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England and Wales Court of Protection Decisions |
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You are here: BAILII >> Databases >> England and Wales Court of Protection Decisions >> AA, Re (Costs) [2024] EWCOP 44 (T3) (28 August 2024) URL: http://www.bailii.org/ew/cases/EWCOP/2024/44.html Cite as: [2024] EWCOP 44 (T3) |
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Strand, London, WC2A 2LL |
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B e f o r e :
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North Central London Integrated Care Board |
Applicant |
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- and - |
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(1) AA (by his Litigation Friend, the Official Solicitor) (2) MA (3) IA |
Respondent |
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Re: AA (Costs) |
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Miss Katie Gollop KC (instructed by the Official Solicitor) for the First Respondent
Ms Kate Mather (instructed under the Direct Access Scheme) for the Second and Third Respondents
AFTER CONSIDERATION ON THE PAPERS
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Crown Copyright ©
Ms Justice Henke :
"1. The application was brought late and too late for AA to have the intended benefit of the proceedings.
2. The lateness of the application led, exceptionally, to no relief being granted.
3. Lateness also led to very rushed proceedings, multiple hearings at very short notice, and avoidable cost.
4. The ICB should have had a clear understanding, before issuing proceedings, that in the event that AA could not be moved from the hospital, Prof Turner Stokes and her team would provide AA with Guideline treatment (calm coma and withdrawal of CANH) with or without a COP or High Court declaration."
1) The ICB issued their application at a point when there were two options for AA's continued care and treatment - transfer to a nursing home under a palliative care plan or withdrawal of treatment in hospital. By 10 June 2024 there were no alternative options, the only clinically appropriate way forward was to provide end-of-life palliative care. The reality of AA's clinical situation overtook events.
2) The ICB had hoped that given AA's short life expectancy the case would be dealt with swiftly.
3) The ICB was not responsible for any delay in bringing this case to court. It was not responsible for AA's care and treatment in hospital - it became involved when there was an option of care outside the hospital which it would have commissioned. Once the ICB was aware of a need for an application there was no delay in bringing that application before the court.
4) There was nothing improper in the ICB's amended application for a declaration of lawfulness. Whilst the court declined to make that declaration, the court did not criticise the clinicians or find their intended actions unlawful or in breach of AA's human rights.
5) AA's parents' response to the application was to seek an adjournment to obtain representation and seek to obtain, if they could be found, a number of experts to give evidence before this court.