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newsletter

Healthcare - December 2011

Forthcoming events

The Healthcare Seminar Series returns in the New Year and we will be in touch shortly with dates for our: Annual Health Update; Healthcare Employment Law Update and Professional Discipline & Regulatory Update.

Featured articles 

Lutton v GDC

In the case of Lutton v GDC the Scottish Appeal court has recently considered the extent of the reasons a regulatory committee is required to give when making a decision ‘on the papers’ i.e. without hearing live testimony.

Cheshire West & Chester Council v P (2011)  EWCA Civ 1257 – no deprivation of liberty

The Court of Appeal has ruled that restrictive measures used by a care home to deal with the behaviour of a man lacking capacity and with significant physical and learning difficulties did not amount to a deprivation of his liberty under article 5 of the European Convention on Human Rights 1950.

RK v BCC & Others – more on DOLs but this time in the context of children accommodated under section 20 of the Children Act 1989

On 30 November 2011, the Court of Appeal handed down judgment in the case of RK, a minor accommodated under section 20 of the Children Act 1989 (“CA”). 

Withdrawal of ANH: Minimally Conscious State

The Court has recently handed down judgement in the case of W v (1) M, (2) S, (3) A NHS Trust [2011] EWHC 2443 involving M; a woman in a minimally conscious state (MCS).  The application for withdrawal of Artificial Nutrition and Hydration (ANH) was brought by M’s mother.

NHS refunds £117,000 in wrongly paid care home costs

The family of an 88 year old former nurse have received a refund of £117,000 in respect of care home fees that the NHS admitted they should not have had to pay, following an eight year fight by the family.

Complaints regulations and access to records

The Court of Appeal has recently examined the extent of the responsibility upon an NHS Trust to investigate a complaint where consent to access medical records relevant to the complaint is denied. In the recent case of R (on the application of TA) v North East London NHS [2011], the Appellant was appealing an earlier refusal to grant him permission to apply for judicial review. The Trust’s decision not to investigate his complaint was challenged as unlawful.

Implementation of the DoH guidance on the future ownership and management of the PCT estate

The Guidance from the DoH set out a timetable for the transfer of the PCT Estate to Aspirant Community Foundation Trusts, other NHS Trusts and Foundation Trusts (‘Acquiring Trusts’). 

Key facts and trends in mental health

This is a commentary upon a factsheet produced by the Mental Health Network (MHN) comparing their findings in 2011 with those in 2009.  We note the implications of the findings upon both the delivery of care and wider legal aspects.

Good Medical Practice Consultation 

A major consultation on “Good Medical Practice”, the central document setting out the medical profession’s principles and values was launched by the General Medical Council on 31 October 2011.

Rule 43 summary

Inquests – Lessons learned? - Rule 43 (R43) of the Coroner’s Rules 1984 (as amended) provides that Coroners may issue reports to any organisation if evidence during the course of an inquest gives rise to a concern that action should be taken to prevent future deaths. 

A basic guide to disclosure

Part 31 of the Civil Procedure Rules 1998 (“CPR”) deals with disclosure and inspection of documents. What are you obliged to disclose? - Standard disclosure requires you to disclose the documents on which you rely and any documents that adversely affect your own case or support the other party’s case (CPR 31.6). 

State of Care: 2010/2011

CQC has recently published its “State of Care” Report on the state of health and social care including an overview of key themes in 2010/2011. 

Delay and interim orders in regulatory proceedings

Two recent decisions provide an insight into the High Court’s consideration of ‘delay’ in the context of applications by healthcare regulators to extend interim orders imposed on practitioners’ registration.

Royal Brompton Hospital quashes consultation on children’s heart surgery

The High Court has quashed a national consultation exercise on the provision of paediatric congenital cardiac services (PCCS) in England, following a claim for judicial review brought by the Royal Brompton & Harefield NHS Foundation Trust (RBH) against the Joint Committee of Primary Care Trusts (JCPCT), on the basis of a breach of legitimate expectation relating to the scoring of the hospitals involved.

Healthcare tourism

There has been much recent press comment regarding “Health Tourism”, the name used to describe the process whereby non-UK residents visit the UK solely to receive care under the NHS. The issues are whether such ‘tourists’ should be charged for the care that they receive, and how the NHS can recover its charges if no payment is received ‘upfront’. There are no firm figures on the unrecovered cost to the NHS, but the suggestion is that something between £7-10 million is written off each year.

 

This update does not attempt to provide a full analysis of those matters with which it deals and is provided for general information purposes only and is not intended to constitute legal advice and should not be treated as a substitute for legal advice. Weightmans LLP accepts no responsibility for any loss that may arise from reliance on the information in this update. The copyright in this update is owned by Weightmans.