CHILD ABUSE OR BAD MEDICINE
This report of Sally's trial has been written by her father,
Frank Lockyer, QPM (Queen's Police Medal), a retired chief inspector of police:
Following
the tragedy of Sally's conviction the kindness, sympathy and support offered has
been overwhelming. Newspaper reports covered only the four prosecution days of a
17-day trial and it concerns me that the public cannot possibly know the full facts.
They cannot be aware that five eminent paediatric pathologists gave evidence in support
of Sally or that midwives, health visitors, friends and neighbours, not to mention
husband Steve, all confirmed that they had rarely seen a stronger bond of love between
a mother and her children. Nevertheless it is encouraging that so many are perceptive
enough to write that "there is something wrong somewhere." I am anxious that a balance
is put - as indeed it was to the court but astonishingly rejected by ten members
of the jury.
Baby Christopher was born on September 22, 1996, and found dead in his
Moses basket at 11 weeks. Death was certified as "natural causes" and Sally and Steve
decided that the best bereavement therapy was another baby. Harry was born on November
29, 1997, and eight weeks later suddenly collapsed in his bouncy chair. The only
common factor, which may or may not be relevant, is that both deaths followed shortly
after vaccination. [There is research into the possibility that these vaccinations
can cause death within a few days if infants have certain genetic defects.]
Mindful
of a possible genetic problem Sally and Steve asked for specialist pathological examination
- as did the hospital paediatrician. Unfortunately this was ignored and the post-mortem
was performed by the local Home Office pathologist, Dr Williams.
After four weeks'
delay, during which Sally and Steve had made several enquiries as to progress of
the autopsy, both were arrested. Dr Williams reported retina and brain damage attributed
to "baby shaking". The case was later referred to Professors Green and Meadow, a
team well known in the profession and media for their campaign that up to 40% of
cot deaths are in fact abuse, who thought it "likely" but were cautious enough to
then recommend the cause of death as "unascertained."
This prompted a review of Christopher's
death, following which the original certificate of natural causes was replaced by
smothering. Consequently in July 1998 Sally was charged with the murder of both babies
- a prejudicial move when neither case stood up alone.
Over the next 14 months the
Prosecution culled support from Drs Smith and Keeling and the Defence assembled eight
eminent paediatricians and pathologists, each expert in a particular specialisation.
Three
days before the trial, Professor Green was brought to London to meet the defence
expert, Professor Luthert, the leading retinal surgeon in Europe, at Moorfields Hospital,
following which Professor Green admitted that his original diagnosis of baby-shaking
was wrong. He made a further statement that his original statement and evidence at
the committal should be totally disregarded. But he then put forward the possibility
that Harry had been smothered, which had cautious support from Smith and Keeling
though Dr Williams not only maintained his orginal diagnosis of baby-shaking but
also disagreed that there was any evidence of smothering.
In the case of Christopher
the Prosecution was based on blood traces in the lungs and a slight cut inside the
lip as evidence of smothering. Despite that, 14 months earlier Dr Williams had found
nothing suspicious and had certified "Natural causes." At the trial Professor Green
claimed blood traces in the lungs whilst at the committal he had said there was NO
blood in the lungs. He explained the discrepancy by saying he had been busy at the
time and had not had time to look properly!!
The Defence attributed the blood staining
as being from the nose-bleed suffered a week before and the cut lip to resuscitation
in the ambulance, a not unusual mishap. Professor David, the independent consultant,
thought the symptoms consistent with a pulmonary ailment and remains convinced that
"natural causes" cannot be ruled out. Bruising on the leg was post-mortem and attributable
to hand-held resuscitation. This was the medical evidence on which Sally was convicted
of abuse of Christopher.
In the case of Harry, as explained, the trauma/retinal injuries
at first thought to be shaking was conceded by both sides (except Williams himself)
to have been caused during the post-mortem. There was an old fracture of the rib
suffered at 1-4 weeks of age, that had healed naturally which, though unexplained,
is not unknown in young babies and had caused no discomfort and certainly had nothing
to do with death. The Prosecution relied on slight hypoxia as evidence of possible
smothering which was not only dismissed by Dr Williams himself but also by the Defence
medical team as present in all cot deaths to some degree and which is part of the
dying process. That was the medical evidence on which Sally was convicted of abuse
of Harry.
It was agreed by ambulancemen, nurses and hospital doctors that there was
not a mark on either baby on arrival at the hospital. It was agreed by all the Defence
medical team that the abuse alleged by Williams could not be occasioned without leaving
marks. It was agreed by the clinic staff that both babies were bonny and thriving
when regularly examined, including a few hours before death. It was agreed by midwives,
health visitors, neighbours, the daily nanny, and husband Steve that there was at
all times a strong bond of love between mother and child. It was agreed by the medical
witnesses on both sides (again except Williams) that the cause of both deaths was
"unascertained." The public cannot have known this as the newspapers reported only
the Prosecution evidence. Neither could they know that Williams' pathology was described
variously as "a blood bath"; as "cavalier, proved wrong in every area"; "never seen
so many inconsistencies in a pathology report"; "no weight can be attached to any
of the findings in a lot of contradictions."
This was summarised by counsel as "That
catalogue of errors of findings and interpretations fills me with horror that this
is the foundation of this woman being charged with murder."
Yet Sally was convicted
on both counts and is now serving two sentences of life imprisonment. How could this
have happened?
Faced with no motive, no aggressive act and no cause of death, the
speculation must be that 10 members of the jury who convicted were swayed by the
sheer prejudice of the statistic cited by Professor Meadow - that two cot deaths
are a 73 million to one chance. He is not even a statistician. Or the "one-liners"
innocently offered by Steve and Sally themselves when interviewed by the police.
They agreed that Sally took time to settle up North until she made friends; that
ideally they would have waited for a family until her legal career was established,
but her biological clock was ticking and they decided on a family; that, yes, Sally
did like to look smart and wondered whether she would get into her dresses again.
All this trotted out by the Prosecution as a depressed mother, a career girl with
a comfortable life style who did not want a family! Or, maybe the jury were swayed
by inferences that Sally was rather too upset at the hospital; or after waiting four
weeks she was rather too anxious for the autopsy report; or that she demonstrated
Harry's collapse wrongly; or the exploitation of minor discrepancies on the sequence
of events on the night. Inferences in the Prosecutor's speech but never supported
by evidence.
The consensus is that, backed by five eminent specialist professors,
the Defence won the medical arguments and the jury's verdict astonished everyone
present. The speculation is that the jury did not understand the medical evidence
and took soundbites, reaching a majority decision on the disbelief that "lightning
could strike twice" - plus the damning statistics from Professor Meadow, a paediatrician
not an epidermologist, which are universally refuted even by the authors of the report
from which the purports were made.
Statistics vary according to source but the loss
of two babies is more common than supposed - even two cot deaths. Pathology, particularly
paediatric pathology, by someone not specially qualified as this was, is not a precise
science and the complex issues provoke much controversy. Cot deaths are usually those
with no obvious cause and no unusual features but contrary to reports Sally and Steve
have never claimed two cot deaths - indeed Christopher was certified as "respiratory
infection". The figures from the Care of Next Infant charity (CONI) are one cot death
in every 8,500, but after one cot death the risk of a second actually increases to
one in 200. The formula 1:73 million (five times more chance of winning the lottery)
is dangerous nonsense. At least, it was dangerous to Sally and will be for every
grieving mother hereafter when, folllowing a double death, it is transposed as the
chance of a mother telling the truth being 1:73 million.
Professors Green and Meadow
are men with a mission who advance their isolated theory that up to 40% of cot deaths
are murders. "Think dirty," advised Green in a recent "Daily Express" feature, which
so upset the CONI organisation.
The report of the confidential enquiry into stillbirths
and deaths in infancy (CESDI) published on February 1, 2000, after a thorough examination
over three years, assessed maltreatment, including deliberate harm, as well as neglect
or extremely poor care, as probably in the region of 6%, which confirms the "up to
40%" claim as dirty thinking indeed.
So what have we here? Sally convicted of murder
on the evidence of pathologist Williams who, in the case of Christopher, had some
14 months earlier ignored the evidence he now cites as murder; then in the case of
Harry, stands alone that he was shaken, which is not even supported by the other
Prosecution medical witnesses and certainly refuted by the Defence. Next, in the
case of Harry, we have Green who for 20 months persisted that he had been shaken
but who, 72 hours before the trial, admitted that he was wrong and substituted smothering
- and was then contradicted by Williams! A conundrum perpetuated by Drs Keeling and
Smith, the other two members of the Prosecution team, who could not be certain whether
death was natural or unnatural and thought it should be "unascertained." Meanwhile,
the hypoxia on which the smothering theory is based was dismissed by the Defence
team as present in all cot deaths as part of the dying process. The Prosecution's
medical evidence changed completely between committal and trial, prompting one paediatrician
to say in court that he had never previously been involved in a case where so many
of the Prosecution's medical findings crumbled to dust!
I'm afraid I cannot do justice
to this unbelievable story in less than 2,000 words. "Unbelievable," as before this
experience had anyone told me this story I would not have believed it. As her father
my belief in her innocence is open to the jibe ". . . well, he would, wouldn't he?"
I take comfort from the fact that everyone who knows Sally, who saw her preparing
for her babies, and saw her joy at their birth and her grief at their deaths, shares
my belief in her innocence. They were my grandchildren and there is no way I could
condone abuse. I never underestimated the prejudice of the Crown Prosecution Department's
tactics in charging two deaths to be heard together. I did underestimate the credulity
given to the bogus statistics and cosmetic trimmings, as against the weight of the
evidence that there was not a mark or "mechanical " injury to either child nor a
cause of death. But I am biased of course - you must make up your own minds.
Yes,
following the death of Christopher, Sally did have a breakdown leading to depression
when one of her escape routes was occasional binge drinking. Nothing of the scale
made of it in the newspapers and in no way did she drink whilst nursing her babies
- as accepted by the judge in excluding all reference during the trial. I'm afraid
it has become a feature of big trials, particularly where conviction is unexpected
or appeal likely, that someone puts the boot in to influence public opinion.
No, lest
you wonder, there is no question of infanticide. Sally is clear that she will not
pretend she murdered her babies just to escape on probation.
Yes, we now have our
third baby, further evidence if it is needed that she wanted children. After initial
worries with immunity deficiency which may or may not be relevant, he thrives - but
he needs his mother as a family.
My priority now is to further an appeal and have
Sally released. Then to campaign that the autopsies for baby deaths should be done
by a paediatric pathologist. Too many mistakes are being made and parents wrongly
put under suspicion. Our postbag bears witness to that and also confirms that the
incidence of two baby deaths in one family ridicules the statistics of Professor
Meadow as wholly fallacious which, repeated as it was in every media report, was
so prejudicial not just for Sally but also for future mothers.
If you have knowledge
of infant cot deaths, or of two infant deaths in one family (cot or otherwise) then
please write to me, Frank Lockyer, 2 The Meadows, Milford, Salisbury, SP1 2SS or
to the Portia Campaign.
Finally. such does this country regard its "sacred cow" the
jury system, that it is not easy to launch an appeal. It cannot just be said that
the jury got it wrong - there has to be new evidence of perverse procedure. So please
retain this summary for future reference as, should the pending appeal not be successful,
we may need to enlist your help in a campaign.
A dedicated site for Sally is now in existence at http://www.sallyclark.org.uk/
www.slimeylimeyjustice.org