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

Following years of serious illness, B’s parents 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 B’s best interests or whether accepting the risks of elective surgery could offer her the opportunity for a fuller and less restricted life.

Balancing patient welfare and procedural fairness: Withdrawal of ventilation before Hayden J

By Celia Kitzinger, 4th August 2025 The case, COP 20018026, before Mr Justice Hayden on 22nd and 23rd July 2025,  appeared in the Royal Courts of Justice Daily Cause list as concerning “serious medical treatment”[1]. In an opening summary[2], counsel for the applicant explained that the case was about a man in his sixties who’dContinue reading “Balancing patient welfare and procedural fairness: Withdrawal of ventilation before Hayden J”

Judge approves use of esketamine in anorexia case: Re CC

By Elissa Novak, 3rd February 2025 Despite her own best efforts, and the support of her family and those involved in her care, a 21-year-old autistic woman diagnosed with depression and anorexia nervosa is facing the very real prospect of death.  This is the desperate situation at the heart of the hearing I observed (remotely) on 3rd DecemberContinue reading “Judge approves use of esketamine in anorexia case: Re CC”

An in-person hearing on anorexia (Re CC): Observer’s rollercoaster and the role of “hope”

By Sydney White, 21st November 2024 My experience observing the final hearing of Re CC (previous hearings blogged as: Respecting autonomy in treating anorexia nervosa and Treatment for Anorexia Nervosa: A brief directions hearing) was tumultuous in more ways than one. I’ll first describe my unusually challenging time as an in-person observer at the Royal Courts of Justice and howContinue reading “An in-person hearing on anorexia (Re CC): Observer’s rollercoaster and the role of “hope””

Cross-jurisdictional challenges and Schedule 3 in a case of anorexia: Health Service Executive of Ireland v SM [2024] EWCOP 60

By Sydney White, 11th November 2024 This case (COP 13398706) concerns a young woman (SM) with a diagnosis of anorexia nervosa and a history of depressive episodes.  She’s “habitually resident” in Ireland but has for some time been receiving treatment at Ellern Mede, a specialist eating disorder provider in England. Hayden J has heard this case beforeContinue reading “Cross-jurisdictional challenges and Schedule 3 in a case of anorexia: Health Service Executive of Ireland v SM [2024] EWCOP 60”

Anorexia and the capacity to make decisions about nutritional intake

By Ty Glover, 14th July 2024 Back in 2007, a spate of television programs focused on “size 0” and “super skinny” bodies with the focus being on the then (and now) fashionable trend for size 0 models. Although I did not watch all of those programs, I recall one in which Louise Redknapp, wife of former footballerContinue reading “Anorexia and the capacity to make decisions about nutritional intake”

Prohibitive Transparency Orders: Honest mistakes or weaponised incompetence? 

by Daniel Clark, 28th June 2024 I try not to see conspiracy behind the multiple transparency failures of the Court of Protection. The judicial system is busy and overstretched, and mistakes are (unfortunately) inevitable: links won’t be sent in time, listings won’t be always accurate, video links won’t always be set up. However, I mustContinue reading “Prohibitive Transparency Orders: Honest mistakes or weaponised incompetence? “

Anorexic woman gets to make her own (incapacitous) decisions, says Hayden J

By Celia Kitzinger, 19 May 2024 “It does not follow that when a judge is satisfied that the presumption of capacity has been rebutted that it is automatically incumbent on the court to take decisions for the protected party…. Sometimes it is in the best interests of the protected party to take decisions for themselves,Continue reading “Anorexic woman gets to make her own (incapacitous) decisions, says Hayden J”

US expert to assess whether COVID-19 vaccination is in P’s best interests 

By Celia Kitzinger, 12th March 2024 He’s in his early 20s with a severe learning disability, having been born with partial Trisomy 13, meaning that he has an extra chromosome.  He also has a congenital heart condition known as “Tetralogy of Fallot”. He lives at home with his mother who is his primary carer (though he alsoContinue reading “US expert to assess whether COVID-19 vaccination is in P’s best interests “