Mores Jones Appeal: Life Support Case
Mores Jones Appeal: Life Support Case
(APPELLATE JURISDICTION)
BETWEEN
And
BETWEEN
PUBLIC PROSECUTOR
AND
MORES JONES
APPELLANT’S MEMORIAL
In the Court of Appeal Malaysia, at Putrajaya
(Appellate Jurisdiction)
Between
And
Between
Public Prosecutor
And
Mores Jones
TABLE OF CONTENTS
TABLE OF CONTENTS
NO CONTENT PAGE
1 Moot Problem
7 Index of Authorities
8 Bundle of Authorities
In the Court of Appeal Malaysia, at Putrajaya
(Appellate Jurisdiction)
Between
And
Between
Public Prosecutor
And
Mores Jones
MOOT PROBLEMS
In the Court of Appeal of Malaysia
Dr Mores Jones v PP
Dr Mores Jones was convicted at the High Court of Kuantan of the murder of Baby Zeena.
The following facts were not in dispute:
At the time of the offence Dr Mores Jones was in charge of the premature baby unit at a
district Hospital known as Hospital Excellent in the state of Pahang, Malaysia. He had
previously authorised the use of the available life-support system for Baby Zeena, whose
chances of surviving without it for longer than a few hours were small. His aim was to make
sure that Baby Zeena is survived and will be in good conditions although she was born
premature. There is only one life support system in that Hospital. After 5 hours using the
support system, her conditions were quite stable and Dr. Mores Jones suggested that she had
to be on the support system much longer however an hour after the decision was made, he
was informed that, Baby Yasmine need the support system too and she was just born few
minutes later, she was brought to the unit needing an immediate support.
No alternatives being available, Dr Mores Jones has to make a quick decision and he decided
to remove Baby Zeena from the life-support system to make room for the new arrival, Baby
Yasmine. Dr Mores Jones made this decision entirely on his own initiative, and without any
consultation with medical colleagues or the parents of Baby Zeena. Baby Zeena died soon
afterwards, and Baby Yasmine died five days later while still on the life-support system.
At first instance Court, the trial Judge, Clever J. held that Dr Mores Jones was found guilty to
the murder of Baby Zeena on the following grounds:
1. that Dr Mores Jones had caused Baby Zeena’s death, since the baby would, though
born prematurely, have lived much longer if it had not been removed from the life-
support system; and
2. that Dr Mores’s belief that the life-support system would give Baby Yasmine a far
better chance of survival than Baby Zeena was no defence to the charge.
Dissatisfied with the decision Dr Mores Jones now appeals to the Court of Appeal on the
ground that both rulings were erroneous, and that his conviction is accordingly unsafe.
Moot Problem_2018_ULS2622
MOOT CLARIFICATION
ULS 2622 (MOOTING) – TRIMESTER 3 (2017/2018)
No Question Answer
1 What section is Dr Mores Jones charged under? Please refer to the Moot
Problem
2 How long after being off life support did Zeena die? Please refer to the Moot
Problem
3 Were there any other doctors present when Dr Mores No
Jones made the decision?
4 What are Dr Mores Jones' qualifications? He is a qualified
Paeditrician
5 Is Dr Mores Jones the only doctor in charge of the life Yes
support system and the unit?
6 How old was Zeena? New born baby
8 What type of life support system was the hospital The standard system use in
using? Malaysia
9 How 'stable' was Zeena? Stable within the medical
definition
10 How long more did Zeena have to use the system? And Please refer to the moot
why? problem
11 What is the exact percentage of 'small chance' of No exact percentage to be
Zeena's survival before using the system? argued
12 Why does Yasmine need to use the support system? Please refer to the moot
problem
13 How much longer would Zeena have lived with the Please refer to the moot
support system? problem
14 Was Zeena predicted to have severe impairment? No
15 What was Yasmine's condition -- both before and after Please refer to the moot
using the support system? problem
16 Are law dictionary, article and law textbook consider as Yes- but it will be part of
a law authority? the 10 authorities limitation
17 Does one section/Article from any statute/Federal Yes
Constitution considered as 1 authority?
18 Should we purely discuss on the 2 grounds provided in Yes only focus on the two
the moot questions or include other relevant grounds to grounds provided
be argued as well?
19 Was Dr Mores Jones an experienced pediatric and was Yes
he capable in handling the support system machine?
20 How many years was Dr Mores in the pediatric unit? 2 years
21 Does the removal of the life support system baby Zeena Refer to the Moot Problem
had contributed to her death?
22 What would be the chances of survival for baby Refer to the Moot Problem
Yasmine if she the life support system was not given to
her?
23 Why is Dr Mores Jones charged for murder instead of The PP has decided
culpable homicide or negligence?
24 Are we only allowed to use Malaysian cases? No
26 Who has better chance to survive with the life-support Refer to the Moot Problem
system, Zeena or Yasmine?
27 Among Zeena and Yasmine, whose condition is worse? Refer to the Moot Problem
28 What are the reasons for Zeena and Yasmine to use the Refer to the Moot Problem
life-support system?
29 When Dr Mores Jones decided to remove Baby Zeena To be argued
from the system, did he have any chance to contact
Zeena's parent?
30 Has Dr Mores been authorised to use the life-support To be argued
system without discussion or consultation with his
colleagues?
31 When Dr Mores Jones suggested that Zeena had to be To be argued
on the support system much longer, does that mean it is
difficult for Zeena to survive without the support
system?
32 Is Dr. Mores Jones an expert or professional in the area Yes
of handling the premature baby at Hospital Excellent?
33 How many years of experiences that Dr. Mores Jones 10 years
has in his profession?
34 Is there are any hospital nearby which having the life To be argued
support system, if yes, what is the driving distance
between Hospital Excellent and that particular hospital?
35 Is there have sufficient time for Baby Yasmine to be To be argued
transferred to other hospital which is nearby in order to
receive the treatment from using the life support
system?
36 At the time when the life support system was given to Please refer to earlier
Baby Yasmine, whether there was sufficient time for answer
Baby Zeena to be transferred to other hospital which is
nearby in order to receive the treatment from using the
life support system?
37 Is the life support system used by Hospital Excellent Yes
up-to-date and is the latest system that need to be used
in a Hospital?
38 Whether Dr. Mores Jones should discuss with his To be argued
colleagues and parents of Baby Zeena before he made a
decision on discontinuing Baby Zeena from using the
life support system, by right?
39 Why Baby Yasmine died 5 days later while still on the Please refer to the Moot
life support system? (the exact reason) Problem
40 How old is Baby Zeena and Yasmine, how many at 30 weeks
minutes or months?
41 Did Dr. Mores Jones take any reasonable step to take Hospital protocol was
care of Baby Zeena after he decided to remove the life followed to take care of
support system to Baby Yasmine? Baby Zeena
42 Had Dr Mores followed the correct protocol for using To be argued
the life-support system for both the babies?
43 What will be decision of other medical practitioners if To be argued
they were to be in the position of Dr Mores at the time?
44 Is it an ordinary practice by a medical practitioner to To be argued
remove a life-support system to use that on another
patient who need it too?
45 Is Dr Mores aware that Baby Zeena would not survive Please refer to the Moot
if the life-support system was removed from her? Problem
42 Does the need of the life-support system by Baby To be argued
Yasmine outweigh the need by Baby Zeena?
43 Was Dr Mores the sole person who has the ultimate Please refer to the Moot
authority in deciding the use of the life-support system? Problem
44 Was baby Yasmeen born with any known deformities? No
45 What type of life-support system did both the babies Refer to earlier answer
required? (mechanical ventilation, cpr, etc)
46 Was Dr Mores charged under S302 for murder or S304 The question expressly
for causing death by negligence? states murder
50 What were the chances of survival for baby Yasmine Refer to the Moot Problem
with life support?
51 Why did Dr Mores suggested baby Zeena to be on the His medical opinion
support system much longer after her condition was
reported to be stable?
52 Whether baby Zeena has any underlying disease? No
53 How long Dr Mores jones suggested that Zeena have to Refer to the Moot Problem
stay in the life support system before Yasmine was
born?
54 Did Dr. Mores Jones analys baby Zeena's condition Refer to the Moot Problem
before decide to remove her from the life support
system ?
55 Refer to the Moot Problem
The chances of survivial of baby Zeena if she was kept
in the life support system for a longer period.
56 Who's chances of survivial is higher according to the Zeena
professional opinion of Dr Mores ?
61 Does Dr Mores Jones' colleagues agree with his Refer to the Moot Problem
suggestion that Baby Zeena should be on the support
system for much longer?
62 What was the exact condition of Baby Yasmine when Premature
she was born?
63 Was Baby Yasmine given any other immediate action Premature Medical Care
after she was born besides being put into the support
system?
64 Whether any other steps were taken to take care of Refer to earlier answer
Baby Zeena after she was removed from the life support
system?
65 What defence did Dr Mores Jones raised when he was Refer to the Moot Problem
charged? What is the name of the defence and what
section?
66 What makes Dr Mores Jones believed that Baby Refer to earlier answer
Yasmine would have a higher chance of survival than
Baby Zeena if she was put in the life support system?
67 Do we state " dalam mahkamah rayuan Malaysia" or " Refer to Tutorial discussion
dalam mahkamah rayuan putrajaya" for the memorial
68 Did Dr. Mores aware of the risks that may rise by Refer to the Moot Problem
removing the life-support system even though it was
reported that baby Zeena was already stable
69 whether dr mores jones aware that the baby zeena might Please refer earlier answer
die after he remove the support system
79 What is the causation of death of Baby Yasmine? Refer to the Moot Problem
80 Can the case be under both murder and medical Refer to the Moot Problem
negligence or only 1?
81 Dr mores jones is charged for both babies or only baby Refer to the Moot Problem
zeena?
82 What is dr jones age and how many years of experience Refer to earlier answer and
does he have in handling and authorising Hospital the age is 35 years old
Excellent's life support system?
83 Was Dr Jones aware that Zeena would be unstable once refer to earlier answer
the life support system is removed or did Dr Jones think
Zeena would be stable without the the life support?
84 What is the term or medical name for Zeena and Premature
Yasmine's medical condition?
85 What is the position and qualification of Dr. Jones Refer to earlier answer and
medical colleagues? Are they of a similar rank as Dr. to be argued
Jones or lower? If so, how much lower? They could be
nurses.
86 What was the exact subsection that Dr.Jones was Refer to earlier answer
charged under murder?
87 Was Dr. Jones a senior doctor or a junior doctor? Refer to earlier answer
88 What is the past practice of Hospital Excellent in the this is the 1st time the
event two patients require the use of the single life incident happend
support system?
89 Can we argue that Dr.Jones should be charged for to be argued
causing death by negligence instead? to escape from
death punishment instead of acquittal.
90 Is Dr Jones a premature baby specialist or just a general Refer to earlier answer
practitioner?
91 Does Dr Jones have adequate experience in dealing Refer to earlier answer
with life support system matters?
92 Does Dr Jones have adequate experience in dealing Refer to earlier answer
with that particular life support system or was it a new
or upgraded version that he has never handled before.
93 Are visual submissions allowed such as a CD of the No
recording of expert testimony?
94 Are we allowed to get the testimony from the medical No
practitioners regards this medical area?
95 Why did Yasmine need immediate support? Refer to the Moot Problem
(Appellate Jurisdiction)
Between
And
Between
Public Prosecutor
And
Mores Jones
Whether Dr Mores Jones had caused Baby Zeena’s death, since the baby would,
though born prematurely, have lived much longer if it had not been removed from the
life-support system.
The High Court Judge had erroneously overlooked that Dr Mores Jones was guilty for
murder of baby Zeena. The acts of Dr Mores Jones did not break the chain of
and Morbidity Rates In Late Preterm Births Compared With Births at Term
Public Prosecutor failed to fulfil the main ingredient of Section 300(d) of Penal Code
(Act 574).
The Appellant submits to the court that the appeal to be allowed and the sentence to
be set aside.
(Appellate Jurisdiction)
Between
And
Between
Public Prosecutor
And
Mores Jones
Whether Dr Mores Jones had caused Baby Zeena’s death, since the baby would have,
though born prematurely, lived much longer if it had not been removed from the life-
support system.
2.1 The acts of Dr Mores Jones did not break the chain of causation on the
2.1.1 Causation refers to the enquiry as to whether the Defendant’s conduct (or
causation is a major key of the Actus Reus in result crimes. Any forms of failure to
establish this impactful element would cry out a catastrophic judicature. In the
situation where all the required ingredients of actus reus and mens rea were
caused by the defendant and not in the presence of any other cause.
2.1.2 One of the most famous principal to engage this situation is ‘causa sine qua
non’. This principal then prolongs us to the test that demands the said cause to be not
just material but also substantial. Substantial cause here means the act (or omission)
conducted by the accused is interconnected with the occurrence of the scene and to
2.1.3 The House of Lords in the English leading case on causation, Fairchild v
Glenhaven Funeral Services Ltd [2002] UKHL 22, had been firmed in their decision
to approve the test of ‘materially increasing the risk’ of harm, as a deviation in some
circumstances from the ordinary ‘balance of probabilities’ test under the ‘but-for’ test.
Lord Bingham, in particular, noted that in this case, it was not possible to speak of
“It is on this rock of uncertainty, reflecting the point to which medical science
has so far advanced, that the three claims were rejected by the Court of
It was wrong to deny the claimants any remedy at all. Therefore, the appropriate test
of causation is whether the employers had materially increased the risk of harm to the
claimants.
2.1.4 Based on the aforesaid ladder, I submit that the chain of causation needs to be
smoothly understood. The initial cause of death for baby Zeena, before the action of
life-support system removal by Dr Mores came into action, was clearly her premature
rate of survival and only a few hours chance of living. The premature condition of
baby Zeena is indeed a prominent causal for her own death and the intervening act of
removing the life-support system did not establish a substantive point as well as
2.1.5 In the article of “Neonatal Mortality and Morbidity Rates In Late Preterm
Births Compared With Births at Term” by Donald D. McIntire, PhD and Kenneth J.
2.1.6 Baby Zeena was attached to life-support system for 5 hours and subsequently
became quite stable. Hereupon, Dr Mores continued to give baby Zeena a life-support
2.1.6 Lord Justice of Beldam in the case of R v Cheshire [1991] 1 WLR 844, stated
the following:
“Even though negligence in the treatment of the victim was the immediate
cause of his death, the jury should not regard it as excluding the responsibility
of the defendant unless the negligent treatment was so independent of his acts,
and in itself so potent in causing death, that they regard the contribution made
2.1.7 In the above mentioned case, the Judge instructed the jury that they could find
the defendant’s chain of causation could only be broken if they were satisfied that the
medical staff had been reckless in their treatment. Applying to Dr Mores’, I submit
that baby Zeena’s condition of premature death was the causal event and it chained to
her own death. Question to be asked was whether the removal of life-support system
is the intervening act that breaks the chain of causation. Beldam LJ affirmed his
decision by saying that the chain of causation would break by the intervening act if
3.1 Public Prosecutor failed to fulfil the main ingredient of Section 300(d) of
done with the absence of guilty mind. He did not have knowledge that his action of
removing the life-support system would eventually ended baby Zeena’s life.
3.1.2 The relevant section for this argument is stipulated in Section 300(d) of Penal
Code:
must in all probability cause death, or such bodily injury as is likely to cause
death, and commits such act without any excuse for incurring the risk of
3.1.3 Returning back to the situation faced by Dr Mores Jones, he was indulged by
his own medical opinion and subsequently relied to it. I submit that Dr Mores had the
knowledge that baby Zeena was quite stable but not in the contrary possessed the
knowledge that by removing the life support system from baby Zeena would cause
her death.
“It is not murder merely to cause death by doing an act with the knowledge
order that an act done with such knowledge should constitute murder it is
necessary that it should be committed without any excuse for incurring the risk
3.1.5 In the light of the situation, I submit that Dr Mores had carried a handsome
excuse to remove the life-support system from baby Zeena due to his knowledge that
it is not imminently dangerous and that it is not in all probability would cause death,
3.1.6 The judgment from the case Emperor v Dhirajia is to be then protracted to
“…commits such act without any excuse for incurring the risk of causing
It manifested that if there is any excuse for incurring the risk of causing death then it
is not murder. The judge installed his decision by expressing that it can become
3.1.7 However, I submit that Dr Mores had his own excuse that baby Zeena was
quite stable and it was also his responsibility to ensure that the other baby in his unit
Therefore the the Appellant pray that the appeal to be allowed on the respective
grounds:
1. The acts of Dr Mores Jones did not break the chain of causation on the death of
baby Zeena
2. Public Prosecutor failed to fulfil the main ingredient of Section 300(d) of Penal
(Appellate Jurisdiction)
Between
And
Between
Public Prosecutor
And
Mores Jones
Dr Mores’s belief that the life-support system would give Baby Yasmine a far better chance
2.0 SUBMISSION
2.1 Dr Mores’s defence of necessity is a valid defence because elements required to raise a
Section 81 of Penal Code states that act likely to cause harm but done without a
The counsel for Appellant submits to the court that the defence of necessity is valid and we
pray this defence to be allowed and the conviction and sentence to be set aside.
(Appellate Jurisdiction)
Between
And
Between
Public Prosecutor
And
Mores Jones
Dr Mores’s belief that the life-support system would give Baby Yasmine a far better chance
2.0 SUBMISSION
Dr Mores’s defence of necessity is a valid defence to the charge because the elements to
2.1 The case at hand, we submit to the court that Dr Mores had acted in good faith while
conducting his services as medical practitioner. When his intention was to help Baby
Yasmine, Dr Mores’s intention was meant to keep Baby Zeena alive too. This was proven
that Baby Zeena was survived and stable for 5 hours after Dr Mores put the life support
system on her.
2.2 Section 81 of Penal Code provided the explanations of the defence of necessity as
follows:
Nothing is an offence merely by reason of its being done with the knowledge that it is
likely to cause harm, if it be done without any criminal intention to cause harm, and
in good faith for the purpose of preventing or avoiding other harm to person or
property.
2.3 Based on the provision above, it can be understood that it was the intention of the Code
framers to provide a complete defence to allow a person who acted in good faith to escape
criminal liability. The defence of necessity applies to situations where person who acted in
good faith but was faced by emergency and torture situation, may likely performing an act
that will give uncertain outcome. Necessity provides relief in situation pertaining to this. This
defence has the effect of allowing one who acts under the circumstances of necessity to
2.4 Three essential elements provided in the provision were (i) the person must have
knowledge that his conduct is likely to cause harm; (ii) the conduct was done without
criminal intention and; (iii) it was done in good faith to prevent other harm.
Nothing is said to be done or believed in good faith which is done or believed without
2.6 Regarding on the appellant situation, I submit to the court that the appellant fulfilled these
three elements. Dr Mores had a knowledge that his act will likely cause harm to Baby Zeena
but he did not has any criminal intention towards her. Furthermore, his conduct of removing
Baby Zeena’s life support system was to help Baby Yasmine who needed it the most. This
shows that Dr Mores’s conduct was done in good faith because it was done with due care and
intention.
2.7 In the case from the Court of Appeal of England and Wales, Re A (Children) (Conjoined
Twins Surgical Separation) [2001] 2 WLR 480, had provided that defence of necessity
could be raised for murder case if it was made for the best interests of the patient. The
summary of the case as follows. Mary and Jodie were conjoined twins joined at the pelvis
and shared single bladder, anus and vagina. Jodie was the stronger of the two and capable of
living independently. However, Mary was weaker, she was described as having a primitive
brain and was completely dependent on Jodie for her survival. According to medical
evidence, if the twins were left as they were, Mary would eventually be too much of a strain
on Jodie and they would both die. If they operated to separate them, this would inevitably
lead to the death of Mary, but Jodie would have a strong chance of living an independent life.
The parents refused consent for the operation to separate them. The doctors applied to the
court for a declaration that it would be lawful and in the best interests of the children to
operate. The High court granted the declaration on the grounds that the operation would be
akin to withdrawal of support for example an omission rather than a positive act and also the
death of Mary, although inevitable, was not the primary purpose of the operation.
2.8 The parents appealed to the Court of Appeal on the grounds that the learned judge erred
in holding that the operation. However, the appeal was dismissed. The operation could be
2.9 The courts were on opinion that the operation could be lawfully carried out because it
was for the best interests of each of the twins. Despite one of them would probably die, the
operation was likely to be successful in giving one of the twins an ordinary lifespan, allowing
2.10 In the case of Re B. (A Minor) (Wardship: Medical Treatment) [1981] 1 WLR 1421,
the British Court of Appeal, allowed the appeal of the local NHS health authority and
authorized life-saving surgery for a mentally retarded infant against her parents' wishes. The
facts of the case were B was born with Down syndrome and an intestinal blockage. Without
an operation, she would die within days; with an operation and without other complications,
her life expectancy was between 20 and 30 years. Acting in what they saw as their child's
best interests, her parents refused to consent to the operation. The appellate court's decision to
authorize surgery was based on the welfare of the child. The judges held that if the operation
were successful the girl could live the normal life span of a Down syndrome child with the
patient based on the both cases mentioned above. Dr Mores Jones was in dilemma but he was
believed that when he was taking away the life support system from Baby Zeena and
provided it for Baby Yasmine, it will help the Baby Yasmine to live longer. Although in that
situation, the act of taking away the life support system would probably harming Baby
Zeena’s life, but it is in fact proved that the Dr Jones’s belief was perfectly correct when
Baby Yasmine has lived 5 days longer from the day she was given the life support system.
2.12 This is proven that Dr Jones was acted in his best probability for the best interests of the
both babies. His act has shown that he was acted in a good faith and nothing here can be seen
as criminal intention. Furthermore, his expertise was enough to make a sound judgment
without referring to other colleagues. Any doctor will act on his best belief to take away life
support system on their patient. This is what actually happened in our case at hand.
Therefore, the counsel for the appellant prays that the appeal to be allowed on the respective
ground:
(Appellate Jurisdiction)
Between
And
Between
Public Prosecutor
And
Mores Jones
INDEX OF AUTHORITIES
INDEX OF AUTHORITIES
5. Donald D. McIntire, PhD and Kenneth J. Leveno, MD. National Mortality and
AUTHORITIES OF CO-COUNSEL
(Appellate Jurisdiction)
Between
And
Between
Public Prosecutor
And
Mores Jones
BUNDLE OF AUTHORITIES