Article Text
Statistics from Altmetric.com
Birchley,1 Wilkinson and Nair,2 and McDougall3, all in this issue, do not sufficiently acknowledge the nature of the ‘harm’ threshold as it is used in English law. Where it occurs, it is intended to be used as a triage test to determine whether or not the court should go on to undertake a more thorough, nuanced, holistic best interests determination. Triage tests are, by their nature, rough and quick. They embody rules of thumb to an extent unacceptable in substantive determinations. It is rather unfair to criticise a triage test for not having a degree of sophistication to which it does not and should not aspire.
The notion of the harm threshold is only applied by the court where a care or supervision order is being considered.4 In Re J (Children), one of the leading cases considering the issue, Lady Hale, giving the main judgement in the Supreme Court, observed that: “In a free society, it is a serious thing indeed for the state compulsorily to remove a child from his family of birth. Interference with the right to respect for family life, protected by article 8 of the European Convention on Human Rights, can only be justified by a pressing social need.”5 That, of course, is precisely the concern that underlies Diekema's advocacy of the harm threshold.6 Lady Hale went on:‘How then is the law to protect the …
Footnotes
Competing interests None declared.
Provenance and peer review Commissioned; internally peer reviewed.
Linked Articles
- Law, ethics and medicine
- Law, ethics and medicine
Read the full text or download the PDF:
Other content recommended for you
- A threshold of significant harm (f)or a viable alternative therapeutic option?
- Harm is all you need? Best interests and disputes about parental decision-making
- Harm isn't all you need: parental discretion and medical decisions for a child
- Clinic, courtroom or (specialist) committee: in the best interests of the critically Ill child?
- If you ask the wrong question, you'll get the wrong answer
- Consent and capacity in children and young people
- The harm threshold and parents’ obligation to benefit their children
- Better to hesitate at the threshold of compulsion: PKU testing and the concept of family autonomy in Eire
- The development of professional guidelines on the law and ethics of male circumcision
- Making decisions to limit treatment in life-limiting and life-threatening conditions in children: a framework for practice