Table Of ContentClinical Law
for
Clinical Practice
Clinical Law
for
Clinical Practice
Robert Wheeler, FRCS MS LLB(Hons) LLM
Consultant Neonatal and Paediatric Surgeon
and
Associate Medical Director
Department of Clinical Law
University Hospital of Southampton
Southampton Hampshire, England
and
Honorary Senior Lecturer
University of Southampton
First edition published 2020
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Library of Congress Cataloging-in-Publication Data
Names: Wheeler, Robert (Consultant neonatal and pediatric surgeon), author.
Title: Clinical law for clinical practice / Robert Wheeler.
Description: First edition. | Boca Raton : CRC Press, 2020. | Includes bibliographical
references and index. | Summary: “Clinicians must practice medicine in conformity with
regulatory requirements. That is the daily challenge, and those requirements are founded
on medical law. This book describes how clinical law has been applied in numerous
cases, thus providing a clinical appraisal of the law which is directly applicable to clinical
practice in the United Kingdom”-- Provided by publisher.
Identifiers: LCCN 2020006885 (print) | LCCN 2020006886 (ebook) | ISBN
9780367335595 (paperback) | ISBN 9780367335632 (hardback) | ISBN
9780429320583 (ebook)
Subjects: MESH: Clinical Medicine--legislation & jurisprudence | Patient
Rights--legislation & jurisprudence | Treatment Refusal--legislation &
jurisprudence | Liability, Legal | United Kingdom
Classification: LCC RC46 (print) | LCC RC46 (ebook) | NLM WB 33 FA1 |
DDC 616--dc23
LC record available at https://lccn.loc.gov/2020006885
LC ebook record available at https://lccn.loc.gov/2020006886
ISBN: 978-0-367-33563-2 (hbk)
ISBN: 978-0-367-33559-5 (pbk)
ISBN: 978-0-429-32058-3 (ebk)
Typeset in Times LT Std
by Nova Techset Private Limited, Bengaluru & Chennai, India
Contents
Foreword by Sir Jonathan MontgoMery xi
introduction xiii
1 adultS who reFuSe blood 1
Newcastle Upon Tyne Hospitals FT v LM [2014] EWHC 454 (COP)
2 diScuSSing the ProSPectS oF cardioPulMonary
reSuScitation 5
RoA David Tracey v Cambridge NHSFT & Ors [2014] EWCA Civ 822
3 what Should be diScloSed when Seeking conSent 9
Montgomery v Lanarkshire [2015] UKSC 11
4 dePrivation in eSSex 13
Essex County Council v RF&PN&JN&CP [2015] EWCOP 1
5 the FirSt gliMPSe oF a duty to warn? 15
David Spencer v Hillingdon Hospital NHST [2015] EWHC 1058 (QB)
6 can a Patient chooSe her Surgeon? 17
Kathleen Jones v Royal Devon & Exeter NHSFT County Court 22
September 2015
7 SentiMentS 19
Wye Valley NHST v Mr B [2015] EWCOP 60
8 unwiSe deciSionS 21
Kings College Hospital NHSFT v C & V [2015] EWCOP 80
v
vi Contents
9 conSulting relativeS 23
Elaine Winspear v City Hospitals Sunderland NHSFT [2015]
EWHC 3250 QB
10 doctrine oF double eFFect 25
R v Adams [1957] Crim LR 365
R v Cox [1992] 12 BMLR 38
R v Woollin [1999] 1 AC 82
11 needle Phobia 27
Re L (Patient: Non-Consensual Treatment) [1997] 2 FLR 837
Re MB (Medical Treatment) [1997] 2 FLR 426
12 candid over coMPlicationS 29
No case
13 exaMining PatientS with their conSent 31
No case
14 covert treatMent 33
AG v BMBC & SNH [2016] EWCOP 37
15 can blood be coMPulSorily adMiniStered under the
Mental health act 1983? 35
Nottinghamshire Healthcare NHST v RC [2014] EWCOP 1317
16 genetic conFidentiality 39
ABC v St George’s Healthcare NHSFT [2015] EWHC 1394 QB;
see Chapter 62 for most recent review of case
17 reFuSing hoSPital diScharge 41
Barnet Primary Care Trust v X [2006] EWHC 787 QB
Sussex Community NHSFT v Price [2016] EWHC 3167 QB
18 conSent For a cannula 43
Anita Border v Lewisham & Greenwich [2015] EWCA Civ 8
Contents vii
19 changing direction in Severe anorexia 45
Betsi Cadwaladr ULH Board v W [2016] EWCOP 13
and Cheshire & Wirral NHST v Z [2016] EWCOP 56
20 be inForMed; then diScloSe 47
Sebastian Webster v Burton Hospitals NHST [2017] EWCA Civ 62
21 withdrawing treatMent in a young Man 49
The Acute Trust v R [2016] EWCOP 60
22 the value oF going to court 51
NHST v HN [2016] EWCOP 43
23 articulating beSt intereStS 53
Salford Royal NHSFT v P & Q [2017] EWCOP 23
24 loyal FriendS 55
Sheffield Teaching Hospitals v TH & TR [2014] EWCOP 4
25 aPPly to court? 57
NHST v Y & Y [2017] EWHC 2866 QB
26 diScloSing the MiniScule riSk when Seeking
conSent 61
Mrs A v East Kent Hospitals University NHSFT [2015]
EWHC 1038 QB
Rogers v Whittaker [1992] 109 ALR 625 (Aust.HC)
27 obtaining conSent 65
Lisa Thefaut v Francis Johnston [2017] EWHC 497 QB
28 dePrivation oF liberty: the Story So Far 67
P v Cheshire West & Chester Council & Ors [2014] UKSC 19
R (Ferreira) v HM Senior Coroner for Inner South London & Ors
[2017] EWCA Civ 31
29 Falling FroM hoSPital ProPerty 69
Spearman v Royal United Bath Hospitals [2017] EWHC 3027 QB
viii Contents
30 groSS negligence ManSlaughter: PerhaPS better,
‘betrayal oF truSt’? 71
Bawa-Garba v GMC & Ors [2018] EWCA Civ 1879
(Betrayal of Trust in Medical Manslaughter. Journal of Criminal Law
2019 83 (6) 489–502)
31 interPretation 75
Nilujan Rajatheepan v Barking, Havering & Redbridge NHSFT [2018]
EWHC 716 (QB)
32 a narrow diSPute 77
PW v Chelsea & Westminster Hospital NHSFT & RW & Ors [2018]
EWCA Civ 1067
33 a right to be told? 79
Gallardo v Imperial College NHST [2017] EWHC 3147 (QB)
34 ‘but all liFe iS an exPeriMent’ 81
B v D [2017] EWCOP 15
35 avoid diScouraging PatientS FroM waiting to be
treated 83
Darnley v Croydon Health Services NHST [2018] UKSC 50
36 Mixed MeSSageS 85
Re SJ [2018] EWCOP 28
37 it iS For clinicianS to identiFy ForeSeeable riSkS 87
Gail Duce v Worcestershire Acute Hospitals NHST [2018]
EWCA Civ 1307
38 SeParating twinS 89
Re A (Minors) (Conjoined Twins: Surgical Separation) [2001] Fam 147
39 body ModiFication 91
R v BM [2018] EWCA Crim 560
40 Seeking the aPProval oF a court For Paternity
teSting 93
DCC v NLH [2019] EWCOP 9
Contents ix
41 children reFuSing treatMent 95
Re P (A Minor) [1986] 1 FLR 272
Re W (A Minor) (Medical Treatment: Court’s Jurisdiction) [1993]
Fam 64 CA
Re M (Medical Treatment: Consent) [1999] 2 FLR 1097
42 can we rely on our advance deciSionS? 99
NHS Cumbria CCG v Mrs Jillian Rushton & Ors [2018] EWCOP 41
43 iS there a role For ‘next oF kin’? 103
No case
44 Preaching to PatientS 105
Kuteh v Dartford & Gravesham NHST [2019] EWCA Civ 818
45 deceiving PatientS 107
University Hospitals Derby & Burton NHSFT v J [2019] EWCOP 16
46 deterMining incaPacity 109
Heart of England NHSFT v JB [2014] EWHC 324 COP
47 reaSonS For reFuSing blood? 111
Manchester University NHSFT v DE [2019] EWHC 1317 Fam
48 JuStiFying the terMination oF a Pregnancy 113
Re AB (Termination of Pregnancy) [2019] EWCA Civ 1215
49 the FeaSibility oF a covert caeSarean Section 115
NHST v JP [2019] EWCOP 23
50 coMMunicating riSk: wordS or nuMberS? 117
Ollosson v Lee [2019] EWHC 784 QB
51 Stark coMPulSion in grave circuMStanceS 119
XHA v D [2019] EWHC 2311 (Fam)
52 going to court too Soon 121
Royal Bournemouth & Christchurch Hospital NHST v TG [2019]
EWCOP 21
