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England and Wales Case Law

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Mental capacity

NHS South East London Integrated Care Board v JP & Ors

The Court of Protection criticised prolonged delay in bringing JP’s CANH best-interests case, stressing prompt, patient-centred decision-making and proactive commissioner oversight.

  • Withdrawal of clinically-assisted nutrition and hydration (canh)
  • Best interests decision-making
  • Prolonged disorder of consciousness (pdoc)
  • Delay in medical decision-making
  • Role of family in best interests
  • Obligations of care providers and commissioners
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Mental capacity

Thirumalesh Chellamal Hemachandran & Anor v Sudiksha Thirumalesh (dec'd) & Anor

The trial judge erred in law by treating absence of belief as determinative of incapacity under the MCA 2005, failed to give adequate reasons for departing from unanimous expert evidence, and misapplied the statutory tests; the declaration of incapacity is set aside and Sudiksha is presumed to have had capacity.

  • Presumption of capacity
  • Functional test
  • Diagnostic test
  • Belief and understanding
  • Expert evidence
  • Autonomy
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Health law

SW, Re

Application for authority to remove bone marrow from SW for transplant to SAN was struck out as misconceived and vexatious, with costs ordered and reporting restrictions varied.

  • Bone marrow transplantation
  • Capacity to consent
  • Reporting restrictions
  • Costs orders
  • Medical practitioner registration
  • Court-of-protection
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Health law

Aintree University Hospitals NHS Foundation Trust v James

The Supreme Court held that best interests under the Mental Capacity Act require a holistic, patient-centred assessment and upheld a declaration on CPR.

  • Withholding life-sustaining treatment
  • Best interests test
  • Mental capacity act 2005
  • Medical consent
  • End-of-life decisions
  • Mental-capacity-law
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England and Wales decisions are organised by court, judge, legal area and indexed issue so a practitioner can move from a proposition to a citable authority with the surrounding context intact.