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We are sorry to have to record the death of Sally Clark, who died aged 42 on 16 March 2007. The cause of her death is not yet known. She suffered the most severe effects of being wrongly convicted of the murder of two of her children. We hold the people and organisations who accused and convicted her responsible for her untimely death. They convicted her on no evidence, but rather because they could not admit to their own ignorance of the cause of death of the two babies, and so blamed her instead. Angela Cannings, who spent 18 months in prison after a wrongful conviction for killing her own two babies, said last night: "I'm really speechless, I'm so angry. This lady suffered so much - now she's died, I'm just shocked and stunned." Penny Mellor, a friend of the Clark family, said that Mrs Clark's time in prison had left a stain on the rest of her life. She was assaulted by other prisoners and lived in fear that they would try to poison her food. 'If you've been convicted as a child killer you become a focal point for all the hatred in prison,' she said. Read more at |
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Expert Professor Sir Roy Meadow struck off medical register by BMC - BBC News 15 July 2005 Stolen Innocence by John Batt - a comprehensive account of this case by a solicitor and writer who is also a family friend Articles reprinted here:
'Sally Clark trial pathologist guilty of incompetence' - The Times 28th May 2005 See also:
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By Richard Ford,The Times 28th May 2005
http://www.timesonline.co.uk/newspaper/0,,175-1631007,00.html
A Home office pathologist was found guilty yesterday of incompetence in conducting post-mortem examinations that led to Sally Clark being wrongly jailed for the murder of her two babies. Alan Williams, who had said that there was overwhelming evidence of a double child murder, faces being found guilty of serious professional misconduct. The General Medical Council make a determination on that point next week. Mrs Clark was jailed in 1999 for the murders of her baby sons but was cleared and freed in 2003 after evidence emerged that the younger child was most likely to have died from an infection rather than from being shaken to death. Dr Williams, of Knutsford, Cheshire, whose suspicions first alerted police to the possibility that Mrs Clark's babies had been murdered, was accused of failing to disclose evidence about Harry's death and botching both post- mortem examinations. He gave expert evidence at the trial of Mrs Clark, saying that Christopher had been shaken to death.
Yesterday the General Medical Council said that Dr Williams had failed in his duty to consider all the possible causes of Christopher's death.It said that his post-mortem examination of Christopher was so impaired that it could not be considered reliable. "You failed to discharge the duties of a competent pathologist in such circumstances," a written judgment said. A spokeswoman for the council said that a panel had looked at whether Dr Williams was fit to practise and would decide whether he was guilty of the charge. |
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Mother accused of
killing sons
By Tania Branigan Sally Clark, the solicitor jailed for life for murdering her two baby sons, walked free from the court of appeal in London yesterday after three judges quashed her convictions. They ruled the convictions were unsafe as medical evidence that might have cleared her was kept secret during her trial. They also criticised the use in the trial of a statistic putting the chance of two babies in the same family suffering cot death at one in 73 million as "grossly misleading". Mrs Clark, 38, had served three years of a life sentence following her conviction in 1999 for smothering 11-week-old Christopher in 1996 and shaking eight-week-old Harry to death two years later. She has always maintained that they died of cot death syndrome. But Mrs Clark, whose husband Stephen has always insisted that she was innocent, said that the decision was "not a victory". "There are no winners here. We have all lost out," she said as she left court. "We simply feel relief that our nightmare is at an end. We are now back in the position we should have been in all along and plead that we may now be allowed some privacy to grieve for our little boys in peace and try to make sense of what has happened to us." The judges at her first appeal in 2000 described the evidence against her as "overwhelming" despite accepting that the one in 73 million figure was wrong. But last year the criminal cases review commission, which reviews potential miscarriages of justice, referred the case back to the appeal court after it emerged there was clear evidence of an infection that had spread as far as Harry's cerebral spinal fluid. Mrs Clark was arrested after Harry's death, as experts had assumed Christopher died of natural causes. Clare Montgomery QC, acting for Mrs Clark, had told the court that Mrs Clark and her advisers had believed there was no evidence of infection. In fact, it appeared that the evidence had been known to prosecution pathologist Alan Williams - but not to other medical witnesses, police or lawyers - since February 1998. Lord Justice Kay, sitting with Mr Justice Holland and Mrs Justice Hallett, ruled that Mrs Clark's trial had not been fair because the jury were unable to hear medical evidence that might have influenced them. "This resulted from the failure of the pathologist to share with other doctors investigating the cause of death information that a competent pathologist ought to have appreciated needed to be assessed before any conclusion was reached," they said. They stressed that they were not suggesting Dr Williams had acted deliberately. Lord Justice Kay added that the one in 73 million statistic was "grossly misleading", because the jury started from the incorrect assumption that dual cot deaths in a single family were extremely rare. Experts now believe the risk could be anywhere between one in 100 and one in 8,500. He added: "This is not like other cases where there is clear evidence of baby shaking or striking." Mrs Clark appeared tearful as she emerged from the cells and shared a long embrace with her husband Stephen. Thanking her family, friends and legal team for their "unwavering and unconditional support", she said that the couple hoped for privacy to rebuild family life with their four-year-old son. The prosecution said it would not ask for a retrial because additional medical tests which would be pertinent could no longer be carried out and because there had been so much publicity that a fair trial would be impossible. |
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2 July 2002 Did Sally Clark really kill her babies? By John Sweeney Strong evidence that may point to the innocence of Sally Clark, the solicitor serving a life sentence for killing her babies, was not disclosed in court during her infamous "73 million to one" double murder trial. The development highlights growing fears of a reversal of the presumption of innocence – a cornerstone of the English legal system – in cases where mothers are accused of killing their babies. Clark's husband, Steve, said: "We have discovered new medical evidence which wasn't disclosed to the defence at the time of the trial which appears to reveal a natural cause of death for one of our babies." Tests were carried out on the blood and tissue of the second baby to die, Harry, on samples taken by a Home Office pathologist, Dr Alan Williams. The report containing the results – compiled in January 1998, a few days after Harry died – was not used in the trial, held in October 1999. Mr Clark tells BBC Radio 4's File on Four programme, to be broadcast tonight: "We found about it almost by accident really, hidden away in a huge pile of papers that we finally managed to extract from Macclesfield Hospital late last year after almost two years of asking for them, and the scary thing is that it could still be there and no one would know." The report is believed to provide compelling evidence that Harry died a natural death. If the conviction for Harry's murder was undermined, it would automatically raise doubts about Clark's conviction for the murder of her first son, Christopher. The Criminal Cases Review Commission is looking at the case, and the Clark family expects it to be returned to the Court of Appeal. Mr Clark remains astonished that the crucial material was not seen by the defence: "The report was not disclosed to the defence at the time of the trial, even when the jury asked a specific question about that area," he said. At Clark's trial in October 1999 the results of the tests Dr Williams commissioned on baby Harry were not disclosed to the court. Mr Clark said: "When I saw the report I didn't know what its significance was, but we passed it to some of the doctors who have been helping us behind the scenes and they almost said 'eureka!'. We now have statements from two eminent British pathologists in this field, stating that the second baby died from natural causes. "I have always known that my wife was innocent and have been determined to find justice for her. After more than four years of struggle, I hope that the system will now move quickly to give it to us. "Sally's first reaction, when I told her, was not 'thank goodness, I'm coming home', but to burst into tears and then ask, 'Harry didn't suffer, did he?'. As is so typical of the kindest and gentlest person I have ever known, her first thought was not for herself, but for her baby. "We still have not been able to grieve properly for our little boys, and should never have been put in this appalling situation where it is we who have had to find out the true cause of death." Mr Clark added that Dr Williams should not have been relied upon because he was not a paediatric pathologist and he pointed out that the prosecution admitted a fundamental error was made by both Dr Williams and another pathologist in one of the post-mortem examinations. In addition, Dr Williams was found to have made mistakes in another case. The vital question now is why evidence that suggested Clark was innocent was never put to the jury. Dr Williams has declined to comment. Professor Sir Roy Meadow, the star witness for the prosecution, testified that the two deaths were unnatural. He told the jury that there was a "one in 73 million chance" that both deaths had occurred naturally. Sir Roy added that there were specific features in the case which made the likelihood of innocent death even more remote, saying "it could only happen once every 100 years". The "73 million to one" figure was a statistical smoking gun. In one soundbite the jury had a compelling case against Sally Clark. The jury, some of whom were openly weeping, convicted her by a majority of 10-2, after two days of deliberations. But the statistic was grossly inaccurate. It is more, rather than less, likely that a mother who has suffered one cot death will suffer another. The true odds were not one in 73 million but one in 60. Despite that, the Court of Appeal ruled that the mistake did not have a significant impact on the jury's decision. The campaign to establish Clark's innocence was bolstered when the Solicitors' Disciplinary Tribunal made the unprecedented decision not to strike her off the Law Society roll, signalling that many in the legal world were not convinced of the safety of her conviction. For that tribunal she had prepared a video, in which she said of her ordeal: "I now suffer the minute-by-minute torture of life imprisonment, knowing, as I accept only I could know, that I did not harm my little boys and did nothing but love them." Had the jury known about the test results that suggested Harry died of natural causes, they might not have convicted her. Other prisoners are notoriously cruel to child killers, and Mrs Clark suffered threats and some violence when she was first locked up at Styal prison near Manchester. Mr Clark said: "It is virtually impossible for innocent mothers who have endured cot deaths to defend themselves from the charge of murder. "The first question to my wife by the prosecution at the trial was: 'You were never cut out to be a mother, were you?' The burden of proof has been reversed in these cases. Mothers who have suffered cot death are assumed to be guilty until they can prove they are innocent. "It has taken us, with all our resources and support, nearly three years to prove Sally's innocence; yet still she is in prison, separated from me and our surviving child, who badly needs his mummy." There are also grave concerns about the safety of the conviction of Angela Cannings, who, like Sally Clark, was found guilty of double murder and sentenced to life imprisonment in April this year. Sir Roy Meadow's published view in such cases is that, unless proven otherwise, one cot death is a tragedy, two is suspicious and three should be seen as murder. Cannings suffered two cot deaths – and then her third baby died. At her trial at Winchester Crown Court, one of the main prosecution witnesses, who told the jury that the deaths were not natural, was Sir Roy. Cannings continues to protest her innocence. Terry Cannings, who, like Mr Clark, is convinced his wife is innocent, said: "Matthew was pronounced dead on 12 November 1999. The police officer knelt down, held Angela's hand and said: 'I'm sorry but I've got to arrest you on the suspicion of three deaths – Gemma, Jason and Matthew.' It was like she was shot in the kneecaps." Dr David Drucker is a microbiologist at the University of Manchester. A colleague of his performed tests on Matthew's body, which showed that the baby's immune system was not working properly. Dr Drucker said: "That baby had so few antibodies of an entire class of antibody that it was just about almost below the limit of detection of the tests that were being used. And I remember commenting to someone at the time if I'd had so little antibody, I would expect to be dead or very seriously ill. "I wasn't a jury member, so I don't know what went through their heads, but I don't know how they could ignore a finding that was so important." The latest discoveries in genetic science, Dr Drucker said, suggested that Sir Roy's view on multiple cot deaths does not make scientific sense. With colleagues at Manchester University, he has discovered what they believe to be a "cot death gene". In layman's terms, the cot death gene is a faulty switch – it fails to switch on the baby's defence system against killer bugs. There is a gap between the mother's defence system fading out as the baby grows to around eight weeks old and the baby's own defences kicking in. And it is through that gap that a bug or infection can strike. Sir Roy does not agree. "There is no evidence that cot deaths run in families, but there is plenty of evidence that child abuse does," he has said. |
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15 July 2001 double 'cot death' murders An expert said there was a one in 73 million chance Sally Clark's babies died naturally - and a jury agreed. Now new genetic research could help to clear her By John Sweeney and Bill Law Sally Clark was sent to prison two years ago, condemned to life inside for murdering her two babies because - among other evidence - there was only 'one chance in 73 million' of the babies, born a year apart, both dying of natural causes. But the discovery of a cot death gene means that the odds for a second death could have been as high as one in four - and that by hearing 'one in 73 million' the jury was presented with a simple, but false, probability. The new genetic research raises the possibility that Clark - and other women - have been the victims of an appalling series of miscarriages of justice in multiple cot death cases. A joint investigation by BBC's Five Live Report and The Observer has revealed a climate of suspicion against mothers who suffer two or more cot deaths, based on the 'crude aphorism' of top paediatrician Professor Sir Roy Meadow that, unless proven otherwise, 'two is suspicious and three is murder'. Sometimes known as 'Meadow's Law', it has been adopted by doctors, lawyers and the police. Manchester University's discovery of a cot death gene in February knocks flat the view of Meadow and others that one should 'think dirty' about multiple cot deaths. Microbiologist Dr David Drucker, who helped to identify the cot death gene, said of Meadow's Law: 'It's scientifically illiterate.' His is not a lone voice. Now Clark's defence team intends to prepare a fresh appeal, based in part on the discovery of the cot death gene. Other appeals are likely to follow. Clark maintains her innocence: 'I now suffer the minute by minute torture of life imprisonment knowing, as I accept only I could know, that I did not harm my little boys, and did nothing but loved them.' Clark's first child, Christopher, was born on 22 September 1996 and died 11 weeks later. At the time, he was certified to have died naturally from a lung infection. Her second child, Harry, was born on 29 November 1997, and died eight weeks later in January 1998. The next month, Clark was arrested for murder. Still grieving, she was accused of smothering Christopher and shaking Harry to death. When she was found guilty in November 1999, newspapers ran claims that she was a binge-drinker - none of which was presented as evidence in the case. The forensic evidence at the trial was complicated and difficult to deal with as the 'victims' were so young. The evidence was also disputed and the prosecution case hotly contested. But, as both babies had died in Sally Clark's care, the defence could only put up her word for it that the babies had died naturally. Solicitor John Batt has known Clark since she was five: 'What I believe the jury's reaction was is: "If she can prove that she did nothing to her babies, we'll let her off. If she can't, she must be guilty." But there is no way that a mother or science can prove that she didn't smother or shake her babies.' Like an arrow through the fog came the assertion by Meadow that there was only a 'one in 73 million' chance of a mother having two consecutive cot deaths - the likelihood of an such an event happening, he said, was once every 100 years. Meadow is a knighted professor and, everyone agrees, a superb performer in the witness box. It was a statistical smoking gun. In one soundbite the jury had a compelling case against Clark. They convicted her 10-2. Meadow was knighted for his services to the study of child abuse. He was the first President of the Royal College of Paediatrics and Child Health and developed a controversial theory regarding a new form of child abuse known as 'Munchausen's Syndrome By Proxy' where parents fabricate symptoms of illnesses in their children, subjecting them to unnecessary medical treatment, and, in some cases, inflict injuries on them or even kill them in the process. For example a mother who seeks attention by murdering her baby and passing off the killing as a cot death. Now, some experts contest the theory's merit. In his book ABC of Child Abuse, Meadow writes: '"One sudden infant death is a tragedy, two is suspicious and three is murder until proved otherwise" is a crude aphorism but a sensible working rule for anyone encountering these tragedies.' Meadow has given evidence for the prosecution in criminal trials and family courts around the world. Often, his evidence - with other testimony - leads to convictions and mothers losing their babies to care. No one is suggesting mothers never kill their babies. But Meadow's Law risks tarring all mothers who have suffered multiple cot deaths as murderers. It presumes guilt, and the presumption kicks in at the moment a second cot death occurs - when an innocent mother would be going through unendurable pain. Many at the trial believe Meadow's soundbite statistic damned Clark. It was worked out on the basis that there are eight cot deaths a week in Britain. Then family circumstances are factored in: a single parent smoker is more likely to suffer a cot death than a well-off family. The Clarks are solicitors and non-smokers. When all these factors are taken into account, you arrive at a figure of one cot death in 8,543 in a well-off family like the Clarks. As the Clarks suffered two deaths, Meadow multiplied 8,543 by 8,543 and arrived at the chance of one in 73 million for two babies dying of natural causes. He then specifically linked the statistic with Clark's case. Not a single statistician we have contacted has said that 'one in 73 million' - and the way in which Meadow used it - is defensible. Peter Donnelly, professor of statistical science at Oxford University, is scathing: 'It is poor science. It's not rigorous, it's just wrong.' Dr Stephen Watkins, Stockport's director of public health, said: 'This is a breach of a fundamental axiom of probability theory... the equivalent of two plus two equals five.' Watkins was so troubled by Meadow's evidence that he wrote a damning critique in the British Medical Journal called 'Conviction by Mathematical Error?' Meadow has not replied to the attack. Donnelly points out that a key issue is whether Meadow was right to multiply the risk factors of the two cot deaths to get to the one in 73 million number. 'It is only valid to multiply the numbers if it has been established whether or not one child dying of cot death is completely independent of whether or not another has died. In order to present that kind of number in court one should have evidence to establish that independence.' What this means is that, for the one in 73 million to be right, the two deaths had to be proved to be wholly unconnected - for example that there were no environmental factors common to both. But, according to the prosecution, the two deaths were connected - and the prosecution witness who gave evidence on that? Sir Roy Meadow. He told the jury: 'Each death has the characteristic of unnatural causes which is enhanced by the fact that two deaths have occurred at about the same age in one home. The evidence sadly increases the strength with which I feel that the two deaths are not natural.' The defence did not use an expert statistician to challenge Meadow's figure. This decision may have cost Sally Clark dearly. Clark is not the only alleged killer mum who was jailed with the help of Meadow's evidence. Donna Anthony is also serving a double life sentence in Durham Prison for murdering her two babies. She was convicted on forensic and behavioural evidence which, again, was contested. Meadow told the jury: 'Natural cot death has an incidence now of about one in a thousand, so the chance of natural cot death happening twice in a family is one in a thousand times one in a thousand, which is one in a million.' We also know of a third case, but we cannot give details. Meadow's evidence and other testimony led to the family losing all four children to care. A gag on the media means we cannot interview the parents. Last October, the Court of Appeal turned down Clark's first attempt to clear her name. Clark's father, retired police divisional commander Frank Lockyer, is convinced of his daughter's innocence: 'She'd have to be monster to do that and Sally's not a monster.' In February Manchester University announced: 'Cot death gene identified.' Scientists looked at the DNA of 23 babies who had died from cot death or sudden infant death syndrome (SIDS) and compared it with the genetic make-up of normal babies. Babies with three particular genetic differences were three times more likely to die from SIDS. The genes 'switched on and off' the immune system. One gene was particularly important. We have put a series of questions to Meadow, but he declined to talk to us. The question is: had the jury known in the case of Clark that, instead of Meadow's sound-bite that there was a one in 73 million chance of her babies dying naturally, it could have been one in four, would they have convicted? |
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Medical Journal
Conviction by mathematical error? Doctors and lawyers should get probability theory right By Dr Stephen Watkins, director of public health, Stockport In a recent case of DNA evidence the probability of a chance match was quoted as 20 million to one. The accurate statement - that the defendant or two other unknown people in the United Kingdom could have committed the offence - is much less impressive. Other evidence was overwhelming, but this may not always be true, especially with matches from DNA databases. Even more problematic than the issue of presenting statistical evidence fairly is the problem of getting it wrong. On 9 November at Chester Crown Court Sally Clark, a Cheshire solicitor, was convicted, by 10-2 majority, of smothering her two infant children. With conflicting forensic evidence, the Crown's case was bolstered by an eminent paediatrician testifying that the chances of two cot deaths happening in this family was vanishingly small - 1 in 73 million. This seriously misunderstands probability theory. It is speculation whether Sally Clark would have been acquitted without this evidence. But with this mathematical error prominent the conviction is unsafe. Imagine an archery target with two arrows sticking in the very centre of it. This provides greater evidence of the skill of the archer if the target was in place before the arrows were fired than if it was drawn around them afterwards. Probability theory requires calculation of the probability not only of the event in question but also of all events that are as extreme or more extreme. When the target is drawn first you calculate the chance of both arrows hitting the centre of the target. But when the target is drawn round the arrows afterwards you calculate the chance of both arrows hitting the same point, whatever that point. With two independent arrows one probability is the square of the other. Suspicion was drawn to Sally Clark by the occurrence of two deaths so the probabilities should not have been squared. The odds of 1 in 73 million shrink to 1 in 8500. But this figure is itself meaningless. There is in fact a wall full of arrows with the target drawn around the two that are close together and the others ignored. Mathematical formulas for this situation often surprise people. For example, with only 23 people in a room the odds are better than 50% that two of them have the same birthday. From whole population data Reese calculates the square of the population risk of cot death as 1 in 2.75 million. There are 378 000 second or subsequent births each year in England. So if cot deaths are random events two cot deaths will occur in the same family somewhere in England once every seven years. But cot deaths are not random events. There have been several studies of recurrence. At least one study did show no increase in recurrence rates. But several others showed recurrence rates about five times the general rate, implying recurrence somewhere in England about once every year and a half. Two studies showed even higher rates. The fact that studies of recurrence have been done means this event is not vanishingly rare. In a case series of recurrent infant death Emery classified two cases as recurrent cot death out of 12 cases occurring in Sheffield in 20 years. Wolkind et al found five cases in their unsystematic English case series of 57 recurrent infant deaths. Both these studies distinguished cot death from accident, illness, murder, and neglect. The prosecution used the figure of 1 in 73 million rather than 1 in 2.75 million because of the family's affluence. Yet taking data from an epidemiological group and applying it stereotypically to all members is an example of the ecological fallacy. Social class is a complex reality of interassociated circumstances - education, work, income, lifestyle, culture, contacts, residence, opportunities, social class of origin, etc - statistically summarised for use in population studies by selecting the one variable which performs best as an indicator. This does not mean that individuals have the attributes of the statistical group. Guidelines for using probability theory in criminal cases are urgently needed. The basic principles are not difficult to understand, and judges could be trained to recognise and rule out the kind of misunderstanding that arose in this case. Never again must mathematical error be allowed to conflict with mathematical fact as if each were a legitimate expert view. What is our profession's responsibility for the quality of expert evidence given by doctors? Medical evidence is trusted, and we must retain that situation and ensure that it is not abused. It is possible to be an extremely good doctor without being numerate, and not every eminent clinician is best placed to give epidemiological evidence. Doctors should not use techniques before they have acquainted themselves with the principles underlying them. When errors occur we expect them to be admitted, learnt from, and corrected. Should clinical governance extend to the courtroom? Expert witnesses can hold a substantial part of defendants' lives in their hands. Defendants deserve the same protection as patients. |
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