Court of Protection (Mental Capacity Act) cases
The Court of Protection is the division of the High Court that deals exclusively with Mental Capacity Act cases. The rulings of the Court give guidance to professionals and organisations in how to interpret the Act.
We list here some of the most significant rulings of the Court. The list is regularly updated as new cases come in, the most recent cases being nearest the top of the list. If you have any suggestions of cases you would like us to include please let us know.
Many of the links here come from the excellent resources on the website of 39 Essex Chambers.
We naturally update our training to take account of Court rulings.
An 81 year old woman had made an Advance Decision to refuse treatment, but this was misplaced by the hospital which led to her receiving artificial nutrition and hydration for 22 months.
CH and WH were a married couple who both had learning disabilities. When they sought fertility treatment a professional questioned whether CH (the husband) had capacity to consent to sex, and he was required to undergo a (much-delayed) programme of sex education.
Case that went to the Supreme Court. N's parents wanted the CCG to provide a certain level of care for their learning disabled son, but the CCG argued (in part) that they had limited resources and could not fund this.
This case concerned a 20 year old woman with autism who engaged in what some people would see as "risky" or "unwise" behaviour. The question was whether the "riskiness" or "unwiseness" of this behaviour amounted to a lack of capacity on her part.
An application by the wife of a man in a minimally conscious state (following a road traffic accident) to stop his clinically assisted nutrition and hydration (CANH).
Court of Protection revoked the LPA of a woman with dementia whose son had taken large amounts of her money as "expenses".
A 50 year-old woman refused life-saving kidney dialysis treatment as she felt her life had lost its "sparkle".
A case which, amongst other things, gave guidance on how we might assess a person's capacity to consent to sexual activity.
X was a very intelligent retired lawyer who had Korsakoff's Syndrome, which caused fluctuating capacity. He challenged the professionals' assessment that he lacked capacity to decide where to live and how to care for himself.
JB, who suffered from paranoid schizophrenia and various physical health problems, had a gangrenous foot, which doctors recommended should be amputated. There was doubt about JB's capacity to make this decision, hence the court case. The court was critical of various comments made by professionals in their capacity assessments
IA was a 59-year-old man with numerous serious health issues arising from his diabetes and latterly from a vicious criminal assault. The issues were his capacity to make decisions about his medical treatment, ongoing residence and care and management of property and affairs. The strenuous efforts made by professionals to help IA to make these decisions for himself (despite IA's frequent refusal to co-operate) were held up as an example of best practice under Principle 2 of the Mental Capacity Act.
LP, a female, had left her husband and adult children to set up a new life with a different partner. She severed all contact with her "old" family. They eventually tracked her down to a care home where she was living following a stroke. She lacked the capacity to decide whether to have any contact with the "old" family, so the case was about whether it was in her best interests to do so.
PC, a 48 year old woman with a mild learning disability, had established a relationship with NC, a man, in 2001. They had lived together for a while before NC had been sent to prison for 13 years for serious sexual offences, not involving PC. PC and NC had married in 2006, whilst he was serving his prison sentence. With NC coming to the end of his sentence, professionals were worried about the risk he might pose to PC if they were to co-habit. The Court of Protection ruled that PC lacked the capacity to make that decision. PC and NC disputed that capacity assessment, so the case went to the Court of Appeal.
RG, a man with learning disabilities, had undergone an arranged marriage in India with SK. The couple now lived in England and there were concerns about whether they should remain married, and whether they should continue to have sexual relations.
Mr James had suffered a stroke, cardiac arrest and multiple organ failure and was being kept alive by clinically assisted nutrition & hydration (CANH). The question was therefore whether it was in his best interests to keep him alive, or to withdraw the CANH. The case went to the Supreme Court.
- "Woman with limited mental capacity can have her baby" (headline from the Independent newspaper, 2013)
The case concerned a young woman with learning disabilities who was 18 weeks pregnant. Professionals were concerned about her ability to decide whether or not to have the baby, and how to care for the baby once it was born.
A 37 year old woman with a history of bi-polar disorder, who was 23 weeks pregnant, wanted a termination.
A 35 year old woman with a history of psychotic mental illness was pregnant. Doctors believed she should have the baby by Caesarean Section due to the danger to mother and baby, but she refused. The Court allowed her full name to be published.
The parents of 21 year old woman with learning disabilities were concerned about the possibility of her becoming pregnant, so they sought permission to have her sterilised.
This was a complicated case in which a woman with learning disabilities (PM) had married a man who did not have learning disabilities. There were concerns that this was a "marriage of convenience" to overcome his immigration problems. The court had to rule on the validity of the marriage, and on the woman's capacity to consent to sex with her husband, and where she should live. There was also the welfare of an 18 month old baby to consider.
A complicated case where judgements were needed on X's capacity to marry, make a will, revoke or grant an enduring or lasting power of attorney, manage his affairs and litigate.
DL, a man of around 50, was accused of bullying and controlling behaviour towards his parents who were aged 85 and 90. The local authority stepped in to protect them under Safeguarding arrangements. DL argued that the local authority had no right to do this as his parents had capacity. The Court of Protection, and then the Court of Appeal, ruled that it had the inherent jurisdiction to protect vulnerable people, whether or not they had capacity.
E, a 32 year old woman, had a severe eating disorder, borderline personality disorder and substance dependencies. She was close to death, having not eaten any solid food for over a year. She had previously made an Advance Decision to refuse life sustaining treatment. The Court had to consider whether she had had capacity when she made that AD, whether she had capacity now, and if not, would it be in her best interests to feed her against her will?
Members of a band which was referred to in court as "MY" had a chart hit in the 1980s called "Pass the Dutchie". Many years later they sued their then legal advisors for what they said was poor advice on marketing rights. One of their complaints was that one member of the band, FW, had been suffering from paranoid schizophrenia at the time, and therefore did not understand the contract that he was signing.
An application by HN to have her sister, FL, moved from a care home in Hampshire to one in London so that HN could see her more often.
- "Brain-damaged woman denied right to die in landmark ruling" (headline in the Independent newspaper, 2011)
M was in a "minimally conscious state" after a viral encephalitis. Prior to her illness she had made it clear verbally to family and friends that she would not ever want to be reliant on life support. But she had never put those wishes in writing, so the Court had to decide whether to continue the life support, or to withdraw it.
AB was a 41 year old man with a mild learning disability, and the issue was whether he had the capacity to consent to sex. The Court gave some guidance on how to assess capacity in such a case, but please note that this guidance was revised by the later case of London Borough of Tower Hamlets and TB in 2014 (see above).
Until this ruling virtually all Court of Protection cases were held in secret and not reported. This ruling allowed the media to attend and report on CoP cases, without which we would not have been able to compile the database you are now looking at.
A landmark ruling that paved the way for the Mental Capacity Act more than a decade later. Harry C was a patient in Broadmoor Hospital who had a gangrenous infection in his leg. However he refused to allow the doctors to amputate it, which they felt was necessary.