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You are here: BAILII >> Databases >> England and Wales High Court (King's Bench Division) Decisions >> Emmerson v Human Givens Institute Ltd (t/a the Human Givens Institute) [2025] EWHC 636 (KB) (17 March 2025) URL: http://www.bailii.org/ew/cases/EWHC/KB/2025/636.html Cite as: [2025] EWHC 636 (KB) |
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KING'S BENCH DIVISION
Strand London WC2A 2LL |
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B e f o r e :
(Sitting as a Deputy Judge of the High Court)
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ANGELA EMMERSON |
Claimant |
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- and – |
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HUMAN GIVENS INSTITUTE LIMITED (trading as THE HUMAN GIVENS INSTITUTE) |
Defendant |
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Katie Ayres (instructed by Mills & Reeve LLP) for the Defendant
Hearing date: 27th February 2025
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Crown Copyright ©
Jason Beer QC:
A. Introduction
B. The Facts
The Claimant
The Defendant
The Contract
a. The Code, which set out:
i. A code of conduct for practitioners;
ii. Standards of competence;
iii. Provisions as to disputes and resolutions; and
iv. Provisions as to the ethical foundations of the human givens model.
b. The Complaints Procedure (in a document entitled "How [the Institute] deals with complaints"), which includes provision as to the hearing of some complaints by Adjudication Panels and existence of an appeals procedure against the decisions of Adjudication Panels. As to the latter, the Complaints Procedure makes it clear that the Appeals Panel would not normally rehear evidence, but would instead review the evidence placed before the Adjudication Panel. The Complaints Procedure is supplemented by "Appeal Panel Guidelines." This makes it clear that "The purpose of the appeal procedure is to avoid unfair outcomes arising from poor application of the complaints procedure. It is not an opportunity for either party to ask for a second consideration of matters of fact, nor ask for [a] second opinion on the judgement. The grounds for appeal are therefore limited to (1) demonstration that the [Adjudication Panel] has not followed the complaints procedure properly and that this process failure might have led to a materially unfair outcome…(3) the Adjudication panel could in no way reasonably have come to the decision made on the evidence presented."
c. The Indicative Sanctions Guidance (which speaks for itself, and is not in issue in these proceedings).
"A15.1 Practitioners should respect the privacy and confidentiality of clients as is ethically and legally appropriate…They should respect and maintain confidentiality at all times...Practitioners need to be aware of their responsibilities under the Data Protection Act….GDPR and any other legal requirements.
A15.2 [Therapists] should normally obtain the consent of clients who are considered legally competent, or their duly authorised representatives, for disclosure of confidential information.
A15.3 [Therapists] should restrict the scope of disclosure. No more information should be disclosed that is consistent with the professional purposes, the specifics of the initiating request or event.
A15.8 Before breaching a client's confidence, [a therapist] should consult a professional supervisor or colleague, unless the need for disclosure is so urgent that any delay is undesirable.
A15.10 When disclosing confidential information directly to clients, practitioners need to consider not only their client's confidentiality; they should also safeguard the confidentiality of information relating to others.
A.18 In the event of any ethical dilemmas or queries arising in the course of practice, practitioners may wish to consult with their supervisor or to contact HGI's…Registration and Personal Standards Committee, for support.
B1.20 An effective practitioner should… beware of conflicts of interest arising between clients, particularly in couple therapy, where they may have to choose between clients if they break up during therapy. Think whether it would be best to stop seeing either party and advise that each gets another therapist. If a conflict arises, notify those concerned in writing."
Mr and Mrs A
The request for a Letter
"Obviously the letter can say what you want it to say. [My solicitor] has suggested you include:
- Any diagnosis (PTSD, abuse?)
- What I was/am being treated for
- How long I have been seeing you for these issues
I guess if you have been in court for anything like this before, you probably know what is or isn't relevant. I give you full permission to use or say anything I have told you for the letter...."
The Letter of 30th August 2018
"I have been asked to provide you with an overview of the circumstances of the counselling I have been providing to [Mr A] over the last few years.
I started seeing [Mr A] and his wife [Mrs A] on 31st May 2013 for couple counselling and I saw them intermittently over a period of months, both individually and together as is usual practice for couple counselling, for safeguarding practices and to allow for sharing in a supportive environment.
Subsequently in March 2017 I was a neutral party when [Mrs A] chose to end the relationship during one of the joint sessions.
During the session [Mr A] became very overwhelmed and distressed and displayed signs of a panic attack i.e. shaking, shallow and rapid breathing and tearfulness…
At the beginning of the couple counselling due to information shared with me about the challenges in the home environment and the stresses that this was having on the relationship, I suggested to [Mr A] that he be of more help to his wife around the house, and with the children, for example getting breakfast for the children so that [Mrs A] may be able to have a shower or to get dressed; allowing [Mrs A] to rest during the day due to still nursing their daughter at night; supporting her in her hobbies; gaining the services of cleaners and that of a childminder so that [Mrs A] may have some free time away from the demands of the children to develop hobbies, to go for a walk or to rest, all of which I was led to believe by both parties, at the time, that [Mr A] had complied with…
Though, over time, in my professional opinion I came to the conclusion from the information that was being shared with me that [Mr A] was in an emotionally abusive relationship. I was informed of times when [Mr A] was working from home that [Mrs A] had been verbally abusive to him whilst he was on the phone to his employer because he was unable to her in a task. I was informed of times that [Mrs A] would shout at him or refuse to listen to his point of view, becoming argumentative or aggressive, going over a subject or following him around the family home until he would agree with her point of view. I was informed of times when [Mr A] had gelt intimidated by his wife due to her size and her behaviour around him. I was informed of times when [Mrs A] was emotionally cold and hostile towards him which added to his anxiety and feelings of emotional stress. I was informed of his need for emotional warmth and affection, that I was led to believe that [Mrs A] stated if he mentioned one word about this during the month then he would not be shown any affection or that they would not have sexual intercourse. I was informed of times when [Mr A] was aware of [Mrs A's] resentment towards him for preparing special meals for him due to his preferences; she would choose not to eat with him and he felt that he was a nuisance to her because of this. I was informed of times when [Mr A] was working away that she informed him that he was away having a rest whilst he was at home managing the children and this made him feel guilty. I was informed by [Mr A] that [Mrs A] often blamed him for her overall unhappiness and depressive mood.
In my professional opinion [Mrs A's] behaviour created feelings of stress and anxiety in [Mr A], undermined his confidence, his self-worth and jeopardized his mental health which all fit the criteria for emotional abuse…"
The Complaint
a. In the Letter, Mrs Emmerson had disclosed private information given to her by Mrs A in individual and couple counselling sessions;
b. Mrs Emmerson disclosed in the Letter information which was both inappropriate and in excess of what was required; and
c. Mrs Emmerson should have questioned the request to provide the Letter in circumstances where Mr A intended to do harm to Mrs A or further his own selfish aims.
a. "[Mrs A] alleges that you breached her confidentiality by disclosing private information given by her in individual and couple sessions in a letter as part of divorce proceedings…"
Response: …During a session with [Mr A] in the summer of 2018 I was asked if I would be available to be a witness for the forthcoming divorce proceedings. I wasn't aware that I could refuse this request…The letter of 30th August 2018 is a statement of disclosures made by [Mr A] and my opinion of the effect of those on him. At no point are any of [Mrs A's] disclosures included in the letter. I do not believe I have broken confidentiality with regards to [Mrs A]…"
b. "[Mrs A] also suggests that the information provided is both inappropriate and in excess of what was required.
Response: …I believed that I complied with [Mr A's] request and that I answered the questions put to me in a truthful manner. The information disclosed in the letter dated 30th August 2018 was at the request of [Mr A] in answer to specific questions that had been put to me…I believe it is not appropriate for me to judge what is appropriate in legal proceedings only to provide information as requested I believe that I have answered the questions as put to me from the information that was shared with me in a balanced and truth way."
c. "[Mrs A] suggests that you should have questioned any such action where a client intends to do harm to another party or further selfish aim.
Response: I was asked by [Mr A] to provide information to the court for the divorce proceedings with regards to session with me and information that was shared by him to me, which I am bound to my code of ethics and by information law. The information disclosed was disclosures by [Mr A] himself, it would not be appropriate for me to withhold information pertaining to [Mr A]. These were statements made by him to me and it is not for me to judge whether that may be harmful to another in legal proceedings."
"Mrs Emmerson should have sought guidance from her supervisor as to how she would best handle this request [for a letter]…I still maintain that the letter includes information from my individual or joint sessions and that I should have been asked for approval or at least have been given visibility…"
"…I have [had] a long time to reflect on this case…I am truly sorry for any distress I may have caused [Mrs A] by writing the letter to the Court. I have never had any training therein, either by [the Institute] or in any of my previous roles and in hindsight I should have said so. I answered the husband's questions that he put to me by letter and in all honesty I believed that I was bound to do so but that does not detract from the fact that I did not have knowledge about such procedures. I am very sorry for my actions and I am of course willing to do whatever is required to improve my practice going forwards."
Adjudication Panel: Hearing
a. Gilli Gladman (the Chair, and the Lay Member);
b. Trevor Bailey (a Human Givens Institute Therapist); and
c. Colin Mawhinney (a Human Givens Institute Therapist).
a. Mrs Emmerson agreed that whenever she had a joint session with Mr and Mrs A then whatever was said at the session was confidential.
b. Mrs Emmerson said that she wrote the Letter in response to a specific request from Mr A at a time when she was seeing Mr A on his own as a client.
c. Mrs Emmerson said that her understanding was that she could not refuse or decline to provide a response to Mr A's request.
d. Mrs Emmerson said that she did not seek advice from a supervisor about whether she was required to answer the request, nor about the contents of any response, and accepted that this was a failing on her part.
e. Mrs Emmerson said that she wrote the Letter late a night, after having just returned from a holiday, and without the Code in front of her.
f. Mrs Emmerson said that she believed that she had answered, and only answered, the specific questions that Mr A had asked to be addressed.
g. Mrs Emmerson said that the only information she had disclosed related to Mr A and that she had disclosed no information that Mrs A had disclosed to her.
h. Mrs Emmerson said that with hindsight she would do a number of things differently, including (i) contacting her supervisor, (ii) double checking whether the request for information was appropriate, (iii) perhaps send a draft of her letter to her supervisor to check out, and (iv) re-write her contract to specify that if she undertook couple counselling and the couple separate then she would not be able to continue to counsel one of them.
"On 27th August 2019 I did write to [the Institute] apologising for [the Letter] for the reasons set out in that letter. But I did not breach [Mrs A's confidentiality. All that I put in [the Letter] was with [Mr A's] authority and request. It was from information that he provided me and no confidential information from [Mrs A] was included…
…I answered the questions put to me by [Mr A] in his email to me of 14th August 2018…
I repeat I answered a request by my client [Mr A]. I gave my letter in my honest belief…
[The Letter] is a statement made from information provided by the husband and opinion of the effect on him. I do not believe I have broken confidentiality with [Mrs A] as I did not include any information that I leant in counselling her. Which was not known to [Mr A] as we had agreed to share….
I believed that I had complied with his request and that I answered the questions put to me in a truthful manner…"
"[The letter of 30th August 2018] was fully authorised by me and it contained only information that I had given to [Mrs Emmerson]. There was not information in that letter, as far as I was concerned, that had been uniquely given to [Mrs Emmerson] by [Mrs A]."
Adjudication Panel: Decision
"Point C
[Mrs A] alleges that you breached her confidentiality by disclosing private information, given by her in individual and couple sessions, in a letter as part of divorce proceedings...
That you wrote a letter on behalf of [Mr A] to the divorce court is not disputed by you and you have expressed regret for writing it. The Panel notes that you were asked to write a letter to the court by [Mr A] and that in the email message asking you to write it that he wrote [the Panel then set out the terms of Mr A's email, as set out in paragraph 13 above].
The Panel acknowledges that [Mr A] gave you permission to share his confidential information with the court, subject to his being able to check your letter before it was sent.
Whilst you have argued that the Court letter was based solely on information provided by [Mr A] it is the view of the Panel that you:
- Had previously worked with both [Mr and Mrs A] in couple therapy.
- Had worked with [Mrs A] alone, therefore had deep knowledge and understanding of that relationship and of the dynamics within it. This knowledge was an integral part of your work with both parties.
- Were inevitably influenced by this in what you chose to write in the letter.
- Breached [Mrs A's] confidentiality in both the process and the content of this letter.
In other words, in the view of the Panel, you could not have written the letter in question without having undertaken both couple counselling and the individual counselling of both parties.
[The Panel then set out Sections A.15.8 and A.15.10 of the Code]
Whereas the Panel acknowledges that the letter you wrote on behalf of [Mr A] was accepted by the court and was legal insofar as it appeared only to convey confidential information provided by [Mr A] it is our view that in fact it must have included [Mrs A's] confidential information for the reasons given above.
That the therapy moved from couple counselling to single client counselling should have made you much more cautious in approaching [Mr A's] request that you write the letter.
It is the Panel's view that you breached [the Code] in writing a letter that contained confidential information about [Mrs A].
Therefore this part of the complaint is upheld....
Point D
(ii) [Mrs A] also suggests that the information provided is both inappropriate and in excess of what was required.
The information provided in the letter that you wrote far exceeds that which was asked for or suggested in the email sent to you by [Mr B] on 14th August 2018. The Panel repeats its view that the letter breached [Mrs A's] confidentiality as a result of the level of detail provided.
Therefore this point of the complaint is upheld....
Point E
[Mrs A] suggests that you should have questioned any such action where a client intends to do harm to another party of further selfish aims.
You, in common with all Human Givens therapists, are required to retain client records for a period of seven years…You therefore have a duty of care to those clients extending over this period. The letter you sent to the court on behalf of [Mr A] was a therapeutic intervention on behalf of a client and it is not clear that you gave any consideration to its potential impact on [Mrs A] once she became aware of its contents which, given it was used in court papers, was inevitable.
Given your duty of care to both clients and given that the letter is a filtered release designed for a specific purpose (supporting [Mr A] in the divorce court), the Panel finds that you failed in your duty of care to [Mrs A]. We refer you again to the Code of Ethics and Conduct: Section A.15.10 as above; Section B.1.20; Section B.1.22 [The Panel then set out Sections B1.20 and B1.22 of the Code].
Therefore this point of the complaint is upheld…
Conclusion
You have acknowledged that the letter should not have been sent and you regret so doing. You claim you were under time pressure to write, it, having just returned from holiday and being faced with a full day working with clients. Lack of time and pressure do not excuse failings…
The existence of the letter in the form/contents that it was written supports the finding of unprofessional conduct.
In the way that you chose to write the letter it appears to or actually does imply an opinion about [Mrs A's] behaviour that could only have gained through your couples work with [Mr and Mrs A].
The details given in the divorce court letter may have been taken from your case notes with [Mr A] but they are evidently influenced by your personal experience/observations of [Mrs A's] behaviour gained as her therapist during the time she was a client.
This is a breach of confidentiality.
The Code of Ethics and Conduct clearly highlights the sensitivity of information shared in this letter and this should have rung warning bells for you. You not only went ahead and wrote the letter but also failed to contact your supervisor or to seek the advice of the HGI RPSC…
In making the professional decision you failed to demonstrate professional competence…
[Mrs A] itemised in her complaint the 'excessive detail' in the letter to the court which was evidence when the Panel read this letter.
These professional decisions do not demonstrate the competence required by an HGI practitioner.
Decision of the Adjudication Panel
The Panel has decided the Points C, D(ii) and E of the complaint be upheld and that you breached several articles of the HGI Code of Ethics and Conduct as outlined above…
Your decision to write the letter to the court on behalf of [Mr A] and the level of detail you included in it who a serious lack of judgment and indicate a serious lack of professional understanding of what is required of you as a Human Givens therapist by the Code of Ethics and Conduct.
However, while the Panel do not consider that removal or suspension from the HGI Register are warranted and notes that your supervisor considers you to be fit to practise as a psychotherapist, it is our clear view that in this case you should be required to undertake a period of reflection and learning for the next 12 months…This sanction….is a condition of you remaining on the HGI register."
Appeal Panel
a. In circumstances where (i) there was no witness statement or witness summary from Mrs A, and instead only her letter of complaint, emails and the complaint form, (ii) Mrs A did not attend to give evidence, and (iii) Mrs Emmerson and Mr A had provided witness evidence that the information in the letter was only provided by Mr A, the Adjudication Panel had no evidence on which to base a conclusion that any information in the Letter was Mrs A's confidential information.
b. The Adjudication Panel failed to set out what information in the Letter was Mrs A's confidential information.
c. The Adjudication Panel took into account irrelevant considerations when determining the complaint (namely its analysis of facts that suggested that Mrs Emmerson must have included information in the Letter which was confidential to Mrs A).
d. The Adjudication Panel acted in breach of the rules of natural justice and irrationally by making findings of fact which were unsupported by any evidence.
"[5] The Appeal Panel would like to draw your attention to the beginning of [the Letter]:
[the Appeal Panel then set out the first three paragraphs of the Letter, underlining passages within it]
[6] As you can see from all that has been underlined, Mrs Emmerson breached confidentiality four times. Confidentiality doesn't have time limited. [Mrs A] had been a client of Mrs Emmerson and therefore nothing of that should be disclosed to anyone, even that she had therapy at all. Perhaps the most serious breach of confidentiality is the last underlined sentence [this was the one relating to witnessing the events of 1st March 2017], for which [Mrs A's] permission for disclosure to the court was not sought.
[7] Point 7 goes on to state:
[The Appeal Panel then set out the paragraph of the Letter beginning with "At the beginning…" and ending with "…had complied with", again underlining passages within it]
[8] It is clear from the contents of the above paragraph that much of the information contained therein must have come from [Mrs A] and not her husband…."
External Oversight Committee Decision
The Trial
a. Agreed that it was itself a breach of confidentiality to tell a third party that a client is in therapy.
b. Agreed that the Letter that she wrote disclosed that Mrs A was in therapy, which was a confidential fact, which she had therefore disclosed to a third party.
c. Agreed that information given and discussed in a joint counselling session is confidential to both clients who are present in that session.
a. Andy Tarrant: Mr Tarrant is a self-employed consultant who provides services to the Institute, one of which is co-ordinating the Institute's Registration and Professional Standards Committee ("RPSC") which, amongst other things, oversees and manages the complaints process. Mr Tarrant describes the process of becoming a member of the Institute, narrates the annual membership renewal process, and describes in detail the complaints process.
b. Trevor Bailey: Mr Bailey is a retired headteacher and was a co-Chair of the RPSC. He explains his experience of sitting on Adjudication Panels and describes what happened on this Panel.
c. Colin Mawhinney: Mr Mawhinney is a psychotherapist and sat on this Adjudication Panel. Of this experience he says: "At this hearing itself, I recall it seemed to be about her barrister. He had one single point he kept reiterating which about the complainant not attending the hearing. He wanted the case to be thrown out immediately because of that but we as a panel resisted that because, whether or not she was in the room we had the hard evidence of the letter and that did need an explanation."
d. Tina Hamilton-Jones: Mrs Hamilton-Jones is a nurse and a psychotherapist and sat on this Appeal Panel. So far as is material, she stated: "…the written evidence was pretty detailed…It was (and remains) my view that there was clear written evidence of breach of confidentiality…I thought that the complaint made against [Mrs Emmerson] was indefensible."
C. The Issues
a. Contained an implied term that the Institute would comply with the rules of natural justice; and
b. Contained an implied term that the Institute's decision-making would be reasonable in the Wednesbury sense.
a. What was in fact required of the Institute in order for it to act in accordance with the implied term in the Contract that it would comply with the rules of natural justice – i.e. in the circumstances of this case what were the standards of natural justice?
b. By reference to those standards, did the Institute comply with the rules of natural justice in determining those complaints which were upheld against Mrs Emmerson?
c. Was the Institute's decision, in relation to those complaints which it upheld, reasonable in the Wednesbury sense?
E. Analysis and Conclusions
Natural justice: the standards
a. The Institute to give Mrs Emmerson the opportunity to make representations on her own behalf: see e.g. Doody, per Lord Mustill at 560D: "(5) Fairness will often require that person who may be adversely affected by the decision will have an opportunity to make representations on his own behalf either before the decision is taken with a view to producing a favourable result; or after it is taken, with a view to procuring its modification; or both."
b. The Institute to inform Mrs Emmerson of the gist of the case which she had to answer: see e.g. Doody, per Lord Mustill at 560G: "(6) Since the person affected usually cannot make worthwhile representations without knowing what factors may weight against his interests fairness will very often require that he is informed of the gist of the case which he has to answer…"
c. The allegations to be determined by an unbiased decision maker – see e.g. Ridge v Baldwin [1964[ AC 40, per Lord Hodson at 152 – which acts in good faith.
Procedural fairness
Wednesbury reasonableness
Complaint C – disclosure of confidential information
a. First, the sentence stating "I started seeing [Mr A] and his wife [Mrs A] on 31st May 2013 for couple counselling and I saw them intermittently over a period of months, both individually and together as is usual practice for couple counselling, for safeguarding practices and to allow for sharing in a supportive environment." This discloses Mrs A's confidential information that (i) she had attended counselling with Mrs Emmerson, (ii) such counselling was for "couples", and (iii) the start date of such counselling. Mrs Emmerson admitted as much when she gave "evidence" before the Adjudication Panel. She directly admitted it when she gave evidence before me.
b. Second, passage of the Letter which narrates Mrs Emmerson witnessing, in the course of a joint session on 1st March 2017, Mrs A announcing that she wished to divorce Mr A. This discloses Mrs A's confidential information that (i) she attended a joint counselling session on 1st March 2017 and (ii) it was she who announced that she wished to divorce her husband.
c. Third (and, to my mind most significantly) the paragraph of the Letter which sets out a list of suggestions which Mrs Emmerson says that she made to Mrs A in the course of joint sessions and which she was led to believe at the time, by both parties, that Mr A was carrying into effect. This discloses Mrs A's confidential information that (i) information was shared in a joint session about stresses and challenges that she and Mr A were having in the home, (ii) in Mrs A's presence Mrs Emmerson made suggestions to Mr A as to things which he could or should do to help Mrs A, (iii) both Mr and Mrs A informed Mrs Emmerson at the time of the joint counselling that Mr A had undertaken or complied with her suggestions.
"…it would be a mistake to expect [of a lay body] the same expert, professional and almost microscopic investigation of the problems, both factual and legal, that is demanded of a suit in a court of law."
Complaint D(ii) – excessive and inappropriate information
Complaint E – Failure to consider impact of the Letter on Mrs A
F. Outcome