Does being watched change how justice is done? Lawyers in the Court of Protection say it does. Here are the top 5 ways.

Are there more? Comments welcome!

[1] Cases are opened properly with case summaries highlighting history of case + key issues + introduction to the parties.
[2] Role of observers is now routinely raised with P + P's family Responses include "acute distress", "mild anxiety", "neutrality", "active desire for observers + journalists to publicise injustice". Solicitors may need to become more skilled at these convos. + explaining TO.
[3] Taking more time to expressly set out legal basis underpinning hearing (human rights + MCA). Lawyers' views vary from "as the principles are pushed to the forefront of everybody's mind, they are more rigorously and consistently applied" to concern about extra time taken.
[4] "Reflective Practice" - in particular lawyers are reading @OpenJusticeCoP blogs (especially about their own hearings + better understand how non-lawyers view what they said and did + sometimes alter behaviour in future. (Can also be irritated by our misperceptions!)
[5] Improved civility from judges - "being observed also acts as a brake on some of their more obstreperous characteristics", judge is "less dismissive" with observer present. (This also reported from P's family in 6 different contested cases.)
We will be talking about how being watched changes the way justice is done across different courts (trials, inquests, family courts and tribunals) in a free webinar (4th Feb). Join us! bathpublishing.com/collections/la…
What's your experience of how being watched changes how justice is done? I'd be interested to know your experience (as advocate, solicitor, judge, P, P's family, litigant in person etc) - esp. but not only in the Court of Protection. DMs are open.

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More from @KitzingerCelia

14 Jan
I've spent most of today in court watching an urgent application before Mrs Justice Judd concerning a feeding tube for a woman (P) in her 70s with Lewy Body dementia. She's in hospital following admission in November last year with biliary sepsis + delirium.
She's had a rough time in hospital. Pneumonia, surgery for gallstones + Covid for which she needed oxygen. All this combined to mean she can't swallow + nasogastric tube is now dislodged. Trust don't think replacement replacing it is in her best interests.
Family disagree. Describe P's good quality of life - loved, cared for, supported, communicating with family + doing Times crossword up until a few weeks before hospital admission. Family says this is not "severe" dementia + treatment should not be withdrawn
Read 13 tweets
8 Jul 20
It's impossible not to feel both humbled + impressed by the (so far) 3 day court hearing I've been watching before Mr Justice Hayden in the Court of Protection. At the centre of the case is a young man whose dignity, integrity + kindness shine through. #NotSecretCourt
The overriding priority in court is not to violate his autonomy - coupled with a concern from everyone to enable + support him to make a choice to stay alive. He has a past full of suffering and a future full of promise.
His parents are extraordinary people who provide love, kindness, safety. They also respect his values and his autonomy. They describe him as thoughtful + considerate; he puts others before himself; he is honest and very clear on what's right + wrong.
Read 11 tweets
23 Nov 19
@mancunianmedic @drkathrynmannix @Trisha_the_doc @DrJoMorrison1 @lucypgeridoc @CrimbleEthel @dan26wales @Danielf90 @jupiterhouse1 @DrLindaDykes Okay. Here are 10 basics of healthcare law EVERY clinician should know. [1] You can't give medical treatments to a capacities adult without their consent.
@mancunianmedic @drkathrynmannix @Trisha_the_doc @DrJoMorrison1 @lucypgeridoc @CrimbleEthel @dan26wales @Danielf90 @jupiterhouse1 @DrLindaDykes [2] The fact that someone does not consent to a treatment you are offering and think is in their best interests is NOT evidence of lack of capacity.
@mancunianmedic @drkathrynmannix @Trisha_the_doc @DrJoMorrison1 @lucypgeridoc @CrimbleEthel @dan26wales @Danielf90 @jupiterhouse1 @DrLindaDykes [3] The fact that someone acquiesces to treatment (e.g. lifts shirt to facilitate PEG feed at appropriate time) or assents (e.g. nods/says yes when asked if want PEG feeding) is not evidence of either consent or capacity to consent.
Read 11 tweets
18 Oct 18
Patient tips to help doctors to talk about death and dying. Try asking, "Can we talk about palliative care please - in case the treatment doesn't work" - and don't be fobbed off by attempts at reassurance or "we'll cross that bridge when we come to it". Start the conversation!
Another patient tip to help doctors talk about death: Try “I’m feeling that the benefits of continuing treatment are outweighed by the disadvantages. Can we talk about how I’d be cared for if I stopped dialysis?”
Patient tip: Doctors can be anxious about the D word. Instead of "I'm ready to die" or "I'd rather be dead", try: "Can you help me maximise my QUALITY (rather than quantity) of life. I'd like to enjoy the time I have left other than trying to extend my life as long as possible."
Read 19 tweets

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