Application by NHS Trust seeking an order confirming that certain forms of treatment were not in P's best interests.
Applications by the P's husband that it was in her best interests for her to be taken off palliative care until there had been a full investigation and definitive diagnosis of the cause of her deterioration since 2012 and that she be given artificial feeding by way of PNT nutrition until she can eat enough to keep her alive. The applications were refused.
The court had to decide on end of life treatment for the P who had terminal cancer and was unconscious after suffering a cardiac arrest.
The Applicant was seeking a declaration that, notwithstanding her husband's incapacity and his inability to consent, it was lawful and in his best interests for his sperm to be retrieved and stored prior to his death. The declaration was granted.
The Applicant's husband was involved in a road accident which left him with a catastrophic brain injury. Prior to the accident the couple had started to embark on IVF treatment to provide a brother or sister for their son. The court had to decide whether it was lawful to collect and store the husband's sperm before he died so that the Applicant could go ahead with the treatment.
The court allowed the application. The decisions the court took on the husband's behalf were in his best interests even though his death was imminent. The order declared that it was lawful for a doctor to retrieve his gametes and lawful for those gametes to be stored both before and after his death on the signing of the relevant consents storage and use and that it was lawful for his gametes and any embryos formed from his gametes to be used after his death.
Read the full text of the judgment on Bailii
Appeal against a decision that it was not necessary to obtain a court order before CANH could be withdrawn. Appeal dismissed.
The CCG were applying to the court for a personal welfare order that it was not in the best interests of the Patient, who was in a permanent vegetative state, for CANH to be continued. The order was granted.
This was a claim for a declaration under CPR Part 8 that it is not mandatory to bring before the Court the withdrawal of Clinically Assisted Nutrition and Hydration ("CANH") from a patient who has a prolonged disorder of consciousness in circumstances where the clinical team and the patient's family are agreed that it is not in the patient's best interests that he continues to receive that treatment, and that no civil or criminal liability will result if CANH is withdrawn. The declaration was made in relation to this case only.
The Patient's son (with the support of the rest of the family) was seeking a declaration that it was not in his mother’s best interests that CANH should be continued, with the inevitable and foreseeable consequence that she would shortly thereafter die. The court concluded that it was not in her best interests; it followed that the discontinuance of the CANH treatment was therefore lawful.
The Salford Royal NHS Foundation Trust was seeking a declaration that it was in the Patient’s (who is in a Minimally Conscious State (MCS)) best interests to receive clinical treatment including clinically assisted artificial nutrition and hydration (CANH). The application was refused.
This judgment considered whether legal proceedings were necessary when there was agreement between the Patient's family and her clinicians that CANH was no longer in her best interests. The judge concluded that they were not.
Case summaries & Editor's comments on every Court of Protection case & other relevant decisions with links to the full judgment where available.
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