Covert recording and contact restrictions

By Amanda Hill, 1st November 2026

The main issue for this hearing was prohibiting covert recording and re-establishing contact between a mother and her son.

Gravely concerned about her son’s care, the mother had resorted to covert recording by giving her son a teddy bear with a hidden device inside. After listening to the recordings, she went to the police, assuming – on the basis of what she’d recorded – that her son would be moved from where he was living.

But when the covert recording was revealed, the Health Board stopped contact between mother and son, and made an application to the court (on 21st August 2026) for an interim injunction to prohibit her from recording in future and to re-establish a (restricted) contact regime.

The main issues for determination at this hearing (COP 13290314, before HHJ Porter-Bryant, sitting at Cardiff Civil and Family Justice Centre on 5th October 2026) were the injunction against the mother (“CL”) and best interests for her son (the protected party, “LL”) concerning the covert recording and the contact schedule.

The litigation friend for LL (not the Official Solicitor in this case) agreed that an injunction concerning contact was necessary to “preserve the current placement” and to protect LL’s privacy, as well as the privacy of others (staff members) who were also recorded. The litigation friend also agreed with the contact restrictions proposed by the Health Board.

The police took no further action and LL stayed where he lives.

But the mother is now not the only party to be concerned by the recordings. The position statement for LL records that, having listened to the covert recordings at a strategy meeting three days before this latest hearing, the litigation friend “has grave concerns as to the contents of these recordings and wishes to address these concerns in evidence”.

This hearing focussed on the injunction against CL and re-establishing contact between CL and LL, but also considered the concerns raised by the recordings and recent changes of care staff.

In this blog I will set out the background to the case before focussing on key decisions and issues arising in the hearing.

Background

This hearing is part of a long-running case (more than 5 years now) described by the judge as “protracted”, “costly” and “underscored by significant disputes between the parties, principally the Health Board and CL” (§4, Swansea Bay University Health Board v P and Ors [2023] EWCOP 67).

I have observed seven hearings since April 2024, and the Open Justice Court of Protection Project has published three blogs about the case (listed at the end of this post).

There are also two published judgments: Swansea Bay University Health Board v P and Ors [2023] EWCOP 67 (concerning a hearing which we blogged about) and an (unsuccessful) appeal before a Tier 3 judge (CL v Swansea Bay University Health Board & Ors [2024] EWCOP 22). HHJ Porter-Bryant has been the presiding judge in this case since the Health Board first applied to the Court of Protection in July 2021. The court over time has been asked to make decisions regarding LL’s residence, care and contact with others.

The protected party in this case has a number of diagnoses including significant learning disability, atypical autism, attention deficit hyperactivity disorder, hypermobility, low muscle tone, bowel problems, neuralgia and hydrocephalus. Until July 2021, he lived at home with his mum, CL, supported by carers and funded by a CHC package. The case was originally brought before the Court of Protection at that time because, according to the Health Board, the care package had broken down due to disagreements between mum and the care provider. The 2023 judgment states that “The Health Board has consistently struggled to find providers willing and able to provide a package of care to [LL]. In part, this has been due to the size of the package and lack of staffing resources generally in the area, but also due to the disagreement set out above” (§6). LL was moved to a new placement a significant distance from his home town, despite at a hearing on April 19th 2024, the judge saying “Community is of magnetic importance to LL, he is a (home town) boy”. That move was intended to be temporary. It broke down in May 2024 and LL moved to a new placement, still far away from his home town, one and a half hour’s drive away. That is where he lives today.

Contact restrictions imposed on LL’s mum are a recurring feature of this case. The 2023 judgment describes the detailed protocols providing for contact between them. The Health Board has argued that contact restrictions are needed to protect the placement, and the court has continued to authorise them. Mum has always been represented as a threat to the stability of care for her son. In the hearings I have observed, she has often been concerned about the care her son is receiving and asked the Health Board to consider different options, particularly those closer to his home town. She has contacted potential care providers herself. To date, the Health Board have not commissioned other options. The Health Board position statement for this hearing set out the current situation: “At the present time there are no viable alternative placements for LL and therefore no live dispute to resolve”.

Decisions at this hearing (5th October 2026)

Injunction

This latest hearing primarily considered whether the interim injunction against mum should be maintained. The judge authorised the continued injunction against mum video-recording and audio-recording her son. He did make the point that the injunction should be worded so that it does not prevent mum making ordinary family videos of her son, such as on his birthday. The judge also authorised the interim changes to contact arrangements between mum and her son. At present mum has no face to face contact at all with her son and efforts are to be made for supervised contact to resume.

Deprivation of liberty

A decision about LL’s deprivation of liberty was deferred until the next hearing, but Counsel for the Health Board, Rhys Hadden, reported the (shared) view of the Health Board and LL’s Litigation Friend, that following the Supreme Court AGNI decision, LL was unlikely to be deprived of his liberty. However, the judge would maybe need a whole day to consider that at the next hearing, to be listed for 11th December 2026. It will be interesting to see how much weight is given to contact restrictions as a factor in the multi-factorial decision. §2.5 of the DoLS Code gives two examples of contact restriction factors that may indicate a Deprivation of Liberty: (a) Staff exercise control over assessments, treatment, contacts and residence (b) The person is unable to maintain social contacts because of restrictions placed on their access to other people.

CL attendance at LL’s medical appointments

CL was requesting permission to attend medical appointments with her son. He is currently taken to them by care staff. Her counsel submitted that there is a high turnover of staff and that new staff don’t always understand previous medical issues. But Counsel for the Health Board submitted that the care provider would not allow CL to attend medical appointments as she would overwhelm care staff if she was in the same room as them. LL’s father, the 3rd respondent in this case, stated that CL knows LL better than anyone, and it was concerning that staff turnover means staff don’t have the medical knowledge about LL. The judge decided not to allow CL to attend medical appointments: he was not prepared to make an exception to the contact schedule. He would order that medical information should be shared with CL but (he said) he was not going to get into an argument about the appropriate channel for that.

Carers: Suspensions and professional boundaries

Counsel for the Health Board revealed at the start of the hearing that the care provider is conducting an internal investigation and three of LL’s carers have now been temporarily suspended, as a result of what had been revealed by the covert recording, but that no inference should be drawn from this and it was standard practice. He also stated that two other care staff had stepped down or been moved on, and so the care providers were trying to recruit new staff. This impacted mum having people to supervise contact. Later in the hearing, Counsel for the Health Board clarified that the care provider had asked the two carers to step down as they were concerned about professional boundaries being crossed. The judge asked what that meant, but there didn’t seem to be anything more concrete. He asked the Litigation Friend if they would be concerned about that: were those boundaries being too close to, or too distant from, LL or CL, and wouldn’t they want to find out more? The Litigation Friend replied that the Health Board didn’t have any more information.

CL’s representative shed a little more light. She told the court that CL had said the two carers were asked to relay information that was not true to CL, and that when they had refused to do that, they were ‘let go’. CL asked whether those carers could still facilitate supervised contact using direct payments. The judge replied that he didn’t have the power to authorise that, but the Health Board were in the courtroom and would hear the request. There seemed to be an implication that the carers had been ‘let go’ because they were too close to CL and would not lie on behalf of the care providers. LL’s dad said that the two carers had a “great relationship” with LL. LL’s parents wanted them involved in their son’s care, or to facilitate contact. The Health Board agreed to add a recital to the order about the two previous carers. The judge reiterated that there was a limit to what he could do, and he could not order the care agency to reinstate or rota staff.

Complaints and the impact of the Transparency Order

The position statement for the Health Board refers to CL making numerous complaints to regulatory bodies and states that transparent and swift responses to those complaints are “hampered by the Transparency Order and the inability to share important information from proceedings”. The Health Board was seeking the court to order the disclosure of court judgments and orders with “regulatory and inspectorate bodies investigating public bodies, care agencies or professionals involved in LL’s care”. LL’s Litigation Friend was content for the Health Board to share court judgments and sealed orders with the regulatory and inspectorate bodies investigating public bodies, but wanted more “limited wording” for care agencies or professionals involved in LL’s care, to preserve LL’s privacy.

My notes don’t refer to this issue in the hearing, so I’m not sure whether it came up or I missed it. I haven’t yet had sight of the approved order, which I have asked for but not yet received. I find the request from the Health Board puzzling though. The Transparency Order has a standard paragraph at 9(ii) confirming the applicability of paragraphs 33-37 of Part 3 of PD4A, which reads (in part):

Court etiquette

Both of LL’s parents were in court – but the judge addressed them differently. HHJ Porter-Bryant referred to CL as “Ms (Surname)”. But he addressed LL’s dad by his first name. This is consistent with the other hearings I’ve observed in this case where both parents have been present. I don’t recall this happening in any other case. Either all family members are addressed by their first names with their consent or they are all addressed with titles and surnames. Maybe at the very beginning of this case the judge asked how each parent would like to be addressed – I don’t know – but for an observer, the impression this conveys is that the judge has a better relationship with LL’s dad than with his mum, and that his evidence counts for more.

Following up on concerns

Newport City Council, not a party to these proceedings, is conducting a safeguarding enquiry. The Litigation Friend stated towards the end of the hearing that the police were possibly going to look again at the concerns. LL’s Litigation Friend sought a third party order against Newport City Council, to obtain their safeguarding records, and information from the police. The Litigation Friend wants to look further into the recordings, but accept that there must be an element of proportionality, as there were 21 days of recordings. He also requested the transcripts and the judge agreed.

I have requested a copy of the approved order to confirm these details but to date I haven’t had a reply.

I plan to observe the next hearing on 11th December 2026, to see what has happened following the concerns raised, and also to see what the determination about LL’s deprivation of liberty is. I hope CL can start seeing her son in person too.

Amanda Hill is a PhD student at the School of Journalism, Media and Culture at Cardiff University. Her research focuses on the Court of Protection, exploring family experiences, media representations and social media activism. She is a core team member of OJCOP. She is also a daughter of a protected party in a Court of Protection case and has been a Litigant in Person. She is on LinkedIn (here).

Previous blog posts about this case

Can a judge discharge a Deputy without determination of wrong-doing? Statutory determination in action

Crisis point: Is hospital a viable alternative for P

Unsuccessful application for permission to appeal

Photo by Sandy Millar on Unsplash

Everyone agrees it’s in the best interests of two siblings to live together – but is that possible?

By Daniel Clark and Amanda Hill, 29th October 2026

Two siblings, AA and BB, have lived together almost all their lives and now reside in the same care home. However, one has been served with an eviction notice and there is therefore a risk that they’ll be separated. It now falls to the Court of Protection to consider where it is in the best interests of these two siblings to live and receive care.

It’s not often there is a court hearing with two protected parties.  As we were both in London on the morning of Friday 11th September 2026, we decided to go along to this unusual in-person hearing before DJ Clarke at First Avenue House, concerning AA (COP 20005457) and BB (COP 20031247).

It proved to be an interesting hearing. AA’s case has been before the court for quite a while, but BB has more recently become a protected party and, as the cases are interlinked, the two cases are now being dealt with together. A family member (CC), with Lasting Power of Attorney for both siblings, was a Litigant in Person at this hearing.

The two siblings at the centre of this case have been very close all their lives, and were living together until Spring 2023, when AA had a number of falls and, after a long period in hospital, moved to a care home in Spring 2025. BB remained living at the flat, cared for by CC. But BB herself was admitted to hospital in Summer 2025 and was shortly after admitted to the same home as AA. Both have dementia and reduced mobility, and a number of other (different) health conditions. Therefore, their care needs are different.

In Winter 2025 the care home served an eviction notice on BB, on the basis that they are unable to meet her needs (it seems as a result of so-called challenging behaviour which, we heard during the hearing, has now since abated). This risks the siblings being permanently separated for the first time in a very long time.

The proceedings in respect of AA were pretty much concluded prior to the proceedings in respect of BB commencing. As the court and the parties have recognised that it is important to maintain the relationship between the two siblings – in whatever ways this might be possible – the proceedings in respect of AA were stayed rather than concluded. The Official Solicitor acts as their litigation friend but, as the best interests of each sibling may diverge at some stage, each is represented by a different legal team.

Another important issue that had been occupying time for two of the parties was the issue of funding for BB. The ICB (NHS West and North London ICB) had concluded that BB was ineligible for CHC funding and the local authority, London Borough of Haringey, had disputed this. But very shortly before the hearing the LA accepted funding responsibility for BB, and so would be funding both AA and BB. This was a key issue to resolve because the siblings are not living in a nursing home and if the ICB had funded BB, that would only have been if she was in a nursing home.

The court was now being asked to make directions about steps to be taken to enable decisions about residence and care. Due to the specific nature of the protected parties, we have disguised some details to prevent jigsaw identification, and have not reported other details. In this short blog,  we would like to draw out some key points.

Gardner documents and open justice

Following the Court of Appeal’s decision in Re Gardner (Deceased) [2026] EWCA Civ 640, observers can request three documents (listed at PD4B para.4.2(a)-(c) COPR 2017), which are now commonly referred to as the “Gardner Documents”. These are the case summary, a chronology of relevant events, and the issues for determination at the hearing.  Before the hearing, when we were at the reception desk of First Avenue House, we asked for a message to be passed to the judge asking that we be provided with the Gardner documents. We request these a lot of the time, but rarely receive them – in fact, Daniel had never received them.

The issue was raised by the judge at the start of the hearing, largely for the benefit of the LIP. The judge explained that Court of Protection hearings are private hearings, but they can be in public (subject to a Transparency Order). She continued that there is recent case law to “promote open justice and transparency” and that certain documents are usually provided to observers. The judge stated that the professional parties do not object to us receiving them but, saying, addressing CC,  that she understands that each of them, AA, BB, and CC  “jealously guard your privacy in relation to your personal matters. And I don’t mean that in a negative way”.

After a query from CC as to what the judge meant by observers, the judge went on to say that, “I don’t usually inquire why observers are here and they are usually entitled to be. The two observers are both members of the Open Justice Court of Protection Project which seeks to promote open justice within the Court of Protection. And they do blog but they do so responsibly. So, they report on certain cases but they do so in terms of the Transparency Order … and are no more identifiable than in the court list. My understanding from seeing their blog posts is that their reporting is responsible and has been recognised as such”.

Having heard this, CC had no objection to us receiving the documents, provided that her relatives were only referred to by their initials during the hearing. The judge said they would try to keep to this, but assured CC again that we were covered by the Transparency Orders.

We were pleasantly surprised when the judge then asked her clerk to hand us hard copies of the three documents, which had obviously been printed in advance of the hearing. Unlike position statements, these three documents can (at least in this case) be read at a glance as well as in depth. This meant, complemented with a brief case summary from the judge, we could follow the hearing well. For example when, during the course of submissions, an event in July 2025 was referenced, we could cast our eye over the chronology to see an outline of what happened.

Our understanding of this hearing was greatly enhanced by receiving the ‘Gardner documents’ at the start of the hearing. It meant that we understood quite a lot of the background of the case, and also meant that time didn’t need to be taken up by the judge giving a lengthy opening summary. In other words, the Gardner documents were good for observers and good for court time.

One downside of not having position statements is that we can’t be confident of the names of the barristers who acted in this case (position statements contain the barrister’s name at the bottom of the final page). Furthermore, as there was a lot of discussion before the hearing and the adjournment, we didn’t have an opportunity to ask.

Parties

The London Borough of Haringey is the applicant in respect of AA, and the first respondent in respect of BB. They were represented at this hearing by a legal team we weren’t able to identify.

AA is the respondent in CoP 20005457, and was represented by another legal team we were unable to identify.

BB is the applicant in CoP 20031247, and was represented by a Mr O’Brien.

CC is a respondent in both sets of proceedings, and represents herself.

The NHS West and North London ICB was a respondent in BB’s case, though we think they have now been discharged as a party. The ICB was represented by someone whose name sounded like Ms Stanley, though we may have misheard this.

The importance of love and the risks of being separated

All the parties in the courtroom and the Judge agreed that the siblings should stay living in the same place if at all possible. BB’s legal representative submitted that as the issue of who paid for BB’s care had been resolved, it was in the best interest of both protected parties to stay together. He stated that the impact for BB of being separated from their sibling was likely to be so emotionally detrimental that it would outweigh any clinical benefit achieved by moving her to a nursing home if that move entailed being separated from the other sibling. Towards the end of the hearing, the judge ordered various risk assessments to be carried out, one of which was the risks to the siblings of being separated. We haven’t seen this before.

A family member as Litigant in Person

The Litigant in Person (LIP) cut a lone figure at the end of the front row dominated by legal professionals. There was a lawyer for the Local Authority, the London Borough of Haringey, another one for NHS West and North London ICB, and each protected party had their own barrister. As is usual, there were solicitors sitting behind them, as well as a social worker for one of the siblings (the social worker for the other sibling did not attend for – wholly understandable – personal reasons).

CC told the judge at the start that she felt disadvantaged in light of all the legal professionals involved: “I have to struggle with this by myself…I’m having no help”.

The judge commented on that towards the end of the hearing, after CC had left as she wasn’t feeling well. She acknowledged that CC was struggling with the volume of people in the courtroom and she was thankful for the efforts of the legal professionals to help mitigate that, and their efforts “behind the scenes” too.

Potential harm to protected parties because of the court process

It transpired that what was going on behind the scenes was an important issue. As both the protected parties are in the same care home, and of course have their own legal representatives, the care home is receiving a lot of paperwork about the Court of Protection cases. And visits from different people.

CC argued that this could cause harm, as the care home is not very big and one person is having to deal with all the paperwork. She worried that this would be an additional factor that the home would take account of in deciding whether to enforce the eviction notice.  This raises the possibility of the Court of Protection process itself harming a protected party, if it resulted in a person being separated from their sibling.

The judge summarised her concerns as such: “if one of the issues is that the care home is unwilling to revoke the notice because they are being bombarded with correspondence, this is something the parties need to address”. During an adjournment so she could read some documentation, she directed the parties to discuss what could be done about this. 

Dispute between two public bodies about funding for BB.

If the ICB had accepted responsibility for funding BB’s care, the siblings would have to be separated as funding for BB would only have been in a nursing home. The ICB’s representative confirmed that was the decision of the assistant director of the ICB. It is outside the scope of this blog to go further into the issue of public bodies arguing about who pays for a person’s residence and care, save to point out that the funding is all being paid for by the public purse, otherwise known as the taxpayer. This sort of dispute illustrates the blurred distinction between the NHS (Health) and Adult Social Care. As a result of the local authority becoming responsible for BB’s funding, it was agreed by all parties that the ICB could be discharged as a party to BB’s case.

Final reflections

This hearing was ultimately about the court trying its best to find a way of two siblings being able to stay together. But ultimately the decision is one for the care home’s new owners, who have served the eviction notice on BB. Let’s hope that a way can be found for them not to be separated after many years of being with each other. And that the very proceedings which are working to keep them together are not a factor in the eviction notice being enforced.

Daniel Clark is a Research Fellow in Open Justice at the University of Sussex. His research concerns public access to, and understanding of, courts and tribunals in England and Wales. He has a specific focus on applications relating to contempt of court, and in particular those that arise in the Court of Protection. Daniel is also a core team member of the Open Justice Court of Protection Project. He can be contacted on LinkedIn.

Amanda Hill is a PhD student at the School of Journalism, Media and Culture at Cardiff University. Her research focuses on the Court of Protection, exploring family experiences, media representations and social media activism. She is a core team member of OJCOP. She is also a daughter of a P in a Court of Protection case and has been a Litigant in Person. She can be contacted on LinkedIn (here).


Contesting deprivation of liberty post-AGNI: Not a marginal case but “the very exemplar of why the state is under an obligation to provide safeguards”, says HHJ Hilder

By Celia Kitzinger, 28th October 2026

The main issue before the court at this hearing (COP 20013994 on 27th October 2026) was a dispute as to whether or not the residence and care arrangements, agreed to be in the best interests of the young woman at the centre of this case (“BW”), amount to a deprivation of liberty under Article 5 ECHR.

According to the local authority, BW is not deprived of her liberty following AGNI[1], meaning that the current DOL authorisation due to expire at 11.59pm on the day of this hearing did not need to be renewed.

The Official Solicitor and another respondent (whose identity and relationship – if any – to BW is protected by the Transparency Order both disagree: both consider that BW is deprived of her liberty, and that the DOL safeguards need to remain in place.

It’s been a long-running case, active since December 2022, first before DJ Mullins and then,  since October 2024, before HHJ Hilder[2].  It’s raised complex  issues and has involved, as HHJ Hilder pointed out, “a considerable expense of public funds”.  This was not a final hearing: it will be back in court for a review hearing in April 2027.

Capacity has already been determined across a wide range of decisions. BW has autism, “low adaptive functioning”, situational mutism (she communicates fluently and copiously in writing but not orally), and a history of significant trauma and attachment difficulties. The court has determined that she lacks capacity to conduct proceedings, and to make decisions about her care and support, where she resides, her social media and internet usage, contact with others, her property and affairs, and her care plan. (BW disputes these determinations and says she has “capacity in everything”.)

Best interests has also been agreed. It’s common ground between the parties that BW’s current arrangements for residence and care are in her best interests. She lives in a self-contained flat as a tenant in a supported living service, with care commissioned by the applicant local authority as s.117 aftercare provision.  There’s also a TZ-style care plan in place: family members can come and go without limitation, but potential sexual partners are subject to “Clare’s Law checks” (the Domestic Violence Disclosure Scheme) and so far two persons have not satisfied these checks so BW has not been permitted to meet with them. 

At this hearing before HHJ Hilder, in person at First Avenue House, observers were able to access a remote link: the judge and legal representatives were in the physical courtroom. The local authority was represented by Jonathan Auburn KC of 11 KBW. BW was represented by Victoria Butler-Cole KC of 39 Essex Chambers through her litigation friend, the Official Solicitor, who instructed Leigh Day. The other respondent acted as a litigant in person.

The hearing was initially listed for half a day in the morning of 27th October 2026 (a time when I was not available to observe it) – but I learnt from other observers in the lunch break that an oral judgment would be delivered at 3pm in the afternoon and that’s what I report on here, with thanks to the judge and staff for facilitating late provision of the link.

Local Authority’s position

HHJ Hilder summarised the Local Authority’s reasoning as to why BW’s residence and care arrangements do not amount to a ‘deprivation of liberty’,  and are a long way from the paradigm case of the prison cell. 

BW lives in her own flat as a tenant. She has exclusive possession, and she holds the key.  She can and does exclude staff from entering, and although staff do have a key, it’s for emergency use only.  BW can leave the building whenever she wishes, so long as she is accompanied by staff, and can also leave on her own in accordance with the “Going Out on My Own Agreement” (part of a “Support Reduction Plan”) which specifies where she can go, arrangements for keeping in touch with staff, and requires her to wear a tracking device and return by a curfew. In point of fact, she does not comply with this plan and leaves the building without staff. She doesn’t have a key for the main entrance but exits by setting off the fire alarm. She has travelled as far afield as Scotland and Wales – returning, with police escort, willingly and without restraint.  That, say the local authority, is not objective confinement. 

Since BW is not objectively confined, there’s no need to establish whether there’s valid consent.  It’s true that she objects – but her objections are to Article 8 restrictions, and not to objective deprivation of liberty. She likes her flat. This is not like a prison and it’s not punitive. She can access the community every day: the restriction is only on how she does that.

Official Solicitor’s (and other respondent’s) position

The Official Solicitor (with whom the other respondent agrees) takes a very different position.

They say that tracking devices and curfews are NOT hallmarks of normality – they are material indicators that BW is not at liberty. When she has strayed outside her permitted area, she’s dumped the tracker in a dustbin.

She is not free to leave the building when she wishes to because she doesn’t have fob or key access to the community door.  When BW does not comply with the terms of the agreement, further restrictions are imposed. When she tried to leave by setting off the fire alarm, the staff obstructed the door.

The other respondent disputes the local authority’s claim that the key held by staff is used only in emergency and says staff do access P’s flat, using that key, for non-emergency reasons. She also notes that CCTV (which the local authority say is only in communal areas for collective security) is used to monitor BWs’ movements to prevent independent access to the rear garden and to the upper staircase (where some else lives).

Critically, BW objects to her living and care arrangements. The judge mentioned a long list of specified objections at §2(i) of the Official Solicitor’s position statement – which I don’t have access to and she decided not to read out.[3] I gathered, however, that BW describes the staff as her “jailors”, and her flat as a “prison” or “secure unit”: BW has spent time in a psychiatric hospital “and she says it’s not that much different”.  The Official Solicitor had also drawn attention to the language in one of the protocol documents which refers to “absconding” – “an unusual term to apply to a living arrangement that does not include deprivation of liberty”.

Insofar as BW appreciates some aspects of her flat, the Official Solicitor (and the other respondent) say this does not detract from the fact she does not want to live there and consistently says she wants to live somewhere else. She doesn’t want staff supervision and support – believing that she can live independently and she would prefer to do so. She would not want to live in her current accommodation if she had a choice. She does not want staff to vet her prospective sexual partners.  She tells her her legal representatives and the court that she wants “the DOL” removed.

According to the Official Solicitor, this is a deprivation of liberty post-AGNI, but it would have been a deprivation of liberty even before Cheshire West: it would always have been a deprivation of liberty.  It is, says the Official Solicitor, an “obvious” deprivation of liberty.

Why does it matter whether or not this is an Article 5 deprivation of liberty?

Before determining the issue, HHJ Hilder considered it constructive “to take a sideways step into considering what the point of this argument is”.  The parties agree that care and residence arrangements are in BW’s best interests. They agree that the court should retain oversight, and that the matter should be listed for review hearing in 6 months time. 

“What then is the significance of labelling it as a ‘deprivation of liberty’ or not?”, asked the judge.

The local authority had (said the judge) accepted that it made no difference to court oversight whether the court were to decide that there was ‘only’ an Article 8 restriction or whether BW was also deprived of her liberty.   Preparation for the review hearing in six months time would be same either way, and the range of possible outcomes at that hearing would be the same.  The judge concluded: “On that basis, in my view there is no substantive difference for BW today in terms of court oversight whether or not the arrangements are labelled ‘deprivation of liberty’. I leave to others any comment on the implications of that.”

The Official Solicitor and the other respondent had been offered the opportunity to explore with the judge what difference there might be in terms of BW’s perception and the impact on her of the ‘deprivation of liberty’ determination.  The judge had (she said):

“… canvassed the possibility that without the label there would be no deprivation of liberty, which would match her wishes. They were both very clear that absence of the label would not improve BW’s perception of things. When she says she wants “NO DOL”, she means none of these care arrangements. She could not understand the same care arrangements remaining without the deprivation of liberty label.  This would only create more conflict and friction with staff.”

HHJ Hilder’s determination: Is this a deprivation of liberty post-AGNI?

I have tried to capture as accurately as possible what the judge said in arriving at her decision.  She did make the point at the beginning of the afternoon that “oral judgments are necessarily less carefully crafted and less detailed” but said she was unable to provide a written judgment since Friday is her last sitting day.[4]

The judge started by citing a series of passages from the  AGNI judgment.

  • “The starting point in assessing whether someone has been deprived of liberty within the meaning of article 5 is the specific situation of the individual concerned, and the assessment is multifactorial, with account taken of a whole range of factors including the type, duration, effects and manner of implementation of the measure in question” (§53(i) AGNI)
  • There is an overlap between the objective and subjective element so “the assessment of the objective element can take account of the specific context and circumstances of restrictive measures that are different from the paradigm of confinement in a cell” ((§53(iii) AGNI).
  • The effect of restrictions on the individual is relevant to objective element. Both “relative normality of the placement” and “the purpose for which a measure has been taken” are factors to be considered (§53(iv) AGNI).
  • The court’s approach “should be practical and realistic” (§ 53(5) AGNI).
  • “The difference between deprivation and restriction of liberty is one of degree or intensity, and not one of nature or substance”.   “Where there are a number of restrictions involved in the treatment of an individual, it is necessary to consider them cumulatively and in combination to assess their overall effect on the individual” (§119 AGNI).
  • “The degree of understanding an individual in fact has regarding their circumstances, even though they lack legal capacity, is an important part of their concrete situation” (§123 AGNI)
  • “If a restrictive measure is imposed with the aim of punishment or coercion against someone’s will, it will more closely approximate to the paradigm of imprisonment in a prison cell” (§ 130 AGNI –  and §146 AGNI).
  • The Supreme Court specifically recognised that deprivation of liberty could apply to someone living in their own home. “However, if an individual is living in their own home, in accordance with their wishes and feelings, it makes it less likely that the individual is being subject to a deprivation of liberty within the meaning of article 5” (§193 AGNI).

HHJ Hilder had considered the other published judgments post-AGNI, which the parties had put before her, and concluded they were “of very limited assistance. They are illustrative of how judges have seen other cases. They are not binding on me – and anyway two, I’m told,  are subject to appeal”[5]   She continued:

“So, I focus on the concrete situation for BW. I am absolutely certain that BW has a clear understanding of what her circumstances are. She has other experiences to compare it to. She can and does articulate something different. She understands the care package to be aimed at securing restrictions on her that she does not want. She may regard her flat as home in the absence of any other, but she’s not living there “in accordance with her wishes and feelings”. She’s adamant that she does not want to be ‘on a DOL’ – I accept submissions from the Official Solicitor and [the other respondent] that what she means is that she does not want to be in these care arrangements.

So, I’m in no doubt at all that there is an element of coercion in these care arrangements. Without them, it’s inevitable that she’d remove herself and put herself at risk of serious harm. In fact, it’s been demonstrated that she will remove herself even with these restrictions. She removes the tracking devices and comes back only under escort from the police. I am mindful of the overlap between objective and subjective elements. BW’s living arrangements do amount to confinement to a restricted space. She’s not at liberty to be able to leave when she can do so only with two carers in attendance, or only on 2 days a week, to limited destinations, with a tracking device and a curfew. 

I am equally satisfied that BW is not giving valid consent. BW is objecting as loudly and frequently as her condition enables her to do. I agree with Ms Butler-Cole that this is not  a marginal situation.  This is the  very exemplar of why the state is under an obligation to provide safeguards.

So, applying the AGNI multi-factorial test, in my judgment BW’s living arrangements do amount to a deprivation of liberty.

And in accordance with agreement between parties – and acceptance by this court –  that those living arrangements are in her best interests,  I will authorise that deprivation of liberty until the date of the next hearing.

That is the end of my judgment.

Celia Kitzinger is co-director of the Open Justice Court of Protection Project. She is on LinkedIn (here), and also on X (@KitzingerCelia) and Bluesky (@kitzingercelia.bsky.social)

Endnotes


[1] A Reference by the Attorney General for Northern Ireland [2026] UKSC 16

[2] I’ve watched four hearings (all since December 2024): many other hearings have been covered by other observers.

[3] I am grateful to have received a useful Case Summary and a Chronology (two of the so-called ‘Gardner documents’) but – as ever – these documents are not a substitute for understanding the substance of the legal arguments advanced by the parties (albeit that they were summarised in this case by the judge).

[4] I understand that the judge had offered the parties the opportunity to have the case deferred and heard by a Tier 3 judge who might provide a published judgment, but none of the parties pushed for this.

[5] These are:  Re AR (Whether restrictions amount to a deprivation of liberty) [2026] EWCOP 45 (T2) and Derby City Council v SM [2026] EWCOP 46 (T2)

Photo by 🇻🇪 Jose G. Ortega Castro 🇲🇽 on Unsplash

Two non-compliance hearings concerning Finance Deputyship applications: Finding pragmatic ways forward

By Celia Kitzinger, 23rd October 2026

There were five hearings concerning ‘non-compliance with court orders’ listed, for 15 minutes each, before DJ Ellington sitting remotely at First Avenue House on Monday 19th October 2026.  I watched two of them, at 11am and 12.30pm.[1]

­­­­Both hearings concerned family members who’d made applications to become Deputies for Property and Financial Affairs[2] for their relative with dementia.  Progress on both applications had stalled due to the applicants’ adverse financial histories.

These two cases involving family members were very different from “non-compliance” hearings we’ve blogged about before where it was public bodies who had failed to obey court orders (see: “This cannot be allowed to carry on”: A non-compliance hearing with NHS Humber and North Yorkshire ICB” and “Non-compliance:  What happens when public bodies don’t obey court orders?”).  In both of these earlier non-compliance hearings, there was some “stern talking” from the judge. to the lawyers representing the public bodies.

In these two cases, by contrast, it was immediately apparent that the judge’s aim was not to rebuke the applicants, but to discover what had gone wrong – with a clear awareness that this may have been something completely outside the control of the family members – and then find the best way forward. In both cases, this turned out to be appointing the applicants as Deputies.

My main take-away from watching these two hearings was an understanding about why there are such long delays in dealing with some applications for Finance Deputyships and how this judge tried to put right the court delays and inefficiencies that had beset these two applications.

1. Application stalled by non-compliance with an order made in error

The first of the two hearings I watched lasted a little over 10 minutes.

The judge, reading from the court papers, said that her understanding was that there was a problem with the application for Deputyship from P’s daughter (D) and granddaughter (G), because  there were “issues relating to historical insolvency”. Another judge had apparently ordered them both to submit evidence about this. The court had received this evidence from D, but not from G. 

G said immediately that she’d “never been bankrupt or anything like that”.  Her mother added: “G was 6 years old when we went bankrupt”. 

“So, you think it’s an error in the order,” said the judge, looking through the files.  “Okay, sometimes there is some misunderstanding”. 

After a short pause while the judge looked through the documentation, she said, “Oh yes, they’ve put applicants in the plural,  and that’s how it’s gone down this route”.

It seems that the delay in processing this application  – I think a delay of about 18 months – was occasioned by a mistaken plural reference form in an order.  It meant that the court was waiting for evidence about insolvency from G, who has never been insolvent and on whom such an order should never have served.

The judge then checked the rest of the application. She verified that P had been notified of the application: the correct form (an application notification and acknowledgement form (COP14PADep) had been completed by a social worker on 30th March 2025. She also checked that other relatives had been notified of the application.

She then checked the details of P’s estate – at which point it became apparent that she had no income apart from state benefits, and that D and G had not applied to become DWP appointees (see: https://www.gov.uk/become-appointee-for-someone-claiming-benefits) This was a concern.

Judge: Part of the Mental Capacity Act is we have to make the least restrictive decision. The general view is appointeeship through DWP is a less restrictive system than deputyship. Also, if you obtain deputyship, you have additional duties. You have to obtain a security bond which will cost money and you have to do an annual report to the OPG. And they prefer it online so you have to be tech-savvy too.  Why have you applied for Deputyship rather than appointeeship?

Granddaughter: We were advised by the Social Worker to get Deputyship.  Also not having Deputyship is something I know is causing problems for other people I know who can’t access the bank with only an appointeeship.

Judge: That’s a problem with the bank, not the legal system. But this has been waiting long enough.

Granddaughter: Yes!

Daughter: We agree!

Judge: So, I will give you deputyship – but you may wish to apply for discharge after that.  I need you to be aware of the added burdens this is going to give you above appointeeship.  But you won’t have difficulty opening a bank account.  Because there’s not much money, I’m going to put the bond at £10,000. That means you need to buy insurance cover and take the cost of that from her estate. The court will help you with that. I will  make the order today and the court will write to you.

Daughter/Granddaughter:  Thank you! Thank you for your help.

2. Application stalled for lack of alternative family member willing to act as Deputy

The second hearing lasted around 25 minutes. 

In this case, an applicant for Deputyship for Property and Finance, P’s niece (I think), had previously suffered some “financial difficulties” of her own that had resulted in court involvement.  When this had come to light, “the court had some concerns and asked if there was anyone else who would be suitable” and (according to the files the judge was looking at) someone else’s name had been “put forward”. But the court had never received a “Deputyship declaration” from that person, so there was still no Deputy in place for P.[3]

The applicant confirmed that this is what had happened and said that the person whose name had been mentioned was her father, and “he doesn’t feel comfortable about doing it – he’s 77 and lives in [another country]”. She added, “We did speak to P’s Social Worker and tell her”.  But clearly the message had not got back to the court.

“Is there anyone else?” asked the judge. After a discussion of the different family members, it appeared not.

A discussion of the applicant’s past financial difficulties ensued, and it became clear that – although she’s still paying off the debts in accordance with court orders – the context in which the debts were incurred are historical, relating to events from around a decade ago, in association with someone who is now deceased. She is in stable employment and has been for a long time. She is now in the difficult position of using her own savings to subsidise P and the family member he lives with (I think it was two brothers, her uncles) in their own home and she’s is moving money around between that other family member’s account (for which she has third-party authorisation)[4] in complicated transactions to cover the bills. The  sum of £6,000 to cover roof repairs was mentioned, plus a recent unspecified amount for carpet cleaning.  Although the applicant said that her savings could bear this, the judge saw it as a problem: “this is not money you should be spending  […] Obviously we can’t have the current situation carry on – it’s not fair on you”.

The judge then considered the possibility of appointing a panel deputy. The disadvantage of this is that since P part-owns his own home, the charges would be “set at solicitor’s normal costs, so quite a drain on his estate”.

Judge: There is a difficulty with your history, but […] what I’m going to do I think is uhm give you the chance to put in a Witness Statement saying why things are different now from 2006/2007 because I don’t think the previous judge went through that.

Applicant: They did ask me to come back and say where the statements originated from and what payments I was making on them

Judge: In August last year?

Applicant: I don’t know – it’s been going on for such a long time.

Judge: I know it must be very frustrating.

[…] (Judge locates witness statement in bundle)

Judge: You say in your Witness Statement you ran in to problems following a redundancy.  You did not go into insolvency, did you?

Applicant: No.

Judge: What I’m going to do is not give you the ability to sell the house ((“that doesn’t matter,  they’re living in it”), but I will appoint you as a deputy.

Applicant: Oh! Thank you very much!

Judge: This is a best interests decision under s.4 of the Act that it’s in P’s best interests to have you as Deputy and that, in the circumstances, you are an appropriate person in this situation.

The judge then went on to “just check everything else”. 

The assessment of capacity (completed by a social worker) was “in order”. 

The notification to P of the application for Deputyship (“the one I had to sign and P had to sign as well to tell him I was making the application?”) was out of time: the judge said: “it’s supposed to have been within 3 months of when the application was made. That’s not fatal. […]  It has the date of 5th June 2025  – though not in the right box – and is signed by you as a statement of truth. That’s enough for me”.

But there were missing declarations about P’s investments: “it says ‘details not known’” – and details of P’s occupational pension had not been completed. “I need  you to fully complete this form”, said the judge. 

The applicant said she would visit P and see if she could locate what was needed – the problem being that P tends to “throw his paperwork away”.  She undertook to complete the form within the next four weeks, and then to file it and “obtain an insurance product to cover the estate in case you are unable to account for any of it”, and to mark her application as for the attention of DJ Ellington. 

The hearing ended on a positive note:

Judge: The court, on the information supplied, is willing to appoint you as Deputy – with no power of sale – subject to the form being filled in appropriately.

Applicant: Brilliant thank you.  Thank you very much for your time.

Reflections

It was useful to see the judicial approach to these ‘non-compliance’ hearings. It was entirely helpful to the applicants.  So these ‘non-compliance’ hearings are clearly not just about penalising non-compliance and adverse costs orders against the non-complying party. Court of Protection judges seem to have quite wide discretion as to how they manage cases like these, which I think derive from their general case management powers under Part 3 of the Court of Protection Rules 2017. This permits a judge to “take any step or give any direction for the purpose of managing the case and furthering the overriding objective”.

Finally, I don’t know if Financial Deputyship applications are particularly likely to cause problems (or whether it’s just that there are so many of them that they are common but proportionately represented among ‘stalled’ cases in the COP) but the only previous case we’ve reported on concerning a ‘non-compliance’ hearing for a family member of P also concerned a Deputyship application – and in that case the application had, it seems, simply been ”lost” in the court process after a judge “went off sick” (see “A deputyship application  gone astray”).

Celia Kitzinger is co-director of the Open Justice Court of Protection Project.. She is on LinkedIn (here), and also on X (@KitzingerCelia) and Bluesky (@kitzingercelia.bsky.social)

Endnotes


[1] I’d asked to observe all five – because non-compliance with court orders is a serious matter.  Not only is it disrespectful to the court and tends to undermine the rule of law, it causes delay in judicial decision-making, extends proceedings, and has a cost to the public purse.  It’s important for the public to know how judges deal with it. As it turned out, the court did not respond to my request for the links (sent at 8pm the evening before and again on the morning of the hearing) until after the first of the five had started, so I missed that one. I watched the second hearing. The third was vacated. No parties turned up for the fourth. I observed the fifth and final hearing.  As usual, material quoted from the oral hearing is based on my contemporaneous touch-typed notes and is as accurate as I can make it, but is unlikely to be verbatim.

[2] For what these applications involve see: https://www.gov.uk/become-deputy/apply-property-financial-affairs-deputy

[3] The quote marks are phrases used by the judge. I’m not sure exactly what had preceded this hearing that qualified as P’s brother having been “put forward” as a deputy, but I think whatever it was (maybe no more than a suggestion from the niece that if she couldn’t be deputy, then he might be a suitable alternative), it led to an expectation on the part of the court that a “Deputy’s declaration” would be submitted by P’s brother – and I take it that this means the COP4 form which is headed “Deputy’s declaration” and is a formal application to be appointed as deputy. So, in effect, the niece’s application having failed, her father would have been making a new application to become P’s deputy in his own right.

[4] Applicant: “I’ve got 3rd party authorisation from [the relative P lives with] but P uhm-ed and ah-ed about it and then his dementia got so bad he couldn’t do it.”

“Pleading for information about mum’s care”: Court makes pragmatic appointment of interim welfare deputy

By Jenny Kitzinger, 20th October 2026

I was appointed as Welfare Deputy for my sister in 2009, very soon after the Mental Capacity Act 2005 came into force (in 2007). I’m intrigued to observe how applications for Welfare Deputyships are treated in the court today, especially as I know that there’ have been significant developments in case law relating to welfare deputyships over the last few years.

So I asked to observe a hearing listed on 2nd October 2026 about the “appointment of a personal welfare deputy” (COP 20022119) before Tribunal Judge Holmes, sitting remotely at First Avenue House.

The case was listed as a directions hearing.  However, in this brief 30-minute hearing, the judge decided to make an order immediately appointing the daughter as an ‘interim deputy’ with authority to receive relevant health and social care information about her mother (but not to make decisions). He also granted P’s daughter permission to apply to the court to become what the judge called, a ‘full deputy’ with some decision-making authority; another hearing will be held in about six weeks’ time for the court to decide on this.

In this blog I summarise what happened at the hearing and draw on my own experience of being a Welfare Deputy to consider what this interim appointment might achieve.

The hearing

The only people at the hearing were Tribunal Judge Holmes, P’s daughter, the judge’s clerk and me.

The judge started by explaining to the daughter (D) why I was present as a public observer. Then he provided a brief summary of the application for my benefit.

D had already been appointed as her mother’s Finance Deputy but she’d also applied to be a Welfare Deputy. The judge said he understood that she was motivated in this application by difficulties she was having “trying to get hold of information and be a voice for your mother”.

D had submitted a great deal of evidence along with her application and had provided additional evidence that morning in the form of a safeguarding review and complaint investigation report. She talked the judge through the ongoing problems she was facing and why she was seeking to become her mother’s Welfare Deputy.

There was a sad background to this situation which may be familiar to other people with aging parents.

D lives a long way away from her mother and stepfather, both of whom are now in poor health. Her mother, who has dementia, was previously supported with a care package at home but, after a hospital admission, she was discharged to a care home. Her stepfather, who continues to live at home, has post-stroke cognitive decline and needs four home care visits a day.

D experiences a huge difference in her ability to be involved in supporting her mother compared with her ability to support her stepfather: “I have full oversight of his [stepfather’s] care package”, she said, “but when it comes to my mum, I’ve no idea of what is going on”.

Daughter: I want to know where my mum is going to be happy and safe – should she stay in [the existing care home], go to another one, go back home? I don’t know because the people who’ve obstructed my oversight and have not provided her with any advocacy during major life-changing decisions are not giving me information.

Judge: Are they not inviting you to best interests meetings?

Daughter: […] I wasn’t aware even of the best interests decision to discharge her from hospital to the care home as a permanent resident.[1]

She said she’d requested evidence of DoLS and “that’s not been forthcoming” and also that “there was no investigation of what went wrong with her home care package”.

Since her mother has been in the care home, D has been concerned about support for her mother’s eating and drinking. There was an incident in 2025 when her mother had become dangerously dehydrated, leading to hospital admission and “a section 42 safeguarding concern was raised by the paramedics attending”:

“I could not understand why she was dehydrated because I was giving her food and fluid in the hospital and she was finishing her meals. I was pleading with them to understand how she became so dehydrated. Pleading for it to be sorted before she was returned to the care home.” (Daughter)

She requested an assessment from a Speech and Language Therapist – who confirmed that her mother was fine to drink fluids from an open cup. D believed that one possible source of the problem was that: “the care home had only been giving fluid in spouted beakers. She couldn’t cope with them”. Commenting on this, D said this was a “basic care” issue: “I’ve got a disabled son. I’m a nurse. And I’ve worked with a lot of families with disabled children”.

Her mother had also been subject to a “highly intimate” examination in August 2026 which her daughter knew would be very upsetting for her: “she finds these sort of examinations very distressing, and always has done”.  But “they subjected her to this procedure without even asking me”. This examination had not, she added, led to any medication or care plan. When D tried to explore options (e.g. she suggested a local application of an oestrogen cream), this was misunderstood: “they saw this as me asking for HRT to help with her dementia – which I did not ask for”. There had also been problems, according to D, in ensuring the right information was put into care and funding assessments (“I requested a CHC checklist, which was done but because nobody divulged that my mother had behavioural issues, that wasn’t on the form”).

According to D she’s been “completely overwhelmed about everything I’ve discovered since I’ve begun practically supporting my mum”. She’s been left “pleading for information about how she is being cared for”. Without being provided with key facts, consulted, or listened to effectively, she feels hamstrung in trying to advocate for her mother.

The judge sought to clarify what decisions D thinks need to be re-visited.

Judge: Are you raising issues with her current placement?

Daughter: Yes, because they are not sharing things with me.

Judge: Would you be saying “move to a different placement”?

Daughter: I’m not sure – because I don’t know what would happen in a different care home […] Even though the social worker who did the first review concluded there was no reason to obstruct me from information, I’ve had no reason to see that that obstruction has been lifted. […] Continually, as I’ve been asking for information and trying to protect my mum, I’ve been told [I can’t have it] because I don’t have LPA  [Lasting Power of Attorney] or deputyship.

The judge asked her what decision-making authority she might ultimately be seeking and he explored the possibility of making a personal welfare application to the court rather than, or alongside, a Welfare Deputyship application. But D explained she did not know enough yet to work out what the best course of action might be.

“I don’t feel I can make a fully informed decision … I’ve got so much to consider. What I’d respectfully ask the court to do is to give me the authority to access information about my mum from adult social care, safeguarding, the GP practice, the hospital, the care home and the home care agents prior to her admission [to hospital]. […] If I can get that information, I can make a decision.”

The judge stated that “You’ve notified [the relevant bodies about your application for deputyship] – and no one has responded” and that “there are no safeguarding concerns about you getting the information”. So, given the evidence he’d seen so far, he decided to make her an interim deputy with immediate effect, with the authority to “request such social and medical records as your mother would be able to request and receive such documents on her behalf”.[2]

Another hearing will be listed for the next available date six weeks hence.

Reflections

I’m glad the judge gave P’s daugher the interim deputyship – she looked relieved, and the judge’s decision seemed like a pragmatic step to try to ensure that the relevant information is available for the next hearing.

It should not, of course, require a court order or a deputyship for appropriate information-sharing to take place. However, judges have recognised “public bodies and others responsible for the care of an adult without capacity” can be “anxious” about “the propriety of sharing information” with that person’s relatives, given that the person cannot give or withhold their consent for sharing information about them (Poole J, Parr v Cheshire East Council & Anor [2026] EWCOP 1 (T3)).  In trenchant commentary on that judgment, legal commentator Alex Ruck Keene KC (Hon) recognises that concerns about consent in the context of a person lacking capacity to give it remains “prevalent” but is clear that in his opinion this anxiety is “a very problematic basis upon which to justify appointment of a health and welfare deputy”. This is because “[w]hat Poole J could perhaps usefully have made clear is that they are simply wrong to have this anxiety. Within limits […] the MCA provides the workaround for a person’s inability to consent to relevant actions in the health and social care context in the form of s.5” (i.e. information can be shared if sharing that information is determined to be in a person’s best interests).[3] In principle, Alex Ruck Keene is, of course, correct.

In a judgment in the Court of Appeal concerning appointment of a Welfare Deputy, the President of the Family Court and the Court of Protection explicitly cautioned himself “against treating deputyship as a mechanism to overcome professional hesitation or institutional risk-aversion” (Sir Stephen Cobb at §61, Re HB [2026] EWCA Civ 960). Nonetheless, that seems to be what the judge in this case has done, with the intention of ensuring that everything will be in place for the next hearing.

The Mental Capacity Act 2005 states that those making best interests decisions must “take into account, if it is practicable and appropriate to consult them, the views of […] anyone engaged in caring for the person or interested in his welfare”. In order to consult those persons effectively, there is clearly a need to provide information relevant to the decisions that need to be made. The MCA Code of Practice spells this out:

“The Act’s requirement to consult relevant people when working out the best interests of a person who lacks capacity will encourage people to share the information that makes a consultation meaningful.” [S16.20, Mental Capacity Act Code of Practice]

At the same time, the Code of Practice underlines the need to take into account data protection law and gives detailed guidance about the limits on what can be provided – including to a person who holds Lasting Power of Attorney or Deputyship (see Chapter 16 – “What rules govern access to information about a person who lacks capacity?”, MCA Code of Practice).

Health and social care providers have to be careful how they interpret their obligations. They need to ensure that the information shared is relevant to the decision to be made and balance the value of sharing information with the principles of safeguarding patient privacy.

In my experience, interpretation of such guidance (and other professional and legal guidelines) can vary by institution. In some cases, there is a tendency to err ‘on the side of caution’ (in terms of data protection) in ways that can undermine best interests processes for the person concerned. I suspect organisations may feel this is the ‘safer’ option because they are less likely to be held to account for erring in that direction. I also suspect some families/friends who clearly care for the person and are interested in their welfare are denied information because in fact no best interests process is followed at all or because clinical teams do not understand, or do not wish to comply with, the process.

On the basis of D’s account, it seems there have been some failures in communication and best interests decision-making consultation. The situation she described in relation to her mother now (in 2026) resonates with my own experience back in 2009 when I was engaged in a prolonged struggle to be appropriately consulted and informed in relation to my brain-injured sister, Polly.

We (Polly’s partner and wider family) were all denied access to some key information for the first seven months after she was injured (the period before I became her Welfare Deputy in November 2006).

An inquiry conducted by the Health Board (prompted by my formal complaint) concluded that: “Whilst the investigative officers found much good practice in respect of Ms PK’s [my sister, Polly Kitzinger’s] treatment and care […] they found significant failings in respect of compliance with the requirements of the Mental Capacity Act 2005 and evidence of poor practice in relation to the Mental Capacity Act 2005 Code of Practice.” These failings include the clinical team neglecting to “provide Ms PK’s partner/family with sufficient information with regard to rationale for investigations undertaken, treatment changes, […] etc, to enable them to participate appropriately in respect to health and welfare decisions in Ms PK’s best interests”. [Cardiff and Vale University Health Board Investigation Report, 2011]

Even after I’d become Polly’s court-appointed Welfare Deputy (in November 2009), the problems continued. The Health Board investigation found failures “To give prior (sometimes any) information to the Welfare Deputy regarding several investigation and treatment decisions”.

There was also no attempt to seek my consent for these investigations and treatments, and this is particularly shocking since my Deputyship meant my consent was legally required in respect of most of those decisions.

The investigators concluded that “These failings highlight a general lack of understanding amongst professionals about the requirements of the Mental Capacity Act 2005…and especially about the role of the Court Appointed Deputy”. [Cardiff and Vale University Health Board Investigation Report, 2011] 

I’d like to think that understanding of the MCA has improved since then. In my experience, there’s been much more recognition, more recently, of the need for families and for Welfare Deputies to receive relevant information (at least in some settings). But it was very depressing to hear D’s account of what she’d encountered in relation to her mother, and I’ve heard similar accounts from other people., and the problem has been reported across a number of judgments ((see for example, Cwm Taf Morgannwg University Health Board v RW & Anor [2026] EWCOP 10 (T3), and NHS South East London Integrated Care Board v JP (by his litigation friend, the Official Solicitor) & Ors [2025] EWCOP 8 (T3), and London Borough of Lewisham v SL (by her litigation friend, the Official Solicitor) [2025] EWCOP 51 (T3)).) So while, in principle, it should obviously not be necessary to appoint someone as a Deputy (interim or otherwise) to ensure appropriate information-sharing, in practice, this might be a pragmatic solution.

However, I wasn’t entirely convinced that even granting the interim deputyship would work in practice for D in time for the next hearing – especially given the wide range of organisations from which she is seeking information, including across adult social care, the hospital, and the home care agents.  Even when an organisation is, in principle, cooperative – and there is no question about the information that should be released or the authority of the person requesting it, barriers can remain.

In my own experience, I encountered difficulties as Polly’s Welfare Deputy when I asked for copies of Polly’s medical records to be sent to the independent expert neuro-rehabilitation consultant that we commissioned urgently to review Polly’s condition, prognosis and best interests. The records did not arrive until 51 days after they were formally requested via my lawyer. This was in breach of the obligation to provide these records within 40 days under the legislation active at that time. When the records did finally arrive (after a lot of chasing), key information was missing e.g. the paperwork for a crucial series of clinical tests was incomplete and no radiology films were included (her chest x-rays, MRI scans, CT scans etc).

Of course, technology has advanced since 2009 – as has law and practice. Health and social care professionals are now more familiar with the Mental Capacity Act than they were in 2009; and also now have to comply with GDPR (and under current legislation must provide a patient’s records within one calendar month of receiving a valid request).

It may be that issues about where material is stored, how it can be shared, and with whom, is less problematic nowadays (or problematic in different ways). Back in 2009, I recall offering to photocopy a large lever-arch folder of paperwork myself to try to speed up the process. But many organisations now have electronic records and established systems in place for robust data sharing. D mentioned a particular software system deployed in her mother’s current placement. A quick online search found that this system (‘SystmOne’) – which is being offered for free to all care homes –  promises seamless access to records across diverse services. It claims to have a clear access pathway, ‘proportionate’ and tailored depending on the access level required (including for people holding lasting power of attorney and for Deputies). It looks, on the face of it, as though some of the core records D needs might be relatively easy to access.[4]

I look forward to attending the December hearing and seeing what information D will have received, what  decision-making authority she will seek as Deputy, and what the judge will decide.

Jenny Kitzinger is co-director of the Coma & Disorders of Consciousness Research Centre and Emeritus Professor at Cardiff University. She has developed online training on law, ethics and best interests and is on BlueSky as @JennyKitzinger and on Linkedin

Endnotes


[1] See also the Department of Health and Social Care statutory guidance on ‘Hospital discharge and community support guidance’ and a change made in January 2024: “the guidance now specifies that NHS bodies and local authorities should ensure that, where appropriate, unpaid carers and family members are involved in discharge decisions. This reflects the amendment to section 74(1) of the 2014 Care Act made by the Health and Care Act 2022”.

[2] This phrasing suggests the judge wants to create a Deputyship with the same wide-ranging powers as a P herself would have if she had the capacity to ask for the information herself. Given the range of interlinked decisions this daughter feels she may need to make, I can see why this is important and this framing of the order may help health and social care professionals to feel confident in information-sharing. But see: “Guidance for NHS regarding disclosure to individuals holding either a Lasting Power of Attorney or a deputyship.” This states that “relevant information can be disclosed to enable them [LPAs/Deputies] to discharge their role as attorney or deputy. This is not the same as the right of access under data protection law (Subject Access Request) as defined in Article 15, UK General Data Protection Regulation and Section 45 Part 3 Data Protection Act 2018, whereby a person can request all the information that a data controller has regarding them”.

[3] “Personal welfare deputies, principle and pragmatism, by Alex Ruck Keene KC (Hon) Local Government Lawyer, 21 January 2026

[4] For people with capacity to consent, some GP surgeries are currently trialling a new feature in the NHS App which allows a patient to submit an application to allow families and carers to access their records. https://www.nhs.uk/nhs-services/gps/health-services-for-someone-else-family-carer-access/apply-for-family-carer-access-nhs-app/. For myself, I’ve also supplemented my LPA and Advance Decision with a signed and witnessed letter stating that if I lose capacity to make my own health and welfare decisions then I’d like my wife, in so far as possible, to have access to all my records as if she were me (i.e., not restricted by health and social care staff decisions as to whether her request is ‘justified’ by its relevance to the decision that needs to be made).

P’s objections to early evening curfew are “compelling” evidence of deprivation of liberty after AGNI

By Celia Kitzinger, 12th October 2026

In recent months, we’ve observed dozens of hearings at which judges have ruled as to whether or not the residence and care arrangements of a protected party amount to a deprivation of liberty. I’ve observed some of these hearings myself; others have been reported by fellow observers.[1]  Taken together, they offer an emerging picture of how the Supreme Court’s decision in A Reference by the Attorney General for Northern Ireland [2026] UKSC 16 (AGNI) is changing the way deprivation of liberty is understood and determined in practice.

As expected, many people previously considered to be “deprived of their liberty” under the Cheshire West interpretation of Article 5 of the European Convention on Human Rights are now being found not to be deprived of their liberty under the new AGNI approach. The consequence of this is that the “deprivation of liberty safeguards” [DOLS] – safeguards like independent assessments, a Relevant Person’s Representative (RPR), the right to review and challenge – are removed from them.  This is a significant and controversial legal development.  National charities have warned that it strips essential human rights protections from potentially hundreds of thousands of disabled people and is “the biggest rollback of disability rights in a generation”. 

Against that background, how courts determine whether someone is deprived of their liberty after AGNI is a matter of legitimate public interest. The question is not simply how the new legal test is to be understood in the abstract. It is how judges apply it to the circumstances of individual people, what weight they give to the different factors, and how they explain decisions that may determine whether a person continues to receive important legal protections.

The answer to these questions is often not transparent for public observers watching these hearings. In many cases, all the parties agree[2] that the AGNI interpretation means there is no deprivation of liberty and the matter is not explored in any detail. These cases are in court for other reasons: e.g., contact arrangements, breached orders, P’s capacity and best interests in relation to decisions in other domains. Deprivation of liberty can appear almost in passing, as an administrative matter to be signed off along the way. The reasoning may be brief, with little explanation of how the legal test applies to the particular facts or why the parties’ shared position has been accepted.

The result is a troubling gap in public understanding. Observers may watch decisions being made that remove deprivation of liberty safeguards without learning much about P’s living arrangements, the restrictions to which P is subject, or the features of their circumstances that now place them outside the legal definition of deprivation of liberty. We can see the outcome, but not necessarily how the court got there.

That gap would matter less if the application of AGNI appeared straightforward and consistent across cases. But my experience of contested hearings has left me with questions. I have observed 18 cases in which the parties disagreed about whether P was deprived of their liberty after AGNI. None has resulted in a published judgment. In these hearings, I have sometimes been surprised by the arguments advanced by the parties, by the way judges have engaged with those arguments, and by the conclusions they have reached.

This causes me some concern about the basis upon which deprivation of liberty decisions are made in non-contested cases. The fact that everyone agrees a person is not deprived of their liberty doesn’t in and of itself make that the correct decision. Of course, AGNI’s multi-factorial test leads to a wider range of factors being considered in arriving at a decision as to whether or not P’s circumstances are such as to constitute a deprivation of liberty and so judges can legitimately reach different decisions in what might appear to be very similar cases. It’s often said that decisions are now more “nuanced”, so maybe what looks to me like inconsistency across cases is simply exquisite judicial sensitivity to the unique fact pattern of each particular case. And I recognise that the implications of AGNI are still being worked out in practice and have evolved over the four-month period since AGNI, as successive judgments have been published.[3]  Nonetheless, it’s fair to say that judicial decisions about whether or not P is deprived of liberty are turning out to be problematic for a court that is said to aspire to transparency with regard to the way in which judges are arriving at their decisions. (Check out the Postscript to this blog post for the way in which listing practices add to the transparency problem.)

Where a decision determines whether a person retains important safeguards, it matters that we can understand the basis on which it is made. That is not an argument for treating every agreed position as suspect, or for expecting a lengthy judgment in every case. It is an argument for taking seriously the judicial responsibility to explain decisions sufficiently for them to be understood, particularly where the legal framework is new, its practical implications are still emerging, and the consequences for the person concerned are substantial.

It is against that background that I welcomed the opportunity to observe this hearing (COP 13851951) before District Judge Callaghan sitting in Chelmsford County Court on Friday 2nd October 2026, at which there was a dispute between the parties as to whether or not P’s residence and care arrangements constitute a deprivation of liberty. The different positions advanced by the parties were presented in oral submissions, and decided in an oral (ex tempore) judgment[4] over a hearing that lasted most of the day.

The hearing therefore offered something that is missing from many of the cases I have observed: an opportunity to hear the arguments on both sides, to see how the judge approached them, and to understand the reasons for the decision. I doubt the judgment will be published, so this blog post is likely to be the only public record of the court’s decision and of the process by which it was reached. Regrettably, this is the case for most court decisions about deprivation of liberty.

Background to this case

The young man at the centre of this case (P) is in his early 20s and has “severe autism and a learning disability”. He also has gastro eosinophilic duodenitis which requires him to follow a restricted diet. His mother says he has a diagnosis of PICA. but this is contested or “downplayed” by the ICB and the care providers, who acknowledge that P likes to put non-edible objects in his mouth but state that he rarely eats them.

He lived with his mother until he was 18 and moved to his current placement in 2021. He receives 24-hour care, funded through NHS Continuing Healthcare (CHC).  He lives in supported living accommodation, with care-agency staff supporting him on a 1:1 basis at home (though this reduces depending on the number of residents at any one time) and 2:1 when he is out in the community.  He has a Positive Behaviour Support (PBS) plan which permits staff to use physical restraint (a one arm release variation technique) as a last resort.

His parents are separated but he maintains a relationship with both of them and with his extended family. Each parent visits him weekly and also has contact by FaceTime. All parties except P’s mother consider it to be in his best interests to remain in his current placement with his existing care package. In any event, it has been determined during these proceedings that there is no available alternative placement on offer.

The dispute between P’s mother and the care providers

The current proceedings began with an application by the  ICB on 5th November 2024 (pre-AGNI) seeking authorisation of P’s deprivation of liberty at H House.[5] The proceedings have also involved a protracted dispute about P’s mother’s contact with him and with the staff responsible for his care.

At a hearing on 30th June 2025, HHJ Capon granted an interim injunction, endorsed with a penal notice, against P’s mother.  The ICB had applied for the injunction on an urgent basis, arguing that her behaviour threatened the stability of the placement, which was said to be “on the brink of giving formal notice”. The evidence relied upon concerned her conduct, which she disputes. A few months later, at a hearing on 31st October 2025, the injunction was replaced by an agreed “Schedule of Agreement” (also described as a “Contract of Expectations”). This largely reproduces the terms of the injunction.

The Schedule, which remained in place at the time of the hearing I observed, regulates P’s mother’s contact both with her son and with the staff caring for him. The ICB says it was necessary because of incidents in which she was allegedly rude to staff, removed items belonging to P, and visited without appointments or at inappropriate times, sometimes arriving early or late. The ICB also says – more recently, I think – that she sometimes fails to attend scheduled Sunday visits, upsetting P who is disappointed not to receive the expected visit. There have also been disagreements about P’s medical care. Under the Schedule, P’s mother has agreed not to initiate conversations or raise questions about his medical care.

From the ICB’s and care provider’s perspective, the Schedule is working well. P’s mother takes a very different view. She considers the restrictions unnecessary and disputes the account of her behaviour that led to them being imposed. She says that some of the difficulties arose because she was legitimately questioning the care her son was receiving, or because the placement had failed to provide her with information she needed, including information at handover about his medication and what he had eaten.

She feels that she has been “maligned” and “victimised” by the care provider after raising concerns about the quality of his care. As she put it to the court: “because I raised concerns, it led to an injunction being created against me to deflect those concerns. This is a pattern of behaviour from [the care provider]. When I raise concerns about any matters, I am met with contact restrictions”[6].

These are sharply contrasting accounts of the same relationship. The ICB and care provider consider the restrictions necessary to sustain the placement and manage contact; P’s mother considers them unjustified and connected to her attempts to raise concerns about her son’s care. The history matters because the dispute about P’s residence and care arrangements cannot readily be separated from the wider disagreement about the quality of his care, his mother’s role in his life, and the extent to which her concerns are being heard.

Why the case came back to court

After the last hearing, on 31st October 2025, everyone except P’s mother agreed that proceedings should now conclude. However, the parties could not agree on the terms of a final order.

P’s mother wanted to be released from the Schedule of Agreement.  She also wanted the search for alternative placements to remain open, since she had continuing concerns about the care P was receiving at H House. She also believes that he is deprived of his liberty there.

The final hearing was initially listed for 4th March 2026, but the proceedings did not conclude then. Further evidence was directed, and the final hearing eventually took place on 2nd October 2026, seven months later.[7] It was listed as a contested, full-day hearing.

During the hearing I observed, P’s mother agreed to remain bound by the Schedule of Agreement, as it became apparent that the ICB would otherwise apply for an injunction.  She continued to argue that these proceedings should not conclude.  However, there were still no available alternative placements for P, and the judge considered that her other concerns (about his healthcare and visiting arrangements) could be addressed outside the proceedings.

The hearing therefore focused primarily on whether P’s current residence and care arrangements amount to a deprivation of liberty under the law as clarified by AGNI. This is the issue I focus on in this blog post. But the wider context is important: the court was considering P’s liberty against a background of disagreement about his care, restrictions on his mother’s contact and involvement, and a prolonged dispute that has not resolved to her satisfaction.

The hearing

The applicant was NHS Mid and South Essex ICB, which is responsible for arranging P’s care, represented by Susanna Rickard of Serjeants’ Inn Chambers as counsel, and Beth Farrow of Mills & Reeve as the instructing solicitor.

There were three respondents: 

  • P (by his litigation friend the Official Solicitor), represented by Felicity Williams of Garden Court Chambers as counsel and Cerise White of Miles and Partners as the instructing solicitor.  (Interestingly, Cerise White also acted for the protected party in the case of Oxfordshire County Council v P and G [2026] EWCOP 33 (T2), one of the (now) five published judgments in this area.)
  • P’s mother (as a litigant in person on this occasion – she’d been represented by Anna Bicarregui of 39 Essex Chambers at the previous hearing); at this hearing the mother was supported by a McKenzie Friend.
  • P’s father (also as a litigant in person, as he had been at the previous hearing).

At the outset, the judge made clear that “this case has been before the court long enough and there needs to be resolution”.  Two versions of the draft order had been filed for her consideration. As she observed, “the only real difference is the deprivation of liberty point”.

Those opening remarks framed the task before the court: to bring protracted proceedings to a conclusion, primarily by resolving the question of whether P’s current arrangements amount to a deprivation of liberty.

Submissions concerning P’s deprivation of liberty

I’ll report on each party’s position in turn, in the order in which they made submissions.

The ICB’s position: P is not deprived of his liberty

Counsel for the applicant ICB pointed out that “the AGNI case has obviously changed the territory significantly”. The question of whether P’s residence and care arrangements now amount to a deprivation of liberty is one that the ICB “says candidly that it’s a lawyer’s question, and that must be correct”. 

The ICB Position Statement sets out (counsel said) “that it’s possible to fudge this and to make an order that used to be commonplace before Cheshire West to the effect that ‘to the extent that he’s deprived of his liberty, it’s authorised’. But (she said) that’s not appropriate here, “because there’s sufficient evidence for the matter to be determined. It is the submission for the ICB, having examined P’s care and his reaction to it, that this does not fall into a ‘deprivation of liberty’ and might be quite far away from it”.

I do not have the ICB’s Position Statement, so the account that follows is based on the oral submissions only. I have not been able to verify every passage against the written document.

Counsel summarised the ‘objective’ and ‘subjective’ elements of the multi-factorial’ assessment required by AGNI. The objective element concerns confinement to a particular restricted space for a material period of time (the paradigm case being the prison cell) – and relevant factors include the possibility of leaving, the degree of supervision and control over their movements, the extent of their social isolation, and restriction of social contacts. 

Counsel argued that AGNI “elaborated beyond domestic case law on the way in which an individual’s response to their living situation is actually part of the multi-factorial assessment of whether the objective element of confinement is met … Valid consent is an autonomous concept within Article 5, not to be equated with capacity”.  Counsel referred to §3 of her Position Statement (which I don’t have) where she quoted from AGNI – and I think it was this extract she was quoting:

“…. an individual without legal capacity under domestic law, but who is conscious of their environment and has a basic understanding of their living circumstances so that they can express their view about their situation, who manifests their acceptance of the situation they are in, should have their opinion respected when an assessment is made of whether they are deprived of liberty under article 5.” (§53(2) AGNI). 

She submitted that this was relevant to P in this case because “he is ‘manifesting his acceptance of the situation he is in’  – to use the  Supreme Court’s words.  In fact, it is more than acceptance. He enjoys living where he is and he is thriving and happy there.” She added that the word his father had used was ‘flourishing’”.

Counsel described P as clearly aware of his living arrangements: “He’s an active and animated young man. He’s engaged with his carers and recognises them. He loves his home.” The significance of P’s positive response, she argued, is that “ultimately AGNI makes clear that the court has to ask whether P’s living arrangements amount to a detention that’s against his wishes, or does it constitute a supportive home environment”. 

Counsel accepted that P’s Personal Behaviour Support Plan provides for restraint as a last-resort intervention, but said it was seldom used.  “Overwhelmingly, P is happy in his own environment”. 

In §6 of counsel’s Position Statement, counsel had apparently set out  the kinds of behaviours that might indicate objection to a person’s living arrangements. I don’t have that document and I don’t know the source of the list she gave. I didn’t succeed in capturing all of the objections she cited but they included, conflict, arguments, attempts to leave, and physical restraint.  “In my submission,” she said, “that description is far from fitting P”.

She argued that P “can’t be described as merely acquiescing in his care. He is happy” – and that “the so-called restrictions that form part of P’s care are imposed solely for the purpose of enhancing his quality of life: (not for punishment or coercion, but for his protection (see §130 AGNI). 

Counsel concluded with a strongly positive account of P’s life at the placement.  “It is the opposite end of the spectrum to a prison cell. P is happy. P shares his home with another service user and they have a positive relationship – it is more akin to friendship than housemate. He has a very varied program of activities. He has rewarding family relationships. He goes out into the community. He is not isolated. There is no element of coercion. His care is facilitative of his well-being and happiness and quality of life, and his experience is positive.” 

She also relied on P’s father’s description of  P as “happy and content”. His father considers that P receives “outstanding care” and has “a very special bond with both staff and his housemate”.

Counsel’s conclusion was that, in these circumstances, “the court is very far from being able to find that the objective element of confinement is met in those circumstances”.

The Official Solicitor’s Position: P is deprived of his liberty

The Official Solicitor advanced a different position to that of the ICB: “Contrary to the position of Ms Rickard, the position of the Official Solicitor is that we are not at one extreme.  A more nuanced approach is needed.”

Counsel emphasised that  P is subject to several care plans: the NHS CHC statutory care plan, the placement care plan and the Personal Behaviour Support plan, which provides for  restraint as a last resort.  In addition, the Schedule governs how contact between P and his mother operates. The Official Solicitor submitted that these arrangements need to be considered together, rather than the placement being characterised simply as a supportive home environment.

Counsel read out some paragraphs from the Department of Health and Social Care’s {DHSC] preliminary Guidance published on 15th June 2026, which addresses the relevance of objection to the assessment of deprivation of liberty: “It should be noted that the issue of whether a person is objecting to the confinement is relevant to the question of objective deprivation of liberty. Where a person is objecting, then it follows that valid consent is unlikely to be present. If there is an absence of objection when the person is capable of objecting, then it is more likely that the person is not being confined.”

The guidance goes on to say that objection may take different forms, including attempts to leave, refusal of care or treatment, physical resistance to care, restraint or one-to-one support to manage behaviour, and the use of covert or sedating medication in circumstances where a person objects.

Counsel then identified what she considered to be the relevant indicators of confinement and control in P’s own circumstances. These included locked entry and exit doors; one-to-one support during the day and hourly observations at night; supervision during personal care; and the arrangements governing visits and contact.

She submitted that P is not free to leave.  He can only access the community with carers, and when he does, carers are on hand at all times.  One example was given: “if he goes the swimming pool, he is not permitted to go down the flumes because of the risk to him”.  More generally, “he isn’t able to come and go at will – that depends on the availability of carers”. 

Counsel also drew attention to the difficulty of ascertaining P’s preferences. He “can’t express his preferences easily”, she said, referring to a recent visit by his solicitor at which he had not been able to engage with her. She quoted the Supreme Court’s warning in AGNI that the views of people with impaired understanding may not always be easy to ascertain: “[I]t may sometimes be difficult to ascertain the true feelings or preferences of vulnerable individuals who do not have mental capacity to decide on their living arrangements. The approach should be practical and realistic. Where there is serious doubt, no inference of valid consent should be drawn” (§53(v), AGNI, my emphasis).

The Official Solicitor’s argument therefore placed emphasis not only on the restrictions in P’s daily life, but also on the difficulty of establishing his wishes and preferences with confidence. Against the ICB’s account of a young man who is happy and flourishing, the Official Solicitor invited the court to consider the extent of P’s dependence on others, the limits on his freedom to come and go, and the uncertainty surrounding his ability to communicate his views.

The central difference between the two submissions was not whether P enjoyed important aspects of his life at the placement. It was what that evidence, alongside the restrictions on his movements and the difficulty of ascertaining his wishes, meant for the legal assessment of deprivation of liberty.

P’s mother’s position: P is deprived of his liberty

At the previous hearing (when she was represented)[8], P’s mother had raised concerns about whether the care and support that P is receiving is in his best interests. She thought he was not being offered activities that would motivate him to leave the placement. She expressed concern that, due to staff shortages, P is usually unable to leave the placement after 8pm. She said his bedtime routine can start as early as 5pm and that he’s often had a bath and dinner by 6.30pm, which leaves him unstimulated.  This theme continued in today’s hearing.

For P’s mother, it was important that the judge consider an incident recorded in the hearing bundle, which she described as having occurred “when he wasn’t allowed to go out that night”.

It took some time to locate the relevant entry. The mother described an occasion when P asked a member of staff whether he could go out sometime after 6.30pm. The worker said no because the shops were shut. P then became “very, very distressed” and bit the service user with whom he lived.

The mother was concerned about the consequences of restricting P’s activities, both for him and for the other people living at the placement:  “My concern with this in general is that he’s a risk to the other service users that he lives with, because his behaviour escalates when he’s subject to restrictions”.

She contrasted this with the arrangements when she cared for P at home: “When I looked after him at home, he led and I followed. That isn’t the case at H Home”. On the night in question, an on-call worker had been available to take P out for a drive, although not out into the community for an activity. Without that intervention, she said, it was impossible to know how his behaviour might have escalated. In her view, restrictions on going out increased the risk of P harming other residents and being restrained.

She also drew attention to the physical environment. Although the residence was “homely”, and in a pleasant area, she described the communal space as very small, given that P and his co-resident are each supported by their own staff.

The relevant entry was eventually located[9] and the judge read it aloud. It was a staff record dated 4th July 2026 and it was broadly consistent with the mother’s account: when told he could not leave the home, P had bitten his co-resident and “head-locked” a member of staff (according to the records). 

The mother said that this was not an isolated example. She believed other entries showed that staff themselves were recording P’s distress when he was prevented from going out.placed the incident in the context of a longer-running disagreement about P’s evening activities. She told the court that, when proceedings began in 2023, she had asked for evening activities to be provided. Various promises had been made, she said, and she had agreed to drop her application to become P’s deputy. In her view, those promises had not been kept.

She described P as being detained at the placement after 8pm, contrary to his wishes and feelings: “He was used to going out at home. He’s finding it very difficult to be confined to H premises after 8pm. That’s one of the reasons I think he is deprived of liberty”.

Her concern was not simply that P had fewer opportunities to go out. She argued that the restrictions could lead to distress, which in turn could result in behaviour that harmed others and made restraint more likely.

She also described what she saw as a lack of meaningful evening activity. From 8pm until he fell asleep, she said, P has little stimulation and is confined to a small bedroom using his iPad. Staff put him into his pyjamas from 8pm in preparation for the overnight staff. By contrast, she said, she tries to take him out after 8pm when she can: “Recently we’ve been to the theatre. And on short breaks, when I take him out, we have evening activities. That’s when I say he thrives. He’s treated like a 25-year-old and not a 5-year-old who can’t go out after 8pm”.

Her account presented the evening curfew not merely as limits on P’s movements, but as restrictions she believed were inconsistent with his established way of life and had adverse consequences for his wellbeing and behaviour – sufficient to constitute a deprivation of liberty.

Finally – the contact restrictions. The contact restrictions in the Schedule of Agreement arose in a different context from the question of deprivation of liberty: the discussion concerned whether P’s mother would continue to agree to the Schedule. Their impact on P’s mother is relevant context, but it’s not necessarily the case that restrictions on her contact with P automatically establish that P is deprived of his liberty. Nonetheless, since the Official Solicitor had just identified the Schedule as one element of the overall arrangements the court should consider in making a determination as to whether or not P is deprived of his liberty, I listened to the mother’s submissions with that in mind.

P’s mother said that she was “banned from his home” and therefore had to take P out whenever she wants to spend time with him. This means spending the whole day with him in the community on Wednesdays and half a day on Sundays – arrangements she described as exhausting.

She explained that she had chosen supported living for P because she had become “burnt out” caring for him herself. She now feels that the ICB and care providers have placed her in an “unsustainable situation”, without flexibility over when she can see her son.

Alongside a full-time job and her own health issues, the arrangements have become difficult to maintain. Because she spends Wednesdays with P, she has to work on Saturdays, and she is also struggling to visit him every Sunday. She wants  greater flexibility and the freedom to visit him in his own home.[10]

Her account illustrated how the Schedule affected not only the practical arrangements for family contact, but also her ability to sustain her relationship with P. The significance of those restrictions for the legal question of deprivation of liberty was a matter for the court to assess as part of the overall circumstances.

Position of P’s father: P is not deprived of his liberty

P’s father, representing himself, initially said that he agreed with both the ICB and the Official Solicitor.  When the judge pointed out that they had taken opposing positions, he said that he would leave the lawyers to address the legal question of deprivation of liberty.

He did, however, offer his perspective on the restrictions imposed on P: “a lot of the restrictions that are being defined as deprivation of liberty are there for his safety. It doesn’t mean they are holding him prisoner. They are there for a reason”.

His submission emphasised the protective purpose of the restrictions. Whether that purpose answered the legal question was for the court to determine.

Judgment

After a recess for lunch, the judge returned to deliver her judgment. She set out the factual background to the case and summarised, in neutral terms, the opposing arguments made by the ICB and the Official Solicitor with respect to whether or not P is deprived of his liberty. She continued:“I go back to the evidence given by P’s mother today before me. I found that evidence to be compelling. She was not involved in the incident on 4th July and didn’t know about it until she read about it in the notes. It rang a chord with her because she knows her son is frustrated by not going out at night. I have heard that he is put in pyjamas at 8pm. On that date he was told he couldn’t go out, and he became agitated. That is clear evidence of a deprivation of liberty.”

The judge then considered the restrictions on P’s daily life more broadly. “When the court looks at the Guidance from the DHSC, […] find externally imposed restrictions […] there are locked doors, 1:1 or 2:1 supervision – which is essential for his needs, even when he’s with his mother – no independent community access, and supervision for medication and personal care. There’s also restraint – as a last resort, but it is there – and there are restrictions on his contact with his mother via the Schedule of Agreement. Finally, his finances are managed by his mother and not by himself[11].  The building is always locked externally. He lives behind locked doors. The premises are small, and become smaller still by the presence of carers. He is confined […]. So, the court decides that P is currently subject to a deprivation of liberty. There is a clear absence of valid consent.” 

The judge therefore found that P’s arrangements amounted to a deprivation of liberty and that there was no valid consent. She went on to approve the deprivation of liberty as necessary, proportionate and in P’s best interests.

Reflections

One interpretation of the Supreme Court’s judgment in AGNI was expressed by DJ Glassbrook at another hearing in a different case: “The Supreme Court said that if there are objections then, on the face of it, we’ve got deprivation of liberty”.[12] 

This is an interpretation we’re seeing quite frequently. The judgment in P’s case might be read as supporting it. P’s distress on 4th July 2026, expressed through agitation and biting another resident when he was not allowed to go out was described by the judge as “compelling” evidence for a deprivation of liberty. The locked doors, continuous supervision, restrictions on independent access to the community, and restraint formed part of the wider  picture.

The judge’s reasoning, as recorded in the judgment, does not expressly explain how she weighed the incident of 4th July against the evidence advanced by the ICB that P “enjoys living where he is and he is thriving and happy there” — a view also supported by his father. The ICB relied on this evidence in arguing that P accepted his living arrangements and that there was valid consent.

The judge clearly attached considerable weight to the evidence highlighted by P’s mother: an occasion when P was prevented from going out, became distressed and was restrained. Her conclusion was that this was evidence of deprivation of liberty and that there was no valid consent. But I was left wondering how she reconciled that conclusion with the evidence of P’s general happiness at the placement. Did she regard the incident as revealing something fundamental about P’s experience of the restrictions, notwithstanding his otherwise positive response to his home? Or did she give it particular weight because it was a concrete example of what happened when P’s wishes appeared to conflict with the care arrangements? The judgment does not expressly resolve those questions.

Neither of the represented parties referred in their oral submissions to case law other than AGNI.  I was nevertheless struck by some similarities between this case and Re AR (Whether restrictions amount to a deprivation of liberty) [2026] EWCOP 45 (T2), heard by HHJ Burrows about a month earlier.  HHJ Burrows judgment is worth a read in conjunction with thinking about this case, since he’s a Tier 2 judge with considerable COP experience (and also appeared in Cheshire West), and was recently described by 39 Essex Chambers as  “…undoubtedly taking the lead as regards the development of a body of judicial consideration of the world after AGNI“.

Like P, AR is also a young man in his 20s with autism and a severe learning disability. He too had lived in the family home until moving, as a young adult, into his current placement.  Both cases also involve restrictions on contact with family members. In Re AR, as in the case reported in this blog post,  staff had expressed concern about visits that were late or cancelled at short notice, which they described as “unsettling” for AR.

But HHJ Burrows concluded that AR was NOT deprived of his liberty and he listed the following matters as decisive:

(a) AR suffers from a condition that will always require a significant level of supervision. There is a need in his case to ensure a good level of routine and predictability so as to ensure his relative happiness.

(b) AR will always require restrictions on his movement. He will never be “free to leave” wherever he safely resides, and significant control has to be placed on his movements in and out of his residence.

(c) Management of his behaviour will always require a high level of supervision and control, including when necessary, restraint.

(d) Although he is not at his family home, he is at a place which he is able to treat as his own and to personalise his environment. He is able to make friends, and engage in activities in and out of the placement.

(e) These restrictions are in place for his own good, and are intended to ensure the best outcome for him.

(f) Although his residence at the placement involves restrictions, they are far away from the paradigm of the prisoner in his cell, or, for that matter the mental patient in his secure unit.

(g) These arrangements are relatively normal.

I am struck by how many of these observations could be made equally about P. Like AR, P requires substantial supervision; his movements will always need to be restricted for his safety; managing his behaviour will also need a high degree of supervision – with restraint  available as a last resort; he has relationships with others at the placement and takes part in activities (swimming and trampolining were both mentioned); and the restrictions are to protect his wellbeing. Yet DJ Callaghan reached the opposite conclusion: P is deprived of his liberty.

The comparison raises a question about the significance attached to P’s distressed response to the evening restriction, and the resulting restraint. On the material I have described, this appears to be one of the most significant points of difference between the reasoning in the two cases. But it is difficult to assess precisely how much it explains the different outcomes without a fuller account of the reasoning in each judgment (particularly DJ Callaghan’s).

Contact restrictions provide another point of comparison. In Re AR, the parents were permitted supervised contact (only), with their son at his placement on the second and last Wednesday of each month — a more restrictive arrangement than the contact schedule described in P’s case. HHJ Burrows recognised that contact could be a “significant” factor in determining whether a person was deprived of liberty. He observed that: “There may be situations where restrictions on contact with friends and family may be such as to change the character of the placement away from a home and closer to a place of detention”. But he concluded of AR’s circumstances: “This is, in my judgment, not one of them” (§67, Re AR).

The two judgments therefore leave me with a question. If the restrictions on movement, the need for supervision and the restrictions on family contact can be consistent with a finding of no deprivation of liberty in one case, but amount to a deprivation of liberty in another, what is it about the person’s experience of those arrangements, or the wider context, that tips the balance?

The only explanation I can come up with is the weight attached to P’s response to being prevented from going out in the evening. DJ Callaghan treated the incident as “compelling” evidence of deprivation of liberty. But the precise role played by that evidence in the overall assessment is not fully explained in the reasoning available to me from the ex tempore judgment.

This matters beyond these two cases. AGNI requires a multi-factorial assessment that (where possible) takes seriously the individual’s own experience of their circumstances. But where the balance between the factors is decisive, transparency about how the court weighs them becomes especially important. Without that explanation, it is difficult for observers to understand whether different outcomes reflect meaningful differences in the objective conditions and the individual’s subjective experience, or different approaches to applying the same legal test.

Celia Kitzinger is co-director of the Open Justice Court of Protection Project. She is on LinkedIn (here), and also on X (@KitzingerCelia) and Bluesky (@kitzingercelia.bsky.social)

Postscript: A transparency concern that listings never include “Is P deprived of liberty following AGNI” as a matter before the court

The public listing of this case appeared in CourtServe (the only way we normally get to learn about court hearings) as below.  The public listing said the hearing was about “WHERE P SHOULD LIVE & HEALTHCARE”. 

In fact, the matters before the court for this hearing were:

  • whether P is deprived of his liberty following AGNI;
  • whether to make a final best interests decision in respect of P’s residence (in the context of there being no available options) or whether, as P’s mother wanted, to keep proceedings live and direct the ICB to file evidence about potential alternatives
  • whether or not the “Schedule of Agreement” (contract of expectations) to which P’s mother had earlier agreed (meaning that an injunction with a penal notice against her had been discharged) should also now be discharged, since she objected to it (in which case the ICB intended to make a new application for an injunction)

We knew in advance, from observing an earlier hearing in this case (on 31st October 2025), that the listing did not accurately reflect the issues the judge would be asked to address today.  The question of “WHERE P SHOULD LIVE & HEALTHCARE” relates to matters from much earlier in the proceedings (which commenced on 5th November 2025) and does not reflect more recent developments.  Although the question of whether or not P was deprived of his liberty was the matter that occupied most of the court’s time, the phrase “deprivation of liberty” does not appear in the listing, and no member of the public for whom this was a compelling concern could have known from the public listing that this would be an interesting hearing to watch.

Conversely, I have selected and asked to observe hearings listed as being concerned with “deprivation of liberty” only to find, when I enter the courtroom, that in fact that is not an issue the court is concerned with that day.

Given the extent of legitimate public interest about the implications of the Supreme Court decision in AGNI for vulnerable people, and the way in which AGNI is being implemented in the Court of Protection, it is a significant problem for transparency  that court listings prevent us from accurately identifying those hearings at which the relevant issues will be aired in court.

Endnotes


[1] We’ve not blogged most of these cases (for reasons explained in the next paragraph of the main text), but links to those we have published about are available here: https://openjusticecourtofprotection.org/dol-in-the-cop-post-agni/

[2] In most cases, the person’s deprivation of liberty safeguards are removed without a court application in advance of, or immediately following, the next scheduled annual review process, as described by Joe and Sandra Preston in relation to their mother(-in-law) here: The irony and the AGNI.  No court application is required.  My own family is expecting the same to happen to our sister Polly: Polly and AGNI.

[3] I’m aware of only five published Court of Protection judgments, three of them by HHJ Burrows. They are: Oxfordshire County Council v P & G [2026] EWCOP 33 (T2); Re AR (Whether restrictions amount to a deprivation of liberty) [2026] EWCOP 45 (T2); Derby City Council v SM [2026] EWCOP 46 (T2); Re BM (Deprivation of Liberty) [2026] EWCOP 48 (T2) and Re PK & MK (Article 8 protections) [2026] EWCOP 52 (T2) – the last of these published subsequent to the date of this hearing. Additionally, two post-AGNI decisions about deprivation of liberty have been published by the Family Division: Re Mustafa (A Child) [2026] EWHC 2159 (Fam) and Essex County Council v MH, GH and ST [2026] EWHC 2328 (Fam). (There’s a helpful blog post about the two Family Division decisions here: “What do recent cases tell us about AGNI and deprivation of liberty for children and young people?”)

[4] I am grateful to the ICB’s legal team for preparing very helpful ‘Gardner documents’ (a case summary, list of issues and chronology) which have assisted in the accurate presentation of this case. I did ask for the Position Statements too, but they were not provided which means that I rely on the oral arguments alone in presenting the parties’ positions on how P’s care and residence arrangements do or do not constitute a deprivation of liberty.  In presenting these arguments I have drawn on my contemporaneous touch-typed notes and they are as accurate as I can make them, but unlikely to be verbatim. (The same applies to the ex tempore judgment of course.)

[5] There is a longer history to the proceedings, going back to January 2023 when the ICB initially sought authorisation of P’s care and support arrangements as a deprivation of liberty (approved in mid-October 2023) and made an order providing that annual renew of future deprivation of liberty authorisations would be via the streamlined Re X procedure.  Given what the ICB describes as ongoing  “strained” relationships and “difficulties and differences of opinion” between P’s mother on the one hand, and the ICB and care providers on the other, the Re X streamlined procedure was not appropriate in 2024.  In particular, P’s mother was disputing that P’s continued deprivation of liberty at H House was in his best interests.

[6] The specific incident P’s mother referred to was an occasion when P, visiting her at home was clearly in abdominal pain and “passed a stool with blue and white material in it”. She said she contacted the Deputy Manager and asked if they knew if P had swallowed something blue. They said not, but in her role as financial appointee she is given P’s receipts and found that he had been bought blue balls – and then later informed that he had a ball that he’d broken into small pieces but that staff had hoovered it all up. She referred the judge to a photo in the bundle – I think it was a sample of P’s stool which she had passed to the carers, who had assured her they would get it tested, but did not.

[7] The final hearing was initially listed for 4th March 2026. Rather than conclude the proceedings, the court directed the ICB to provide further evidence, which I understand concerned possible alternative placements. The seven-month delay before the final hearing in October appears to have had several contributing factors, including the need for further or better evidence about capacity, the parties’ inability to agree an order, the father’s unavailability on one of the dates initially listed for a final hearing, and a lack of confirmation from the court about subsequent hearing dates.

[8] Thank you to Claire Martin and Kim Dodd who both observed the hearing on 31st October 2025 and contributed to this blog post by checking my understanding of events before the hearing which I’m reporting on here.

[9] It seems there was a 1500-page bundle which the judge had only received around 8.30pm the night before the hearing, plus two supplementary bundles, each of 34 pages. This was, as the judge said, “unsatisfactory” for a final hearing. It was not, as I understand it, the fault of the parties: “I lay it squarely on the administration of the Court of Protection” (said the judge), saying that there was “only one admin officer actually doing any work in the building” when she called to ask for the bundle the day before.

[10] The judge did not make a ruling about this in her judgment – she simply encouraged “dialogue” about the arrangements but made clear that “what is important is that this placement is never undermined”. When subsequently asked by P’s mother about this, she expressed the view that flexibility would be desirable and made some suggestions about how that could work, saying: “this is a discussion I hope you’ll have with the ICB and the service provider”.

[11] The mother is P’s DWP and personal health budget appointee. In my view this is not an obvious indicator of confinement, but it had been raised as such by the Official Solicitor.

[12] There is no published judgment. This quotation comes from a blog post: ” Objections (and breached conditions) after AGNI

 

After AGNI, are local authorities attempting to conclude proceedings inappropriately?

By Maria Maier, 6th October 2026

In this case (COP 14053038), the Supreme Court judgment intended to clarify when a person is deprived of their liberty (A Reference by the Attorney General for Northern Ireland (Deprivation of Liberty) [2026] UKSC 16, or “AGNI” for short) was used by a local authority as a reason for ending Court of Protection proceedings – prematurely, in the view of the judge. 

The hearing I observed (in person) was before DJ Reeder sitting at First Avenue House on 2nd October 2026 . Proceedings began in early September 2025, and this was the third hearing in the case (the first was listed – according to the Transparency Order – for October 2025) and the first I observed.

The Local Authority argued that, following AGNI,  the protected party (P) is not deprived of his liberty and that proceedings should therefore conclude. 

But as the hearing unfolded, the judge repeatedly found a striking disconnect between P’s care plan and what is actually happening on the ground.

For P, the reality appears to include both physical and chemical restraint. Yet neither is properly reflected in the care plan. 

As a result, the judge found himself unable to address whether or not P meets the post-AGNI test for deprivation of liberty because he first needs to understand the restrictions P is actually experiencing.

Observing in person

Knowing I had a relatively free day on 2nd October 2026, I checked the First Avenue House listings the evening before and saw three DoLS hearings listed before Tribunal Judge Reeder. I arrived in time for the 10:30am hearing, only to learn it had been vacated. I was advised that the 1pm hearing was likely to proceed, so I returned at 12:35pm and was given a copy of the Transparency Order to read.

On entering the courtroom, Tribunal Judge Reeder asked me to confirm that I had read and understood the Order, particularly the serious consequences of breaching it. He then introduced counsel. The applicant was initially P’s brother (and financial deputy) who is a litigant in person, however I am unsure whether he remains the formal applicant or has been replaced by the Local Authority. The Local Authority (the London Borough of Harrow) was represented by Michael Paget of Cornerstone Barristers. The protected party (P) is a respondent in these proceedings represented, through the Official Solicitor, by Alex Cisneros of 39 Essex Chambers. The judge then helpfully asked Mr Paget to provide a summary of the case for my benefit.

The hearing

The hearing concerned a young man (P) who lacks capacity to make decisions about his care and residence and lives at home with his family. 

The proceedings began in September 2025, after P’s brother asked the Court to determine whether P required a DoLS authorisation at the family home. His application preceded the Supreme Court’s decision in AGNI.

At a hearing after the AGNI decision was handed down, the parties disagreed about whether the restrictions placed on P amounted to a deprivation of liberty and the Court directed the parties to provide updated evidence for the court to make a determination on this. That was the issue before the court for the hearing I observed.

At this hearing, on 2nd October 2026, the Local Authority’s position was that P was not deprived of his liberty under the new AGNI test and that it is in his best interests to remain living at home. It therefore sought a declaration that P should continue to live at home and attend his day centre, with everyone following the existing care plan. From the Local Authority’s perspective, there is no reason for the proceedings to continue.

The Official Solicitor took a different view, submitting that it remains unclear whether or not P’s restrictions amount to a deprivation of liberty under AGNI, particularly because there has not been sufficient recent evidence or opportunities to establish P’s current position.

The Judge began by questioning the Local Authority’s position. There is an overarching care plan for P at home and at his day centre, but the plan contains no provision for physical restraint. This is significant because, despite the absence of any such provision, P’s family have resorted to physically restraining him on regular occasions. Staff at his day centre are similarly not authorised to use physical restraint but they apparently do not do so: they rely instead on distraction and other techniques.

Judge Reeder identified the difficulties immediately: P spends his days at the day centre but is at home in the evenings and throughout the weekend, so  “the conundrum that is bothering me is that P has different sides to his life”. Moreover, the Judge continued: “Despite there being no proposal for physical restraint, the opposite seems to be true“.

He questioned how the court could conclude that P is not deprived of his liberty when physical restraint is actually being used, particularly when this appears to be happening at home without trained staff. He also raised the issue of chemical restraint, noting that P is taking antipsychotic medication but that there is no reference to chemical restraint in the care plan.

The Local Authority maintained that, although physical restraint had been used, it is not needed and is not authorised. When the Judge asked how physical restraint could be authorised if it did become necessary, Mr Paget explained that it would need to be included in the care plan, or in a Positive Behaviour Support plan, or another form of plan. There is, however, no such provision for P.

The Judge remained concerned. One of the most striking observations he made in the hearing was this: “What is happening on the ground is not what is being conveyed“.

He explained that he needed direct evidence from those providing P’s care before he could be satisfied that physical restraint is unnecessary. When the Local Authority attempted to rely on another document, the Judge was not satisfied that it reflected what is actually happening.

The judge’s frustration was evident: “I need to start drawing the line. These are personal welfare proceedings that began in September 2025. We need to understand what is actually happening and what is in the care plans“.

He noted that this was already the third hearing, yet the court was still trying to establish what was and was not happening in practice. Evidence from a care provider and an appropriate supervisor at the day centre is therefore required.

The Local Authority referred to advice given by a clinical psychologist in 2022, which had suggested using visual techniques to distract P and to avoid physical restraint. However, the Judge was not satisfied that this provided the answer. The evidence was four years old, and, after further discussion, the court found that the suggested techniques had not been adequately shared with P’s family.

The issue of chemical restraint then became more prominent. The Judge asked why the care plan made no reference to chemical restraint when P is taking three medications, each of which has sedative effects and has been prescribed for that purpose. He also asked where the medication is being administered. There was initially some confusion about whether medication is being given at the day centre, before P’s brother clarified that P receives the morning and evening dose at home, with the midday dose administered at the day centre and at a dosage which had been increased in January 2026.

The Judge then returned to the central difficulty. If P is in reality being physically and chemically restrained, while his care plan does not anticipate either form of restraint, how could the Court be satisfied that the arrangements represented the least restrictive option?

The Local Authority nevertheless maintained its position: P is not deprived of his liberty under AGNI and the proceedings should conclude.

Judge Reeder disagreed. He said that there is insufficient evidence to make that decision. He explained that he needed more information to make a best interests decision under section 4 of the Mental Capacity Act 2005 and to ensure that P was subject to the least restrictive option under section 1(6).

The Judge then asked P’s brother to explain what life actually looks like for P at home.

The brother’s evidence highlighted a stark difference between P’s two environments. At home, P lives in a three-bedroom house across three floors with various family members including his mother, sister and another brother with children. The brother, who had made the initial court application , described a recent incident in which P’s sister had woken P up to attend the day centre and he had attacked her, requiring P’s other brother to physically restrain him.

The day centre is very different. P has two-to-one male staff with him and access to several different support workers who use distraction techniques to calm P down. As his brother explained: “It’s a completely different space with different rules, people, equipment to distract him, that’s why they don’t need to use physical restraint and we do“.

He stressed that the family does not want to restrain P and that they regularly try other approaches first. Sometimes this means taking P out in the middle of the night simply to distract him, including driving to McDonald’s at 2am.

This evidence complicated the Local Authority’s suggestion that physical restraint simply should not be happening. It also demonstrated why the Judge was reluctant to determine the case based solely on the written care plan.

P’s brother would like P to move closer to him and requested an independent social worker to help develop a new care plan. He also described longer-term possibilities, including applying for housing in P’s own name, as well as seeking additional paid carers or financial support for family members to take more time to look after P. When asked whether the family would be willing to undertake additional training to best support P, he confirmed that they would.

The Judge made clear that he was not minded to conclude the proceedings that day. He remained concerned about the use of chemical restraint, the uncertainty surrounding physical restraint and, above all, the disconnect between P’s care plan and his actual life at home.

Counsel for P through the Official Solicitor identified the wider significance of the case: “One of the impacts of the AGNI decision is that it has led to Local Authorities attempting to conclude proceedings in inappropriate circumstances.”

The Judge agreed that the starting point had to be evidence “from the horse’s mouth”. He wanted evidence directly from the care service and someone in an appropriate supervisory position at the day centre. This evidence needs to explain what care plan or Positive Behaviour Support plan staff are following, how it is implemented, whether physical or chemical restraint is used often, what techniques are being employed and what threshold triggers escalation. He also wanted evidence about P’s behaviour and safety during transport to and from the day centre, as despite a safety lock and car seat, P had managed to jump out on a recent occasion.

The Judge also asked P’s brother to begin documenting P’s behaviour on a daily basis. He acknowledged the additional burden this placed on P’s family but emphasised the importance of obtaining evidence about P’s life at home. Judge Reeder did not prescribe a particular format but suggested keeping a diary recording episodes of challenging behaviour, the methods used to calm P, and any physical or chemical restraint used. He also requested a one-page spreadsheet setting out the payments made to P’s family and carers, leaving P’s brother and the Local Authority to decide who would provide the information.

The Judge concluded that the care plan itself needed to be reviewed and that the Court needed more “hard-edged evidence”.

Crucially, he made clear that he was not going to determine the AGNI issue (i.e. whether or not P was deprived of his liberty) on the evidence before him.

Instead, he directed the Local Authority to produce an updated version of the care plan and establish what P’s care and support arrangements would actually look like going forward. Until that evidence was available, the existing DoLS authorisation would continue.

The hearing concluded with directions for further evidence, including a statement from the Local Authority addressing physical restraint at home, behaviour and support plans, risk assessments and medication. The Court also sought a recent medication review, information about respite options and fuller consideration of alternative care and accommodation arrangements, including whether the current arrangements were sustainable or whether options such as co-living or weekend residence should be explored.

By the end of the hearing, the proceedings had not been concluded. Instead, the Court had identified significant gaps between the formal care plan and P’s lived reality and required the parties to provide evidence capable of resolving them. 

Reflections

I was struck by Mr Cisneros’ observation that one impact of AGNI has been that local authorities are attempting to conclude proceedings in inappropriate circumstances. This confirmed a worry that I had as an RPR, as I saw a sharp reduction in DoLS authorisations – and therefore in access to independent advocacy support – in the months immediately following AGNI. I was particularly surprised that this case was considered capable of ending when there were still significant questions about what was happening to P.

It was fortunate that the case was already before the Court. Judge Reeder was able to scrutinise the LA’s position and identify the gap between P’s care plan and his life in practice. However, this made me wonder how many people may be left without the same scrutiny if an LA concludes that there is no longer a deprivation of liberty and proceedings are not brought before the Court. It should not require family members (like the brother in this case) to make applications for a deprivation of liberty to be properly identified.

The hearing also highlighted the importance of clear, direct evidence. Even at the third hearing, the parties were still trying to establish what was actually happening to P. The Judge’s insistence on evidence “from the horse’s mouth” showed how difficult it is for the Court to make decisions about a person’s welfare when the care plan does not reflect their lived reality. 

As an observer, I found the hearing particularly easy to follow. The Transparency Order was provided on arrival, the Judge gave a clear summary of the case, and all parties spoke slowly and clearly. This made the proceedings accessible not only to me, but also to P’s brother as a family member and litigant in person. .

Maria Maier is an aspiring barrister. She previously worked as a Relevant Person’s Representative (RPR) and Rule 1.2 Representative for adults who lack mental capacity and are deprived of their liberty under the Mental Capacity Act (MCA) and she’s published other blogs for the Project. She began her Bar Course studies in September 2026 at the Inn’s of Court College of Advocacy. Her LinkedIn is here.

No public admittance to a ‘public’ post-AGNI hearing before HHJ Burrows

By Claire Martin, 27th September 2026

It goes without saying that hearings listed as ‘public’ should be accessible for members of the public to observe. Especially when they relate – as so many Court of Protection hearings do – to deprivation of liberty for vulnerable people. I was especially interested in this hearing before HHJ Burrows, who has something of a reputation as a judge making important decisions in this area. Another blog post covers HHJ Burrows’ ex tempore decision-making (there’s no published judgment) back in June 2026 in relation to a woman with profound disabilities living in an annex to her family home (“Considering ‘deprivation of liberty’ in a family home setting after AGNI“), and since the events described in this blog post, HHJ Burrows has published one of the first reported judgments to apply the new multi-factorial AGNI test (Re AR (Whether restrictions amount to a deprivation of liberty) [2026] EWCOP 45 (T2)).

So, I was frustrated and disappointed not to have been able to observe a remote hearing listed before HHJ Burrows in Preston on Monday 3 August 2026. I couldn’t observe it because I was never sent a link. Despite chasing repeatedly, I never received any reply at all. This was a fully remote hearing – so without the link, there was no way of observing it. Without the link, it wasn’t, in reality, “public” at all.

Background

There are two parts to the ‘background’ of what happened in relation to this hearing. I’ll deal first with the rules about remote observation and then the legitimate public interest in ‘deprivation of liberty’ hearings post-AGNI, which motivated my request to observe this (fully remote) hearing.

Remote observation of fully remote hearings

Those of us involved in the Open Justice Court of Protection Project have observed many remote hearings. Most of our blog posts concern hearings attended not in person but remotely – including hearings that took place in person (with a remote link provided for observers), as well as “hybrid” hearings (an in person hearing with one or more parties or their representatives attending remotely). But in most cases, the hearings we observe remotely are fully remote. That means there is nobody – except perhaps the judge – sitting in a physical courtroom: the only way of observing is via the link.[1]

Remote access to a public hearing is not a “right”[2]. Before making a direction to send a link to an observer, the court must be satisfied that (a) it would be in the interests of justice to make that direction; and (b) there is capacity and technological capability to enable transmission and giving effect to the direction would not create an unreasonable administrative burden. A list of mandatory considerations includes the need for open justice, the timing of any access request and its impact on the business of the court; the  extent to which the resources necessary for effective remote observation are or can be made available; and any impact which the making or withholding of such a direction, or its terms, might have upon (i) the content and quality of the evidence; (ii) public understanding; (iii) the ability of the media and public to observe and scrutinise; and (iv) the safety and right to privacy of any person involved with the proceedings.[3]

The rules do not seem to differentiate between public hearings which are taking place “in person” (so that, at least in principle, an observer could go along to a physical courtroom), and those that are fully “remote” – meaning that everyone is online. Counsel and judges in fully remote hearings are usually in their place of work, but sometimes at home or in another location, and the judge may or may not be in a physical courtroom – and if they are, it may not be the court in which they are formally sitting. Especially during the COVID-19 lockdowns, but also subsequently, we’ve seen judges ‘sitting’ in the Court of Protection from home, in hotels, and even while on holiday. The transparency problem with wholly remote hearings is that if a link is not sent, then there’s – usually – no physical location to which we can go to observe the hearing, in which case it’s hard to see how they can be understood to be “public”.

Public interest: the Supreme Court decision in AGNI

On 2 June 2026, the UK Supreme Court handed down judgment in the case now often referred to as AGNI (formally known by the distinctly un-catchy title “A Reference by the Attorney General for Northern Ireland of a devolution issue under paragraph 34 of Schedule 10 to the Northern Ireland Act 1998 UKSC/0042). In that judgment, the Supreme Court overturned Cheshire West, thereby upending over a decade of practice in this area. We have published multiple blogs about the hearing and judgment here: Commentary on the UK Supreme Court case about deprivation of liberty, and also blogs about subsequent cases where judges have considered the AGNI ruling in relation to deprivation of liberty cases in the Court of Protection (Deprivation of Liberty in the CoP post-AGNI).

Deprivation of liberty cases are a large part of the work of the Court of Protection. The Family Court Statistics Quarterly (Jan-March 2025) reports that there were 2,127 applications relating to deprivation of liberty in January – March 2025, amounting to 23% of the application made under the Mental Capacity Act in that quarter. But there are very few published judgments concerning deprivation of liberty, post-AGNI. To date, there have been two from the Court of Protection (here and here ) and one from the Family Division of the High Court (here).

Deprivation of the liberty of citizens in England and Wales is of considerable legitimate public interest. The core team of the OJCOP Project and other public observers have been endeavouring to observe hearings concerning deprivation of liberty, post-AGNI, to understand how the Supreme Court ruling is being interpreted and implemented in case law.

My request for the link was ignored

The hearing of Case 20035953 was listed as “public”. I emailed the evening before requesting link, Transparency Order and Position Statements (or Gardner Documents). I couldn’t email any earlier than this because the listings are not published until around 4.30pm the day before a hearing. This is often not understood by judges, who can, consequently, feel frustrated to receive a request from a public observer quite close to the start time of a hearing. It’s an issue we have raised many times but is intractable because of the dynamic nature of cases coming to court. Balancing open justice with other administrative pressures can be difficult and is one of the reasons why access to links is within the judge’s discretion according to the “Practice Guidance on Remote Observation of Hearings”. I don’t dispute the administrative pressures on the court – they are everywhere apparent – but I am concerned about their consequences.

This is the email I sent to the Manchester hub (whose email is provided in the listing):

The hearing was listed to start at 10am. As it approached 9.30am, having received no acknowledgment of my email and no link to observe, I decided to resend my email with the note as below, which was sent time-stamped at 9:24am.

At 9.48am, I had still not heard from the court hub in Manchester so I telephoned the generic 0300 number provided in the listing above. There were what felt like endless recorded voice messages, which were not relevant to the matter I was dealing with and frustrating to listen to, as I was aware that the hearing started in 12 minutes.

I have been reprimanded in public, several times, by judges annoyed that I have asked for the link ‘late’ or joined the link ‘late’ (e.g. see this blog: Why members of the public don’t ask earlier to observe hearings (and what to do about it)). This is always outside of my control and it feels particularly unpleasant and unfair to be treated this way when a hearing is listed as ‘public’ and we observers cannot request links any sooner than the evening before (i.e. at a time when court staff have usually gone home, meaning they will need to respond first thing in the morning). Of course, this is difficult for court staff too, but that’s the system we are all faced with currently and it is very rarely the fault of the observer for asking or arriving ‘late’. This was all on my mind when I was faced with silence from the Manchester Court of Protection hub.

The recorded messages were mostly about travelling to court. I couldn’t bypass them and had to sit through them all to reach the number options to take me to another portal.

I finally got to an option saying: ‘if your query is about a hearing in the next 24 hours’ – I ‘held’ (as advised, to enable me to speak to someone) and it told me I was in a queue. The messages are long and not always understandable – e.g. if I want to complete a survey about my experience press 1, if not please hold and we will forward your call to a member of our team. Does that mean I can’t both ‘complete a survey about my experience’ and ‘speak to a member of [the] team’?

I was still on hold at 9:52am. There was annoying floaty music. The hearing was now due to start in 8 minutes.

‘One of our call agents will be with you shortly. Thank you for your patience’. I wasn’t feeling particularly patient at this point.

‘Did you know you can find further information on our processes on www.gov.uk’.

Floaty music.

9:55 ‘One of our call agents will be with you shortly’

Then the phone call was cut off at 10:02am.

The hearing was likely to have started two minutes earlier.

In one last attempt to gain access to this purportedly public hearing, I emailed Preston Family Court directly at 10:04am. I know we’re not supposed to contact the local court but we’ve discovered sometimes that’s the only thing that works – though it didn’t work this time.

I have never received an acknowledgement or reply to any of my emails.

The obvious questions are ‘what went wrong?” and ‘what should be done about it?’. I’ve told the story from my perspective and don’t feel able to say much else about this situation really – except to add that it’s not uncommon for public observers to find themselves in this situation. That’s why I’ve taken the step of writing about it. Most people don’t because they feel – reasonably enough – that they’ve already wasted enough time trying to get access to a purportedly “public” hearing and writing about it is likely to be more wasted time. I’m sure if I contacted the court I’d be told (as observers have before) that it was a particularly difficult morning, staff were very stretched, or someone was off sick, or a new member of staff was in need of further training. I don’t doubt that those things are often true. But the consequence is that ‘public’ hearings are actually heard in private and the judicial aspiration for transparency is thwarted.

Maybe the open justice champions heralded by Mr Justice Nicklin in June 2025 (reported by  the Law Gazette here) could start to address this. In his speech in June 2025, Mr Justice Nicklin (referring to the Transparency & Open Justice Board), said: ‘The board and HMCTS are aware that there can be issues with people gaining timely access to remote hearings’, Nicklin said. ‘HMCTS are working to provide “open justice champions”. They will be regionally based, and it is intended that they will provide a single point of contact to assist in resolving open justice issues.’ We will see, once they are in place, whether open justice champions can make a difference.

A fully remote hearing is not “public” if the public cannot obtain links. Despite claiming otherwise, this hearing simply wasn’t, in reality, a public hearing. If the resources are not available to provide a link for observers for a fully remote hearing then the hearing is effectively “private” and would be better listed as such. Listing these effectively private hearings as “public” creates a misleading impression of transparency in the Court of Protection. And it’s particularly disappointing when the issue before the court is such an important matter of legitimate public interest (deprivation of liberty) and it’s being heard by an influential judge.

Claire Martin is Lead Consultant Clinical Psychologist, Cumbria, Northumberland, Tyne and Wear NHS Foundation Trust, Older People’s Clinical Psychology Department, Newcastle-upon-Tyne. She is a member of the core team of the Open Justice Court of Protection Project and has published dozens of blog posts for the Project about hearings she’s observed (e.g. here and here). She is on X as @DocCMartin, on LinkedIn and on BlueSky as @doccmartin.bsky.social

Endnotes


[1] This has posed a problem for transparency when cases listed as “in person” are changed at the last minute to remote hearings.  See ‘Observing a remote hearing in court with the judge” which describes a situation in which only the observer and the judge were in the physical courtroom, with everyone else on line for what had been “rejigged as an MS Teams hearing” late in the day.  In another case (also before HHJ Hilder) where two observers turned up at First Avenue House what was listed as an “in person” hearing, they was seated in a consultation room with a laptop and supported to observe the hearing (taking place just down the corridor) remotely.

[2] The statutory power to admit members of the public to observe remote hearings lies with  section 85A of the Courts Act 2003 as inserted by section 198 of the Police, Crime, Sentencing and Courts Act 2022. The regime is implemented by the Remote Observation and Recording (Courts and Tribunals) Regulations 2022. 

[3] “Practice Guidance on Remote Observation of Hearings”

“Wrapped in Cotton Wool”: Protection, Restriction and P’s Best Interests

By Layba Khan, 3rd September 2026

Every parent wants to protect their child. Yet there comes a point where protection itself may become restrictive. This tension lay at the heart of a case (COP 20033356) I observed on 25th June 2026 before Mr Justice Hayden, sitting in the Royal Courts of Justice.

Following years of serious illness, the parents of the protected party (“P”) in this case had created what the judge described as a “cocoon of happiness” around their daughter. The difficult question before the court was whether preserving that cocoon truly served P’s best interests or whether accepting the risks of elective surgery could offer her the opportunity for a fuller and less restricted life.

I observed this hearing as part of my LLM pro bono project. Mental capacity law is an area in which I have a particular interest; during my LLB, I was awarded the Mental Health and Mental Capacity Law Subject Award. I was therefore particularly interested in seeing how the principles I had studied were applied in practice, especially in a case where there was no straightforward right or wrong answer and where medical evidence, the views of those involved, and P’s welfare all had to be carefully considered.

I’ve previously observed a sexual offence trial in the Crown Court in Leeds. Both hearings involved the consideration of evidence, legal submissions and careful judicial scrutiny, but the purpose of the proceedings was very different. The sexual offence trial focused on determining whether the prosecution had proved the alleged offence beyond reasonable doubt, whereas this hearing focused on P’s capacity to make a particular decision and, if she lacked capacity, what decision would be in her best interests. I found this particularly valuable because it showed me how judicial decision-making can differ depending on the nature of the proceedings.

My interest in the hearing was also informed by my part-time work supporting university students with disabilities. This role has given me experience of working alongside students with a range of support needs and has reinforced the importance of treating each individual as a person rather than simply focusing on their disability. I hoped that observing the hearing would allow me to better understand how these principles are reflected in practice within the Court of Protection, and how the court seeks to ensure that the individual remains at the centre of its decision-making.

Background

The hearing concerned a 24-year-old woman (“P”) with Down syndrome, a learning disability and severe Crohn’s disease. The NHS Trust (Nottingham University NHS Foundation Trust) sought declarations that P lacks capacity to decide whether to undergo further bowel surgery, and, if so, that the proposed elective procedure was in her best interests.

Counsel for the Trust was Ms Taylor (I have been unable to establish which Ms Taylor this was). The protected party was represented by the Official Solicitor as her litigation friend, with Ms Emma Sutton KC as counsel. P’s parents were parties to the proceedings as the second and third respondents and appeared to be acting as litigants in person, addressing the judge directly during the hearing. The seven-hour hearing brought together expert medical opinion, judicial scrutiny and the deeply heartfelt contributions of P’s parents. At its core, the court was required to balance the significant risks of surgery against the potentially life-threatening consequences of allowing the disease to continue untreated.

P is the youngest of three children and had previously enjoyed an active life before suffering an emergency bowel perforation in 2023. She underwent several emergency operations, spent months in intensive care and, following her prolonged admission, had to relearn how to walk and speak. As a result of extensive bowel loss, P now lives with intestinal failure. She receives overnight parenteral nutrition through a central line and continues to live with a stoma requiring ongoing management.

Although she is able to eat small amounts of food during the day for comfort and enjoyment, this provides little nutritional benefit. Despite receiving maximal medical therapy, P’s Crohn’s disease remains active. Recent MRI scans showed ongoing inflammation and narrowing of the bowel, caused by a combination of disease activity and scar tissue formation. The narrowed section, known as a stricture, is already causing a partial obstruction. Whilst bowel contents can still pass through, clinicians warned that there remains a risk of complete obstruction or another perforation developing in the future.

Capacity and the Challenge of Discussing Treatment

Before considering the medical evidence, the court first had to determine whether P had the capacity to make the decision herself.

The consultant colorectal surgeon explained that P had been assessed with the support of a learning disability nurse. Despite appropriate adjustments designed to maximise her understanding, she was unable to understand, retain, use or weigh the information relevant to making a decision about undergoing surgery. The court accepted the evidence that P lacked capacity both to make decisions about the proposed operation and to conduct the litigation itself.

The evidence also illustrated the challenges clinicians encountered when discussing treatment with P. A patient with capacity would ordinarily receive detailed explanations of all material risks, including the risk of death, but P became distressed whenever surgery was discussed and frequently indicated that she no longer wished to engage in such conversation. The consultant explained that As a result of P’s distress, discussions had necessarily been adapted. The judge later observed that P had never been given the full range of information that would ordinarily be provided to a capacitous patient, particularly in relation to the potentially fatal consequences of declining surgery.

Stability or False Reassurance?

Much of the hearing focused on the apparent contradiction between P’s current stability and the recommendation for surgery.

The MRI scans appeared unchanged from imaging performed several months earlier. Counsel on behalf of P questioned whether the absence of significant progression suggested that surgery could safely be delayed. If P had remained stable for five or six months, why could that not continue for another five or six more months?

An independent expert, Dr W, accepted that the scans were reassuring to a degree. However, he cautioned against viewing the imaging in isolation. Scans, he explained, are snapshots in time rather than a complete account of disease progression. Whilst the visible changes over six months appeared modest, active inflammation remained present and, in his opinion, progression was inevitable. The difficulty was that no clinician could reliably predict when the progression would become clinically significant.

This disease could remain relatively unchanged for an extended period of time. Equally, a serious complication could develop before any obvious deterioration appeared on imaging. What Dr W repeatedly emphasised was that what appeared to be stability was not a true status quo. Rather, it was a temporary period of relative calm within a disease process that continued to worsen beneath the surface.

Why Operate Now?

For P’s parents, the prospect of surgery at this stage was particularly difficult to understand. Why now? Why not wait?

For the first time since P’s emergency admission in 2023, she appeared happier and more settled. She had enjoyed her longest period without hospital admission, had adapted to a predictable routine and was spending time doing things she actually enjoys, including listening to music, playing games on her iPad and interacting with her family. Her mother described this as the best year P had experienced since her illness dramatically worsened. To them, this felt like the worst possible moment to put P through another major operation.

To the clinicians, however, this period of relative wellness represented the safest opportunity to intervene before her condition deteriorated further. What P’s parents saw as a period of recovery, the medical team saw as a narrowing window in which surgery could be undertaken in a planned and controlled setting rather than during another life-threatening emergency. Elective surgery is generally safest when a patient is as fit and well as possible.

As the evidence developed, the experts returned repeatedly to the same principle: the question was not simply whether surgery carried risks, but whether delaying surgery carried even greater ones. Dr W described the danger of “missing the boat”.

The Case for Surgery

The Trust argued that maintaining the current position was not a sustainable option. While the proposed surgery undoubtedly carried significant risks, those risks had to be weighed against the consequences of doing nothing. P’s Crohn’s disease remained active despite maximal treatment and another bowel perforation was considered more likely than not. If that occurred, P would likely experience severe pain, widespread infection and peritonitis. Emergency surgery would carry substantially greater risks and might no longer be in her best interests, leaving palliative care as the only realistic option.

By contrast, if the surgery proved successful, there were a number of potential benefits. Most importantly, removing the diseased bowel segment would substantially reduce the risk of future perforation and obstruction. It would eliminate the section of bowel responsible for the ongoing inflammation and remove what clinicians described as the looming risk of a catastrophic event.

Dr W explained that the diseased segment of bowel was responsible for far more than simply creating a future risk of obstruction or perforation. In his opinion, it already posed a risk to P’s day-to-day wellbeing. The ongoing inflammation was contributing to pain, vomiting and restricted oral intake, whilst also causing the loss of protein, antibodies and immune cells through the bowel wall, resulting in reduced immunity, poor nutritional status and a general sense of ill health. The expectation was that removing the diseased section could improve these problems, lessening her reliance on immunosuppressive medication and potentially giving her greater freedom to leave the house and engage in everyday activities that she has increasingly been unable to enjoy. Although there could be no guarantee that P would ultimately become stoma-free, this remained a possibility depending on the findings during surgery and her subsequent recovery.

Food emerged as one of the most significant quality-of-life issues considered by the court. Given the restrictions imposed by her illness, P’s parents described how meals had become one of her greatest pleasures and a central feature of her family life. The judge acknowledged this, observing that food represented much more than nutrition. It is about enjoyment, family relationships and maintaining a sense of normality in her life.

The medical evidence suggested that, if surgery succeeded, P would be able to eat a wider variety of food without fear of pain, vomiting or obstruction. There may still be restrictions in the short term, particularly regarding fluid intake depending on how much bowel remained after surgery, but experts hoped she would ultimately experience greater dietary freedom than she currently enjoys. Importantly, eating would no longer be limited by the mechanical narrowing created by the stricture.

The Risks

The benefits, however, were never presented as guaranteed.

This was going to be a major abdominal surgery carrying significant risks, including serious complications and a measurable risk of death. The immediate recovery period would likely be difficult and prolonged. There was uncertainty regarding exactly how much bowel would need to be removed and the possibility that operative findings may differ from what the MRI scans suggested.

There were also concerns about the psychological impact for both P and her family of returning to hospital, particularly given the trauma associated with her emergency admission in 2023. Dr W was frank that any capacitous patient would have substantial reasons to think carefully before consenting to surgery of this nature. He repeatedly described the decision as delicately balanced, acknowledging both the potential gains and the significant burdens associated with the operation.

The Parents’ Perspective

Throughout the hearing, it was clear that P’s parents’ position was rooted not in distrust of the medical evidence but in the trauma they had experienced watching their daughter fight for her life.

P’s mother said that surgery offered no cure for Crohn’s disease and that recurrence remained possible. She described how P had finally reached a point where she seemed settled, genuinely happy again after years of illness and repeated hospital admissions. To her, the current period represented something precious that could easily be lost.

Throughout the hearing, P’s personality emerged vividly through the evidence. Her father described P as “the queen of the family”, a strong-minded young woman whose approval is still sought by her older brothers. Both her parents spoke of her love of music, her iPad, family interactions and her remarkable ability to adapt to circumstances that would overwhelm many people. Despite living with significant pain and restriction, she rarely complains and often apologises for the impact her illness has on others.

For P’s parents, preserving the quality of the life P currently enjoys was more important than pursuing an operation that carries no guarantee of success. They feared that another major procedure could leave her with further complications while destroying the stability she had only recently regained.

Mr Justice Hayden was clearly struck by their evidence. It was during this part of the hearing that the judge reflected on the delicate balance between protection and restriction. He observed that “wrapping someone in cotton wool” can itself become restrictive and acknowledged the difficulty of risking what he later described as the “cocoon of happiness” that P’s parents had created around their daughter. Nevertheless, he reminded the court that P was “an adult with adult rights” and that the court’s task was not merely to identify the safest option but to determine what outcome truly served P’s best interests.

The Judge’s Conclusion

Mr Justice Hayden ultimately found the evidence regarding the consequences of doing nothing particularly compelling.

The judge was also influenced by P’s personality and character. Having met her personally, he described a young woman who was resilient, sociable, determined and deeply engaged with the world around her despite the considerable restrictions imposed by her illness. He observed that P had never previously been given the opportunity to experience surgery specifically intended to improve her quality of life. Her previous operations had all been emergency, life-saving interventions undertaken in response to catastrophic deterioration rather than procedures aimed at addressing her Crohn’s disease and improving her long-term future.

In reaching his decision, the judge recognised that he was weighing two remarkably different futures. One involved undertaking major elective surgery now, while P was relatively well, accepting the immediate risks and uncertainties in the hope of improving both the quality of her life and potentially the length of her life. The evidence suggested that performing surgery now could allow clinicians to anticipate and plan for any future complications in a way that would simply not be possible during a future emergency admission. The alternative was to preserve the relative stability that P currently enjoyed.

Ultimately, Mr Justice Hayden accepted the medical evidence that this stability did not represent a genuine status quo. Rather, it exists within the context of a progressive disease carrying a substantial likelihood of obstruction, perforation, peritonitis, severe pain and potentially death. The evidence persuaded him that the real question was not whether serious complications would occur, but when. Against that backdrop, the proposed surgery offered P the possibility of a future less constrained by Crohn’s disease and one that she had never previously been given the chance to experience.

Perhaps the most poignant moment of the hearing came towards its conclusion. The parents acknowledged that they understood the medical evidence and recognised why the Trust believed surgery was the right course. Their difficulty was not in understanding the decision but in living with it. Having already watched their daughter come close to death once, they simply could not bring themselves to authorise another major operation and asked that responsibility rest with the court.

In deciding that elective surgery was in P’s best interests, the judge acknowledged the profound love and care shown by her parents but accepted the medical evidence that waiting would expose P to greater risks in the future. The court’s decision was based not only on the prospect of preserving P’s life but also on the possibility of reducing pain, increasing independence, expanding her diet, improving wellbeing and offering her opportunities that her illness currently denied her. In the end, the court concluded that preserving P’s current life and improving it were not necessarily the same thing. Whilst surgery carried immediate and significant risks, the evidence demonstrated that the apparent stability she currently enjoyed could not be expected to last indefinitely. The decision was therefore not about choosing between risk and safety, but about choosing between two uncertain futures. For the court, P’s best interests lay in giving her the opportunity to pursue the better one.

The judgment serves as a powerful reminder that best interests decisions are rarely about choosing between a good option and a bad one. More often, they require the court to navigate between two profoundly difficult paths. In B’s case, protecting her did not ultimately mean preserving the life she has today. It meant giving her the opportunity to have a better one tomorrow.

Layba Khan is a law graduate who has completed the Bar Practice Course and is currently undertaking an LLM in Law at the University of Law. She is an aspiring barrister with a particular interest in mental capacity and Court of Protection law. She can be found on LinkedIn here.

Editorial Note: This case was previously before Trowell J on 11th May 2026 – presumably for directions and case management prior to the final hearing reported in this blog post. At least two members of the public asked to observe the hearing on 11th May 2026 and were not sent the link in time for the start of the hearing. This was because the hearing had been wrongly displayed on the public lists (due to “administrative error”) to begin at 2.00pm. In fact the hearing started at 10.30am that morning. We’ve been told that the listing team have put a system in place to avoid a repeat of this kind of error – which obviously defeats the judicial aspiration for transparency.

“Complete failure” of Fit to Discharge proceedings before Lieven J: Carers suspended, allegations of abuse, and no immediate prospect of discharge

By Celia Kitzinger, 30th August 2026

An already appalling situation has become even worse for the vulnerable woman in these long-running Court of Protection proceedings. The judge, Mrs Justice Lieven, described the recent turn of events as “extraordinary”.

In brief, the court determined about a month ago (on 28th July 2026) that it was in the best interests of the protected party (“P”) to be discharged home from hospital as soon as practicable, with care provided by “The G Agency”. Since then, allegations of abuse have been made against this agency’s carers by both the Official Solicitor and by family members. A safeguarding investigation is underway with Essex County Council. The G Agency has suspended six members of its staff, and the local authority has terminated its contract with them. The woman at the centre of the case remains in hospital and the ward now has an outbreak of CPE[1], an antibiotic-resistant ‘superbug’ , and P has tested positive. The hospital plan is to temporarily close the ward in order to deep-clean it, but (as of 21st August 2026, the date of the last hearing) there was nowhere for P to go. And as long as P remains on the ward, more than 30 beds remain unavailable, creating what the Trust calls “an extremely unsafe position” for other patients.

These are the latest developments in a case (COP 13630253) concerning a vulnerable woman who’s been in hospital and deprived of her liberty (despite being fit for discharge) for more than a year. The delayed discharge was initially caused by extensive delays in completing a care plan and has since been compounded by her home having been left dirty and unsafe by carers – and now by the allegations of abuse. All the parties agree that staying in hospital is not in P’s best interests.  She has a moderate learning disability, complex post-traumatic stress disorder, generalised anxiety, dissociative disorder, epilepsy and has recently been diagnosed with “Autism Spectrum Disorder”. The situation she’s now in has been described as “counter-therapeutic“: it’s contributing to her distress, dysregulation and “significantly challenging behaviours”. But there’s still no realistic plan for getting her home.

We’ve described earlier hearings in this case, starting in September 2025 when it was before HHJ Hilder)[2]. Over the course of more than 14 hearings, first before HHJ Hilder and then before Mrs Justice Lieven, these experienced and hands-on judges have failed to achieve what all parties agree should happen: P’s safe return home. It seems that even repeated robust judicial intervention cannot make a dysfunctional system provide the necessary care.

The allegations against The G Agency, which has been providing care for P in hospital, are serious.  Evidence includes video footage said to show P being pulled or dragged through a doorway by her ankles while saying “ow”, photographs of P’s unexplained bruises, CCTV coverage of an incident of restraint (also witnessed in person by P’s legal representative), and more. The Official Solicitor, acting for P, has expressed “immense concern that … despite the many legal teams involved in these proceedings, and the oversight of the court, [P] has been subjected to wholly inappropriate care and sustained multiple injuries”. 

The plan was for this same care agency to support P after her discharge home. That’s now, obviously, off the table – yet without an alternative care package P cannot leave hospital. As Lieven J put it in the course of the most recent hearing: “P is continuing to receive what we consider to be abusive care – and the court is in the extraordinary position of authorising that as being in her best interests because there is nothing else available”.

This case exposes the limits of the Court of Protection’s powers when the problem is not disagreement about what should happen, but the apparent absence of a safe and workable way to make it happen. More than a year after P became fit for discharge, and despite repeated judicial intervention, she remains in hospital where she has been exposed to inappropriate and ”abusive” care.

This blog will:

(1) Recap on the delays in getting P home earlier in the proceedings, before the July 2026 hearing: first, the failure to comply with court orders to produce an eating and drinking plan; then the “terrible state” of P’s home; and finally concerns about unsuitable and possibly abusive care.

(2) Summarise key events between the hearings of July and August 2026, leading up to The G Agency’s contract being cancelled the evening before the August 2026 hearing.

(3) Describe what happened at the August 2026 hearing.

I’ll end with (4) Reflections.

1. Delays in getting P home before the July 2026 hearing

The most extensive delays in returning P home  (delays amounting to more than 10 months) arose from the ICB’s repeated failures to provide a care plan covering how P’s eating and drinking would be managed at home. Further delays in the last couple of months were occasioned by P’s home not being in a fit state for her to live in, and most recently by concerns about the quality of care provided by The G Agency – an agency which was appointed on 13th July 2026 after a previous agency had unexpectedly served notice.

Eating and drinking plan: The ICB and LA were initially directed to file a care plan by 29th July 2025, to include how P’s nutrition and hydration needs would be met on return home. They did not comply – and this was followed by (at least) three more court orders with successive deadlines (1st December 2025, 27th May 2026, and 15th June 2026) before the care plan was finally produced. Reflecting on the public bodies’ repeated failure to comply with court orders, Lieven J said (at the hearing on 5th June 2026) “I apologise to (P’s siblings), who must think that the justice system is a bit of a joke. But we have to do our best”. There is now a plan in place, plus clinicians have recently said she can go home with the NG tube in place, which makes things more straightforward. It is entirely opaque to me why a care plan the judge ordered to be produced by 29th July 2025 was delayed for such a long time.

By the hearing of 29th June 2026, a plan was in place for P to go home in the week beginning 27th July 2026. But given the history of the case, the judge was clearly sceptical about the likelihood of this happening without judicial “micromanagement” (her term).  She referred to “a distinct feeling that the moment I’m off the job things might not happen” and wanted to know the “granular detail” of the proposed arrangements to check that the parties were not merely saying they agreed “for the sake of the hearing” before “reneging later”. A timetable was agreed, and a further hearing listed for 28th July 2026, with the expectation that P would be discharged home on 30th or 31st July 2026. “For the next four weeks”, said the judge, “everyone’s focus should be on getting P out of hospital”.

At the hearing on 28th July 2026, at the beginning of the week when P’s discharge home should (finally) have taken place, everything began to unravel, with two key concerns: the state of P’s home and the quality of care. 

The state of P’s home: Given the indication that P might be going home soon, P’s siblings had gone to her bungalow (purchased for P with NHS England funding) the day after the 29th June hearing and they reported that it was in a “terrible state” and not fit for her to return to. Problems included: dishes with mould in the dishwasher, swarms of dead bugs everywhere, filthy floors, out-of-date food in the cupboards, broken office furniture abandoned by a previous care agency, none of the hoists and slings had been serviced, the sensory room needed maintenance, and the broken footrest on the wheely recliner chair needed to be repaired. Bags from McDonalds and cups from Starbucks had been left all over the office room (used by staff – none of this was P’s) rather than binned and disposed of, and the office carpet was heavily marked. Agency staff (they said) had “shown a real lack of respect to [P]’s home and her possessions”.  The two siblings had started tidying up but it was beyond what they could reasonably be expected to achieve without professional help.

Concerns about carers:  P is being provided with additional care and support in hospital by a care agency (“The G Agency”) commissioned by the Trust responsible for the operation of the hospital in which P is cared for[3], as the hospital staff were not considered able to meet P’s needs.  There had been two previous care agencies in this role, both of which had given notice. By this point there were also serious concerns from the Official Solicitor and from P’s siblings about the standard of care provided by The G Agency. They’d been caring for P in hospital since 13th July, and the plan was that they would care for her at home.  P had told her legal representative (from Irwin Mitchell) that she did not want to go home with The G Agency’s staff: she did not feel safe with them, and she used the words “abuser” and “attacker”.  It was reported that The G Agency carers had not learned Makaton (as directed by the court), so could not communicate with P,  which was a known ‘trigger’ for her to become dysregulated – which in turn meant that she was then restrained.  Carers were also using known triggers such as saying that P “has capacity”, that the police will be called, and hat she has injured staff.  According to the siblings: “P currently has a staff team that cannot communicate with her and who are restraining her physically and chemically frequently. They do not appear to be taking a trauma informed approach, or understand that a trauma informed approach is needed. P is calling [her sister] 50 to 100 times a day to say she is unhappy/scared” and that she “does not want to go back to the bungalow with The G Agency‘”.

An incident of allegedly inappropriate restraint had been witnessed by P’s legal representative (from Irwin Mitchell) when she visited her client on 20th July 2026. During a conversation about returning home with The G Agency, P became upset. She lowered herself from the bed onto the floor, and was shouting, but not self-harming or causing a risk to anyone else. Three carers entered the room and, without asking the legal representative what was happening, they physically restrained P. There were no attempts at de-escalation and no other options for managing the situation were discussed or considered. According to the OS, “There was no immediate risk of harm that warranted three people holding her down. It was the intervention by staff that caused her to become agitated and to hit out“.

On the evidence currently available, the Official Solicitor considers that on 20th July 2026, “known triggers were not avoided; de-escalation strategies were not followed; there was no immediate risk of harm to [P]; physical restraint was not used as a last resort and was not proportionate. A safeguarding referral has been made by Irwin Mitchell to the relevant safeguarding body, which is Essex County Council”. The OS also notes that the care record provided for 20th July “contains no reference to the use of physical restraint at all which is extremely concerning” and a violation of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014, regulation 17, which is enforced by the Care Quality Commission.

The incident of 20th July had been recorded on CCTV. On 22nd July, P’s sister noted new bruises and a new graze on P’s chest which was bleeding.  These concerns superseded the agenda for the Round Table Meeting, convened on 22nd July 2026 to discuss final steps for getting P home.  Professionals from the ICB and LA then reviewed 3 hours of CCTV footage covering the visit on 20th July 2026, along with the attendance note, the daily care records and statements from a carer and a nurse employed by The G Agency who were involved in the use of restraint. They took the position that, on balance, the degree of restraint used was proportionate (though the LA’s legal representatives had not had the opportunity to review it yet).  They noted that the final and independent determination of whether P has been subject to abuse will rest with the safeguarding authority, Essex County Council. In the meantime, they suggested the need for “a communication protocol so that any family concerns about the care being delivered can be sent to senior managers, as opposed to being raised with individual carers directly”.

At the 28th July 2026 hearing, all this was reported to the judge.  P’s siblings described the new care providers as “the worst agency they’ve been involved with” and said that P was begging them to stop her having to go home with them.  The Official Solicitor said she was “gravely concerned following that visit that [The G Agency staff] are unable to meet P’s needs and provide appropriate care to her, and that their use of physical restraint on [P] on [20th July 2026] was unlawful”. She was not optimistic that P would return home as planned but was “at a loss” to suggest how best to proceed: “After at least 14 court hearings, many more orders having been made on the papers, multiple expert reports obtained and a costs order made on the Official Solicitor’s application against two of the statutory bodies, the Official Solicitor is somewhat at a loss as to what else can be done to get [P] home with an appropriate package of support”.

Although, at the July hearing the judge was sympathetic to concerns from both the Official Solicitor and the siblings about the care company, she wanted no more delay: “They are the only carers prepared to work with P …  if we start looking for new carers, we’ll be back to square one”. The judge (described by one observer as “furious”) demanded “a remorseless focus on getting P out of hospital” and authorised care and restrictions to continue with The G Agency. 

At the hearing a month later, when the care package had irretrievably broken down, the OS was to say, grimly, to the judge: “It gives me no pleasure to say ‘I told you so’”.

2. Between the hearings of 28th July and 21st August 2026

Events moved quickly over the (almost) four weeks between these two hearings.  I have pieced together what happened from what is recorded in the parties’ position statements for the 21st August 2026 hearing.

2.1 A judicial meeting (5th August 2026) followed by an application for the judge to recuse herself.

In a very unusual move for a judge in this situation, Lieven J pursued an earlier proposal to chair a meeting outside of court to resolve concerns about the care package. This meeting took place on 5th August 2026 and resulted in a plan to discharge P to her bungalow on 14th September 2026, with care provided by The G Agency.

Discussions also took place about the possibility of appointing a “Super Care Coordinator” (a named consultant clinical psychologist) who would be responsible for overviewing and managing the situation going forward. The view of the Official Solicitor was that this is essential since “it has been conclusively demonstrated in the course of these proceedings that the existing MDT [Multi Disciplinary Team] are not capable of getting [P] home with a sustainable care package in place”.

The proposal for a “Super Care Coordinator” was opposed by the public bodies, who consider that they “can and should continue to work collaboratively to manage P’s case moving forward”. According to the local authority, “adding another layer of management is unnecessary and may cause further delay”. It’s not within the powers of the judge to order this appointment.

After this meeting (and a subsequent Round Table Meeting), the local authority submitted an application that Lieven J should recuse herself, arguing that the judicial meeting was analogous to a Financial Dispute Resolution appointment in family proceedings or a dispute resolution hearing under the Property and Affairs Pathway, so that it was not appropriate for her to continue to act as a judge in the case. They also claimed that some of what Lieven J said in that meeting indicated “bias” and that the judge had “formed a concluded view on the central issues in dispute”.  One example (it’s taken from notes made during the meeting and quoted by the siblings who opposed the recusal application) is this series of questions from the judge:

“How is [The G Agency] going to check implementation of training and check it’s being absorbed. You don’t grab ankles of someone who has autism and no sense from the video of people who are autism and trauma informed. What are [The G Agency] going to do to make sure training is absorbed and implemented. […] Everyone who watched that video would say things went wrong – mistakes happen but learn from them. [In terms of training] “one of the most useful things is to watch the video and if you watch it, there are some obvious lessons.”

The siblings submitted that “these comments do no more than express concern about one interaction caught on video and show the judge asking for information about training and communication in order to facilitate a discharge with The G Care Agency”. 

In the event, the application for the judge to recuse herself was withdrawn before the next hearing (I don’t know why, but I assume because the agency in relation to which the judge had allegedly displayed bias was now out of the picture).

2.2 Decision made to temporarily close ward due to ‘superbug’ (10th August 2026)

A ‘super-bug’ outbreak (Carbapenemase-Producing Enterobacterales (CPE)) on the ward means that all patients (except P) are in the process of being discharged so that a full deep clean can be done. P has tested positive for CPE (although she’s asymptomatic) but this means she cannot be transferred to another ward due to the risk of spreading the infection to other parts of the hospital. According to the ICB and Trust, closure of the ward means that more than 30 beds cannot be used and the Trust responsible for the operation of the hospital says this will have a significant impact on patients and presents operational difficulties for them and for the local ambulance service: “if the ward is not able to reopen for an extended period of time whilst discharge planning for [P] continues, this will leave the Trust in an extremely unsafe position”.

2.3 Round Table Meeting (17th August 2026) and a second incident of alleged abuse

At the Round Table Meeting held on 17th August 2026, there were further concerns about what the Official Solicitor and P’s siblings considered could constitute “abusive” treatment of P from the carers. Nonetheless (according to the OS), “none of the statutory bodies were concerned that there was an immediate threat to [P’s] welfare“.

The video of the “ankle-pulling” incident from the previous Friday did not become available to the parties until after this meeting and there was a discrepancy in reports about what had happened. It was said on behalf of The G Agency that carers were only holding P’s legs down, not pulling or moving her.

The video was shared the following day, and the OS says that it “shows [P] being pulled by the ankles through a doorway while the carer pulling her says ‘come’. [P] calls out ‘ow’ when the pulling starts“. The carers’ notes that seem to correspond to the video record P’s “very challenging, physically aggressive behaviour towards all staff on duty this morning“, say that she “rolled towards the door” and that she then “took videos whilst she screamed to indicate she was being hurt, later told staff I’ve sent it to tiktok and my Sister During this escalation [P] was held in safe hold to maintain her safety“. There is no indication in the notes that she was being “pulled” or “dragged” by her ankles – but this seems (from what the parties now say) to have been readily apparent from the video-recording.

On the basis of what was said at the meeting, and without seeing this video, the ICB and Trust indicated that in view of the extensive work done to date to provide training and support to the care team and to ensure P’s bungalow was ready, it was appropriate to continue to work towards discharge on 14th September 2026 with The G Agency. They acknowledged the safeguarding concerns raised by the OS and the siblings but took the position that the safeguarding investigation (with Essex County Council) needed to take its course.

This was opposed by both the Official Solicitor and by the siblings.

The day after this Round Table Meeting (18th August 2026), the Official Solicitor filed an application for an urgent hearing to address her serious concerns about P’s welfare. She asked for a different judge (not Lieven J) since “arguments about bias and recusal are an unhelpful distraction which will delay the court focusing on the crucial question of whether [The G Agency] can continue to provide care to [P]“. In a position statement prepared two days later (20th August 2026) for the following day’s hearing, she said she was “appalled that the statutory bodies’ response was to say they needed to see more evidence, take statements from care staff, and let the safeguarding process play out, on the basis there was not enough evidence to suggest that [The G Agency staff] should not be providing care to [P]”.

The Official Solicitor’s position was that The G Agency “are providing care to [P] which is not safe, is not in accordance with court-authorised care plans, is not in her best interests, and which infringes her rights under Articles 3 and 8 ECHR”.  Accepting that P does exhibit challenging behaviour and that caring for her is not easy, the OS points out that, despite this, “previous care agencies have been able to provide care that did not result in her sustaining bruising injuries and being physically restrained in this manner“. The OS also points to multiple other deficiencies with The G Agency that have arisen in the context of trying to improve the care they provide. These include: failure to provide details of their proposed training, no plan for staff reflection and learning, and no Positive Behaviour Support (PBS) plan designed to avoid situations where restraint or other physical intervention may be required, and to support the use of de-escalation strategies where avoidance has not been successful, and ensure the safe use of restraint. The OS also expresses her concern that although the ICB say that they review the care provided to P, this review appears to depend on The G Agency sending them accurate records “which as has been demonstrated by the disclosure in these proceedings, is not happening“.

The siblings refer to manifold failings of the carers (manual handling which is not in line with any care plan and which has injured their sister; over reliance on restraint, both physical and chemical; failure to engage positively with her; using known triggers; and failing to learn Makaton): they had “lost all faith that the G care agency might change their approach“. Their view was that sending P home with The G Agency would “set P up to fail so that readmission to hospital is inevitable, leading to further deterioration and institutionalisation”.

2.4 The G Agency’s contract is terminated (evening of 20th August 2026)

The G Agency informed the ICB (on 20th August 2026) of their decision to suspend 6 members of staff. In the light of this, and on the basis of their own review of CCTV footage, the ICB decided to terminate their contract with the company and served notice that evening (Thursday 20th August 2026).

The ICB then brought in the Chief Nurse and Head of Safeguarding to provide oversight and input to the care team, and said they were continuing to “actively monitor and respond to the situation as it evolves”.  They were liaising with the LA urgently to consider alternative care arrangements: it was possible that the previous care agency might step into bridge the gap (albeit only while P remains in hospital). They also said that spot checks would be made overnight by ward staff, some of whom are already trained to work with P and others of whom would  be shown a training video to help them. They now (finally) recognised that the allegations (and evidence) of abuse meant that the planned move of 14th September 2026 could no longer take place. They were urgently seeking an alternative home care provider.

2.5 Progress on making P’s home safe and habitable

More positively, P’s bungalow has been professionally deep-cleaned and repairs have been carried out. The plan is to install CCTV in early October. There’s some dispute about the use of body-worn cameras in the meantime, and also subsequently in areas not covered by CCTV (e.g. the bathroom) but it wasn’t suggested that this would delay P’s move.

3. Hearing of 21st August 2026

This was a remote hearing that lasted 35 minutes, with the following parties:

  • NHS Norfolk and Suffolk Integrated Care Board and Essex Partnership University NHS Foundation Trust (as joint applicants) (ICB and Trust) represented by Claire Watson, Serjeants’ Inn Chambers. (The ICB and local authority are jointly responsible for commissioning P’s s.117 MHA 1983 aftercare package.)
  • P’s siblings represented by Anna Bicarregui, 39 Essex Chambers (acting pro bono)
  • Suffolk County Council (the local authority) represented by Sophy Miles, Doughty Street Chambers
  • The protected party (P) by her litigation friend the Official Solicitor (OS) represented by Victoria Butler-Cole KC, 39 Essex Chambers
  • Hertfordshire Partnership NHS Foundation Trust (HPFT) – acts as P’s care coordinator and is  responsible for community learning disability services in the locality of P’s home but are “not responsible for commissioning any part of P’s package of care and support, nor for the monitoring of its quality”

The judge had slotted in this hearing as an urgent matter while she was on vacation, beause at the last hearing she’d anticipated being able to authorise P’s return home.  Obviously, that wasn’t now going to be possible since the contract with The G Agency had been terminated the evening before and no alternative care team had yet been sourced. 

The judge opened the hearing by saying: “The reason for urgency of this hearing was to get P home in a couple of weeks time. That’s not going to happen because we’ve got to find a new care provider. So, I’m not really sure what there is for me to decide today”. She also noted that the application for her to recuse herself had been withdrawn, so that wasn’t something she needed to deal with.

The judge then addressed the application from the Official Solicitor for appointment of a “Super Care Coordinator” – the named consultant clinical psychologist – and for his team to step in to support a different care agency as an urgent interim measure. She said: “I appreciate there’s an argument about whether another person should be appointed to coordinate care. I’m not convinced that’s a matter I can- (she breaks off and restarts) I think that’s an NHS internal matter.  It is, to put it mildly, disappointing, Ms Watson [counsel for the ICB] that the care coordinator hasn’t engaged with P and that P won’t engage with the mental health nurse”.  (Later in the hearing the judge said: “of twenty-four people paid by the public purse, only one of them had met P”, adding “it shocks me beyond belief”.)

The Official Solicitor explained why the proposal to appoint a “Super Care Coordinator” was important:

OS: There is more than enough evidence that carrying on as we are is not working. It’s been a complete failure.

Judge: No, that there is a complete failure is clear. I think that’s right as a matter of law. So, is there anything for me, in my appropriate jurisdiction, to do today?

OS: It gives me no pleasure to say ‘I told you so’ at this hearing.

Judge: No, no, hands up!  It’s extraordinary we’re still in this position. P is continuing to receive what we consider to be abusive care – and the court is in the extraordinary position of authorising that as being in her best interests because there is nothing else available. And now P has- the entire ward has an infection. There’s nothing I can do about that. If I were the hospital, I would start possession proceedings. The hospital has been extraordinarily compliant […]. I think this case is moving out of the COP and into the administrative court.

There was some discussion with counsel for the ICB about whether P should be moved to a mental health unit as an interim measure. The judge was clear that she doesn’t think it’s in P’s best interests to be detained under the Mental Health Act and placed in a psychiatric hospital but she did entertain the possibility that “carers attuned to Ps needs might be a better option than [The G Agency staff]”.  Counsel for P’s siblings conveyed their strong opposition to that possibility, and the judge replied: “I urge your clients not to turn your faces against it completely. She will have to move out of where she is right now because of the infection. I urge them not to turn against it irrevocably before they’ve even gone to have a look”. This is an indication of how bad things have become at the hospital, since at a previous hearing Lieven J had said that a psychiatric admission would be “very counter therapeutic”, and that she feared that if P were to be admitted to a psychiatric hospital, “it may be a very long time till we can get her out again”.[4] It’s a significant turn-around that she’s now asking the siblings to give serious consideration to a psychiatric admission.

When the judge asked whether there was “any point in listing a hearing for the second half of September”, when she’s back from holiday, the OS thought that would be useful so as to get “something from statutory bodies as to what their medium-term proposal is. By then there will have to have been some proposal made about who is going to look after P and what’s going to happen”.

The next hearing is to be listed before Mrs Justice Lieven at 3.30pm on 15th September 2026, for one hour – and the judge proposes also to deal with a costs application from the OS if there is one at that hearing. Given the relatively short timescale, the September hearing is very unlikely to be the final hearing in this case – so, as Mrs Justice Lieven has recently been appointed as a new Court of Appeal judge, the final determination of where P goes next and the arrangements for her care will rest with a different judge, possibly (her name was mentioned in the hearing) the COP Vice President, Mrs Justice Theis.

The judge ended the hearing by saying: “I hope things get better. I struggle to see them getting worse at the moment”.

4. Reflections

It’s been a sobering experience to follow this case and to witness the dismaying series of delays, and now the alleged abuse, affecting a vulnerable woman.  This sequence of events occurred despite devoted and highly efficient siblings advocating on her behalf, despite agreement between the parties that she should be discharged from hospital, and despite the efforts of two very experienced senior judges over the course of almost a year. It’s self-evidently a systems failure of spectacular proportions. I wish I could say it was “unbelievable” or a “one off”, but most of us with relatives enmeshed in the health and social care system find it only too familiar.[5]

The most shocking aspect of what has happened is (for me) the decision by the judge to continue to authorise The G Agency to care for P following the hearing of 28th July 2026, at which point, on the basis of the Position Statements I’ve seen from that hearing, there were sufficient “red flags” indicating that the care was (at best) inadequate and that P should not be discharged home with those carers in place. Of course, it is easier to see this with the benefit of hindsight, given the additional evidence of harm to P from The G Agency carers after 28th July 2026.  I do understand the judge’s “remorseless focus” on the need to get P out of hospital promptly (which required an admittedly inadequate care team to remain in place), especially with the possibility of detention under the Mental Health Act in prospect, as P became increasingly dysregulated in hospital[6]. But by the hearing of 28th July 2026, and again at the time of the judicial meeting on 5th August 2026, the serious problems with The G Agency were very apparent, and it’s not surprising that Lieven J’s hope that they could be fixed by further training failed to materialise.  Instead, the court left P exposed to potential further abuse. As a result, by the hearing of 21st August 2026, the judge seemed to be advocating detention under the Mental Health Act as possibly the least worst option for P, despite have previously expressed concern that this would be “very counter therapeutic” [7]

As the Official Solicitor points out, there have been a multitude of reports and investigations raising concerns that reflect what seems to have happened here: undignified and inhumane care; treating people not as individuals but as a collection of negative behaviours; not listening to disabled people and their families when they raise concerns; and not acting promptly when red flags are raised.[8]  On this occasion, these systemic failures occurred while P’s welfare was actively being overseen by Mrs Justice Lieven – on her watch.

Finally, some reflections on ‘deprivation of liberty’ in this case.

At the hearing on 29th June 2026, the court determined on an interim basis that P is deprived of her liberty by virtue of her care arrangements in hospital, and authorised this pursuant to s.16(2) and s.4A(3) MCA 2005.  At the hearing, in response to the application from the ICB and Trust, Lieven J said she was “not going to make a ruling on the applicability or otherwise of the Supreme Court judgment to the facts of this case”.  Instead, given the situation at that  point, which included the risk of P’s detention under the Mental Health Act, she considered it “necessary and proportionate” for P to be deprived of her liberty in hospital on an interim basis. She added: “I’m not going any further than that”. This DOLS authorisation expired on 21st August 2026 and I think (though I haven’t seen it recorded anywhere) that Lieven J must have approved its renewal.[9]

The judge had earlier stated (in the course of a hearing) that she hoped, once a care and discharge plan had been approved, to make a determination as to whether or not the conditions of P’s care and residence in the community were such as to constitute ‘deprivation of liberty’, and she commented: “It would be a perfect case for me to say it’s just not a deprivation of liberty given the decision of the Supreme Court” [i.e. in AGNI,].  The judge’s position on ‘deprivation of liberty’ is well known since she has  famously taken an approach to deprivation of liberty (in [2024] EWHC 1690 (Fam)) that was not consistent with the Article 5 framework established in Cheshire West and her judgment on that matter was successfully appealed. In the (unlikely) event that new carers are in place so that P can be discharged home at the next hearing before Lieven J on 15th September 2026, it seems very likely that she will find (in line with AGNI) that there is no ’deprivation of liberty’ for P (despite the CCTV, restraint etc).

The ICB takes a different view: “In the event the court determines that it remains in [P]’s  best interests to be discharged back home, the ICB considers that [P] is likely to be deprived of her liberty that will require the authorisation of the court under the MCA 2005, particularly given the level of restrictions in place, the continuous nature of supervision and the likelihood that she will raise objections to the care being delivered.”

The Official Solicitor “has not formed a concluded view as to whether P’s care at home engages Article 5” but does note that a care plan permitting three or four staff to restrain P on the floor, and the use of sedating medication, “may be closer to the paradigmatic police cell … than would ordinarily be the case with a package of care in a person’s own home”.  Like many advocates for P post-AGNI, she turned from Article 5 to Article 8 and is: “quite sure that [P’]s Article 8 rights are engaged by the plans for her support, and the method of their implementation”. She “does not consider that the point has been reached when this court could sign off on her care arrangements as being in her best interests and conclude the proceedings”.

That last point, at least, is surely indisputable.

Celia Kitzinger is co-director of the Open Justice Court of Protection Project. She is on LinkedIn (here), and also on X (@KitzingerCelia) and Bluesky (@kitzingercelia.bsky.social)

END NOTES

[1] “CPE” stands for Carbapenemase-Producing Enterobacterales – a ‘superbug’ identified as an increasing threat to public health internationally. There’s more information about the challenges associated with outbreaks of CPE in this (open access) scoping review: Healthcare workers’ experiences of caring for patients colonized with carbapenemase-producing Enterobacterales (CPE) in an acute hospital setting – a scoping review. Recent outbreaks in England are referenced in (for example) a description of the control measures in place in a cardiothoracic unit at the Royal Papworth Hospital in Cambridgeshire in June 2024 and a report from the Chief Medical Officer (2025) of an outbreak at a hospital in Greater Manchester.

[2] There are blog contributions about earlier hearings in this case from five different public observers (Kim Dodd, Amanda Hill, Elissa Novak, Sandra Preston, and Tim Sugden) as listed below. I’ve drawn on them (and in some cases the observers’ notes) in summarising events prior to the hearing of 21st August 2026.  I am also grateful to the judge for ordering disclosure of the parties’ position statements (opposed, as usual, by the Official Solicitor) for the hearings of 28th July 2026 and 21st August 2026 which have greatly assisted with transparency. I requested the “Gardner documents” as an alternative (or addition) but they weren’t mentioned in court and I suspect they had not been prepared. The judge heard submissions and, in the particular circumstances of the case, considered disclosure of the position statements to be necessary for observers to understand the proceedings.  Redactions were considered and not approved by the judge. Where I’ve used quotations from what was said in the hearings, these are based on contemporaneous notes (mine, or other observers’) and are as accurate as we could make them but are unlikely to be absolutely verbatim. Here’s a list of our previous blog posts about this case.

[3] The name of the hospital is protected by the Transparency Order (because it’s where P currently resides and receives care) so I’ve avoided naming the Trust. They are not a party, although they have been involved in ongoing Round Table Meetings and a representative has attended court hearings.

[4] As quoted in a blog post about the hearing on 29th June 2026 The ‘fit for discharge’ story continues: 10 months on 

[5] See Reducing restrictions for a person deprived of his liberty: internet use, access to services and ensuring appropriate support  in which Jenny Kitzinger says: “After my own sister, Polly Kitzinger, was brain injured in a car crash, I quickly realised that there were not just barriers to service provision, but also a maze of false promises, false starts and delays. As a family, we certainly learned about the need for persistence and attention to detail if Polly’s needs were to be met …” The case reported in Jenny’s blog was heard by HHJ Hilder, who also dealt with earlier proceedings in the ‘Fit to Discharge’ case reported in this blog post. Like Lieven J, she strives to achieve the best for protected parties and is aware of the “micro-management” (Lieven’s term) that is often required. The blog comments on HHJ’s “knowledge of how a person might fall between the gaps of service provision, her obvious awareness about how delays can occur, and her sheer attention to detail to ensure her order would be as effective as possible“. This approach is characteristic of both HHJ Hilder and Lieven J which make it doubly alarming that these two judges have been defeated in their efforts to ensure P’s undisputed best interests (discharge home) for over a year.

[6] The latest data recorded 2,130 people with a learning disability and autistic people in inpatient services.  Of these, 1,030 (49%) had been there for more than two years, and 320 for more than ten years. In 2023, an investigation by The Independent revealed that 27-year-old Nicholas Thornton had been trapped in inappropriate settings, including psychiatric hospitals, for a decade, because NHS and social care services were unable to fund a place that could meet his needs in the community. Mr Thornton was finally granted a full community care package in 2024 and his own home, following the exposé. (“Fears patients with learning disabilities ‘will remain trapped in hospitals’ despite Mental Health Act changes”, The Independent, 19th December 2025)

[7] As quoted in a blog post about the hearing on 29th June 2026: The ‘fit for discharge’ story continues: 10 months on 

[8] Out of sight – who cares (CQC, 2020); Baroness Hollins’ report My Heart Breaks 2023; Transforming Care: A national response to Winterbourne View hospital (DHSC 2013)

[9] The potential value to P of having the protection of DOLS in hospital is illustrated by the Official Solicitor’s observation that deprivation of liberty in hospital “requires that [P] is provided with ‘a suitable medical environment accompanied by real therapeutic measures with a view to preparing them for eventual release’, Rooman v Belgium [2020] MHLR 250”.  She observes that there is still no proposal for P to receive individual therapy while she is deprived of her liberty in hospital and that the care being provided by The G Agency is “counter-therapeutic”.