in order to establish actus reus, prosecution must prove 3 things:
Ds conduct is factual cause of death
Ds conduct is legal cause of death
that there is no break in chain of causation by interveining act
factual causation
R V WHITE - he intend to kill her with cyanide but died of heart attack
court established the 'but for' test , where D couldn't be convicted unless it was shown that but for his actions V would not have died
legal causation
was Ds conduct an operative substantial cause of death
KIMSEY - 'substantial cause of death' or ' more than a slight or trifling link"
intervening acts
is there a act which would break chain of causation from D to V
so must be direct link to Ds acts and Vs consequence
medical mistreatment, Vs own act, third party, drugs cases & thin skull rule
Intervening act of medical mistreatment
Doctors may be liable under the law for gross negligent manslaughter
( cheshire, jordan )
Cheshire case
Shot by D but died from rare complications of tracheotomy. Cheshire still liable as acts contributed significantly. Negligent medical treatment only breaks chain of causation if it is 'so independent from original acts of D, and such a powerful cause, that the contribution made by D was now insignificant'
Jordan case
V stabbed but doctors gave wrong antibiotics V was allergic to, then next day another doc gave a large dose and V died. D not guilty as doctors' acts were sufficiently independent enough to break the chain
life support
switching off life support wont break chain causation ( malcherek )
neither does withdrawal of feeding tubes ( bland )
the victims own act
if D can foresee possibility of V getting hurt he will be liable
roberts - D liable as V tired to escape car from sexual advances so this was foreseeable
however V may break the causation by acting in a daft manner
williams - acted in unreasonable manner by jumping from car so driver not liable
acts of third party
where Ds conduct causes a foreseeable action by third party
pagett - took someone hostage so police fired and killed her
drugs cases
free abnd voluntary acts of selfinjection by V can be intervening act (kennedy) however failure to get medical help once v needs it can be GNMS ( evans )
thin skull rule
the accused must take victim as he finds him regardless of existing religious, physiological factors
BLAUE - V stabbed but refused blood transfusion as went against her pre-existing religious beliefs