Hayden J is proposing hearing the case now - both counsel want to adjourn. "For a multitude of reasons" says Debra Powell QC (for the OS). She'll present reasons why capacity decision shouldn't be made now after lunch break. Restarting 1.40pm.
Referring to 1(3) MCA 2005, Hayden comments "it's possible to overcook- Is all this NECESSARY to decide capacity?"
Counsel responds sharply "In my respectful submission My Lord, oral evidence from a consultant psychiatrist who has recently assessed her capacity is NECESSARY"
P was quoted by P as saying that she wants a vaginal delivery - and if she has to have a caesarean she wants it with a epidural and her partner present. Her least favoured birth option is a caesarean under general anaesthetic (which is what I think the Trust has applied for)
She wants to be awake for the birth. Asked why, she said, "well, it's an important day isn't it".
Counsel described that as "an eloquent and perhaps heartbreaking understatement".
P asked to speak to the judge. She talked movingly about her wishes. Judge summarised: "You're wanting to do as much as I can to see if it's possible for you to have a natural birth".
Before the pandemic and remote hearings, P wouldn't have been in court. Her voice changed the course of this hearing.
Judge said he didn't need to hear more from OS. "I think this is a case about best interests as well as about capacity. I don't think it would necessarily flow that if I found her incapacitous that the BI decision would be as straightforward as I did when I read the papers."
Judge: "Her reasoning as to why the birth process is important to her is compelling. So the decision is not purely medical. It requires looking at the individual mother in the round. It's not axiomatic that if she lacks capacity a C-section is in her BI"
And so Hayden J has adjourned the hearing for next week. Counsel need to find a consultant psychiatrist to give evidence on capacity. Then Hayden needs to "perform some alchemy to get a judge for you" in heavily overburdened court lists. #NotSecretCourt
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Hearing before Hayden J just starting. As public observers we have to be flexible - judges are hearing multiple cases and timing is a challenge. #NotSecretCourt
Another challenging case of a pregnant woman with schizophrenia and doctors requesting c-section, although she said some weeks ago, when she had capacity, that she'd prefer a vaginal delivery. #NotSecretCourt
I'm watching the Court of Appeal consider whether a care plan to facilitate C's contact with a sex worker could be implemented without commission of an offence under the Sexual Offences Act 2003. It's an appeal against Hayden's judgment in the COP.
Sir James Eadie QC is counsel for the Secretary of State of Justice, the Appellant in this case. He's presenting the case against Hayden J's decision that s.53A Sexual Offences Act has "little, if any relevance" to C's proposed contact with a sex worker. blackstonechambers.com/barristers/jam…
Here's what s.53A of the Sexual Offences Act says:
Mother "suffers from a severe form of agoraphobia which is a classified mental illness + an impairment of or disturbance in the functioning of her mind or brain within the meaning of s.2(1) MCA" (para 7 judgment)
Her agoraphobia "is so overwhelming that it exerts a significant effect on her ability to weigh matters in the balance if the activity in point entails her leaving home". Also short-term memory problems, says expert witness, psychiatrist Tyrone Glover.
This morning I observed this hearing before Judge Rebecca Brown in the Court of Protection concerning whether it was in the best interests of a man in his 30s ("AD") to be vaccinated against Covid-19. #NotSecretCourt
The case was brought by CCG who believe C-19 vaccination to be in AD's best interests.
AD was represented by OS who was of the same view.
His mother opposes vaccination.
AD has Down's syndrome, learning disability + autism. He's "resistant to all healthcare interventions".
Multi-disciplinary team of professionals has drawn up a plan. He'll be vaccinated at home.Encouraged to wear short sleeved top that morning + covertly sedated via his morning drink. While "distracted by his favourite activities", nurse will enter + jab him without any engagement.