"A man accused of killing his six-year-old daughter claimed he was not
getting a fair trial after an expert medical witness he called was
stopped while giving evidence. The judge in the case of Ben Butler, who has been charged with
murdering his child, Ellie in 2013, intervened twice to stop the doctor
“straying” into areas in which she was not expert. Mr Justice Wilkie
also criticised the defence team for “improper” questioning. Julie Mack, a professor of radiology at Penn State University in the
US, told the jury at the Old Bailey she had been tasked by Butler’s
legal team “to consider whether there were radiological findings
supporting prior injury to the head”. She was giving testimony following Butler’s claim that his daughter
had suffered a fractured skull while she was in foster care with her
grandfather or in the care of the local authority. Butler, 36, of Sutton, south London, was reunited with Ellie 11
months before her death. He had lost care of his daughter for five years
following a conviction, later overturned, for assaulting her at seven
weeks old, the court heard. Mack told jurors she had found an older fracture to Ellie’s skull
along with calcification in the soft tissue of the scalp and areas
between the brain and the skull, which she said was “a sign of something
that happened in the past”. Mack said it was impossible to date the older fracture’s origin from
CT scans. She told jurors the fracture was not present in a scan taken
in 2007 when Butler was convicted of assault. But when she went on to say she did not think it was safe to
conclude, as some had, that there were two impacts to the head, the
judge halted the evidence. The
prosecution counsel, Ed Brown QC, objected to the evidence, saying he
had not seen the literature Mack was using to support her evidence. He
also protested that some of the other expert opinion on which she was
being questioned had not been shared with the crown in advance. At this point Butler shouted from the dock: “Unbelievable, I’m not getting a fair trial, man.” Admonishing the defence barrister, Icah Peart QC, Mr Justice Wilkie
said it was unsatisfactory that this evidence was not submitted, as
required, to all parties ahead of the witness appearance. “It is not only regrettable, it is improper,” said Wilkie.
Resuming questioning, Peart turned to the broken shoulder
pathologists found Ellie had suffered two to five weeks before her death
which, they said, had not been treated. Butler has testified that she fell and was concussed four weeks
before her death and this may have caused unsuspected injuries that
later led to her death. He says he regretted not taking her to hospital
and that he paid “the ultimate price”. When Peart asked Mack whether it was possible to have a broken
shoulder without pain, the evidence was again halted by the judge with
concerns raised that a radiologist was not an expert in symptoms of the
injury. “I’m very uncomfortable allowing this witness who is expert in her
field, to stray beyond it proferring an opinion not in her expertise …
it seems to me to be improper for you to pursue that line,” he told
Peart. During cross-examination Mack said calcification was the body’s
general healing response. She agreed that it could be a response to a
fracture but also to other abnormalities including bleeding, an
infection or a tumour.........Butler remained agitated throughout her evidence, frequently looking
at the jury and muttering. When Mack said Ellie’s injuries could not be
dated without the input of a pathologist, Butler shook his head saying
no samples were taken after Ellie’s death, a point he had made in a
previous claim to the jury that he was not getting a fair trial. Later a biomedical and biomechanics expert from Wayne State
University, Greater Detroit, also called by Butler, said it “was
possible” for Ellie to have fractured her skull by falling off the stool
found in her room. But he said if it can be concluded that Ellie suffered two fractures,
it cannot be “conclusively determined” that a fall can be the cause,
said Chris Van Ee."