Judge approves forced Caesarean for mentally-ill woman Doctors have been granted permission to perform an urgent Caesarean section on a mentally-ill woman with diabetes. High Court judge Mr Justice Hayden gave specialists at the Royal Free London NHS Trust approval after a five-hour hearing at the Court of Protection. He said the decision was "draconian" but necessary because the mother's life may be in danger. The woman, 32, who is 32 weeks pregnant, was deemed unable to make the decision over how to give birth. The ruling, late on Friday, came after doctors applied for permission to carry out the delivery in order that the patient's "unstable mental state" could be treated. A specialist from the trust told the Court of Protection in London, which specialises in issues relating to the sick and vulnerable, that their priority was "keeping this woman alive".
A therapeutic programme hailed by ministers as a hi-tech, cost-effective solution to Britain's growing problem of depression and anxiety has been widely ignored by the NHS, leaving hundreds of thousands of people without access to treatment. Opposition politicians and charities have accused the government of creating a postcode lottery.
A patient in Broadmoor Hospital who has spent more than two decades alongside some of Britain's most dangerous criminals has won the right to have a review into his detention heard in public, The Independent has learned. The decision, which is thought to be a legal first, has major implications for the way Mental Health Tribunals function and will open the doors to one of the country's most secretive arbitration systems. The man, who cannot be named for legal reasons, has spent 23 years detained under the Mental Health Act, mostly at Broadmoor Hospital, the high-security facility in Berkshire that houses notorious offenders such as the serial killers Peter Sutcliffe and Robert Napper. He was committed in September 1986 after being convicted on two counts of attempted wounding. Doctors had classified the 52-year-old as having a mental illness and psychopathic disorder, but in September 2008 they changed the diagnosis to just a psychopathic disorder.
Potentially dangerous psychiatric patients are being fitted with GPS tracking devices to prevent them absconding on day leave. The South London and Maudsley NHS Trust has attached the £600 ankle devices on more than 60 medium and high risk patients under the pilot scheme. The trust said it had consulted patients and families. The devices, which can track a person's location to within a few yards, are already used for dementia sufferers. They came into use in south London after rapist Terence O'Keefe, 39, escaped from custody at King's College Hospital before strangling 73-year-old David Kemp.
Thousands of patients are suing AstraZeneca in US courts, claiming the anti-psychotic drug Seroquel caused weight gain and diabetes. The patients allege Seroquel, its second biggest selling drug worth $4.5bn (£2.7bn) a year, was marketed without adequate warning about possible side effects such as massive weight gain and the development of diabetes. However, this is denied by the company.
The subject raises issues as to the extent to which it is proper to treat adults with psychiatric or psychological disorders with radical surgery, particularly where the appropriate diagnosis and treatment of the underlying disorder is uncertain or disputed; the limitations which ought to be placed upon consent as a means of rendering surgery lawful and whether the criminal law ought to have a place in controlling operations provided by qualified surgeons upon competent adults with their consent.
A high court judge in England has ordered that doctors can force a woman without the capacity to decide for herself to have lifesaving treatment for aplastic anaemia. Mrs Justice Hogg made the ruling in the Court of Protection after an unnamed NHS trust applied to the court with the backing of the Official Solicitor, who looks after the interests of those lacking capacity. The judge said the 30 year old woman, named only as SB, who is detained under the Mental Health Act, has a serious psychiatric disorder and lacks the capacity to decide for herself whether or not to have the potentially lifesaving treatment.
The 30-year-old, known only as SB, could die without emergency treatment for aplastic anemia, a condition in which her bone marrow does not reproduce enough new blood cells. The Court of Protection has now ruled that doctors can restrain SB and force her to undergo the arduous but potentially life-saving treatment, which is administered through a vein in the heart and lasts for five days. SB has been detained under the Mental Health Act. Family Division judge Mrs Justice Hogg ruled that the patient did not have the capacity to make up her own mind over whether to undergo the treatment.
The issue in this case is not uncommon. P is an adult who has an unresolved medical condition, in this case epilepsy. His primary carer, however well motivated, does not accept the diagnosis nor the treatment proposals. P may object to treatment (whether his own view or prompted by his carer). In order to determine what is in P's best interests, since he cannot decide for himself, it is necessary to observe him, and not to rely upon what is relayed about his condition by his carer. To that end, a period in hospital for assessment and treatment is necessary.