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The Round-up 16-3-2020

The worsening of the Covid-19 pandemic seemed to relegate all other business to a position of relative insignificance this week. Undoubtedly  the human, economic and social cost of the outbreak is already severe, with its impact increasingly felt across the globe. However, perhaps more than any other conceivable event, the progression of the disease casts a spotlight on numerous areas of legal controversy. It is hard to recall a post-war phenomenon which so frequently pits the rights and interests of individuals against those of broader society (more here). Indeed, the potential material for upcoming pupillage interview questions seems virtually inexhaustible, assuming that they too don’t fall victim to social distancing measures.

I will be posting a longer article on Covid-19 later today.

For the time being in the UK, however, it was business as usual in the courts. Returning to the Mental Health Act theme, the week saw judgment in the case of A Healthcare B NHS Trust v CC [2020] EWHC 574 (Fam) (11 March 2020). The case saw care providers seek confirmation from the court that providing dialysis under sedation to a non-compliant patient detained under s 3 MHA 1983 for his psychiatric condition fell within the scope of treatment permitted by the Act. It is noteworthy that the gentleman, when well, appears to give informed consent to his dialysis, but often withdraws such consent when his mental health deteriorates. 

Counsel for the patient submitted that for section 63 to apply, the primary purpose of the treatment must be to treat the mental disorder. This would appear to be reflected in the wording of s 63  and would disqualify his dialysis treatment, which is administered for renal failure, rather than his mental disorder:

The consent of a patient shall not be required for any medical treatment given to him for the mental disorder from which he is suffering, if the treatment is given by or under the direction of the [approved clinician in charge of the treatment].

The judge however rejected this submission, holding that it was sufficient for the proposed treatment to alleviate a manifestation of his mental disorder. As his renal failure was likely contributed to by his poor mental health, it was permissible to administer his dialysis under the provisions of s63. Whilst potentially a common-sense decision on the facts, the interpretation appears significantly to extend  the scope of s63 beyond its natural reading, permitting doctors to administer treatments not just for mental disorders, but also for physical disorders worsened by the effects of any such disorder. 

In other cases this week:

On the UK Human Rights Blog:

On Law Pod UK:

Lastly, in other news:

visit www.hartpublishing.co.uk for more. 

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