In order for a defendant to be found guilty of a crime, the courts must find that D caused the victims injury. To prove causation both factual and legal causation must be proven.
For the defendant to be convicted, causation must be proven. Firstly, factual causation must be established using the 'but for' test,'but for D's actions, would V has suffered the harm? If the answer is no, then D is liable (R v White).
Secondly, legal causation must be satisfied. To do this, the defendant must be de minimis; more than a minor cause (Kimsey). It must also be proven that the D is the operating and substantial cause of the victim's harm; most to blame (Smith).
To fully satisfy causation, there must be no new intervening acts (novus actus interveniens) that break the chain of causation.
New Intervening Acts:
Actions of the victim
Victim's self neglect
Actions of a 3rd party
Poor medical treatment
Thin skull rule
Actions of the victim:
if d causes V to act in a foreseeable, reasonable and not daft way then no break
R v Roberts - liable for injuries to V,jumping out of the car was a reasonableaction to foresee
Victim's Self-neglect:
if v mistreats or neglects to treat injuries, won't break chain
defendant must accept the v can refuse treatment, may be irrational, stupid or afraid of hospitals
R v Wallace - threw sulphuric acid into v's face, guilty, suicide will not break the chain of causation
Actions of a 3rd Party:
only break the chain if they are unreasonable and unforeseeable
R v Pagett - used pregnantgirlfriend as a shield, police acted reasonable and foreseeable so chain was not broken
'Palpably Wrong'Poor Medical Treatment:
may break the chain if it is palpably wrong
R v Jordan - if it was a normal dose, D would've been guilty even if V was allergic
R v Smith - d's actions were held to be the operating and substantial cause, not break the chain
Malcherek and Steel - discontinuance of medical treatment which allows initial wound to take its cause and end in death will not break the chain of causation
ThinkSkull Rule
defendant must 'take their victim as they find them'
R v Blaue - v's actions were not unreasonable, no blood transfusion as was a Jehovah's witness