The threshold criteria
72It is not disputed in this case that the threshold criteria are met. A threshold document has been prepared by the local authority and responded to by both parents, although, as is inevitable in the circumstances of this case, its content relates solely to the mother’s care of P. It is probably fair to say it is not entirely clear from the threshold documents what, in terms of the detail, is disputed and what is not. The local authority’s documents are not always clearly drafted and the mother’s responses are at times equivocal. 73On the basis of the documents and the evidence I have read and heard, including the admissions made by the mother, and her written and oral evidence, I make the following headline threshold findings which, in my view, are sufficient to form a platform for the welfare decision. 74The mother has neglected P’s health needs. She has not always engaged with the treatment plan set out by Great Ormond Street. She has not always sent in regular blood spots or adhered to P’s dietary regime. As a result, there have been several occasions when P’s tyrosine levels have been outside the target range. This has put her long-term health and development at risk. 75The mother has suffered from poor mental health in the past and has not always engaged with mental health services. This has affected her ability to provide care for P.76P has been exposed to conflict in the family home between her mother and her maternal grandmother.