Urgency and Medical Emergency – Crohn’s Disease, IBD and speeding offences
I chose to focus my blog this month on an issue that is very close to my heart – Crohn’s disease and how I am able to sometimes help people suffering from Inflammatory Bowel Disease (IBD) as a road traffic lawyer in the context of speeding offences specifically. Whilst I have focused this blog on speeding offences my comments can easily apply to red light offences and those who are prosecuted for improper use of the hard shoulder.
What is Crohn’s disease
Crohn’s disease is a chronic medical condition without cure that causes inflammation, swelling and ulceration in the intestines.
Crohn’s Disease was reported and named in 1932 and is one of the two main forms of Inflammatory Bowel Disease (IBD) – the other being Ulcerative Colitis.
However, despite the illness being recognised over 80 years ago the general public largely remain ignorant of Crohn’s disease and IBD – often confusing IBD with Irritable Bowel Syndrome (IBS). The word “disease” often causes people to think the illness is contagious and this can leave an IBD sufferer feeling ashamed, isolated and alienated.
Because Crohn’s and Colitis are digestive diseases with often “embarrassing” symptoms, which people would understandably rather not broadcast and disclose to others, those with IBD are often uncomfortable and embarrassed talking about the illness, its symptoms and the fact that they are afflicted by IBD.
The symptoms of IBD range from mild to severe and because IBD is a very “individual disease” it affects sufferers differently. Symptoms include, but are not limited to, abdominal pain; diarrhoea and or an urgent or frequent need to use the toilet; extreme tiredness; fatigue; malaise; mouth ulcers; loss of appetite; nausea and vomiting; weight loss; painful joints; mouth ulcers; eye problems; skin rashes and anaemia.
Fortunately, thanks to several famous and well known IBD sufferers such as Anastacia, Dynamo, Shannon Doherty, Carrie Grant, Sir Steve Redgrave CBE and most recently Sam Faiers public awareness of the illness is increasing and statistics suggest that at least 1 in 250 people in the UK population are affected by IBD.
Driving and the urge to “go”
Crohn’s and Colitis UK state in their literature that “travel is a key issue for many people with IBD”.
This is understandable as IBD sufferers are increasingly reliant on the use of their vehicles, the flexibility that a car provides to them and ultimately their driving licence and ability to continue to drive.
Due to the frequency and urgency of needing to access and use toilet facilities people with IBD often struggle, or are anxious, about using public transport. Indeed, I have represented many clients who suffer from IBD and have presented persuasive legal argument, supported by compelling medical evidence, to Courts in England and Wales to help those clients preserve their ability to drive and thus avoid disqualification so that they do not have to rely on public transport.
As someone who has lived with Crohn’s for the last 16 years I understand extremely well how valuable an ability to drive can be to a sufferer of IBD. Indeed during a flare up, if one is sufficiently well and brave enough to venture out of their home, a driving licence can prevent isolation and can mean the difference between being stranded at home or attempting to get on with your daily personal and professional life. Whilst I am fortunately currently in remission there have been many times when I have experienced flare ups and would not have left my home if I had not been able to drive.
IBD and medical emergencies
IBD has an unpredictability to it and therefore the need to find and use a toilet can be urgent, sudden and unexpected. Indeed one of the main fears for many sufferers with IBD is the fear of having an accident.
As a road traffic lawyer I have advised people with IBD who have had sudden medical emergencies whilst driving, requiring them to find their nearest toilet facilities. This can be very distressing and frustrating to an IBD sufferer – even more so if it happens whilst driving. Often the panic that ensues can cause a driver to speed to toilet facilities at the nearest service station or fast food outlet or to use the hard shoulder in order to exit a motorway or dual carriageway to avoid waiting in queuing traffic in order to save time and hopefully spare their blushes.
Many of those who I have advised in these scenarios have been prosecuted for speeding offences over and above other road traffic offences. The majority of clients state that the police fail to be sympathetic and do not understand the illness, how it impacts on suffers and the fact that a delay caused by being stopped and questioned can inevitably result in humiliating and embarrassing consequences to the driver. Unfortunately Prosecutors and Courts, like the police, frequently fail to understand the illness and why a symptom of IBD, namely the urgency to access and use toilet facilities, can cause someone to exceed the permitted speed limit.
My role, as a Solicitor and advocate, is to inform the Prosecution and Court about the illness, the symptoms and to present cogent and persuasive arguments that there is a good reason why the speed limit was exceeded – namely a medical emergency. My experience and the feedback from those I have represented shows that my own knowledge and “experience” of IBD undoubtedly benefits those that I represent – not only because I understand the illness, and am therefore able to empathise with clients, but because I am able to effectively communicate with those providing the necessary medical evidence as both a sufferer of the disease and as a lawyer.
Police officers and Prosecutors will often argue that a driver needing to use toilet facilities should have done so prior to commencing their journey or that, on a longer journey, the driver should have stopped at the last service station. However, whilst this is a nice idea in theory this would most likely require considerable foresight from an IBD sufferer and unless the disease is understood it is difficult to overcome such arguments and prejudice amongst non sufferers.
By its very nature IBD is such that the urge to use a toilet can be severe and sudden and thus a driver often cannot predict when this may arise. The problem with urgency means that there is a very real need to reach a toilet without delay and this can cause considerable stress and anxiety to a sufferer who will understandably worry about the consequences of not accessing toilet facilities in time.
Of course, I am not advocating that IBD gives drivers a licence to speed or that drivers should speed in order to reach toilet facilities. Rather the aim of this blog is to inform those affected by medical emergencies of their options if they commit a speeding offence due to a need to use the toilet.
It will be truly difficult to empathise with those experiencing a medical emergency unless you yourself have truly been there. For this reason many people write off a medical emergency as “just one of those things” or as an “excuse” to speed. It saddens me that many drivers who have experienced a medical emergency do not seek legal advice regarding whether they could challenge a prosecution and put forward their case in efforts to obtain a lesser sentence on conviction. Even worse, it concerns me when I advise sufferers of IBD who have not been told by other solicitors that their IBD is a relevant factor for the Court to consider in the context of a special reason if it has led to the offence being committed.
The law
The law is relatively straightforward in cases where an urgency to use toilet facilities has led to the commission of a speeding offence. In essence if a driver has exceeded the speed limit due to the need to use a toilet this can give rise to what is known in law to be a special reason.
What is a special reason?
It is important to note that a special reason is not a defence and can therefore only be advanced, if appropriate, following a guilty plea. It should be thought of as effectively a trial on sentence and the burden of proving that a special reason exists is on the driver on a more likely than not basis – e.g. if a Court believes that it is more likely than not (51% or more) that a special reason exists in the present matter then it can find a special reasons argument proven.
Specifically, a special reason is defined in law as a mitigating or extenuating circumstance, which must not amount to a defence and which must be directly connected with the commission of the offence in question. It must also be a matter which the Court ought properly to take into consideration when imposing punishment. Because the above definition is deliberately broad it is possible for skilled lawyers to argue persuasively that a Court can properly find that special reasons exist in circumstances where, for example, a driver with IBD was speeding due to a medical emergency.
How to go about arguing that special reasons exist
If a driver is caught speeding in circumstances where a genuine medical emergency exists they should make this known immediately.
If a driver is stopped by the police they should tell the police at the roadside that they are an IBD sufferer and that the symptoms of their illness mean that they need to find toilet facilities as a matter of urgency hence the reason why they may have exceeded the permitted speed limit or used the hard shoulder. The driver should make the police aware that they would wish this to be recorded on the fixed penalty notice or in the police officer’s pocket notebook in the case of speeds which are outside the fixed penalty threshold. If necessary show the police an NACC “can’t wait” card if you carry one on your person to confirm that you are an IBD sufferer.
In circumstances where there is no roadside stop, such as in the case of camera offences, the registered keeper of the vehicle in question will be sent a Notice of Intended Prosecution (NIP) within 14 days of the camera offence. This document will request that the driver of the vehicle at the material time be identified by the addressee of the NIP. If the driver is not the registered keeper their details will most likely be provided by the individual endorsed on the vehicle log book and they will, in due course, receive an NIP requiring them to confirm whether you were the driver. At the same time that the driver responds to the NIP they should, at the very least, communicate their reason for exceeding the speed limit to the Central Ticket Office or Constabulary and explain that they would wish to present a special reasons argument to the Court based on medical emergency.
I would urge anyone wishing to argue special reasons at Court to instruct a road traffic solicitor as soon as the decision is made to fight a case on this basis. Instructing a solicitor later on in the Court process can mean that crucial steps are overlooked and that medical evidence could be compromised as a result.
Whilst the law in relation to special reasons is relatively straightforward having the confidence to argue your case before the Magistrates, and the ability to deal with challenge by the Prosecution, is another matter entirely. Solicitors train for many years to be able to persuade Court’s to find in their favour and road traffic law evolves so quickly that seeking advice from a road traffic law expert is something I would thoroughly recommend. I am sure that many IBD sufferers will recall the difference in opinion and advice received from a GP to that received from a Consultant in Gastroenterology. In my opinion receiving advice from a general practitioner over a motor offence specialist presents a similar parallel.
What are the Court’s options if a special reason is found to be proven?
If a special reasons argument is accepted by the Court this gives the Magistrates discretion to either impose no penalty points or, in the case of obligatory disqualifiable offences, to impose penalty points or a shorter term ban as an alternative to the usual sentence.
In every case that I have been involved in, where special reasons have been argued on the basis of IBD and medical emergency, I have persuaded Courts that it would not be fair and proper to impose penalty points. Whilst those clients have pleaded guilty and have therefore been convicted of the speeding offence in question they have left Court with no penalty points endorsed on their driving licence and record at the DVLA. Their ability to drive has therefore continued without disruption and their insurance premiums have remained unaffected despite the conviction.
I am always happy to offer free legal advice to those making an initial enquiry and can offer fixed fee representation in medical emergency special reasons cases. If you, or anyone you know, is prosecuted and want to argue that special reasons exist do not hesitate to contact me, at Bootes, for a no obligation discussion.
About the author
Julie Robertson heads the motor offence department at Bootes Solicitors and holds a dual qualification as a solicitor and non-practicing barrister, having been called to the Bar in 2002.
From 2003 until 2007 Julie worked as a Magistrates’ Court Legal Advisor to the Magistrates of Thames Valley, initially, and later Cheshire. This gave Julie invaluable insight as to the arguments that are likely to find favour at trial or on sentence with the Magistrates.
Julie has a solid background as a motor offence specialist solicitor and has exclusively represented drivers at Court and at police station interviews since 2007. She is recognised as an expert and leader in her field and has proven expertise and defending drivers and companies accused of committing road traffic and transport offences. Julie has broad experience of both factual and technical defences and is adept at handling sensitive cases such as those involving fatalities and those attracting press interest. Julie boasts excellent success rates at trial and in cases whereby a client wishes to avoid a driving disqualification.
Julie has comprehensive understanding of how valuable a driving licence is and how the loss a driving licence can catastrophically impact on someone’s livelihood and family. Julie’s approach and preparation in road traffic cases means that clients rarely fail to achieve their objective.
For specialist legal advice in this regard and for legal advice regarding all motoring offences contact Julie Robertson on 0161 819 7221 or julie.robertson@bootes.co.uk Twitter @DriverSolicitor. The initial call is always free!