‘It is our opinion that she could have regular contact with JB in the short term provided contact is in line with her expressed wishes at the time and is supervised.’ ‘We are of the opinion that without a series of independently observed contact sessions, it is not possible, or indeed desirable, to give advice on detailed aspects of contact issues that could have implications far into the future. The independent observations could be undertaken by us, or suitably qualified professionals experienced in such disputes. Alternatively a local organization with the necessary expertise in contact supervision could be commissioned to undertake this work.’
‘The possible development of contact between the parties, as envisaged within this Memorandum, is wholly subject to the individual wishes and feelings of E and K and no contact will take place contrary to their wishes and feelings.’
“Decisions about incapacitated people must always be determined by their best interests, but the starting point is their right to respect for family life where it exists. The burden is always on the State to show that an incapacitated person’s welfare cannot be sustained by living and being looked after by his or her family, with or without outside support.” 175. "[115] … As I said in Re S, at para [48]: 176. 'I am not saying that there is in law any presumption that mentally incapacitated adults are better off with their families: often they will be; sometimes they will not be. But respect for our human condition, regard for the realities of our society and the common sense to which Lord Oliver of Aylmerton referred in In re K …, surely indicate that the starting point should be the normal assumption that mentally incapacitated adults will be better off if they live with a family rather than in an institution – however benign and enlightened the institution may be, and however well integrated into the community – and that mentally incapacitated adults who have been looked after within their family will be better off if they continue to be looked after within the family rather than by the State. 177. [116] We have to be conscious of the limited ability of public authorities to improve on nature. We need to be careful not to embark upon 'social engineering'. And we should not lightly interfere with family life. If the State – typically, as here, in the guise of a local authority – is to say that it is the more appropriate person to look after a mentally incapacitated adult than her own partner or family, it assumes, as it seems to me, the burden – not the legal burden but the practical and evidential burden – of establishing that this is indeed so. And common sense surely indicates that the longer a vulnerable adult's partner, family or carer have looked after her without the State having perceived the need for its intervention, the more carefully must any proposals for intervention be scrutinised and the more cautious the court should be before accepting too readily the assertion that the State can do better than the partner, family or carer. 178. [117] At the end of the day, the simple point, surely, is this: the quality of public care must be at least as good as that from which the child or vulnerable adult has been rescued. Indeed that sets the requirement too low. If the State is to justify removing children from their parents or vulnerable adults from their relatives, partners, friends or carers it can only be on the basis that the State is going to provide a better quality of care than that which they have hitherto been receiving: see Re F, F v Lambeth London Borough Council[2002] 1 FLR 217 at para [43]. 179. [118] The fact is that in this type of case the court is exercising an essentially protective jurisdiction. The court should intervene only where there is a need to protect a vulnerable adult from abuse or the real possibility of abuse: see Re K, A Local Authority v N and others[2005] EWHC 2956 (Fam) ,[2007] 1 FLR 399 , at paras [90]-[92], and X City Council v MB, NB and MAB (by his litigation friend the Official Solicitor)[2006] EWHC 168 (Fam) ,[2006] 2 FLR 968 , at para [27]. The jurisdiction is to be invoked if, but only if, there is a demonstrated need to protect a vulnerable adult. And the court must be careful to ensure that in rescuing a vulnerable adult from one type of abuse it does not expose her to the risk of treatment at the hands of the State which, however well intentioned, can itself end up being abusive of her dignity, her happiness and indeed of her human rights. That said, the law must always be astute to protect the weak and helpless, not least in circumstances where, as often happens in such cases, the very people they need to be protected from are their own relatives, partners or friends: NS v MI[2006] EWHC 1646 (Fam) ,[2007] 1 FLR 444 , at para [8]. 180. [119] There is one final point to be made. The court, as I have said, is entitled to intervene to protect a vulnerable adult from the risk of future harm – the risk of future abuse or future exploitation – so long as there is a real possibility, rather than a merely fanciful risk, of such harm. But the court must adopt a pragmatic, common sense and robust approach to the identification, evaluation and management of perceived risk.”
'Pending the enactment of a checklist or other statutory direction it seems to me that the first instance judge with the responsibility to make an evaluation of the best interests of a claimant lacking capacity should draw up a balance sheet. The first entry should be of any factor or factors of actual benefit … Then on the other sheet the judge should write any counter-balancing disbenefits to the applicant … Then the judge should enter on each sheet the potential gains and losses in each instance making some estimate of the extent of the possibility that the gain or loss might accrue. At the end of that exercise the judge should be better placed to strike a balance between the sum of the certain and possible gains against the sum of the certain and possible losses. Obviously only if the account is in relatively significant credit will the judge conclude that the application is likely to advance the best interests of the claimant.’”European Convention on Human Rights Article 8 provides a qualified right that everyone has the right to respect for their private and family life, home and correspondence. It is engaged in relation both to a care regime at home and a care regime in a nursing home. Any interference with P’s family or private life must be authorised by law, proportionate (“necessary in a democratic society”) and for a permitted purpose, which here would be for the protection of her health. '
‘The possible development of contact between the parties, as envisaged within this Memorandum, is wholly subject to the individual wishes and feelings of E and K and no contact will take place contrary to their wishes and feelings.’
‘74. The additional burden of ADHD makes it more difficult for K to process information or to carry out some higher cognitive functions. This would be evident in her impulsivity, inability to complete activities or conversations, poor planning skills etc. She is demonstrably impulsive and rather flippant in her decision making and appears to make assertions about her wishes without much consideration of the information provided. It is rather unsurprising that she is unable to offer a consistent point of view regarding these decisions and tends to change her mind regularly.’