Damian pulled a knife on Juan during an argument. Juan ran into the road in fear and knocked over Brenda on a bike, causing minor injuries to Juan and ultimately leading to Brenda's death after being hit by a car due to a thin skull. Juan refused medical treatment for his cut which became infected with gangrene. A doctor's error during an amputation to treat the infection caused Juan's death. The statements evaluate Damian's liability for the harms to Juan and Brenda at different points in the causal chain. Statement A argues Damian is not liable for Juan's bruising, while Statement B argues he is not liable for Brenda's death due to her thin skull. Statement C argues the

1. But it wasn’t just me!
Causation
So, you’ve done an act (or failed to
act)…
But V does something to make the
harm worse…
Or a third party does something to
make the harm worse…
Or the medical staff make a
mistake which makes the harm
worse…
Are you still liable?

2. What is Causation?
As well as establishing that D has done (or failed to do!)
something, and meant to do it, we also have to prove
that the act actually lead to the harm to V.
This is called the chain of causation.
D’s actions
V’s harm
Imagine this….
You cause a paper cut to Miss Hart. Twenty
minutes later Bob stabs Miss Hart and she dies of
blood loss.
Are you responsible for her death?
You stab Miss Hart once with a knife. Twenty
minutes later Bob stabs Miss Hart once as well
and she dies of blood loss.
Are you responsible for her death?

3. A conundrum…
Louis pushes Dave off the Empire
State Building. Unknown to him,
Reginald is firing his gun out of the
window of a room on the 43rd floor.
As Dave falls past Reginald’s
window, one of the bullets hits him,
killing him instantly. Dave hits the
floor.
Who is legally
responsible for his
death?

4. General rules:
This is the last legal step that is taken to establish D’s legal
responsibility for the result (normally a death)
Legal CausationFactual Causation
White 1910 Thabo Meli
‘but for’ More than Minimal
Substantive
Operative

5. Got the basic
principles?
James has been stabbed forty
times. Sam comes along and
pricks the end of his finger with
a drawing pin. James dies Some of you might even be
able to:
Discuss how the legal principles
might affect the outcome with the
following variations to the facts:
What if James had been
stabbed by forty people, each
inflicting one wound? How
would causation affect their
liability?
What if the car that hit Gladys
was speeding down a one way
street the wrong way?
Use your understanding to decide whether
Sam and Nigel are liable for the deaths in the
scenarios below:
Nigel pulls a knife on Bob who
runs down the pavement and hits
Gladys. Gladys falls into the
road and is hit by a car and dies
E Grade
Make a decision!
C Grade
Apply each test to the
scenario to explain
how he meets it.
A Grade
Use a supporting case,
which you explain and
link to the scenario

6. Breaking the chain
Key Vocabulary:
Novus actus interveniens
(new intervening act)
The courts have established a
number of situations which
may break the chain of
causation, but please be aware
that in reality it is very, very
hard to break it!
After all, D has normally done
something bad, even if
someone else made the harm
worse.
These are known as new
intervening acts.

7. Possible Break One:
Unreasonable Actions of V
Roberts 1971
Majoram 2000
Williams & Davis 1992
Scenario:
V tries to escape D and is injured
in the attempt....
Is D liable for the harm?

8. Possible Break Two:
Unreasonable Actions of Third Party
Scenario:
D causes V some harm, but someone else also does something to harm V.
Is D liable for the harm caused by the third party, even if they make it worse?
R v Pagett 1983 R v Rafferty 2007
“the free deliberate and
informed intervention of
a second person who
intends to exploit the
situation created by the
first, but is not acting on
concert with him, is
normally held to relieve
the first actor of criminal
responsibility”.

9. Some further considerations:
‘Palpably Wrong’ Medical Treatment
R v Jordan 1956
R v Smith 1959
D actions were still
“operative and substantive”
Only break if so
independent of original
wound to be a new chain of
causation.
AO2: Do you think that the
outcome of this case was
just and fair to D?
The doctors actions did
break the chain.
Important Material Facts:
How bad can it be, and still
maintain the chain?
…so when might it actually
break the chain?

10. Cheshire 1991
Possible Break One:
‘Palpably Wrong’ Medical Treatment
D causes V some harm, but medical treatment makes the harm worse, or even kills them!
Is D liable for the harm?
1. Did Cheshire succeed in his appeal?
2. Outline the main facts of the case, in no more than
two bullet points!
3. Why was D appealing his conviction?
4. Were the gunshot wounds considered the substantial
and operative cause of death by the court?
5. Why do you think that the courts prefer to blame
Cheshire instead of the doctors?
6. When might the actions of the Doctors break the
chain of causation?
7. Who do you think caused the death of the victim?
Why? Reason your answer using the tests!
Challenge:
The Times chose the
headline “no such thing
as murder by halves”.
How true is that as a statement of the
law?

11. D had lost his daughter and blamed
his mother for having killed her. His
mother did not deny her
responsibility and promised to
commit suicide. Eight days later she
still had not done it.
The man then came into her hut
with a stick and some rope. He tied
the rope to a rafter, made a noose
at the other end, and urged his
mother to "Get up and hang
yourself." The woman asked for
something to stand on.
The man put a block of wood under
the rope. He then left the hut and
watched his mother get up on the
block of wood, put the noose around
her neck, and kick the block away.
Did the man cause the death of
his mother?
Consolidation
In your hand outs, answer the question, using at least
two cases to support your conclusions.

12. Louis pushes Dave off the Empire
State Building. Unknown to him,
Reginald is firing his gun out of the
window of a room on the 43rd floor.
As Dave falls past Reginald’s
window, one of the bullets hits him,
killing him instantly. Dave hits the
floor.
Who is legally responsible for
his death?
Reason, using at least one case in your discussion!
Plenary:
So can you answer the problem?

13. Starter:
Which is the odd one out in each set of pictures?

14. Some other things which might break it...
R v Malcherek &
Steel 1981
Life Support Machines D’s beliefs, state of mind or
inherent weakness.
R v Blaue 1975
Holland 1841Dear 1996

15. Consolidation:
Have you got the essentials?
Student Task:
All of you will produce your own chain of causation diagram in your work
books, identifying the issues which may affect D’s liability.
Most of you will be able to support the identification of an issue’ with
reference to a key case illustrating the test or area affected.
Some of you will be able to identify a contrasting case to illustrate the limits of
the issues affecting the chain of causation.

16. Applying the Law:
Are the following defendants still liable?
Problem Causation Potential Break(s) Because…(link to
cases)
Overall Liability.
Bob rejects Vicky’s
advances, so she
stabs him. He is
taken to hospital
where it is
discovered he has a
rare blood type and
the hospital does
not have enough
supplies of his
blood. He dies.
In the exam you will have a long problem question. If someone dies, it may be that you will be
asked to comment on causation issues that arise. This means that you need to know the cases,
tests and be able to apply and discuss what that means for D. To start you off, we will only look at
the causation issues affecting the following DD.
Look at your homework problems for guidance on how to answer these.

17. Now you have a go!
Gary decides to rob a bank. He takes his girlfriend with him as a getaway driver. The
robbery goes wrong and armed police arrive. He tries to escape and uses his girlfriend
as shield. The police start firing and his girlfriend dies.
Dave is fed up of his wife. He decides to kill her and puts an overdose of arsenic in her
morning tea. She takes a couple of sips and passes out. Thinking she is dead, Dave
drags her out of the house, whacking her head on the pavement. He dumps her in the
skip at the bottom of the street. She is found and taken to hospital, where it is
discovered that she has extensive brain damage, and the doctors declare her dead,
turning off the life support machine.

18. Section C Exam Question
Section C Guidance
Answer one out of a
choice of two questions
20 marks… 20 minutes
ALL AO2 application
marks (no cases!)
 5 Bullet points.
Start with definition
Conclude on statement’s
accuracy with a reason
Treat each statement
separately
Damian and Juan are arguing and Damian pulls out a knife. Juan runs into the
road and knocks over a cyclist, Brenda. Juan suffers bruising and a small cut from
the collision. Brenda falls under the wheels of Manuel’s car and suffers head
injuries. Brenda has an unusually thin skill and dies.
Juan is scared to run into Damian again, and refuses to go to the doctor to get his
injuries checked. After a couple of weeks, his cut has become infected and he
develops gangrene. Finally, he goes to hospital where Dr Smith advises him to
have the finger amputated. Damian agrees, but Dr Smith cuts off the wrong
finger, and the gangrene spreads, killing Juan.
Evaluate the accuracy of each of the four statements A, B, C, and D individually,
as they apply to the facts in the above scenario.
Statement A: Damian is not liable for the bruising suffered by Juan because he
did not hurt Juan in the first place.
Statement B: Damian is not liable for the death of Brenda because she has an
unusually thin skill.
Statement C: Damian is not responsible for Juan’s death as it was Dr Smith’s
error which caused the death.
Statement D: Damian is not responsible for Juan’s death Juan chose not to get
treatment.

19. Example Answer:
Damian and Juan are arguing and Damian pulls out a knife. Juan runs into the road and knocks over a cyclist, Brenda.
Juan suffers bruising and a small cut from the collision. Brenda falls under the wheels of Manuel’s car and suffers head
injuries. Brenda has an unusually thin skill and dies.
Juan is scared to run into Damian again, and refuses to go to the doctor to get his injuries checked. After a couple of
weeks, his cut has become infected and he develops gangrene. Finally, he goes to hospital where Dr Smith advises him
to have the finger amputated. Damian agrees, but Dr Smith cuts off the wrong finger, and the gangrene spreads,
killing Juan.
Evaluate the accuracy of each of the four statements A, B, C, and D individually, as they apply to the facts in the
above scenario.
Statement A: Damian is not liable for the bruising suffered by Juan because he did not hurt Juan in the first place.
• In order to be liable, Damian must have legally and factually caused the harm to Juan, without
any unforeseeable interventions occurring.
• Damian’s harm does not have to be the only cause, but it must be a more than minimal cause,
which it is as it caused Juan to run away and be hit, and thus need to go to hospital.
• If he hadn’t have taken out the knife, then Juan would not have needed to go to hospital, and
so he also passes the legal test as his acts are a more than minimal cause of the harm.
• As Damian is both legally and factually responsible, the only thing that could relieve him of
liability would be Juan’s acts in running away. However these aren’t so daft as to be
unforeseeable as it is reasonable for someone to run from a knife, so the chain is not broken.
• Therefore the statement is not accurate as Damian is both legally and factually liable for the
bruising.

20. Now for our class turn.
Damian and Juan are arguing and Damian pulls out a knife. Juan runs into the road and knocks over a cyclist,
Brenda. Juan suffers bruising and a small cut from the collision. Brenda falls under the wheels of Manuel’s car and
suffers head injuries. Brenda has an unusually thin skill and dies.
Juan is scared to run into Damian again, and refuses to go to the doctor to get his injuries checked. After a couple of
weeks, his cut has become infected and he develops gangrene. Finally, he goes to hospital where Dr Smith advises
him to have the finger amputated. Damian agrees, but Dr Smith cuts off the wrong finger, and the gangrene
spreads, killing Juan.
Evaluate the accuracy of each of the four statements A, B, C, and D individually, as they apply to the facts in the
above scenario.
Statement B: Damian is not liable for the death of Brenda because she has an unusually thin skill.

21. … and finally, your turn.
Damian and Juan are arguing and Damian pulls out a knife. Juan runs into the road and knocks over a cyclist,
Brenda. Juan suffers bruising and a small cut from the collision. Brenda falls under the wheels of Manuel’s car and
suffers head injuries. Brenda has an unusually thin skill and dies.
Juan is scared to run into Damian again, and refuses to go to the doctor to get his injuries checked. After a couple of
weeks, his cut has become infected and he develops gangrene. Finally, he goes to hospital where Dr Smith advises
him to have the finger amputated. Damian agrees, but Dr Smith cuts off the wrong finger, and the gangrene
spreads, killing Juan.
Evaluate the accuracy of each of the four statements A, B, C, and D individually, as they apply to the facts in the
above scenario.
Statement C: Damian is not responsible for Juan’s death as it was Dr Smith’s error which caused the death.
Statement D: Damian is not responsible for Juan’s death Juan chose not to get treatment.
Complete the answer for statements A and B, to demonstrate your
skills.

22. Terminology:
Canyouidentifytheterm
fromthedefinition?
Where X does an act so daft, that D is no longer
responsible for the outcome.
Where D takes their victim as they find them, with
their underlying physical weaknesses, beliefs or
decisions.
Something which may break the chain of
causation and relieve D of their liability.
Where the treatment is so wrong that it constitutes
a new chain of causation.
D’s harm to V must still be functioning and
significant enough when V dies for D to be liable.

23. Got the essentials?:
Can you name the case…
1. Her heart wasn’t up to the
drink.
2. I was only trying to touch her
lovely coat. She didn’t need to
jump!
3. She’s definitely not a shield –
despite the size of her stomach.
4. I don’t care what you believe...
as Jehovah is my witness.
5. Oh! So that’s the one you’re
allergic to. Are you sure?
6. Fish and chips can be dangerous
7. Who knew soldiers could be
that clumsy?