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England and Wales Case Law

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Mental capacity [2025] EWCOP 30

Patricia's Father & Ors v Patricia & Ors (Rev1)

Patricia's Father & Ors v Patricia & Ors (Rev1) [2025] EWCOP 30 (T3) (31 July 2025)

Court of Protection refused to discharge 2023 best-interests orders concerning Patricia’s anorexia treatment, leaving the prior restrictions in place.

  • Best interests
  • Medical treatment refusal
  • Compulsory treatment
  • Reconsideration of prior orders
  • Anorexia nervosa
  • Autonomy
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Mental health law

Patricia's Father & Ors v Patricia (by her litigation friend, the Official Solicitor) & Ors

The court found that Patricia's condition had deteriorated since the 2023 orders, the autonomy granted by the previous order placed an impossible burden on her, and without lifting the order she could not access life-saving treatment options available to other patients. The balance of imminent risk of death versus psychological harm favoured lifting the order, allowing clinicians to determine appropriate treatment.

  • Best interests
  • Revisiting court orders
  • Compulsory treatment
  • Autonomy
  • Anorexia nervosa
  • Mental health act
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Mental health

RD (anorexia : compulsory treatment)

The Court of Protection held that further compulsory treatment for a woman with severe anorexia nervosa was not in her best interests and authorised a community care plan.

  • Anorexia nervosa
  • Compulsory treatment
  • Best interests
  • Capacity assessment
  • Life-sustaining treatment
  • Inherent jurisdiction
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Mental capacity law [2021] EWCOP 35

RD (anorexia : compulsory treatment)

RD (anorexia : compulsory treatment) [2021] EWCOP 35 (12 January 2021)

The Court of Protection held that RD lacked capacity and authorised no further compulsory admissions or forced feeding, preferring voluntary community care and palliative support if needed.

  • Best interests
  • Capacity
  • Anorexia nervosa
  • Compulsory treatment
  • Withdrawal of life-sustaining treatment
  • Inherent jurisdiction
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Mental capacity

W (Medical Treatment: Anorexia), Re

The Court of Protection approved a discharge plan for a 28-year-old woman with severe anorexia, finding inpatient coercive treatment was no longer beneficial and community support was the least worst option.

  • Best interests
  • Anorexia nervosa
  • Compulsory treatment
  • Discharge planning
  • Reporting restrictions
  • Best-interests
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Mental health law [2003] EWCA Civ 547

B, R (on the application of) v Ashworth Hospital Authority

B, R (on the application of) v Ashworth Hospital Authority [2003] EWCA Civ 547 (15 April 2003)

The Court of Appeal held that section 63 of the Mental Health Act 1983 authorises compulsory treatment only for the classified disorder justifying detention, not any diagnosed disorder.

  • Compulsory treatment
  • Classification of mental disorder
  • Statutory interpretation
  • Powers of hospital authorities
  • Patient rights
  • Mental-health-law
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