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England and Wales Case Law

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Professional discipline

The General Medical Council v James Gilbert & Anor

The Court of Appeal held that the High Court judge's evaluative decision to substitute a 12-month suspension with review for erasure was within the bounds of reasonable decision-making, properly applied the Sanctions Guidance, and gave sufficient reasons. Erasure was not mandatory; suspension was a serious sanction marking the gravity of the misconduct, and remediation was possible and evidenced.

Source excerpt

  • Sexual misconduct
  • Racial harassment
  • Fitness to practise
  • Sanctions
  • Remediation
  • Patient safety
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Civil procedure

Dr Malay Haldar & Anor v Dawn Crook & Ors

The High Court dismissed multiple applications to reinstate struck-out claims, refused interim payments and relief from sanctions, and granted a restrictive injunction.

  • Strike out
  • Relief from sanctions
  • Interim payments
  • Jurisdiction
  • Abuse of process
  • Collateral attack on judgments
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Civil procedure [2026] EWHC 1091 (KB)

Haldar & & Anor v Crook & Ors (Rev1)

Haldar & & Anor v Crook & Ors (Rev1) [2026] EWHC 1091 (KB) (11 May 2026)

The court dismissed applications to restore struck-out claims and for interim payments, held the filings were unintelligible and abusive, and granted a communication injunction.

  • Striking out of claims
  • Relief from sanctions
  • Interim payments
  • Abuse of process
  • Jurisdiction
  • Collateral challenge
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Employment law

Amir Ahmed Bhatti v County Durham and Darlington NHS Foundation Trust

The High Court refused a consultant surgeon’s interim injunction against NHS practice restrictions, finding no strong case that the Trust’s January 2026 decision was irrational.

  • Interim injunctions
  • Suspension and exclusion of employees
  • Maintaining high professional standards (mhps)
  • Implied terms of trust and confidence
  • Clinical governance
  • Patient safety
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Mental capacity

Lesley Barnor Townsend v Epsom and St Helier University Hospitals NHS Trust

The refusal to grant permission to apply under s.50(2) MCA was unlawful because all decisions about withdrawal of life-sustaining treatment from an incapacitated adult must be subject to best interests analysis and, where there is disagreement, court supervision. The Trust's attempt to pre-empt court proceedings by characterising the decision as purely clinical was contrary to established law and guidance. The proper course was to grant permission for the application and remit the matter to the Court of Protection.

Source excerpt

  • Withdrawal of life-sustaining treatment
  • Best interests decision-making
  • Court of protection procedure
  • Article 2 echr obligations
  • Judicial review of clinical decisions
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Medical law

Dr Premila Thampi v The General Medical Council

High Court appeal in a medical fitness-to-practise case. Impairment was upheld, but suspension was quashed and replaced with no further action.

  • Fitness to practise
  • Informed consent
  • Professional misconduct
  • Sanctions
  • Proportionality
  • Public interest
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Administrative law [2026] EWHC 1036 (Admin)

Thampi v General Medical Council

Thampi v General Medical Council [2026] EWHC 1036 (Admin) (01 May 2026)

High Court appeal in GMC fitness-to-practise case. Impairment was upheld, but the three-week suspension was quashed because the Tribunal misapplied the test for taking no action and proportionality.

  • Fitness to practise
  • Sanctions
  • Informed consent
  • Procedural fairness
  • Proportionality
  • Fitness-to-practise
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Medical law

LMN v Swansea Bay University Health Board

The defendant did not breach the standard of care expected in 2003. The management plan and its implementation were in accordance with contemporaneous guidelines and expert evidence. There was no negligent delay in the steps leading to delivery. The injury was caused by an unpredictable and rare impaction of the fetal head during caesarean section, not by any act or omission of the defendant. The material contribution test did not apply as there was no evidence that any alleged breach contributed to the injury.

Source excerpt

  • Clinical negligence
  • Causation
  • Standard of care
  • Material contribution
  • Obstetrics
  • Cerebral palsy
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Family law

Manchester University NHS Foundation Trust v RNM & Ors

Given the severity and irreversibility of RN’s brain and brain stem injury, his total dependence on invasive ventilation, lack of meaningful awareness or purposeful movement, ongoing pain and suffering from medical interventions, and the unanimous medical evidence that continued life-sustaining treatment confers no benefit and only prolongs suffering, it is not in RN’s best interests for life-sustaining treatment to continue. The presumption in favour of preserving life is rebutted on these facts.

Source excerpt

  • Withdrawal of life-sustaining treatment
  • Best interests of child
  • Parental responsibility
  • Medical futility
  • Inherent jurisdiction
  • Declarations as to lawfulness of treatment withdrawal
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About this LexChat collection

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.

Source links and collection timestamps are retained alongside the indexed records.