, the limits of construction are reached when a court is asked to rewrite a statute or supplement it. This echoes the approach of Lord Wilberforce in Royal College of Nursing v Secretary of State for Health [1981] AC 800:

      “There is one course which the courts cannot take, under the law of this country; they cannot fill gaps; they cannot by asking the question “what would Parliament have done in this current case – not being one in contemplation – if the facts had been before it?” attempt themselves to supply the answer , if the answer is not to be found in the terms of the Act itself.”
It is not permissible to extend the Act beyond its terms because a limitation deliberately included in the Act is now considered restrictive. Furthermore, and in any event, I cannot see any purpose in the Act which would assist the applicant and by reference to which the Act can be construed. The purpose of the Act cannot be said to be to provide compensation alone, or even to provide compensation to victims of abuse. It was the very clear objective of the Act to give a right to compensation to only certain victims of abuse. Those abused outside residential institutions, in other institutions, schools or domestic settings were not to benefit under the scheme. That is the unmistakeable choice made in the legislation. And even if that was capable of dispute there is no discernible statutory purpose that only such potential victims should be entitled to recover as happened to have been in a scheduled institution before they went, or were transferred, to the place where they were alleged to have been abused and suffered injury. Finally I cannot see that there is any inconsistency between section 10(4) and s.7, still less one which would justify the court in disregarding the clear meaning of s.7 particularly when the requirement of injury in an institution is consistent with the entire structure of the Act. s10(4) merely reflects the understanding that in most if not all cases contemplated by the Act both abuse will have occurred and the injury sustained, in the institution. There is nothing in s.10 to dilute, still less override, the requirement in s7, which is the central provision setting out the entitlement to recover compensation that the injury be sustained in the institution.

64 There is one further troubling factual matter. The low threshold of proof, the informality of the proceedings, and the sympathetic approach of the Committee, have all led to a situation that despite the number of hearings in this matter, the factual background is much less clear than that which emerges in litigation. The entire starting point of the applicant’s argument is that the applicant was transferred by the Hospital to the Nursing Home, and indeed, the fact that the consultant attached to the Hospital as a director of the Nursing Home facilitated the process. However, I have not been able to find any evidence that this in fact occurred. The records of the Hospital are no longer available. However, the records of the Nursing Home were made available to the Committee, and included some documentation originating in the Hospital. Significantly that shows a formal admission to the Hospital in 1964 at a time when the applicant was resident in the Nursing Home and was released to the Nursing Home after treatment. There is nothing similar in respect of 1962, and the documentation of the Nursing Home does not record admission to or a transfer from the Hospital. Furthermore, the accounts given by the applicant both in 2002 in St James’, and to the consultant psychiatrist retained by his solicitor, is of a memory of being taken by ambulance to the Nursing Home which implies that he was taken from his own home. Of course the applicant was hardly three years old at the time. However, the evidence of his sister who was then 15 years old, is of remembering the trauma of her brother being removed from the family home under threat from the consultant, that this would otherwise be a police matter. Thus, the transcript of the hearing for the Committee on the 2nd of February 2011, records the following:

      “Then after my mother came home, J was home then after the circumcision and then my mother took him down to Harcourt Street Hospital to have him looked at. And when I came home from work that evening my mother was sitting in the room and that the ambulance, my mother was told by Dr LW that if she didn’t send my brother to [the Nursing Home] it would be a police matter …. He was returned after the circumcision and my mother returned home from the hospital [the Hospital] and informed my father that if she didn’t allow my brother to go to [the Nursing Home] I came in on this extraordinary family tension – that J now had to be taken somewhere else and that Dr LW informed my mother that if she didn’t allow J to go it would be a police matter that she would send the police … Yes and an ambulance was sent up that night and my brother … he was taken out by two men and taken out of the house that night.” (Emphasis added)

65 The myriad difficulties in this case stem from procedures which have been followed at each stage of the proceedings in ease of the applicant, and the law which mixes literal and broad interpretation of the term abuse with a narrow and artificial interpretation of injury for the same objective of facilitating the applicant’s claim. In the High Court, the judge described this process as one of well intentioned fudge. This in my view is an apt description of what has occurred at almost each stage of this case. But the limits of any sympathetic interpretation of law or procedures have in my view been reached here. To remit this matter to the Committee and require it to revisit and presumably increase the award made to the applicant would be to engage upon an approach that is legally dubious in requiring the Committee to assume that the transfer by the Hospital to the Nursing Home constituted abuse, and requires an unnaturally strained and fanciful, and arguably, logically self contradictory finding that such transfer from the Hospital gave rise to injury within it, and which, moreover, is in any event factually questionable in that it is not at all clear that the applicant was transferred to the Nursing Home by the Hospital. It is not clear to me that the applicant can hope to recover a higher award unless the Committee has regard to material emerging after the decision, and which in any event does not appear to be permitted by its own statutory procedure. If the applicant succeeds in this course, he would be the only person in the sad and sorry history of the Nursing Home and its treatment of young children, who would recover compensation. There is a fundamental difference between the sympathetic and humane administration of the law, and the making of a decision which is no more than an ad hoc decision on the perceived facts of a particular case. Here the Committee adopted the position in these proceedings that it would still permit the applicant to accept the award even though the time for acceptance had elapsed. I assume that this is something which is agreed with the ultimate funders of the scheme and if so, it seems a sensible and generous approach even though criticised strongly by the applicant’s solicitor. I would not be prepared to set aside the decision of the Committee in circumstances where if there was a full rehearing of the merits before the Board and the Committee it might result in no recovery for the applicant, and where if the applicant was to succeed the Committee would be required to take steps I consider legally unsustainable and factually dubious.

66 Conclusion

It is apparent that, and unfortunately, I have come to a different conclusion from that of my colleagues in this case. In most cases it might be necessary to say no more than that. However, because this case involves a point of law of general public importance, and here an important question of statutory interpretation more generally, it has been necessary to set out at some length the reasons which have led me to a different result and which I can now summarise:

      (i) The applicant in this case suffered abuse and injury while in the Nursing Home. The Nursing Home is not a scheduled institution under the 2002 Act. No one who was a resident in the Nursing Home and who suffered similar abuse can recover ,or has recovered ,compensation under the 2002 Act. They must pursue any claim they might have by litigation.

      (ii) It is said however that this applicant was in the Hospital, which was a scheduled institution and may have been transferred to the Nursing Home, and that because of this feature he is entitled to compensation under the Act in respect of the abuse he suffered in the Nursing Home.

      (iii) This involves, at a minimum, treating the act of transfer as abuse under s.1(1)(d) of the Act. I would be slow to do so, and would myself prefer an interpretation of s.1(1)(d) limited to direct abuse in the same way and following from s.1(1)(a) to (c) but since that argument did not proceed in this way I would not rest my decision on that interpretation.

      (iv) I do not approach this case on the basis of adopting a literal strict or legalistic interpretation of the Act. Instead I fully accept that in construing this Act, a court must seek an interpretation consistent with the purpose of the Act. The words of the relevant section, in this case s.7, are to be construed as the product of a careful and formal use of language, but they must also be understood in the context of the Act as a whole, the purpose of the Act as to be discerned from it, and the background against which the legislation was enacted. Sometimes these factors of words context purpose and background may point in different direction and difficult issues of balance may arise. Here in my view they all point to the same outcome.

      (v) The concept of considering transfer from an institution as itself constituting abuse necessarily entails as a logical consequence, that the direct abuse and injury for which compensation is sought will occur outside the institution and in another place.

      (vi) It is clear from the words of s.7 of the Act however that other than in two specific circumstances which admittedly do not apply in this case, injury must occur within the institution and not outside it or elsewhere. Furthermore, this is a very deliberate statutory choice. The central test for entitlement to an award under the Act is that an applicant establish that “he or she was injured while … resident [in an institution] and that injury is consistent with any abuse that is alleged to have occurred while so resident”.

      (vii) This is also consistent with the broader scheme of the Act. It is after all a scheme for the provision of compensation for abuse occurring in residential institutions. Residence in a scheduled institution is therefore central .

      (viii) Furthermore, on the two specific occasions the Act makes express provision for limited circumstances in which abuse occurring (and therefore injury suffered) outside the physical confines of an institution may nevertheless be the subject of compensation it does so expressly . These provisions would plainly be unnecessary if the applicant’s interpretation were correct.

      (ix) In particular s.1(3) of the Act provides that if a person is transferred from a scheduled institution to another place of residence which carried on the business of a laundry and suffered abuse in the residence, that person shall be deemed at the time of the abuse to have been resident in the scheduled institution. This highlights at least two things. First, that abuse (and because of s.7 therefore injury) while resident in the scheduled institution is such a central criterion that in this circumstance where it is sought to provide compensation to certain persons who suffered abuse in other institutions it is necessary to deem the abuse occurring outside the residential institution as occurring within it. Second, it carries the clear inference that transfer alone does not constitute abuse.

      (x) I cannot agree that a different conclusion can be reached by simply invoking the language of broad or generous or purposive approach to the interpretation of statutes. Even adopting as broad an approach as possible, the Act must still be construed. Some interpretation of the text must be advanced. The statutory language cannot be ignored. That is particularly so in relation to a central provision of the Act. It is simply impossible to advance any interpretation of section 7 which permits the Applicant to succeed. But even if it were permissible to disapply both the text and structure of the Act, I can discern no statutory purpose which would justify the result for which the applicant contends. It is insufficient in my view to say that the purpose of the Act is to provide compensation, or even compensation for victims of abuse. As the Act makes it absolutely clear from its long title onwards, its purpose is to provide compensation only to certain persons who were resident in certain institutions and who received injuries consistent with abuse while so resident.

      (xi) The statutory dividing line between those certain victims of abuse entitled to the benefit of the scheme, and those other victims who could not benefit from it, and are left to pursue actions in tort, is suffering of injury while resident in the scheduled institution, consistent with abuse suffered while so resident. There is no statutory purpose discernible to provide compensation for persons who received an injury or who suffered abuse in other locations (other than the two specific examples already referred to and which do not benefit the applicant). Indeed, the opposite might be said to be the case. There was clear statutory intent that persons who suffered abuse in other locations such as schools, homes, hospitals or other institutions, could not benefit from the 2002 Act. Many children suffered the same treatment as the applicant did in the Nursing Home. There is nothing in the statute to suggest that some only of these children may recover compensation under the 2002 Act, and then only because they happened to be admitted to the Nursing Home from a hospital or other institution which was indeed a scheduled institution.

67 Accordingly, while I have no lack of sympathy for the Applicant, and I hope no lack of generosity towards the objects of the Act, I would, for my part, dismiss the Applicant’s appeal.


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