Showing posts with label australia. Show all posts
Showing posts with label australia. Show all posts

Monday, May 25, 2009

UP-DATE: ANDREW MALLARD ACCEPTS $3.25 FROM WEST AUSTRALIAN GOVERNMENTL WILL PURSUE LAWSUIT AGAINST 17 DEFENDENTS INCLUDING 7 POLICE OFFICERS;


"I AM STILL APPALLED AND SHOCKED AT THE AVOIDING OF ANY ACCOUNTABILITY FROM THE GOVERNMENT'S PART AND ALSO FROM POLICE."

ANDREW MALLARD: THE AUSTRALIAN NEWS;

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The Australian News story ran earlier today under the heading "Andrew Mallard accepts $3.25m for wrongful jailing."

"ANDREW Mallard, who spent 12 years in jail for his wrongful conviction on a murder charge, has accepted a $3.25 million ex-gratia compensation payment from the West Australian Government," the Australian Associated Press story begins;

"He has lodged a Supreme Court writ against 17 defendants, including seven police officers and the Director of Public Prosecutions," the story continues.

"Mr Mallard had pleaded with the WA Government to double the payment after the "take it or leave it" offer was made earlier this month."

"The 48-year-old served 12 years of a 20-year sentence for the 1994 murder of Perth jeweller Pamela Lawrence, before his conviction was quashed by the High Court in 2005.
Mr Mallard had sought $7.25 million in compensation before the Government announced its $3.25 million payment, which it described as a "gift".

On May 7, three days after the offer was announced, an emotional Mr Mallard urged the Government to rethink the amount.

He said he did not want to reopen the wounds from the years he spent in jail by fighting for appropriate compensation in a court action.

Deputy Premier Kim Hames today confirmed that Mr Mallard had accepted the offer, and said refusing it "wouldn't have changed any future option that he had".

But Mr Mallard said that in accepting the payment, he had been told the "gift" would be deducted from any future award of damages in the WA Supreme Court.

"It is an inadequate figure but I also need to do this for vindication," Mr Mallard told The West Australian.

"I am still appalled and shocked at the avoiding of any accountability from the Government's part and also from police.

"I have no choice but to accept this money - it is either go down the gurgler or accept what little I have and fight on."

Dr Hames said the compensation had been provided "without any strings attached".

"We provided that as a gift and it was always left open for him to decide whether he would pursue legal action," Dr Hames said.

"If he does that it will be his choice.

"It was going to be in effect a cheque in the mail.

"So if you got a cheque in the mail for just over $3 million I'm sure you wouldn't say no, particularly when there weren't any conditions to (accepting) that amount of money."

Asked if he personally believed it was the right decision, Dr Hames replied: "I think he's made the right decision in not rejecting that money.

"I guess he could have always not cashed the cheque but that wouldn't have changed any future option that he had."


Harold Levy...hlevy15@gmail.com;

Monday, May 5, 2008

Part Five: Who Is Edward Charles Splatt? From Guy Paul Morin to Edward Splatt: Lessons Unfortunately Not Learned;



Guy Paul Morin;



Edward Charles Splatt with journalist Stuart Cockburn;

"INDEED, AT THE VERY SAME TIME THAT THE COMMISSION OF INQUIRY ON PROCEEDINGS INVOLVING GUY PAUL MORIN WAS SCRUTINIZING AND REPORTING ON THE INADEQUACIES OF THE CENTRE FOR FORENSIC SCIENCES THAT CONTRIBUTED TO THE WRONGFUL CONVICTION OF GUY PAUL MORIN, MANY SIMILAR OR ANALOGOUS PRACTICES WERE TAKING PLACE A STONE’S THROW AWAY AT THE OFFICE OF THE CHIEF CORONER FOR ONTARIO. IT IS IRONIC THAT AT THAT TIME, BOTH INSTITUTIONS WERE HEADED BY THE SAME PERSON."

CLOSING SUBMISSIONS; ASSOCIATION IN DEFENCE OF THE WRONGLY CONVICTED AND MULLINS-JOHNSON GROUP;

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One of the most important perspectives coming out of the Goudge inquiry was provided by lawyers Louis Sokolov on behalf of the Association in Defence of the Wrongly Convicted (AIDWYC) in his closing submissions.

Sokolov pointed out that many of the flaws in the area of forensic science identified by Justice Fred Kaufman as contributing to the wrongful conviction of Guy Paul Morin had been observed in cases involving Dr. Charles Smith being studied by Commissioner Goudge.

Justice Kaufman presided over the Inquiry into the wrongful conviction of Guy Paul Morin: See earlier posts: Part Three: Who Is Edward Charles Splatt? The Guy Paul Morin Connection; Part Four; Who is Edward Charles Splatt? More on the Guy Paul Morin Connection;

The link between the Kaufman Inquiry and the injustices attributed to Dr. Charles Smith was made by lawyers representing the Association in Defence of the Wrongly Convicted (AIDWYC) and the Mullins-Johnson Group in their closing submissions to the Goudge Commission.

"This is the seventh commission of inquiry in this country arising from miscarriages of justice, and the sixth that AIDWYC has taken part in," the lawyers pointed out.

"There is much in these submissions that has been said before by AIDWYC and others in the context of the other public inquiries, but nonetheless bears repeating because many of the factors than contribute to miscarriages of justice (e.g. tunnel vision, inadequate scientific evidence, poorly resourced defence counsel, lack of an independent and effective error correction body) continually reappear notwithstanding the good efforts of those commissions," they continued.

"Indeed, at the very same time that the Commission of Inquiry on Proceedings Involving Guy Paul Morin was scrutinizing and reporting on the inadequacies of the Centre For Forensic Sciences that contributed to the wrongful conviction of Guy Paul Morin, many similar or analogous practices were taking place a stone’s throw away at the Office of the Chief Coroner for Ontario. It is ironic that at that time, both institutions were headed by the same person."

I have focused on Sokolov's submissions in an article published in the most recent issue of the AIDWYC Journal entitled, "AIDWYC lawyers cross-examine Dr. James Young at the Goudge Inquiry" - and sub-titled "Deja Vu."

According to the Internet Dictionary: "The phrase "Déjà vu" is French for "already seen" and is used to refer to when a person experiences the feeling that they have seen, experienced, or been someplace before even when they are sure that that is not really true."

"As the Goudge Inquiry winds to a close, most of us want to believe that important lessons will be learned so that in the future innocent parents and caregivers will be spared the horror of being cast as murderers because of the failings of forensic science and forensic scientists," the article began.

"However, the cross-examination of former Chief Coroner Dr. James Young by AIDWYC lawyers Lewis Sokolov and Vanora Simpson – with its evocation of the abuses of forensic science that led to the wrongful conviction of Guy Paul Morin, might somewhat temper our optimism," it continued.

"After all, Dr. Young was also a witness at the Kaufman Inquiry into Morin's wrongful conviction as Assistant Deputy Solicitor General with responsibility for the Centre for Forensic Science which had come under intensive scrutiny for its role in connection with the Morin case.

Indeed, Justice Fred Kaufman concluded in his 1998 report that:

"A large number of CFS scientists perform their work with distinction. On the other hand, it would be a serious mistake to assume that the failings identified are confined to two (2) scientists. A number of those failings are rooted in systemic problems, many of which transcend, even the CFS and have been noted in cases worldwide where science has been misused. Dr. -- Dr. James Young, assistant Deputy, Solicitor General with responsibility for the CFS, apologized on behalf of the CFS for any role in Guy Paul Moran's conviction and advised the Commissioner that he had not appreciated the depth of issues which – which would arise at the Inquiry."

Flash forward almost ten years to 2007, and Dr. Young is in the hot-seat at the Goudge Inquiry where he is being questioned in the context of the positions he held as Assistant Deputy Minister and Chief Coroner for many years.

I could not help but feel an enormous sense of "déjà vu" as Sokolov drew Dr Young's attention to some of Justice Kaufman's findings in Morin, including:

0: The limitations upon scientific findings were not accurately or adequately communicated to police, prosecutors, the defence, and – to the courts;

0: Scientific findings were overstated at times;

0: Evidence was lost;

0: There were at times a loss of object -- objectivity inconsistent with the proper role of a forensic scientist.

0: Forensic reports were not being reduced to writing so that they could later be viewed by others for purposes of certainty and accountability; (Justice Kaufman recommended that there should be a written policy for forensic reports);

Young agreed with Sokolov that, "Much of the findings and indeed the recommendations regarding the Morin Report, need not only concern the (Centre of Forensic Sciences) but concern the wider issues of forensic science."

Coming back to my sense of "déjà vu," here we were ten years later, Dr. Young was in the witness box admitting errors in the system, and we had spent the last three months hearing a mountain of evidence involving overstatement of scientific opinions, failure to disclose the limitations on scientific findings, sloppy forensic reports, loss of evidence - and, above all, forensic scientists testifying for the state who displayed lack of objectivity consistent with the proper role of a social scientist.

Haven't we heard that before?"


I concluded by signing the article: "Harold Levy; (Who in spite of all this believes the Goudge inquiry is immensely important, believes compensation for Dr. Smith's victims cannot come soon enough, and remains an incurable optimist)."

Admittedly, when one considers all of the alarm bells relating to Dr. Charles Smith over the years - and the failure of his superiors in the Chief Coroner's Office and the Hospital for Sick Children to reign him in - it is getting harder and harder to retain that sense of optimism.

Harold Levy...hlevy@gmail.com

Saturday, May 3, 2008

Part Three: Who Is Edward Charles Splatt? The Guy Paul Morin Connection;

"I HAD BEEN IN PRISON BEFORE AND KNEW WHAT TO EXPECT. I WAS NOW HURRIED INTO THE PORT ADELAIDE COURTROOM AND FORMALLY CHARGED WITH MURDER, BEFORE A JUSTICE OF THE PEACE. FROM THE COURTROOM, I WAS THEN SUBJECTED TO THE USUAL ROUTINE, PHOTOGRAPHED, SEARCHED AND FINGERPRINTED. ANYBODY WHO HAS HAD THE MISFORTUNE OF BEING LOCKED UP IN THE CELLS AT PORT ADELAIDE WILL KNOW WHAT A FILTHY, STINKING PLACE IT IS . . . THE CELLS WERE UNFIT FOR HUMANS TO BE KEPT IN. THE ANIMAL WELFARE LOOKED AFTER DOGS IN A MUCH BETTER, HEALTHIER ENVIRONMENT THAT THOSE CELLS.

A YOUNG CONSTABLE OPENED THE CELL DOOR AND TOOK ME INTO THE SMALL FINGERPRINTING ROOM. THAT MOMENT I COULD EASILY HAVE ESCAPED FROM CUSTODY. I WAS NOT HANDCUFFED AND HE HAD LEFT THE STEEL BARRIER GATE FROM THE OUTSIDE YARD TO THE CELLS AREA OPEN.

BY NOW I WAS FEELING WEAK; I HAD ONLY JUST BEEN RELEASED FROM HOSPITAL. I HAD NOTHING TO EAT OR DRINK AND THE ORDEAL OF THE INTERROGATION WAS STARTING TO AFFECT ME. I TRIED TO KID MYSELF THIS WASN’T HAPPENING, AND EVERYTHING WOULD BE OKAY . . . I PACED UP AND DOWN THE CELL LIKE A CAGED TIGER, WONDERING WHAT WAS THE NEXT MOVE.

3.30 P.M. I WAS BROUGHT OUT OF THE CELLS AND THERE WAS THORSEN AND MCCALL GLOATING OVER THEIR VICTORY. MCCALL SAID, ‘WE WILL TRANSPORT YOU TO ADELAIDE GAOL NOW.’

GOING ACROSS BIRKENHEAD BRIDGE I LOOKED AT THE RIVER. THINGS LOOK SO GOOD TO YOU WHEN YOUR FREEDOM IS SUDDENLY SNATCHED AWAY FROM UNDERNEATH YOU. I CHECKED THE BACK DOORS OF THE CAR. THEY WEREN’T LOCKED. THORSEN WAS SITTING IN THE FRONT SEAT ALONGSIDE OF MCCALL WITH HIS ARM RESTING ON THE BACK OF THE SEAT TRYING TO MAKE CONVERSATION WITH ME. ‘THE DOCTOR HAS ADVISED ME THAT YOU WOULD BE WELL ENOUGH TO STAY IN CUSTODY AS LONG AS YOU TAKE YOUR MEDICATION,’ HE SAID.

‘MY MEDICATION IS STILL AT HOME. WOULD IT BE POSSIBLE TO CALL IN AND PICK IT UP?’ I WAS HOPING FOR A LAST CHANCE TO SEE MY WIFE BEFORE BEING TRANSPORTED TO ADELAIDE GAOL.

‘I’VE ALREADY PICKED UP YOUR MEDICATION,’ HE REPLIED. ‘LOOKS LIKE WE’VE GOT YOU THIS TIME, SPLATTY.’

I LOOKED THORSEN STRAIGHT IN THE EYE, ‘YOU WON’T MAKE IT STICK.’

‘WE’LL MAKE IT THAT WAY,’ THORSEN SAID.

ARRIVING AT ADELAIDE GAOL . . . I HAD BEEN THERE BEFORE AND KNEW WHAT TO EXPECT. I STILL KNEW ALL THE FACES OF THE PRISON CHIEFS AND SOME SCREWS. I SAID NOTHING. YOU CAN’T SAY ANYTHING TO ANYBODY THE MOMENT YOU STEP THROUGH THOSE GATES. YOUR ENTIRE WORLD CHANGES . . . I WAS THEN TAKEN TO 3-YARD TO CHANGE INTO PRISON CLOTHES.

ODDLY ENOUGH I WAS DRESSED IN THE SAME TROUSERS, SHIRT AND SHOES I HAD WORN ON THE NIGHT OF THE MURDER. GENERAL PRACTICE FOR NEW PRISONERS IS TO STRIP OFF NAKED AND PLACE ALL YOUR CLOTHING, BOOTS, UNDIES, THE LOT, INTO A LARGE GARBAGE BAG. THEN THEY ARE FUMIGATED AND ON YOUR NEXT APPEARANCE IN COURT THERE ARE YOUR STREET CLOTHES STILL IN THE BAG AS YOU PLACED THEM, NEITHER FOLDED NOR PRESSED AND NOTHING IS WASHED. WHEN YOU APPEAR IN COURT YOU LOOK THE PART THEY INTEND YOU TO LOOK—UNTIDY, SCRUFFY, A PROPER VILLAIN.

IT WAS GETTING CLOSE TO LOCKUP TIME. I JUST HAD TIME TO BE ESCORTED TO 4-YARD WHERE AS A REMAND PRISONER I WAS ALLOCATED. THE YARD WAS PRETTY FULL AND MOST PRISONERS WERE WALKING BACK AND FORTH IN THE YARD EXERCISING BEFORE MEALTIME AND LOCK UP. NONE OF THE PRISONERS SPOKE TO ME AND I CERTAINLY WASN’T IN THE MOOD TO SPEAK TO ANYBODY. I DID A COUPLE OF LAPS OF HONOUR AROUND THE YARD BEFORE THE SCREWS STARTED YELLING ‘FALL IN’.

I WAS A NEW ARRIVAL AND BY TOMORROW THEY WOULD ALL KNOW WHO I WAS AND WHAT I WAS CHARGED WITH. IF IT WASN’T ON THE RADIO OR IN THE PAPERS, THE SCREWS GENERALLY GAVE ALL CRIMS IN THE YARDS THE INFORMATION ON ANY PRISONER WHETHER IT WAS SUPPRESSED OR NOT. THAT’S WHY CHILD MOLESTERS GET BASHED.

I WAS AT LAST LOCKED AWAY AND NOTHING ON GOD’S EARTH COULD BE DONE ABOUT IT. SOMEHOW I HAD TO SETTLE DOWN AND PREPARE MY DEFENCE. AT LEAST I WAS ALLOWED A TRIAL TO DEFEND MYSELF. I WAS NOW STARTING TO TALK TO MYSELF.

I TURNED THE SMALL RADIO ON EMBEDDED IN THE CELL WALL. IT ONLY PLAYED ONE STATION BUT AT LEAST IT DROWNED OUT THE SUDDEN QUIETNESS OF THE CELL.

I LOOKED DOWN AT THE MEAL ON THE PLATE. I THINK IT WAS SAUSAGES—THE SCREW’S FAVOURITE. THEY ALWAYS MANAGED TO GRAB THEMSELVES A HANDFUL WHILE IT WAS BEING DISHED OUT TO THE PRISONERS.

UNDER THE STOOL WAS THE USUAL PLASTIC WATER CONTAINER USED AT ADELAIDE GAOL TO HOLD THE PRISONER’S DRINKING WATER. THE PLASTIC CONTAINER WAS FILTHY ON THE INSIDE; IT CONTAINED BROWN SLUDGE ON THE BOTTOM, SOMETHING ONE WOULD EXPECT TO SEE IN THE TOILET BOWL IN PRISON . . . THE PLASTIC MUG HOLDING THE TEA WAS ALSO FILTHY AND BLACK INSIDE. MANY CRIMS NEVER WASHED THEIR EATING UTENSILS; THEY JUST WIPED THEM WITH TOILET PAPER BEFORE REUSING THEM.

MANY CRIMS EVEN DODGED HAVING A DAILY SHOWER AND SOME WENT FOR WEEKS BEFORE THEY WERE FORCIBLY THROWN UNDER THE SHOWER. OUTBREAKS OF LICE WERE A COMMON OCCURRENCE.

TIME IN THE CELLS PASSED VERY SLOWLY AND IF YOU DON’T READ OR CAN’T ENTERTAIN YOURSELF, IT BECOMES BORING.

THE 5 P.M. NEWS CAME THROUGH LOUD AND CLEAR: ‘A SPRAY PAINTER WAS ARRESTED IN THE AFTERNOON AND CHARGED WITH THE BRUTAL SLAYING OF MRS SIMPER.’ MY NAME, OCCUPATION AND ADDRESS WERE GIVEN—NO SUPPRESSION ORDERS ON THE MURDER. FULL DETAILS OF THE GRUESOME MURDER FOLLOWED. I THOUGHT, CHRIST, HOW WOULD MY WIFE TAKE IT? SHE WOULD ALSO BECOME A PRISONER IN HER OWN HOME. THE NEIGHBOURS WOULD NOW BE TREATING HER LIKE A LEPER, BECAUSE IN THEIR EYES I WOULD BE GUILTY ALTHOUGH AS YET IT WASN’T PROVEN, TILL I WAS SENTENCED BY THE COURT.

THE PRISONERS IN REMAND YARDS WOULD KNOW WHO THE NEW ARRIVAL WAS AND WHAT HE HAD BEEN CHARGED WITH. THEY WENT OUT OF THEIR WAY TO MAKE IT DIFFICULT FOR CRIMS CHARGED WITH CHILD MOLESTING OR MURDERING OLD PEOPLE, JUDGING THEM GUILTY UNTIL PROVEN INNOCENT.

SOME OF THE YOUNGER PRISONERS WHO HUNG AROUND IN SMALL GROUPS IN THE YARD MADE IT TOUGH FOR CRIMS THAT APPEARED WEAK. THEY STARTED THEIR CATCALLING AND ABUSE AT NIGHTFALL WHEN PRISONERS WERE LOCKED AWAY AND COULD NO LONGER DEFEND THEMSELVES.

IT DIDN’T TAKE LONG FOR THE FEW BRAVE ARSEHOLES TO START THEIR CATCALLING. ONE KEPT UP A CHANT OF ‘POOR MRS SIMPER! POOR MRS SIMPER!’ AND ‘HEY, SPLATTY, KILLER! WE’LL GET YOU TOMORROW IN THE YARDS.’ THIS WENT ON FOR HOURS AND SEVERAL TIMES THE GUARDS SCREAMED FOR SILENCE BUT WITH NO EFFECT. A TOP CRIM IN THE YARDS FINALLY INTERVENED AND ORDERED THEM TO SHUT UP OR TO LOOK OUT TOMORROW.

EDWARD CHARLES SPLATT; FROM CURRENTLY UNPUBLISHED BOOK TENTATIVELY TITLED "FORENSIC FAILURES" BY TOM MANN; I AM GRATEFUL TO DR. ROBERT MOLES FOR MAKING A MANUSCRIPT OF THIS IMPORTANT WORK AVAILABLE TO THE READERS OF THIS BLOG;-------------------------------------------------------------------------------

DR (JAMES) ROBERTSON,(DIRECTOR OF FORENSIC SERVICES FOR THE AUSTRALIAN FEDERAL POLICE) IN HIS PANEL ON FORENSIC ISSUES, TESTIFIED (BEFORE THE KAUFMAN COMMISSION INTO THE WRONGFUL CONVICTION OF GUY PAUL MORIN) THAT A TUNNEL VISION APPROACH BY POLICE IN A CASE IN SOUTH AUSTRALIA HAD RESULTED IN THE WRONGFUL CONVICTION OF A MAN ACCUSED OF MURDERING A WOMAN IN 1979 BECAUSE THEY HAD NOT LOOKED HARD ENOUGH AT ALTERNATIVE SUSPECTS. EDWARD SPLATT HAD BEEN CONVICTED ON FORENSIC EVIDENCE WHICH WAS TRACE IN NATURE.

THE VERDICT WAS OVERTURNED AND THE SUBSEQUENT ROYAL COMMISSION IN THE EARLY 1980S LED TO THE REMODELLING OF FORENSIC SERVICES IN THAT STATE."

FROM "PLATYPUS": THE MAGAZINE OF THE AUSTRALIAN FEDERAL POLICE;
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A group of senior Australian police officers and forensic experts came to Canada in 1997 to tell the Kaufman Inquiry into the wrongful conviction of Guy Paul Morin what they had learned from notorious Australian wrongful convictions - including the murder conviction of Edward Charles Splatt;

It is fascinating to see the Australians' take on the Morin case - and to consider the lessons which were supposed to have been learned from the Morin experience in the context of Dr. Charles Smith's rampage over Ontario's criminal justice system.

(The Australian Federal Police is Australia's international law enforcement and policing representative, and the Government's chief source of advice on policing issues.)

"Southern Region General Manager, Nigel Hadgkiss, and the AFP’s Director of Forensic Services, Dr James Robertson, were asked to contribute to a Royal Commission in Canada in 1997 into the wrongful conviction of a man accused of murdering a young girl in 1984," the article in "Platypus", the organization's magazine, begins.

"The prosecution’s case was almost purely circumstantial, based on hair and fibre evidence and the testimony of two in-custody informants," it continues.

"The conviction was eventually overturned when new methods of DNA testing were used before an Appeal in 1995 and further details gradually emerged.

Experts from around the world in forensic science and in the administration of criminal justice contributed to the subsequent inquiry established in a bid to unravel the miscarriage of justice and identify any systemic issues.

The Commission’s findings were the catalyst for major reformation of forensic services in the Ontario justice system.

Mr Hadgkiss has served on three Royal Commissions in Australia and has had wide experience in the investigation of allegations of serious misconduct against public officials as well as in the investigation of systemic issues.

Late last year, Mr Hadgkiss was invited to York University in Toronto as a Visiting Fellow between January and April this year.

He is working on a program being developed by the university’s Osgoode Hall Law School and the Royal Canadian Mounted Police to design and administer an expert witness course which will prepare a select group of police officers to appear in court.

He also will contribute to a conference on police corruption issues.

Dr Robertson has authored more than 60 papers and edited four books on forensic science, is the immediate past chair of the Senior Managers of Australian and New Zealand Forensic Laboratories and was an expert witness at two other major Royal Commissions.

He is also an adjunct Professor at the University of Technology, Sydney.

The findings of the Commission were brought down last year and John Walsh from Southern Region retraces the case which attracted strong media attention in Canada (under the heading "The Guy Paul Morin case: A Crown attorney's worst nightmare.")

"Sometime between 3.50 and 4.30pm on October 3, 1984, nine-year-old Christine Jessop went missing after school in the small town of Queensville, about 60km north of Toronto, Ontario.

Despite some reported sightings of her later that day and searches carried out in Queensville in the ensuing weeks, the York Regional Police were unable to find any evidence of Christine’s whereabouts.

Almost three months later on New Year’s Eve, residents of Durham, about 56km east of Queensville, found Christine’s decomposing body.

Because her body was found outside the York jurisdiction, the investigation was handed over to Durham Regional Police.

The next day, positive identification was made through dental records and the subsequent autopsy found that death had occurred about three months earlier.

There were multiple stab wounds to the chest, but because of the state of the body, initial examination did not determine whether she had been sexually assaulted.

Semen was later found on her underwear but forensic experts weren’t able to take the investigation any further at that time, other than to conclude that she had been sexually assaulted.

By mid-February 1985, the investigation by the Durham Regional Police began to focus on Guy Paul Morin, a 25-year-old neighbour of the Jessop family.

Morin, who had no criminal record, lived with his mother and father and worked as a finishing sander north of Toronto. He was also a bee-keeper and a musician.

In the early evening of April 22 that year, Morin was arrested, and following a Preliminary Inquiry held in June 1985, he was committed on a charge of first degree murder.

The trial began in London, Ontario about 250km from Toronto, on January 7, 1986, and on February 7 that year, Morin was acquitted after approximately 13 hours of deliberation by the jury.

In March, 1986, the Ontario Attorney-General appealed to the Court of Appeal for Ontario, based on an incorrect direction and instruction to the jury by the trial judge.

The Crown’s appeal was successful in June 1987 and a new trial was ordered.

Morin appealed to the Supreme Court of Canada but his application was dismissed in November 1988, and the order for a new trial was affirmed.

Morin’s second trial began on November 13, 1991 following a series of pre-trial motions.

Just before the trial, a further autopsy revealed inadequacies in the original autopsy.

The trial continued until July 1992, and on July 30 after the jury had deliberated for seven days, Morin was convicted of first degree murder and detained in custody.

Soon after the verdict, Morin filed a Notice with the Court of Appeal for Ontario. An application for bail was granted in February 1993, and an amended Notice of Appeal, citing 181 grounds, was filed in March 1994.

DNA testing of the semen sample on Christine Jessop’s underwear, using a sophisticated test not previously available, was undertaken in January 1995.

Testing showed that the semen was not Morin’s.

His Appeal was allowed, the conviction set aside, and a verdict of acquittal entered.

By Order of the Governor of Ontario, the Commission of Proceedings (Royal Commission) Involving Guy Paul Morin was established in June 1996. Public hearings began in February, 1997.

In his introduction to the report on the Royal Commission, which was handed down last year, the Commissioner, Justice Fred Kaufman, said: "On July 30, 1992, an innocent person was convicted of a heinous crime . . . the criminal proceedings against Guy Paul Morin represent a tragedy not only for Mr Morin and his family, but also for the community at large: the system failed him — a system for which we, the community, must bear responsibility. An innocent man was arrested, stigmatised, imprisoned and convicted . . . the reasons for the failure are set out in the pages which follow, and so are suggestions for change, designed to make similar failures less likely."

By the time the findings were delivered, remodelling of forensic services in the Ontario criminal justice system, in line with the recommendations of the report, had begun, drawing on expertise presented to the Commission by professionals from around the world in the administration of criminal justice and forensic science and medicine.

The Commission’s three main roles were:

Investigative: Why did the investigation into the death of Christine Jessop and the proceedings which followed result in the arrest and conviction of an innocent person?

Advisory: The principal focus of the Commission’s mandate was to make recommendations for change intended to prevent future miscarriage of justice.

In doing so, certain ‘systemic’ issues (those that transcended this particular case and went generally to the administration of criminal justice in Ontario) were identified.

Educational: It was hoped that the public nature of the inquiry might serve to educate members of the community as to the administration of criminal justice generally and as to the criminal proceedings against Guy Paul Morin in particular.

The Commission’s public hearings were held in seven phases, two of which looked at the investigations of the York and Durham Regional Police Services, while one phase examined issues arising from the two Morin trials.

The phases also included examination of issues arising from:

0: ‘In custody’ statements from informants incarcerated in a Canadian jail with Morin before his first trial, which were instrumental in convicting him at his second trial.

0: The forensic evidence tendered at both trials.

One of the parties granted standing at the Commission was the Association in Defence of the Wrongly Convicted. AIDWYC was formed in part because of the Morin conviction. Morin’s post-conviction lawyer, James Lockyer, is a prominent member of the organisation.

Associate Professor at Osgoode Hall Law School, York University, Ontario, Dianne Martin, compiled a case study for AIDWYC with assistance from others in Canada, the UK, and the USA on cases of wrongful convictions.

Professor Martin’s case study was titled Wrongful Convictions: An International Comparative Study.

The results of her research, together with her testimony, were presented to the Commission along with expert panels formed to assist the Commission.

One looked at the role of police investigations in contributing to wrongful convictions while a second was on the role of science.

At Professor Martin’s instigation, the Associate Counsel to the Commission, Mark J Sandler, wrote to AFP Deputy Commissioner Adrien Whiddett asking that Mr Hadgkiss and Dr Robertson be made available to give evidence at the inquiry on systemic issues.

They presented to the Commission at the end of November and early December 1997.

Mr Hadgkiss was a member of the first panel, which also included:

0: Professor Martin.

0: A founder of an American organisation Centurion Ministries which works on behalf of the wrongly convicted, James McCloskey.

0: A solicitor of the Supreme Court of Judicature of England and Wales, Alistair Logan.

Mr Logan acted for defendants in the notorious cases of the Guildford Four, the Maguire Seven, and Judith Ward, among other wrongful conviction cases.

He was the subject of death threats in 1978 from the politically-motivated, UK-based National Front after publicity surrounding the Guildford Four case.

0: Professor and Chair of Sociology at the University of Florida, Michael Radelet.

During the previous 19 years, Professor Radelet had worked with Florida death row inmates and their families, and spent the previous 15 years researching erroneous convictions in homicide cases.

Dr Robertson, who has specialised in the examination of trace evidence was joined on the second panel by:

0: An American forensic scientist specialising in DNA work, Dr Edward Blake.

He was a member of the team of scientists who conducted the DNA tests which exonerated Mr Morin.

0: Executive Director of the National Forensic Science Technology Centre, Florida, Dr William Tilstone, who had been Professor of Forensic Science at the University of Strathclyde, Scotland, and Director of Forensic Science in South Australia.

Dr Tilstone had also acted as forensic consultant to governments around the world.

AIDWYC also organised a panel of people who had been wrongfully convicted of serious crimes.

The Commission’s report noted that "much of the evidence given by the participants . . . was truly heart-rending".

Among the panel members were Rubin Carter, former champion boxer immortalised in the 1970s Bob Dylan song Hurricane, and Patrick Maguire of the Maguire Seven.

By the time these panels were convened, the Inquiry had explored numerous legal improprieties from around the world, including Australia’s Lindy Chamberlain case during the 1980s and, similarly to this comparison, the Morin case generated enormous public interest — a brutal child murder, the neighbour accused being a young man with no criminal record, and high-profile defence lawyers and famous prosecutors ‘doing battle’.

The Guy Paul Morin conviction had centred on:

0: Trace evidence on the body, essentially hair and fibre, said to have come from Morin or his environment.

0: Odd behaviour and comments from Morin said to amount to ‘consciousness of guilt’, such as failing to join the search for Christine when she was discovered missing, and failing to attend the funeral.

0: Odd statements to police by Morin when questioned, first as a witness and later as a suspect.

0: Fellow prisoners who testified that Morin had allegedly confessed to them (which he denied).

0: Proof of opportunity and rebuttal of proffered alibi.

All this evidence had been challenged at both trials, but despite the DNA exclusion, prosecutors continued to believe it.

In its early stages, the Inquiry brought out evidence that:

0: The hair and fibre evidence was meaningless as the samples had been contaminated from the outset.

Evidence of ‘pink’ fibres, provided at both trials as significant matches were discovered to have been contaminants.

Discovery of the contamination was made before the second trial yet never disclosed to the defence or prosecution.

0: The hair and fibre contamination evidence led Director of the Centre of Forensic Sciences, Dr James Young, to order a review of the Hair and Fibre Unit’s results for the relevant period, including all of the files on which the Morin case scientist had worked.

The review disclosed that the contamination was not ‘post-test’, which was the evidence given at the Inquiry once the fact of contamination was disclosed, but was original contamination. (This revelation uncovered at least two further doubtful cases in which the Centre had participated).

0: The prison informants had initially recanted . . . and then recanted their recantations.

0: The ‘odd behaviour’ was seen as ‘nonsense evidence’.

A good deal of Morin’s behaviour was claimed to have been the product of police pressure or encouragement to suggestible witnesses.

Some of these witnesses alleged that: investigating officers had told them about other murder cases for which Morin was a suspect; that the Morin family was ‘incestuous’, and other false and damning claims.

0: Christine Jessop’s family admitted that they changed their evidence about the time she was known to be missing in order to make it possible for Morin to have snatched Christine from her home after he had finished work and after she got home from school.

0: On the ‘true’ version of the relevant times, he could not have killed her. The Jessop family alleged police pressure to change the times, which the police denied.

0: The investigating police had been slow in following up an eye-witness report of a car seen in the vicinity of the Jessop house about 4.05pm, with a young girl struggling with the driver.

0: The officer-in-charge of the crime scene was alleged to have ‘lost’ key evidence that would have exonerated Morin at the time, for instance a cigarette butt (Morin was a non-smoker).

The officer wrote an entire new notebook with a version which did not contain the cigarette butt evidence.

He was ultimately charged with obstruction of justice and perjury, but never went to trial because of a heart condition.

0: The police attention on Morin was based on their admitted conclusion that he was ‘odd’ because he played the clarinet, lived at home, raised bees, and loved his family, who were also musical and all very close.

The AIDWYC systemic panel on the causes of wrongful convictions testified before the Inquiry on November 26 and 27, 1997.

In speaking of his experience when he was seconded to the Royal Commission into the NSW Police Service as Director of Operations between 1994 and 1996, Mr Hadgkiss outlined six possible causes of miscarriages of justice which had been identified by the Commission. They were:

0: An incompetent investigation which had focused on someone other than the offender and closed its mind to alternative avenues of inquiry.

0: Corruption in its various forms.

0: The use of unreliable prison informant evidence.

0: An overzealous prosecution which encouraged the propping up of a weak case or concealing evidence which would assist the defence.

0: The use of evidence based on dubious forensic science or poor management of physical exhibits.

0: Incompetent or under-resourced conduct of the defence case.

Other panel members presented similar causes for wrongful convictions.

Mr Hadgkiss explained that there were two types of corruption analysed by the NSW Royal Commission — ‘rotten apple’ corruption and ‘process’ or ‘noble cause’ corruption.

The first concept, which seeks to explain police misconduct merely by the moral failings of certain individual officers, was discredited by the Commission.

Mr Hadgkiss said that chiefs-of-police might wish to imagine that they had only one or two ‘rotten apples’ but they needed to be intimately aware of what was happening at the operational end of their organisation.

Professor Martin described the second type of corruption as either a simple error in investigation, or deliberate police misconduct in influencing witnesses to alter testimony.

It was based on a supposed justification that the accused was guilty, and that a conviction was warranted.

Mr Hadgkiss’s views were incorporated into several of the Morin Commission’s recommendations.

In commenting on police culture and management style, he explained that wherever practicable, all training courses offered by police should include segments addressing integrity and multicultural awareness.

Mr Hadgkiss suggested that if the AFP’s values of integrity, commitment, excellence, accountability, fairness and trust were strictly imposed and imbued, other desirable reforms would follow.

He said he believed an appropriate police culture would permit investigating officers to admit that they had pursued the wrong suspect.

In a similar vein, the Morin Commission recommended that one component of educational programming for police and Crown Counsel should be the identification and avoidance of tunnel vision.

This was defined as the single-minded and overtly narrow focus on a particular investigative or prosecutorial theory, so as to unreasonably colour the evaluation of information received and an investigator’s conduct in response to that information.

Dr Robertson, in his panel on forensic issues, testified that a tunnel vision approach by police in a case in South Australia had resulted in the wrongful conviction of a man accused of murdering a woman in 1979 because they had not looked hard enough at alternative suspects. Edward Splatt had been convicted on forensic evidence which was trace in nature.

The verdict was overturned and the subsequent Royal Commission in the early 1980s led to the remodelling of forensic services in that State.

Mr Hadgkiss highlighted the problem of tunnel vision in his comments on the ways in which progressive police services record major decisions made throughout the course of an investigation.

He said everything should be properly documented and accountable in a computerised, auditable system, even if the process was open to examination by the defence.

The Commission was interested in the Quality Assurance Review process that is a key aspect of case management systems in Australia, taking particular note of an example where in major cases involving large amounts of resources, experienced, independent officers can be brought in to help conduct an audit.

The Commission strongly favoured that the Durham Regional Police Service should adopt a policy of videotaping and/or audiotaping suspects and witnesses generally. It recommended that the Service " . . . should investigate the feasibility of adopting the practice of the Australian Federal Police of carrying tape recorders on duty for use when interviewing in other locations or indeed, for use when executing search warrants or in analogous situations".

Mr Hadgkiss testified about AFP policy regarding formal interviews with suspects.

He commented on standards relating to the recording process, the fail-safe mechanisms built into the technology, the process of preservation of records, the initial high cost of equipping officers and the potential increase in productivity following the introduction of videotaping.

There was an increasing expectation by defence counsel and the Australian judiciary generally that conversations with suspects would be electronically recorded, he said.

Mr Hadgkiss also described the system adopted by the AFP for note-taking and record-keeping which was received positively by the Commission.

The effectiveness of the use of the contentious tools of psychological profiling and polygraph testing, which played a major part in the Christine Jessop murder investigation, was the subject of some debate by the panel with the Commission expressing a qualified and limited support for the use of both techniques.

The Commission recommended that the Canadian Government should study the advisability of the creation of a criminal case review board.

Mr Hadgkiss had spoken of the move in NSW towards the creation of such a body.

He explained that, at the time of his evidence, it had been proposed that such a body might investigate matters referred to it by the NSW Court of Appeal or others, and refer cases back to the Court of Appeal where there was a possibility of a miscarriage of justice, and that payment of compensation was also being provided for.

Counsel appearing for the Morin family was critical of the prominence played in the second trial of the evidence of the prison informants.

Among numerous testimonies, Mr Hadgkiss spoke of his own experience: "if nothing else, they want attention . . . they are prepared to be a prosecution witness. They want the limelight, they want to expose something, but there are ‘mala fides’ afoot. You’ve really got to get to the reason why they want to do this. Why do they want to assist police?"

As noted earlier, hair and fibre evidence tendered by forensic scientists who had worked for the Centre of Forensic Sciences in Toronto had assumed significant importance at both trials.

Evidence revealed only at the Commission of Inquiry stage demonstrated that the fibre was contaminated while in the possession of the CFS.

The Commissioner determined that all hair and fibre evidence was essentially valueless.

One of the purposes of the forensic scientists’ panel was to aid the Commission in forming recommendations which might prevent the misuse of science in future criminal proceedings.

As the largest forensic laboratory in Toronto, the CFS is called upon daily to assist in the investigation of serious crimes.

The extent of the problems endemic to the institution and raised by the Inquiry caused management to conduct a major organisational review.

The Commission also considered whether the CFS should be reconstituted as an independent agency but ultimately decided against it.

In its submissions, the Centre suggested that accountability to the public might be best achieved through keeping the service within government.

Dr Robertson endorsed this approach saying: "The reality is that the real quality of the work which is produced is dependant upon the training and the competencies of the individuals. And if you produce someone who views themselves as a professional, you’ve got a much better chance, underpinned by professional values, . . . that that person will perform as a professional within whatever organisation they happen to be in".

The matter of accreditation and quality control in forensic laboratories was of significant interest to the Commission.

The CFS adheres to an accreditation program administered by the American Society of Crime Laboratory Directors’ Laboratory Accreditation Board.

Dr Tilstone spoke of the International Standards Organisation ISO 25 Guide. He noted that the ASCLD/LAB program met most but not all of the latter’s expectations.

Dr Robertson presented information on the Australian National Association of Testing Authorities forensic program, the requirements of which are combined with the ASCLD/LAB and ISO requirements to form a much stronger set of accreditation criteria. He also issued a caution on accreditation procedures, noting that they merely tested the opportunities that management had in place for people to participate in training and development, saying it was up to management to ensure that staff took up the opportunities.

The Commission recommended that a review system be established to ensure that appropriate high standards of expertise, professionalism and integrity be maintained.

Both Dr Robertson and Counsel for the Morins spoke in favour of a complaints mechanism for Crown Counsel to bring adverse judicial findings on laboratory evidence to the Director’s attention.

Dr Robertson also raised difficulties with the use of blind and external proficiency testing for analysts, particularly in the context of hair examinations.

The standard of reporting by the CFS had drawn criticism from the Commission and several parties early in the proceedings.

Within this ambit, Dr Robertson provided information on practices under NATA guidelines regarding preliminary or interim reports being submitted by telephone and the inadequacies which he perceived in CFS written reports.

He said that, generally, it was not the technical testing that created difficulties in court, rather what was said about the tests in reports and in court.

Dr Robertson specifically endorsed the idea of stakeholders working out together how reports should be structured in the particular jurisdiction.

Dr Robertson said that reports should be candid and aimed at non-concealment.

He advocated more pre-trial meetings where all issues could be canvassed, and possibly resolved.

He also put forward to the Commission valuable information on the development of appropriate standardised terminology and standards for fibre and hair comparisons.

He suggested that forensic laboratories might work with other justice administration stakeholders in formulating appropriate language.

Morin’s Counsel reinforced the need for a written policy on the writing of reports at the Centre, drawing on inclusions proposed by the scientists.

Following Dr Robertson’s recommendations, the CFS developed specific standardised written material to describe the tests conducted, and definitions of terminology.

A further aspect of reporting which had drawn Commission criticism was the CFS’s failure to document contact with third parties, particularly police, prosecutors and defence counsel.

Dr Robertson testified that in his laboratory, any conversation between a submitting officer and the person receiving the case was recorded in the case file.

The CFS had begun a log of all communications which would be subject to disclosure.

One of the more contentious aspects of the forensic evidence concerned the probative value of inclusionary and exclusionary results.

Drs Tilstone and Robertson testified that scientific language historically had been constructed from an inclusionary perspective.

They both suggested it be reconstructed from an exclusionary perspective.

Morin’s Counsel strongly supported this approach, particularly in respect of forensic hair comparison analysis and evidence of a presumptive test, such as indications of blood or semen.

The Australian Splatt and Chamberlain cases were both cited in this context.

The matter of post-conviction retention and storage of original evidence was the subject of a further recommendation by the Commission that was based almost entirely on a proposal from Morin’s Counsel.

Dr Robertson noted that there are no definite policies and protocols in Australia currently, but added that he believed that retention was a police responsibility, not a forensic institution responsibility.

The Commission’s recommendation proposed establishment of protocols through a consultative process involving relevant parties.

Allied to this issue was the establishment of a national (Canadian) databank, and the problem of forensic testing which could consume or destroy original evidence.

Drs Robertson and Tilstone commented on steps being taken regarding establishment of databanks in the USA, England, Wales and New Zealand.

Regarding possible destructive testing, Drs Robertson and Tilstone said they preferred to take all steps to ensure that sufficient material might be available for repeat testing.

Australian forensic protocols included this principle.

They said that if this was not possible, they would consume all of the sample if the most discriminating test needed to be carried out.

In July last year, the Director of the Centre of Forensic Sciences wrote to AFP Commissioner Mick Palmer asking that Dr Robertson take on the role of an independent expert, which had been suggested by Justice Fred Kaufman in his Royal Commission report, to review and audit the Centre’s progress in meeting the recommendations of the Commission.

Dr Robertson is expected to make two inspections of the Centre later this year."

Harold Levy...hlevy15@gmail.com;

Thursday, May 1, 2008

Part Two: Who Is Edward Charles Splatt? Convicted By Scientists; What Lessons Does This Miscarriage Of Justice Have For Canadians?

"Scientific evidence can be extremely valuable in corroborating other evidence and this is my experience; in that usually the police have a suspect, they have other non-scientific evidence, and science helps to corroborate. I have had cases where most of the evidence is scientific, very few . . . But I have never had a case such as this one, where science led to a suspect and science, and only science, connected him with the scene of the crime."

JUSTICE CARL SHANNON; ROYAL COMMISSION INTO CONVICTION OF EDWARD CHARLES SPLATT:

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EDWARD SPLATT CELEBRATING HIS NEWLY WON FREEDOM WITH REPORTER STUART COCKBURN;

""AT ABOUT 11.30 AM, A SCREW CAME AND ESCORTED ME TO THE BARRIERS WITH MY PROPERTY. STEWART AND YVONNE WERE WAITING IN THE VISITING AREA. MY RELEASE PAPERS HADN’T ARRIVED. THE PRISON DEPARTMENT WAS STILL WAITING FOR MY PARDON FROM THE GOVERNOR. STEWART TOLD ME IT WAS ALIVE WITH REPORTERS OUTSIDE THE PRISON WAITING TO INTERVIEW ME.

EVERY MINUTE NOW SEEMED LIKE AN HOUR. I WAS GIVEN THE OPTION OF LEAVING VIA THE BACK GATE BUT DECLINED BECAUSE IT WOULD BE UNFAIR TO ALL THE REPORTERS AND SUPPORTERS WHO HAD BEEN WAITING ALL MORNING.

FINALLY, AT 12:07 PM I WAS HANDED MY RELEASE PAPERS AND A ROYAL PARDON FROM THE GOVERNOR OF SOUTH AUSTRALIA. THE FRONT GATE SWUNG OPEN AND I STEPPED OUTSIDE A FREE MAN. I CANNOT EXPLAIN THE FEELING STANDING OUTSIDE THOSE GATES, FACING THE HUNDRED OR SO REPORTERS AND FRIENDS.

I MADE A SHORT SPEECH AND WAS THEN DRIVEN AWAY BY STEWART COCKBURN FOR A HOME COMING RECEPTION. IT FELT GOOD DRIVING DOWN THE PORT ROAD A FREE MAN.

ARRIVING AT MY PLACE THE REPORTERS WERE THERE AGAIN IN MASS. SUDDENLY EDWARD SPLATT WAS A CELEBRITY. FOR THE REST OF THE DAY I WOULD HAVE TO GET USED TO THE CAMERAS AND REPORTERS. IT WAS ALSO GREAT TO PICK UP MY DOG, SHEEBA; SHE STILL KNEW ME AFTER ALL THIS TIME.

CHANNEL 2 HAD BEEN KIND ENOUGH TO SUPPLY MY FAVOURITE DISH. I HAD SAID TO THEM DURING AN EARLIER INTERVIEW, ‘THE FIRST THING I WILL SINK MY TEETH INTO IF I AM RELEASED IS A LARGE CRAYFISH WASHED DOWN WITH CHAMPAGNE.’

UNLIKE LINDY CHAMBERLAIN I HAD NO LARGE OFFERS FOR EXCLUSIVE INTERVIEWS. ALL I RECEIVED FROM CHANNEL 2 WAS THE CRAYFISH AND CHAMPAGNE. I DARE SAY I JUST DIDN’T HAVE A GOOD MANAGER TO LOOK AFTER MY INTERESTS. FINALLY, I DID RECEIVE AN OFFER FROM CHANNEL 7 FOR AN EXCLUSIVE INTERVIEW. THE OFFER AT FIRST WAS $5000. NO PAPERS WERE SIGNED TO SEAL THAT DEAL AND THE FINAL PAYOUT WAS ONLY $4000. ANYHOW, IT’S TOO LATE IN LIFE TO WORRY ABOUT THESE THINGS. THE ONLY THING THAT REALLY MATTERED WAS, I WAS FREE AND HAD PROVEN THAT THE SMALL MAN CAN WIN. ALL YOU NEED IS THE TRUTH AND DETERMINATION. I FORTUNATELY HAD BOTH THOSE QUALITIES.

I FINALLY GOT THE CHANCE TO KICK MY SHOES OFF AND PUT MY FEET UP ON THE LOUNGE WITH YVONNE. TODAY WILL BE A DAY NEITHER OF US WILL EVER FORGET."

FROM EDWARD CHARLES SPLATT'S CELL HOURS BEFORE BEING RELEASED FROM PRISON FOLLOWING HIS EXONERATION BY THE SHANNON ROYAL COMMISSION; PRISON; FROM CURRENTLY UNPUBLISHED BOOK TENTATIVELY TITLED "FORENSIC FAILURES" BY TOM MANN; I AM GRATEFUL TO DR. ROBERT MOLES FOR MAKING A MANUSCRIPT OF THIS IMPORTANT WORK AVAILABLE TO THE READERS OF THIS BLOG;

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While preparing a recent post on Dr. Ross James' court challenge to the Medical Board of South Australia's finding of professional misconduct in connection with his evidence in the Henry Keogh case, I was intrigued by the reference to a Royal Commission called into the conviction of a man named Edward Charles Splatt and decided to learn more about him.

For a start, I learned that Mr. Splatt was set free after the Shannon Royal Commission found that additional scientific evidence by the Shannon Royal Commission after additional scientific evidence cast doubt on the validity of the Supreme Court verdict against Splatt - and Justice Carl Shannon ruled that, "it would be unjust and dangerous for the verdict of guilty to stand."

But it was clear to me that Mr. Splatt was only exonerated because of the intervention of a phenomenal investigative reporter named Stewart Cockburn burrowed into the case and drew public attention to it - and because of dedicated lawyers who had the ability to tackle the scientific evidence in the case - virtually the only evidence to incriminate him.

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By way of background, as provided by the Networked Knowledge Web-Site:

Rosa Amelia Simper died on 3 December 1977.

Don Spurling, her son in law who lived next door found her on her bed, strangled with her bra, mutilated about the vagina and rectum, with a chisel like instrument, her nose broken, clothing torn, house ransacked.

A few possessions and about $200 were taken.

The clock in the bedroom had stopped at 2.48am after the plug was removed.

A pathologist said she had died between 3am and 4am, allowing for 2 hours either way.

An iron had been turned on and left on the bed beside the body for the apparent purpose of starting a fire.

But the heat was on too low and it only resulted in scorching.

The government offered a reward.

Traces of paint and metal were found on the windowsill, where the window had been jemmied open by an intruder.

The traces were also found on the bed sheet.

Attention was focused on the Wilson factory only 40 metres away.

Of the 8 or 9 men who worked there, Ted Splatt was determined to be the prime suspect.

He was arrested 3 March 1978, and found guilty 24 November.

Justice Roma Mitchell sentenced him to life.

His appeal was dismissed on 28 February 1979. The High Court refused him leave to appeal on 12 September 1979.

Stuart Cockburn took up his case and a movement started.

A Royal Commission was set up, and Judge Carl Shannon QC on 1 August 1984 recommended he be pardoned.

In the soul searching that followed, it was decided that a reform of the South Australian forensic science system was necessary, and in fact it was carried out.

Today the Forensic Science Centre in South Australia is independent of the police force.

For administrative purposes only, it is under the Department of Services and Supply.

It has all disciplines housed under one roof and has a highly qualified director.

The investigation of the case has become a model and an inspiration for those confronted by apparently unshakable court decisions.

Splatt was not well educated and was a spray painter at Wilson’s.

He had some petty convictions.

He had not been in trouble during the previous 8 years.

It is said he had a bit of a temper.

There was no evidence that he knew Mrs Simper.

Some youths playing around nearby said they saw someone near her gate, but could not identify Splatt.

Sergeant Frank Barry Cocks was a policeman specialising in forensic science, and describing himself as a technician concluded that the traces must have been left by the murderer.

With trace elements smaller on the window sill than on the bed, Cocks theorised that those on the bed must have fallen out of the turn-ups of the trousers of the murderer.

There were paint flecks, birdseed, hairs and metal traces.

It is said the search narrowed too quickly.

It should have looked at other factories, and the preponderance of the elements in the environment.

Splatt’s clothing was found to include trace elements at the scene including those not at the factory.

Splatt said that he had been out at an office party that night.

At 2am he had gone to his mother in law’s room to get some tablets.

His wife said that he was with her all night.

Mrs Condon swore an affidavit, but died some 2 weeks before the trial.

Bette Rogers, the JP who was present at the signing of the affidavit said that Mrs Condon seemed reluctant to sign it, and unwilling to touch the bible when she swore on it.

There was no primary evidence to implicate Splatt.

Cocks found 3 fibres from the bed sheet, which were like those on Splatt’s trousers.

Anna Parabyk was a forensic chemist involved with the case.

There was some confusion over whether she had been sent grey fibres which were in the trousers too.

The trousers were also found to contain paint, metal and birdseed traces similar to those found at the scene.

A shirt of his also had fibres similar to those found at the scene.

His car coat had similar foam particles to those found at the scene.

Rex Kuchel, a botanical expert, identified wood from the windowsill as being jarrah, like a particle found on Splatt’s car coat.

Both fragments looked as thought they had been painted.

Dr Colin Jenner, from the Waite Institute said that the seed particles had not been heated or cooked, so they were unlikely to have come from a biscuit.

Splatt had a birdcage at his home with similar seeds being used.

Splatt had said he had not worn the trousers since 1975, and had put on 14 kilos so they no longer fitted him.

The case focused on the theory of proportionate transfer – paint to metal (75/25) on the trousers matched the proportions at the scene.

The Locard principle of transfer backed this up.

The proportions on other employees were more the other way around.

Cocks had a dominant role in the case.

Splatt was convicted, and the Court of Criminal Appeal said that there were too many coincidences.

Cockburn said he found the scientific evidence almost impossible to follow, and some jurors had told him the same thing.

Trevor Griffin as the Attorney-General ordered 2 reviews of the case by Bishop and Bollen.

Moran eventually recommended a Royal Commission.

Mr RL Fish from the Home office was critical of the State’s forensic science system.

Cocks had been at the crime scene, done the initial scientific evaluation, and instructed the scientists.

Possibly some particles had been deposited at the crime scene by the investigators.

It was said there were fibres on the bed sheet which could have matched every shirt in Splatt’s wardrobe.

Parabyk could not judge the significance of her sample, because she did not know anything about the wider selection which was available.

There were 30,000 suits similar to Splatt’s .

With the hair found on Ms Simper’s breast, Dr Harry Harding did not receive it until 7 months after the investigation began.

What objective measurements had been made to confirm the proportions referred to? Many of Cock’s assumptions had been converted to facts.

The Shannon Commission began on 5 April 1983 – and said that when the evidence was examined in detail, it lost its superficial plausibility.

The foam spicules were covered in 5 minutes at the trial, but covered 3 weeks of the Commission.

Shannon concluded the evidence should not have been admitted.

The zinc particles on the window sill were found to be quite different to those of the alleged nail which was found.

The fibres sent to Parabyk were found to be not representative of the trousers at all.

There was doubt as to whether there had been any grey fibres at all – which were evident in the trousers.

It seemed that the wood particles could have been jarrah – or some other hardwood.

The oil in the wood which was thought to be evidence of paint turned out to be the sap in the wood.

The ‘seeds’ too had probably been wrongly identified.

The fragments could have come from a biscuit after all.

It seemed that Kuchel had been told what to expect before he examined it.

It seemed that the particles involved could have been airborne.

One does not have to prove that, he said, it only has to be a possibility.

Even the trace elements on the windowsills had not been compared to other windowsills at the house.

Dr Robertson from Strathclyde said that the jury were seldom given appropriate context to enable them to weigh the evidence.

Michael Abbott and Stewart Cockburn were told that another man had committed the crime.

But the investigation was now 7 years old and really it was impossible to say.

The case demonstrated how apparently solid scientific evidence can come undone.


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Back to the Mann Book:

Judge Shannon was clearly disturbed by the fact that the scientists testing on behalf of the Crown repeated misled the jurors by giving opinions that were not supported by the evidence and, in any event, were beyond their areas of expertise. (A common fault attributed to Dr. Charles Smith in many of the cases probed y the Goudge Inquiry);

"One of the biggest problems concerned the language of communication, and therefore understanding, between the two disciplines," writes Mann, quoting Shannon.

"Scientists not versed in legal technicalities often described their findings using loose phrases that might have been acceptable in a scientific context," Mann continues;

"Especially important was the way in which the scientist compared the trace material on the bed sheet of the deceased with material found on Splatt’s environment.

According to Judge Shannon the use of expressions such as ‘consistent with having come from a common origin’ or ‘consistent with them coming from the same source’ was an extremely dangerous exercise.

He suggested that such expressions were like a bridge ‘from the path of similarities to the separate rock of commonality of source or origin.’

Judge Shannon pointed out that Dr Collins, as scientific witness for both the paint and metal particles, went beyond his scientific domain to link the zinc coatings found on the windowsill at the point of entry and the aluminium particles on the bed sheet with Splatt’s environment.

Dr Collins said that the zinc coatings were ‘more compatible with an origin in the accused’s garage’ and ‘the aluminium particles and all other trace materials mentioned from the deceased’s and accused’s sources are in my opinion consistent with contact transfer from one source to the other.’

Judge Shannon could only imagine the impact of statements like those of Dr Collins on the minds of the jury.

Dr Taylor, Senior Lecturer at the University of Adelaide, commented on Dr Collins’ statement of evidence concerning the ‘contact’ conclusion of the aluminium particles:

To judge whether in his opinion contact took place is beyond his scientific competence, since his evidence is one purely of similarities, not of possible bodily contact.

To be asked to give a conclusion on this matter is improper, since his conclusions are no more than beliefs, beliefs which to him have no consequences.

To others, however, who may feel that his beliefs have greater weight coming from a scientist and who may be swayed in their opinions on this matter the situation is different.

They may be the ones called upon to judge this matter precisely and in doing so their decision has definite consequences, in this case to the accused.

I mention ‘in this case’ intentionally, since the case for the prosecution links the Locard principle of body contact directly and unequivocally with the assault and death of the victim.

The second matter for concern on forensic aspects was the inter-relationship between Sergeant Cocks and his ‘Scientific Section’ on the one hand and the forensic scientists on the other hand.

Judge Shannon said that some of the scientists also appeared to have a dual role—an investigative police role and a scientific analyser and cited the examples of Dr Collins and Dr Powell who examined the homes of both the deceased and Splatt for evidence to support their scientific findings.

They carried out investigations more akin to the role of a policeman and from their search made non-scientific statements as witnesses. (Dr. Charles Smith admitted that he perceived himself as a member of the prosecution time - and that he had trouble acting neutrally even after he learned that he was supposed to act independently as a scientist in the courtroom);

Judge Shannon gave the example of zinc particles, M and N, found on the windowsill at the point of entry.

In the post-trial period, Dr Collins and Dr Powell searched Splatt’s home for evidence of metals of any kind and made a scientific analysis of those particles in relation to a particular roofing nail found with zinc coating missing.

Dr Powell gave evidence before the Inquiry:

The prisoner had built a number of lattice fences using strips of galvanised steel that had been secured with nails . . . The origin of both particles M and N from the windowsill is consistent with the use of galvanised nails from the prisoner’s shed or the use of galvanised steel during building such as the galvanised lattice fences at the prisoner’s house.

He was cross-examined as to those statements:

‘You have never examined any of the other nails?’

‘No, we didn’t examine any other nails.

‘How can you say it is consistent with it?’

‘The fact that the particle shows that it’s been subjected to shear . . . To produce this particle there has to be some process by which the particle was separated from its source.’

‘What nail did you find that had been subjected to shear, what nail in the Splatt source?’

‘We’ve only examined one nail in the Splatt prisoner’s shed . . . What I an doing is taking into account that I saw that there were structures at the prisoner’s residence that had been made from galvanised steel and the use of galvanised nails . . .’

‘Do you agree that scientifically these are mere theories unsupported by any scientific investigation?’

‘I saw these components there but we did not take a sample of the galvanised steel.’

‘So they remained as mere theories and nothing more?’

‘I think they are reasonable (I was going to use the word “conclusion”). I think they are reasonable statements to make . . . A reasonable deduction I think is perhaps the better word to use.’

Judge Shannon couldn’t understand how Dr Powell in a scientific context could make such a statement. Dr Collins also gave evidence at the Inquiry concerning the testing of one galvanised nail from Splatt’s garage:

It must be realised that although M and N do not appear to match that particular nail, it was the first and only one of many galvanised nails in Splatt’s garage to be tested.

Moreover, Splatt’s shirt and trousers yielded a number of slightly variable particles compatible with a derivation from more than one galvanised steel object.

Again, therefore, the statement that particles M and N did not match is an over-simplification in view of the number of particles still available for testing on the very shirt and trousers which featured in other matches.

What Shannon construed from both the statements of Dr Collins and Dr Powell was ‘that chemical analysis has established that M and N did not come from the galvanised nail taken from the prisoner’s source.

But the prisoner had in his possession many more galvanised nails and galvanised material which have not been analysed and have not been examined at all; if that material were to be examined and analysed one might (or would be likely to) find a match.’

Judge Shannon continued to grapple with the statements and wrote:

It is in this context that one must consider Dr Collins’s already quoted statement: ‘therefore the statement that particles M and N did not match is an over-simplification . . .’

Since chemical analysis has established that particles M and N are not only different in composition the one to the other, but both are different in composition to the zinc coating of the nail—since that has now been definitively established, how in the world can it be said that to state that ‘particles M and N did not match is an over-simplification’. That is language which I simply do not understand either in a scientific or a non-scientific sense . . . they are statements which have all the indicia of a police investigatory suggestion.

The statements made by scientists like Dr Collins and Dr Powell went to the very heart of the inquiry where improper presentation of scientific evidence cast doubt on the jury’s verdict.

They were symptomatic of loose expressions made by a number of scientists for making comparisons between the trace materials found at the either the environment of the crime scene or that of the accused." (We learned from the evidence at the Smith Inquiry that Dr. Charles Smith would often throw in prejudicial comments which had nothing to do with the expertise he was supposed to offer to the Court);

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We now know that Australia's criminal justice system failed to protect Esward Splatt from this onslaught of flawed science and scientific witnesses who failed to respect their boundaries in the judicial process. (The same can be said about Ontario's criminal justice system in relation to Dr. Charles Smith.);

Judge Shannon said that Splatt’s trial had ‘represented an encounter of the closest possible nature between two systems or disciplines: the discipline of law and the discipline of science.’

He said, ‘It is in my opinion that from the close encounter, neither discipline escaped unscathed; they both bear the scars of that encounter.’

To this Bloggist, the scars experienced by the legal system and by forensic science come no where near the scars suffered by Edward Charles Splatt.


Harold Levy...hlevy15@gmail.com;

Wednesday, April 30, 2008

Part One; Who Is Edward Charles Splatt? Wrongful Conviction by scientists; What Canadians Can Learn From This Terribly Troubling Case;

FROM EDWARD CHARLES SPLATT’S CELL, AUGUST 1, 1984, HOURS BEFORE BEING RELEASED FROM PRISON FOLLOWING HIS EXONERATION BY THE SHANNON ROYAL COMMISSION:

"4.30 PM LOCK UP JUST THE SAME AS EVERY OTHER NIGHT. I WAS UNDRESSED AND LAYING ON MY BED WATCHING TV WHEN, AT ABOUT 9 PM, THE KEEPER AND A SCREW CAME TO MY CELL DOOR.
GENERALLY WHEN YOUR CELL IS UNLOCKED THIS LATE IT’S A STRIP SEARCH OF YOURSELF AND YOUR CELL. THE KEEPER JUST SAID, ‘GET DRESSED, SPLATTY, AND COME WITH ME.’

MY MIND STARTED TO RACE. WHAT HAD I DONE WRONG? I KNEW MY WIFE WASN’T WELL. SURELY NOTHING HAD HAPPENED TO HER. THE KEEPER INSTRUCTED THE SCREW TO STAY IN THE NEW BUILDING AREA. ‘SPLATT WON’T BE LONG.’

WHEN I ARRIVED AT THE FRONT GATE, I WAS OVERWHELMED. STEWART COCKBURN (A PHENOMENAL JOURNALIST WHO INVESTIGATED THE CASE HL) WAS STANDING BETWEEN GATES, NEARBY WAS MY WIFE. ‘WE’VE WON, EDDIE!’ STEWART SHOUTED. STEWART HAD BEEN GRANTED PERMISSION TO BRING YVONNE INTO ADELAIDE GAOL AT 9 PM TO DELIVER THE GOOD NEWS.

I COULDN’T BELIEVE WHAT WAS HAPPENING. THE KEEPER CONGRATULATED ME AND EVEN SHOOK HANDS—THE FIRST TIME POSSIBLY FOR A KEEPER TO SHAKE HANDS WITH A PRISONER. I WAS TAKEN INTO THE VISITOR’S ROOM FOR AN EXCLUSIVE INTERVIEW WITH THE ADVERTISER.

NOBODY WILL KNOW THE FEELING THAT HAD COME OVER ME. I HAD TO PINCH MYSELF TO MAKE SURE I WASN’T DREAMING. ALL MY WRITING AND ARGUING HAD AT LAST PAID OFF. I HAD ALMOST DONE THE IMPOSSIBLE. I WAS NOW TO JOIN A VERY SELECT BAND OF PEOPLE. I WAS ONLY THE FIFTH PERSON IN AUSTRALIA’S 200 YEARS OF LEGAL HISTORY TO BE RELEASED FROM PRISON AFTER A ROYAL COMMISSION ON A ROYAL PARDON. I REALLY FELT PROUD OF MYSELF FOR ACHIEVING SUCH AN HONOUR, ALTHOUGH IT IS NOT A NICE WAY TO MAKE HISTORY. SERVING SIX AND A HALF YEARS IN SOUTH AUSTRALIA’S PRISONS IS HORRIFIC ENOUGH BUT HAVING TO SERVE THAT SENTENCE KNOWING FULL WELL YOU ARE INNOCENT MAKES THE SENTENCE OF LIFE IMPRISONMENT TURN INTO A DAILY NIGHTMARE."

GOD, IT FELT GOOD TO HOLD MY WIFE WITHOUT A SCREW YELLING ‘TIMES UP.’'

FROM EDWARD CHARLES SPLATT'S CELL: AUGUST 1, 1984; HOURS BEFORE BEING RELEASED FROM PRISON FOLLOWING HIS EXONERATION BY THE SHANNON ROYAL COMMISSION; PRISON; FROM CURRENTLY UNPUBLISHED BOOK TENTATIVELY TITLED "FORENSIC FAILURES" BY TOM MANN; I AM GRATEFUL TO DR. ROBERT MOLES FOR MAKING A MANUSCRIPT OF THIS IMPORTANT WORK AVAILABLE TO THE READERS OF THIS BLOG;
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"HE (COMMISSIONER SHANNON) SAID THAT SOME OF THE SCIENTISTS INVOLVED IN THE ORIGINAL CASE APPEARED TO HAVE HAD A DUAL ROLE.

THIS MEANT THAT WHEN ANALYSING WHAT THEY SAID AND WHAT THEY DID, IT WAS DIFFICULT TO DETERMINE WHETHER THEY WERE ACTING IN AN INVESTIGATIVE ROLE (LIKE THE POLICE) OR AS AN OBJECTIVE OBSERVER (LIKE A SCIENTIST)."

COMMENTS ON EDWARD CHARLES SPLATT CASE: NETWORKED KNOWLEDGE; DR. ROBERT MOLES; PROF. BIBI SANGHA;"
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While preparing yesterday's post on Dr. Ross James' court challenge to the Medical Board of South Australia's finding of professional misconduct in connection with his evidence in the Henry Keogh case, I was intrigued by the reference to a Royal Commission called into the conviction of a man named Edward Charles Splatt;

So, intrepid reporter that I am, I decided to learn more about this man, and turned to the Networked Knowledge Web-site operated by Dr. Robert Moles and Professor Bibi Sangha, and found a fascinating note which I concluded was, in many ways, directly relevant to the issues raised at the Goudge Inquiry;

""Edward Splatt was charged with the murder of Mrs Simper, a 77 year-old Adelaide woman who had been badly beaten, sexually assaulted and strangled in her bedroom," the note begins;

The case was complex, dealing with paint, wood, birdseed and biscuit particles found in her room," it continues;

"It was a rare case in that the only evidence leading to the identification of the accused was the scientific evidence. No one had ever seen Splatt with the deceased or in her house.

Splatt was convicted of the murder in 1978. His appeals were unsuccessful.

However, Stewart Cockburn, a journalist with the Adelaide Advertiser, became convinced of the unsatisfactory basis of the prosecution case.

He ran a campaign in the paper for about two years before the government agreed to a Royal Commission.

Splatt’s conviction was subsequently overturned in 1984 and he was paid some $300,000 by way of compensation.

The commissioner was highly critical of the conduct of the trial, especially the operations of the expert witnesses.

He put forward a number of principles concerning the way in which lawyers and expert witnesses should work.

Had they been adopted, they may have prevented many of the apparent miscarriages of justice that appear in these reports.

Recommendations from the Splatt case;

The Splatt case is important because it was an authoritative source by which proper procedures could be identified.

Judge Shannon, the commissioner, was critical of the procedures which had led to the conviction.

In his report he adopted the recommendations from the scientific experts that had been called from the United Kingdom, about how things should be done for the future.

He said that some of the scientists involved in the original case appeared to have had a dual role.

This meant that when analysing what they said and what they did, it was difficult to determine whether they were acting in an investigative role (like the police) or as an objective observer (like a scientist).

Judge Shannon pointed out that this sort of confusion could only happen in a system which was ‘an incorrect one with serious defects’.

He said that some of the original evidence which had been given by the expert witnesses involved completely non-scientific statements that were more like police investigatory suggestions.

He also emphasised that a system which did not distinguish between scientific observations and deductions by police in their investigatory capacity, was ‘a defective and therefore a non-acceptable forensic system’ and said that ‘in each instance the dual roles are, in my opinion, incompatible’.

The proper role of expert witnesses;

The commissioner said that every scientific operation or observation must be documented on the case-notes and documented in such a manner that they would still be comprehensible perhaps even years later.

He said that all major observations must be checked by an independent observer who must indicate, by initialling the notes, that the proper checks had been made.

In our view, these basic requirements should apply to forensic scientists and forensic pathologists alike.

The commissioner also said that it was not acceptable for the scientific expert witnesses to say that it was no fault of theirs if the court was left with the wrong impression of their evidence because they were not asked the right questions by the lawyers; they had a responsibility to ensure that their evidence was not misused in that way.

The proper role of lawyers;

The commissioner also expressed his view on the proper role of lawyers.

He said that during the conduct of a trial there is a serious obligation on the lawyers conducting the trial.

He said that the critical responsibility is that they should ask such detailed and probing questions of the scientists as are most likely to elicit the proper information.

Some of the cases that we discuss in these reports illustrate the results of the legal system of South Australia failing to adopt those sound principles across the range of forensic investigations."


More to follow on the legacy of the Splatt case and its meaning for Canadians;

Harold Levy...hlevy15@gmail.com;

Henry Keogh Case: Australia; James Appeal Of Professional Misconduct Finding To Be Heard Friday;

"THE SUPREME COURT'S DECISION WILL BE OF CRUCIAL IMPORTANCE IN KEOGH'S BATTLE FOR EXONERATION IN VIEW OF THE AUSTRALIAN GOVERNMENT'S ABJECT REFUSAL TO REMEDY THE INJUSTICE - LET ALONE TO LISTEN TO THE POWERFUL EVIDENCE THAN AN INNOCENT MAN IS IN PRISON AND A HUGE, DARK CLOUD HOVERS OVER THE COUNTRY'S CRIMINAL JUSTICE SYSTEM."

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Dr. Ross James' appeal of his conviction for professional misconduct in connection with evidence he gave, along with Dr. Colin Manock, in the Henry Keogh case - a flagrant Australian miscarriage of justice which cries out for remedy.

The Henry case has been the subject of several recent posts which raise the question: Why, after fourteen years is this man still who was convicted of the flimsiest forensic pathological evidence still in jail?

The "important development" referred to, is the recent decision of the Medical Board of South Australia to censure Dr. Ross James in connection with the evidence he gave - along with Dr. Colin Manock - at Keogh's murder trial.

At the heart of the professional misconduct allegations levied against Dr. James and Dr. Manock, whose own hearing is scheduled before the Medical Board of South Australia, for his work on the same case, is their evidence relating to so-called "bruising" which they said indicated Mr. Keogh's fiancee had been forcibly drowned.

(Like Dr. Charles Smith, both James and Manock enjoyed giant stature in their jurisdiction: Dr James was Manock's deputy for nearly 25 years and took over as Chief Forensic Pathologist in South Australia on his retirement.)

As Dr. Robert Moles, an authority on the Keogh case who has fought valiantly for Keogh's release and vindication, informed the readers of this Blog:

"In the judgment in relation to Dr Ross James, forensic pathologist, the Medical Board of South Australia stated that Dr James, “appeared to have a flawed and untenable understanding of his role as an expert witness.

The two pathologists who were called for the prosecution in the Keogh case said that they had seen three bruises on the outside of the left leg, and a single bruise on the inside of the left leg.

"The pathologist who did the autopsy, Dr Colin Manock, said that he took a tissue sample from one of those on the outside of the leg and another from the bruise on the inside of the leg.

Both pathologists had told the court that the microscopic examination of the bruises confirmed that they all looked about the same and had been caused shortly before death.

It was their view that the marks represented a hand grip on the leg and were an important part of the explanation as to how she had been forcibly drowned.

In the subsequent medical board proceedings, both Dr Manock and Dr James said that when they looked at a microscopic slide taken from the “bruise” on the inside of the leg, that it did not show any signs of its being a bruise.

However, they both said that they did not bring this finding to the attention of the court.

Dr Manock said that it was because “it did not come up in conversation”.

Dr James said that it was because he did not think it to be particularly relevant."


Moles also stressed that,“the Board did not consider that the failure to inform the Court amounted to either a trifling or harmless departure from recognised professional standards."

"Rather the Board considered that on the balance of probabilities, the respondent’s conduct in withholding the histology of the mark was unprofessional," he continued.”

“Regardless of what the respondent’s opinion was as to the importance, relevance or otherwise of the histology of the mark he should have provided this information to the Court.

The Board determined that the respondent failed in his duty to the Court and that by his conduct left himself open to the assertions put forward by the complainant that by his conduct he misled the court.”

In any further appeal by Dr James he cannot change the fact that he agreed in his evidence to the Medical Board that he did not inform the court of his observation concerning that slide."


Dr. Moles is currently engaged full time with the "Networked Knowledge project" which he established to investigate and report upon alleged serious miscarriages of justice which are said to have taken place in South Australia over the last 30 years.

He is the author of "A State of Injustice" which was published in October 2004, and "Losing Their Grip" – The Case of Henry Keogh published January 2006 - and his comprehensive Web-site can be found at http://www.netk.net.au...);

Several of the grounds of appeal to be raised by James at Friday's hearing have a bearing on Dr. Charles Smith who argues in his closing submissions to the Goudge Inquiry that his work must be judged in the context of professional standards at the time the work was performed - as far back as 1991.

For example, James' lawyers state in a notice of appeal filed in the Supreme Court of South Australia that: (“the Board”) erred in finding that non-disclosure of relevant material by Dr James was due to “his ignorance or disregard of his responsibilities;”

However, Mr. Keogh takes issue with this contention in a cross-appeal filed with the Court, as follows:

0: His experience as disclosed by his evidence given at both trials and before the Medical Board in November 2004 was not properly taken into account by the Board.

0: His reputation was not properly taken into account by the Board.

0: That Dr James was a former President of the South Australian Branch of the Australian and New Zealand Forensic Science Society and must have been fully aware of the relevant Code of Ethics was not properly taken into account by the Board.

0: His non-compliance with the most basic standards required of an expert witness was not properly taken into account by the Board.

Those standards include:

0: To comply with the oath taken to tell the truth and the whole truth.

0: A doctor must always maintain the highest standards of professional conduct towards both the individual and society. (References omitted);

0: "The vital obligation which lies upon the investigating scientists is that they spell out to the jury, in non-ambiguous and precisely clear terms, the degree of weight and substance and significance which is or ought properly to be attached to the scientific tests and analyses and examinations as to which they depose; and specifically the nature and degree of any limitations or provisos which are properly appended thereto.

…Of course, in the context of question and answer, the primary responsibility must always remain with the scientist; because it is he who should know the nature and scope of his scientific analysis and the limitations and exceptions properly attachable to the results he achieves.

Accordingly, in my view, it is not properly open to a scientist, on a later occasion when his Trial evidence is being re-assessed, to say, for example: “I answered correctly such questions as I was asked. If I had been asked other and more relevant questions I would also have answered them correctly. It is not my fault that the correct questions were not asked of me”. (Royal Commission Report concerning the conviction of Edward Charles Splatt, 1984, p52.]


The Supreme Court's decision will be of crucial importance in Keogh's battle for exoneration in view of the Australian government's abject refusal to remedy the injustice - let alone to listen to the powerful evidence than an innocent man is in prison and a huge, dark cloud hovers over the country's criminal justice system.

The Board had the strength and courage to fearlessly call the shots on the Keogh complaint.

Now it is up to the Courts;

Harold Levy...hlevy15@gmail.com;

Wednesday, April 2, 2008

Part Two: Important Development": Henry Keogh Case: Complete Decision Of Medical Board Of South Australia Censuring Dr. Ross James;

THE RESPONDENT’S FINAL REASON FOR NOT DISCLOSING THE HISTOLOGY OF THE MARK WAS THAT HE DIDN’T THINK IT WAS PARTICULARLY RELEVANT. THE BOARD STRUGGLED WITH THE POSSIBLE RATIONAL [RATIONALE] BEHIND THE RESPONDENT’S COMMENT ESPECIALLY GIVEN THE CIRCUMSTANCES OF THE CASE. MUCH WAS MADE IN THE TRANSCRIPT OF POTENTIAL GRIP MARKS AND PROMINENCE AND SIGNIFICANCE WAS GIVEN TO THE BRUISES ON MS CHENEY’S LEGS. THAT THE RESPONDENT THEREFORE CONSIDERED THAT THE HISTOLOGY OF THE MARK WAS NOT RELEVANT IS [TO] THE BOARD’S MIND VERY SURPRISING.

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MEDICAL BOARD OF SOUTH AUSTRALIA;
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The Medical Board of South Australia's decision to censure Dr. Ross James, a pathologist, for evidence he gave at Henry Keogh's murder trial will hopefully be an important first step toward Keogh's release an exoneration;

Rather than providing the readers of this Blog with my comments based on edited version I prefer to lay out the entire decision, as follows:

(A word of caution: The reader will have to wade through some technical jurisdictional groundwork before getting to the meat of the decision);

In the Medical Board of South Australia;

Adelaide;

Complaint pursuant to Section 51(1)(d) of the Medical Practice Act 2004;

Henry Vincent Keogh;

Complainant;

Ross Alexander James;

Before the Board Comprising;

Presiding Member: Ms C Cashen;

Members: Dr P Henschke – Mr P Laris – Dr M Slattery;

Reasons for Decision;

16 August 2007;

Background:

This matter arises from two complaints (identified as 18 November 2004 and 21 April 2005) brought to the Medical Board (the Board) by Mr Keogh (the complainant) against Dr James (the respondent) pursuant to section 54 (1) (d) of the Medical Practitioners Act 1983 (the 1983 Act).

The complainant asserted that pursuant to section 5 (1) of the 1983 Act the respondent’s conduct in relation to the practice of medicine had been at relevant times “improper, and or unethical, incompetent and or negligent” and that in consequence was unprofessional.

The relevant time related to the respondent’s involvement in the Keogh criminal proceedings in 1994 and 1995.

Subsequent to the laying of the complaints the respondent initiated proceedings in the Supreme Court seeking orders including that the MBSA proceedings be permanently stayed; that they were an abuse of process and or ultra vires. As this action (James v Medical Board of South Australia and Keogh Full Court [2006] SASC 267) was unsuccessful the complaints proceeded before the Board.

Given the complexity of the case including having regard to the volume of materials required to be considered and the time frame over which the complaint ranged, pre hearing conferences were held with the aim of crystallising the complaints and appropriately managing the hearing. This process resulted in the preparation of accepted materials and agreement that the matter would proceed to hearing by way of submissions on the documents. The matter was thereafter scheduled for a two day hearing.

Consequently in August 2007 in accordance with section 54 (1) of the Medical Practice Act 2004 (the 2004 Act) a panel of the Board was constituted to hear the complaints. The hearing was completed on the first day and the decision was reserved.

Subsequently the Board reconvened on 22 November 2007 in response to a letter dated 24 October 2007 from Mr Hegarty (for the complainant). The letter raised 3 points; it referred to comments made by Dr Mudge in an article in “The Australian”, it referred to certain submissions of a personal nature allegedly made by Mr Edwardson during the hearing and it raised a query concerning the publication of the transcript.

Dr Mudge whilst in no way conceding bias, indicated his intention to voluntarily withdraw from the hearing on the basis of a possibility of a perception of bias. Mr Borick then made assertions implying bias on the part of the whole Board and suggested that the Board should disqualify itself however after some discussion Mr Borick withdrew his application, content that the Board should continue with the matter. The Board did not hold to the view that it was subject to bias or perceived bias or that it should disqualify itself. Subsequently the presiding member under Section 54 (3) of the 2004 Act and with the consent of the complainant and the respondent determined that the remaining four members of the Board panel would continue and complete the proceedings.

As regards the second issue raised in the letter (Mr Edwardson’s submissions) Mr Borick, in effect, argued that to correct the misinformation supplied by Mr Edwardson the Board should allow Mr Borick to submit written submissions on the issue of haemolytic staining. Mr Edwardson opposed this and indicated his willingness to withdraw the alleged offending submissions. After some further discussion Mr Borick sought to provide the Board with a detailed analysis of the scientific literature regarding haemolytic staining however, the Board resolved not to receive the material, the hearing having been completed. The Board did indicate its willingness to seek additional information from the parties if it considered it necessary in dealing with the matter. The issue concerning the transcript was not fully developed however it appeared to resolve on the basis of proposed communication between the parties.

A further letter was received by the Board from Mr Hegarty dated 14 December 2007 whereby he again raised the issue of Mr Edwardson’s submissions and sought that the Board reconvene or receive written submissions. The Board declined, it being satisfied that the parties had had ample opportunities to provide the information to the Board and itself being satisfied that it had been provided with sufficient relevant information upon which to base its decision.

The Hearing

Mr Borick QC appeared for the complainant and due to the unavailability of Mr Hegarty his instructing solicitor sought and was given leave with the consent of the respondent to be assisted by Dr Harding. Mr Edwardson QC and Mr Selley appeared for the respondent who also attended.

Prior to the commencement of the hearing the Board entertained submissions from Mr Campbell on behalf of Channel 7 who was seeking to be present at the hearing. The Board declined Mr Campbell’s application and proceeded to deal with the complaints in his absence. Subsequently Mr Campbell with the consent of the Board and the parties attended at the reconvened hearing in November.

In considering this matter the Board noted that under section 19 of the 2004 Act (which is in part similar to section 17 of the old act) the Board is not bound by the rules of evidence and may inform itself on any matter as it thinks fit and must act according to equity, good conscience and the substantial merits of the case without regard to technicalities and legal forms.

Pursuant to section 54 (2) of the 1983 Act (S51(2) of the 2004 Act) the Board is directed to “enquire into the subject matter of the complaint”. The Board holds to the view as stated by Chief Justice Doyle in Keogh v the Medical Board of South Australia and Anor [2007] SASC 342 paragraph 94 that it is … “not obliged to conduct an inquiry into the subject matter of the complaint in the manner in which, for example, the coroner conducts an inquiry into the circumstances of the death.” “The provisions of the act do no lead to the conclusion that when conducting proceedings under section 54 the Board must assume the responsibility for assembling and presenting the relevant evidence in support of or in opposition to the allegations made, subject only to such evidence as the parties might choose to present.”

The Board as discussed in the pre trial process was relying on Mr Borick to make good the complaints that had been laid against the respondent. However, the Board held the view that if there was additional information which the Board considered necessary or relevant to the complaints that this would be raised with the parties and investigated.

The respondent in their outline of argument and submissions raised certain threshold questions including the issue as to whether the complainant was an aggrieved person pursuant to the Act and whether the matter should be stayed as an abuse of process. These issues are dealt with in the decision.

Pertinent Legislation

Although the complaints in this matter were brought pursuant to Section 54 of the 1983 Medical Practice Act (the 1983 Act) the Board which dealt with the matter was a product of the 2004 Act and subject to the general functions and powers and procedures as set out in divisions 4 and 5 sections 13 to 21 of that Act. In managing the interplay of the past and present Acts the Board was guided by the Medical Professional Conduct Tribunal decision of Mauro (4) [2006] SAMPCT 1. A decision which considered the background to and the consequences of the different sanctions in the 1983 and 2004 Medical Acts. Noting that “Although commenced pursuant to section 58 of the 1983 Act, the proceedings, for all purposes, are continued as if under the 2004 Act.”

Section 3 of the 2004 Act defines unprofessional conduct as including:

“(a) improper or unethical conduct in relation to professional practice; and
(b) incompetence or negligence in relation to the provision of medical treatment; and
(c) a contravention of or failure to comply with -
(i) a provision of this Act; or
(ii) a code of conduct or professional standard prepared or endorsed by the Board under this Act; and
(d) conduct that constitutes an offence punishable by imprisonment for 1 year or more under some other Act or law.”

Section 51 (1) of the 2004 Act stipulates who may lay a complaint alleging unprofessional conduct before the Board.

(d) a person who is aggrieved by conduct of the medical practitioner…..

Sectio 51 (2) of the 2004 Act stipulates

Where a complaint has been laid before the Board under this section, the Board must inquire into the subject matter of the complaint unless the Board
(a) considers that the complaint is frivolous or vexatious; or
(b) lays a complaint before the tribunal…

Section 46 of the 2004 Act stipulates that unprofessional conduct is a proper cause for disciplinary proceedings and

Section 51 (6) of the 2004 Act stipulates

“If, after conduction[of] an inquiry under this section, the Board is satisfied on the balance of probabilities that there is proper cause for taking disciplinary action against the respondent, the Board may, by order do one or more of the following:

(a) censure the respondent

(b)require the respondent to pay to the Board a fine not exceeding $5,000

(c) if the respondent is a registered person –
(i) impose conditions of [on] the person’s registration restricting the respondent’s right to practice medical treatment.
(iii) suspend the respondent’s registration on a specified register or in a specified speciality for a period not exceeding 1 month.

The Complaints

In support of the claims of unprofessional conduct Mr Borick provided the Board with a large and somewhat wide ranging collection of grounds and particulars with numerous alleged inconsistencies and deficiencies relating to the respondents conduct identified, itemised and reframed.

The complaint dated 18 November 2004 included 12 particulars with annexures, the Supplementary Complaint contained 6 complaints with 37 particulars, and the complainants outline of argument dated 20 April 2007 included further claims of unprofessional conduct.

At the hearing Mr Borick provided to the Board a written submission [C1] which while it appeared to refer to most of alleged unprofessional conduct did not specifically loop back to or tie up with the complaints.

The Board determined that some of the alleged grounds of unprofessional conduct as for example the assertions that the respondent misled the Defence Counsel and the DPP in the course of their preparation for the trial (Outline of argument 20 April 2007) went beyond the capacity of the Board to meaningfully or realistically explore and as they were not pursued in submissions the Board did not specifically address them.

The Complaints focused on only two aspects of the evidence provided by the respondent arising from the autopsy of Ms Cheney namely the mark on her medial left ankle (the mark) and the issue of haemolytic staining of the aorta.

The complainant’s case

Mr Borick asserted that the respondent although, he was aware and or should have been aware that there was no histological evidence to support the fact that the mark was a bruise never declared that when he provided a report to the DPP in December 1994, nor when he gave evidence in the two Keogh murder trials.

Further Mr Borick asserted that the respondent misled the Court by providing them with incorrect or incomplete information and that he failed to correct the impressions and implications created by his omissions and or incomplete provision of information such that they (the Court and relevant persons) were left with a flawed and or incorrect understanding / appreciation of the cause of Ms Cheney’s death.

As regards the issue of haemolytic staining in the aorta Mr Borick asserted that the respondent gave evidence that such staining was a classical sign of freshwater drowning when it wasn’t and when he knew or should have known that it wasn’t.

Further that the respondent misled the jury because he was aware at all relevant times that his opinion in regards to haemolytic staining or the aorta and freshwater drowning was not supported in medical and scientific literature. Asserting that it was relevant that the respondent had not, himself, conducted any experiments or tests to support his view and that he had no independent professional support for his opinion. Further that the respondent had co authored a paper entitled “Characteristic Features of Fresh Water Drowning” which Mr Borick claimed did not support “differential staining” as an observation of value.

The respondent’s case

Mr Edwardson counsel for the respondent disputed all of Mr Borick’s assertions. He argued that the respondent had acted appropriately at all times and that the evidence provided by the respondent was valid, accurate and not misleading.

He did not dispute that at the time of the murder trials the respondent was aware that the histology of the mark did not confirm it as a bruise however he stressed that negative histology itself did not mean that the mark was not a bruise merely that the histology did not confirm it as a bruise. That the respondent’s view of the mark was that it was one component of the picture concerning Ms Cheney’s death and the histology was not critical to that overall picture. He stressed that there was no intention on the part of the respondent to mislead the jury; that the mark was just one aspect of the case but that it had been given excessive prominence.

He asserted that the evidence which the respondent provided at the trials was the best that he could provide given the circumstances in which he was required to give his evidence. He argued that the respondent’s involvement in the matter was very much after the event, (in the nature of peer review) that he had not conducted the autopsy, and in consequence was not responsible for the collection of specimens or the recording of outcomes.

He noted apparent discrepancies in the number and subject matter of the histological slides available at the two trials, noting doubts as to what information the respondent actually had available to him. He noted that Dr Cordner had made a similar response to that of the respondent concerning the identification of the disputed mark. He referred the Board to where the respondent had referred to “no cells” (as in meaning no bruising), where he had been measured in his responses, sought to refer to notes and advised that he was uncertain.

As regards grounds concerning haemolytic staining Mr Edwardson argued that the defence had ample knowledge and opportunity at the time of the criminal trials to question the respondent’s assertions in this area including available scientific support, but that did not occur. He noted that the respondent’s evidence regarding freshwater drowning was in any event based on other evidence in addition to haemolytic staining.

He disputed that Dr James sought to mislead the jury or that his conduct in the Keogh proceedings was in any way unprofessional.

Preliminary issues

As to the issue as to whether Mr Keogh was an aggrieved person the Board considered the arguments put by Mr Edwardson but was not swayed to his view. The Board considered that Mr Edwardson put far too narrow a definition on “aggrieved person” including his assertion that “the complainant could only be “aggrieved” by what was said or done by the respondent in connection with the criminal trials if he satisfied the Board that he did not murder the deceased… “

The Board considers that such a narrow and rigid qualification would be contrary to the intention of the Act in particular as regards the Boards function of protecting the public.

In relation to the abuse of process argument the Board considered the Full Court decision in James v Medical Board of South Australia and Keogh [2006] SASC 267 and determined that the complaint proceedings were not an abuse of process not that they are frivolous or vexatious. The complaints were not so obviously untenable or manifestly groundless as to be utterly hopeless. Attorney-General v Wentworth (1988) (5) 14 NSWLR 481 at page 491.

In line with the judgement of Bleby J in the above 2006 Full Court decision “… there is a much wider public interest to the served by disciplinary proceedings such as those specified by the Medical Practitioners Act … and that appropriate standards of professional conduct or [are] observed by medical practitioners.” The functions given the Board under the Medical Practice Act 2004 clearly dictate the Board’s obligation to regulate the practice of medicine in the public interest. Consistent with that is the hearing of complaints brought against practitioners. In consequence the Board determined to hear the complaints.

In dealing with the complaints the Board was not concerned with the Keogh trials as such but rather the respondent’s conduct in those trials. Noting Anderson J’s comment in the above 2006 Full Court decision “The Board can discern if it (the issue of the mark) was relevant and if so whether the fact that it was not mentioned amounted to unprofessional conduct. It is simply a matter for the Board to determine on the basis of the earlier evidence. It is not a challenge to that evidence.” James v Medical Board of South Australia and Keogh [2006] SASC 267.

In dealing with this matter the Board considered the criticisms raised in regard to the respondents conduct, determined if any of them were made out and then determined whether the conduct amounted to unprofessional conduct.

The Board’s findings

The Board considered it worth noting that but for the respondent’s assertion in 2001 that he knew the mark was not a bruise; it seemed highly unlikely that the matter would have come before it. In consequence the Board observed that it was the respondent’s own action which had generated the complaints of unprofessional conduct. The Board further noted that the respondent had at all times consistently refuted the assertion that he had given false evidence or misled the court.

It appeared to the Board that the complaints generally centred around the following assertions:

- that the respondent did not disclose relevant information (the histology of the mark) during the criminal proceedings ….

- that the respondent gave false and or misleading answers during the Keogh criminal proceedings in regards to the mark and that the non disclosure alone or coupled with the provision of false information created the incorrect impressions or assumptions in the mind of the Court (jury …) and that the respondent did not correct those wrong impressions / assumptions

- that the respondent gave false and misleading information regarding the issue of haemolytic staining.

“Disclosure of information”

There is no doubt and indeed the respondent has never denied that he did not inform the court that the histology of the mark did not confirm it as a bruise. The issue for the Board was therefore whether the respondent’s failure to inform, constituted unprofessional conduct.

The respondent clearly articulated his reasons for his non disclosure when giving evidence before the Medical Board in 2004 stating “I don’t think that it was asked of me and I don’t think it was something that would alter the assessment that these were indeed bruises ………..I didn’t think it was particularly relevant.” (page 305 of the transcript)

The Board considered the transcript of the respondent’s evidence in the two Keogh trials, the report which he gave leading up to the trial dated 22/12/94 and the materials provided by the parties in their submissions.

The Board considered whether the respondent was questioned regarding of the histology of the mark. The Board concluded that there was no manifest question put to the respondent which specifically required him to give a direct answer in regards to the histology of the mark. However there were many general questions about the bruises, specifically questions about bruising on the legs as illustrated in the first trial where the respondent was asked “as far as the bruising on the legs was concerned, you had the benefit of slides did you not, … Yes, two of them” he continued “one section was taken from … and the third section was from the bruise on the medial side of the left ankle”. (transcript page 533) The Board considered that the respondent, as an expert witness, could have and should have taken this opportunity to inform the court that the histology of the mark did not confirm it as a bruise. As an expert the respondent had an overriding duty to assist the Court on matters within his area of expertise.

Further in the second trial commencing on page 221 and concluding on page 223 of the transcript there is quite an intensive dialogue regarding the histology of the bruises. The Board was again surprised and (sic) that the respondent did not reveal the histology of the mark.

The Board was on [of] the view that the respondent as an expert witness and an experienced pathologist should not have required a specific direct question as a trigger for disclosure about the histology of the mark. On reading the transcript it was clear to the Board that the Court was seeking information about the mark, it was reasonable to conclude that the respondent would have been aware of this and that the respondent should have provided it.

The second explanation offered by the respondent was that “he did not think that it would alter the assessment that they were bruises”.

The Board found this statement concerning as it indicated that the respondent appeared to have a flawed and untenable understanding of his role as an expert witness. This is especially so when it was remembered that the slide was the only direct information that the respondent had in regards to the mark. He did not see the body, he did not see a photograph of the mark or have any other direct information in relation to the mark. The histology of the mark was realistically the only information that the respondent had, so to speak, first hand to directly assist the Court. That the respondent did not think that this information could potentially impact on an assessment of the bruises or that the Court should be informed of it appeared to the Board remarkable.

The respondent’s final reason for not disclosing the histology of the mark was that he didn’t think it was particularly relevant. The Board struggled with the possible rational [rationale] behind the respondent’s comment especially given the circumstances of the case. Much was made in the transcript of potential grip marks and prominence and significance was given to the bruises on Ms Cheney’s legs. That the respondent therefore considered that the histology of the mark was not relevant is [to] the Board’s mind very surprising.

The Board in determining the meaning of unprofessional conduct was guided by the decision of Chief Justice Doyle in Keogh v The Medical Board of SA & Anor [2007] SASC 342. The Board accepted that recognised professional standards and practices will provide a guide without being definitive as to what amounts to unprofessional conduct in the practice of medicine and that a “trifling or harmless departure from recognised professional standards probably is unlikely to amount to unprofessional conduct of [for] the purposes of the act.”

The Board did not consider that the failure to inform the Court amounted to either a trifling or harmless departure from recognised professional standards. Rather the Board considered that on the balance of probabilities, the respondent’s conduct in withholding the histology of the mark was unprofessional.

Regardless of what the respondent’s opinion was as to the importance, relevance or otherwise of the histology of the mark he should have provided this information to the Court.

The Board determined that the respondent failed in his duty to the Court and that by his conduct left himself open to the assertions put forward by the complainant that by his conduct he misled the court.

“False and misleading evidence / assumptions”

The Board again considered all of the evidence but whereas previously the respondent had himself brought his unprofessional conduct to light and admitted it, in regards to these allegations the respondent was adamant that he had done nothing wrong, that he had not given false evidence and that he was not responsible for any incorrect assumptions that may have come from his evidence.

The Board considered that the allegations were problematic being inextricably mixed with the other allegations of failure to inform. This was especially the case as it appeared to the Board that all the allegations (the omission of correct information and the provision of wrong information) were used as a platform to support the second tier or flow on allegations of unprofessional conduct namely the respondent’s failure to correct false or incorrect assumptions.

The assertions that the respondent gave false evidence all related back to the respondent’s oral evidence at the two murder trials. Although there was mention made of the December 1994 statement in submissions, it was flagged as evidence of a failure to inform not as a false answer.

The Board examined the evidence of the respondent and on the face of it registered some concern that aspects of his evidence could have been viewed as false or misleading. For example as illustrated when the respondent discussed the aging of bruises and healing changes and when he responded “no” when he was effectively asked if there was anything else of significance arising from his information or involvement. (transcript page 215)

However on balance and for the following reasons the Board was not satisfied that the respondent’s conduct constituted unprofessional conduct.

The Board found it a difficult process to examine the respondent’s evidence given at the trials (via transcript) in part because it was oral evidence. There was no static written statement which the Board could consider, dissect and analyse rather there was record of a complex interaction between the respondent and others.

By examining the transcript the Board obtained a glimpse of a very complex scenario, a situation where ‘the spoken word belongs half to the speaker and half to the listener’. Counsel for the accused, the DPP and the judge all questioned the respondent in a dialogue that was fast moving and dynamic and with changing emphasis. There was obvious interaction between the respondent and the various active participants in the Court however the transcript was one dimensional when the court room had multiple dimensions. It was not clear to the Board how the Court generally reacted to or utilised the respondents evidence or what assumptions they drew from it or how this fed back into their questioning of him. Nor whether the respondent’s evidence and or other factors impacted on how his evidence was pursued or marshalled.

Accordingly, it was difficult for the Board to feel confident that its examination of the transcript enlightened it to the subtleties and nuances of the trial. In short, that it had a sufficiently accurate understanding of the respondents conduct.

Further, as a general observation, the Board noted, that the caution which should be exercised when considering a witnesses apparent response, is equally as relevant to the consideration of the transcript. Meaning that people have different communication styles; some are slow in answering questions put to them, some appear to be evasive when responding, some are direct, some more ponderous and those that meander may deliver or intend to deliver the same answer as someone who is more direct.

Added to this the Board considered that the actual role undertaken by the respondent, that of peer reviewer of Dr Manock’s work, further increased the complexity of the Board’s task. The reality of the respondent’s role meant that during the hearing he was called upon and required to speak to, not only his own evidence but to recall and to report on Dr Manock’s evidence, differentiate and compare that evidence with his own, reach conclusions based on his and Dr Manock’s information and articulate these to the Court. The Board considered this to be a very difficult task. That the respondent did do this is illustrated in the following extract from his evidence given at the second trial. The respondent stated “I’ve seen the photographs of the 3 bruises on the lateral side of the left ankle. I haven’t seen a photograph of the bruise on the medial side. But if it was present as he (Dr Manock) suggests, then a grip mark is the obvious explanation …. The four bruises that he (Dr Manock describes – 3 on the outside and one on the inside – collectively would suggest a grip mark I think that you can express that as the … )“ (page 207 second trial). The Board found the dialogue confused and confusing and considered it indicative of the difficulties under which the respondent gave his evidence. And this in consequence again made it difficult for the Board [to] determine the conduct of the respondent.

Additionally the Board considered that an examination of the transcript evidence revealed levels of confusion and inconsistency which was especially so in the area of histological evidence. For example in the first trial there appeared to be 3 histology slides involving bruising but in the second trial there was mention of four. The difference was never examined or explained. There was uncertainty in relation to sections of the discussion focussed on the identification and ageing of bruising and that the histological evidence was not specifically discussed on a slide by slide basis. The Board was mindful that such apparent uncertainty may have impacted on the respondent’s evidence, conceivably affecting its direction quality and clarity.

Having considered all the difficulties associated with the respondent’s evidence the Board could not on balance accept that his conduct amounted to unprofessional conduct.

“Haemolytic staining”

The Board did not consider that the evidence concerning the issue of haemolytic staining was as fraught. Again the Board considered all of the evidence provided including the supplied list of textbook references and literature re differential haemolytic staining in helping discern the type of drowning.

The Board concluded that given the state of knowledge at the time of the Keogh trials it was open to the respondent to conclude and state as an expert that there was notable (as in more than trivial) expert opinion and scientific rationale to support the finding of differential haemolytic staining of the aorta as being of diagnostic value.

The Board did not agree with the complainant’s assertion that the respondent (as an expert) must conduct experiments personally to support his views, nor that there was no support for the respondent’s then held views. The Board determined the leading texts to which it was directed (5 of the 10 predating 1995) indicated that there was a measure of peer support for the respondent’s remarks. Such substantive texts repeated the evidence provided.

As regards the complainant’s criticism of the respondents article the Board noted that the 2001 article co authored by the respondent was not specifically directed to the point at issue. The article cited with James as a minor contributor (3rd of 4 authors) was not an analytical paper on such a matter but merely a 20 year audit of suicidal drownings in SA. The paper had a single sentence in a brief discussion which recorded: “The diagnosis of drowning itself may be difficult as there are no specific diagnostic features at autopsy”. The word specific in a scientific sense needs explanation. Specificity means the degree to which a test or observation (eg staining) has force in ruling in an event such as fresh water drowning. A highly specific test or observation has few false positives. The sentence reminds the reader that this observation does not have a high degree of specificity or certainty in reaching the conclusion of fresh water drowning. It does infer that it needs to be linked with other observations as occurred here.

Additionally the respondent in his evidence to the Medical Board hearing gave ample comment to reveal that he was aware of other causes of haemolytic staining and at the second Keogh trial he gave evidence of his other observations supporting fresh water drowning including the appearance of the lungs, fluid in a fit person’s chest cavity and the circumstances in which the deceased person’s body was found, all thereby reducing reliance on haemolytic staining as the sole basis for the offered mode of death.

In consequence the Board was not satisfied on the balance of probabilities that the respondent’s evidence around the issue of haemolytic staining could support a finding of unprofessional conduct.

Summary

The Board determined that the respondent was guilty of unprofessional conduct in that he failed to disclose relevant information to the Court concerning the histology of one mark on Ms Cheney’s body.

The Board did not find that the respondent was guilty of any other complaints of unprofessional conduct. The Board was not satisfied that the respondent gave false evidence to the Court or that his evidence concerning haemolytic staining was unprofessional.

The Board considered that the evidence which the respondent gave to the Medical Board clearly articulated his flawed understanding of his role as an expert witness and that it was his ignorance or disregard of his responsibilities rather than a deliberate desire on his part to mislead the court which led to his conduct.

The Board noted that the finding of unprofessional conduct related back to events that occurred in 1994 and 1995. That in the intervening 13 years plus, there have been significant changes in pathology and forensic medicine and that there is now a sharper focus on the duties and obligations of medical practitioners, and their responsibilities to the Court as evidenced by available guidelines, the guides / rules for expert witnesses and the Medical Board publications.

The Board is aware that the Keogh proceedings have continued for many years and that they have generated a significant level of public debate. The Board acknowledges that this is a high profile matter; the parties were advised that the decision would be published and the respondent will no doubt be entrained in media commentary.

Having found the respondent guilty of unprofessional conduct and noting the disciplinary measures available under S 51 (6) of the 2004 Act the Board will reconvene to hear submissions from the parties as to possible sanctions."


More on this decision to follow - including the Board's eventual decision on a similar application made by Mr. Keogh in connection with Dr. Manock;

Harold Levy...hlevy15@gmail.com;