University Hospitals Birmingham NHS Foundation Trust v EN [2025] EWCOP 59 (T3)

[2025] EWCOP 59 (T3)Ref. COP200116924
IN THE COURT OF PROTECTION
Venue Royal Courts of JusticeDate 11 July 2025
Strand
London
THE HONOURABLE MR JUSTICE MCKENDRICKUNIVERSITY HOSPITALS BIRMINGHAM NHS FOUNDATION TRUSTApplicant-v-EN (BY HER LITIGATION FRIEND THE OFFICIAL SOLICITOR)RespondentMR A FULLWOOD appeared for ApplicantMS F GARDNER appeared for RespondentAPPROVED JUDGMENTHearing Hearing Date: 11 JULY 2025__________________MCKENDRICK J:
[1]I am sitting as a tier three judge of the Court of Protection to consider the question of the medical treatment of a patient who I am going to refer to as “EN".[2]So urgent has this application been and so concerning is the manner in which it was brought before the court, I was required to begin the hearing, turning straight to questions of evidence to determine the issues, but despite the fact I have not raised with the parties the question of transparency orders, I am sitting in public today in open court and I propose that there will be a transparency order that protects the identity of EN and she will be known by those initials.[3]I have considered of my own notion the correct balance between Article 8 of the ECHR and Article 10 of the ECHR and I have had regard to the Court of Protection rules which provide for a presumption the court sits in public with a transparency order protecting, in many cases, the person who is the subject of proceedings. It is right that Ms EN should be anonymised as should any of her family members. I propose that the public bodies are named for reasons I will probably have to deal with a little later this morning.[4]I am giving this judgment ex tempore under challenging circumstances. The application was purportedly issued around 10 past 4 yesterday afternoon. I say purportedly as it was issued by way of an email with 12 separate attachments, each of which was password protected. I was supposed to be dealing with other matters today but it was the applicant trust’s position that the matter had to be dealt with today.[5]A bundle found its way to me at 10:23 for a hearing which began at 10.30. It will not be lost on the parties that this is an unsatisfactory backdrop to ask a judge to consider questions of capacity and best interests for an extremely vulnerable woman.[6]The parties are as follows. The applicant is University Hospitals Birmingham NHS Foundation Trust. They are represented by Mr Fullwood of counsel. The respondent is Ms EN. She, I think it is accepted between the parties, lacks capacity to conduct the proceedings and therefore the Official Solicitor has accepted the invitation of the court to act as her litigation friend and Ms EN is represented through Ms Gardner of counsel instructed by the Official Solicitor. Ms Gardner attends remotely by CVP.[7]I shall say a little of the background. Ms EN is a 37-year-old woman who is at full-term of her pregnancy. I understand today she is at 40 weeks plus three days. She has a diagnosis of schizophrenia and is detained under Section 3 of the Mental Health Act 1983. While she was initially compliant with her care, her mental health and her presentation have deteriorated. Essentially the background is that she has been refusing to co-operate with staff, is often dysregulated in mood and behaviour and there is significant concern that she will not co-operate with the necessary obstetric care required to be delivered of her baby. She could give birth imminently.[8]Alongside the applicant trust, Birmingham and Solihull Mental Health NHS Foundation Trust is the trust responsible for providing mental health services to Ms EN. As I say, she has been detained under the Mental Health Act and my understanding is that the detention has taken place under Section 3 of the 1983 Act and that took place on 29 June 2025. She was admitted to a psychiatric intensive care unit. That was following reports from neighbours that she had been verbally hostile to police and others. A conveyance pursuant to Section 136 of the Mental Health Act took place and she was detained. She has been required to receive lorazepam and promethazine.[9]Following her admission she has shown guarded and suspicious behaviours and she has been reluctant to engage in some clinical procedures, for example having her bloods taken. There has been some clinical analysis and the obstetric care team have noted that the foetus, is likely to have situs inversus totalis, a condition where the heart is on the opposite side of the chest. Ms EN has declined further assessment of this.[10]For the purposes of the application the Trust relies on written evidence and I will briefly summarise that. It relies on the COP3 assessment of capacity by a consultant psychiatrist. The decisions identified were decisions in respect of antenatal care and the method of delivery and relevant obstetric care.[11]The assessment of capacity as I understand it took place after Ms EN was at the delivery suite at the current hospital. She was assessed after she was transferred from the psychiatric intensive care unit. It was noted that she is on Section 17 leave in the acute hospital. The consultant psychiatrist assessed jointly with a consultant obstetrician and gynaecologist. It was noted that Ms EN engaged poorly in the assessment and it was considered she lacked capacity and she was not consenting to interventions. The assessing team considered that the relevant information would have to include the risks and benefits of an induction of labour, the risks and benefits of a caesarean section and the understood risks related to gestational diabetes.[12]The assessment concluded that Ms EN could not demonstrate an understanding of the information that was presented regarding the suspected gestational diabetes or the risks associated with the birth with this condition. She could not understand placental dysfunction and the risks of stillbirth. She did not believe that information and she was not accepting of capillary blood glucose testing which I am told is a straightforward procedure. The assessing team considered she could not retain the information. Their assessment was there was no evidence that she was weighing the information given to her. She would not discuss the options. While she could communicate clearly, the view taken by the psychiatrist and the consultant obstetrician was that she was unable to weigh up the information.[13]They noted that she had been diagnosed with a psychotic illness in 2013 and that she has had a long-standing history of inpatient psychiatric admission and she has previously been managed under a community treatment order. It noted that in May 2025 she had begun to show signs of relapse in her mental state. She was irritable, argumentative and hostile. It noted that there were attempts to visit her in her home in or around 26 June and she would not enter the door and was heard shouting. As I say, that led to a warrant, it was executed under the Mental Health Act and she was detained on 29 June.[14]The view of these two assessors was that she lacks capacity to consent to either induction of labour or C-section. Her mental disorder is impacting on her ability to understand the information she has been given regarding her current proposed treatment and the risks associated with no intervention. She is not retaining the information she is given over the course of the day or during the assessment and her mental disorder is impacting on her ability to weigh the necessary information in the balance to make a decision. They took the view her decision-making ability was impacted because of her acute relapse of paranoid schizophrenia and the impact it was having on her cognitive abilities.[15]The applicant trust relies on the statement of Dr H. Dr H is a consultant obstetrician and gynaecologist. She has filed a detailed and helpful witness statement. She tells me that she first became aware of Ms EN on 26 March 2025 when she was booked into her antenatal clinic. She did not attend the face-to-face appointment. It was established that she had booked late in the pregnancy and her first ultrasound scan only took place at 23 weeks and three days gestation. The scan identified, as I have said, that the foetus has situs inversus totalis, which effectively means both the heart and the stomach are sited on the opposite side of the chest. Ms EN declined any further input.[16]A history was taken and it was clear that Ms EN had a vaginal delivery in 2009 and an emergency caesarean section in 2011. Both of her children are not in her care. There are records of a history of crack cocaine use and domestic violence.[17]It was noted by Dr H that Ms EN was confrontational and aggressive and she was concerned back then regarding her mental health and an urgent referral was made to the perinatal mental health team for further support. Glucose tolerance testing was considered because of her ethnicity. She was at high risk of gestational diabetes. She did not attend the glucose tolerance test, nor did she attend the appointment for her 28 week bloods. She did attend some ultrasound scans.[18]She then charts the history of the pregnancy and I note that there was a variable level of engagement but I need not set it all out. She did not agree to attend the treating obstetric team at their hospital so she had to be brought there by the team from psychiatric intensive care. She has arrived onto the labour ward and was supported by four mental health support workers from the psychiatric hospital. It is my understanding that restraint was required to bring her from the psychiatric intensive care unit to the obstetric care treating hospital.[19]She notes in her evidence that gestational diabetes, if untreated, can increase the risk of stillbirth especially in the context of a late booking. She would have recommended delivery at term by 40 weeks, which of course we are now over.[20]She met with Ms EN in the antenatal clinic on two occasions, on Monday 9 July 2025. The first discussion was a reasonable one and she was accepting of blood tests and foetal monitoring. However, later that day the on-call consultant came in to offer an assessment of an induction and Ms EN was very aggressive and refused to speak to her because she believed the consultant held religious beliefs. “Ms EN articulated she would only speak to me as a booking consultant”, so she revisited her later that day. She was not able to weigh up any of the information regarding gestational diabetes and anaemia and the increased risks of that and the late booking.[21]She points out that the team reached out to find out a little more about Ms EN’s family. They contacted her next of kin who is her mother. I need not detail that conversation but I am sad to say the mother was not interested in her daughter’s welfare.[22]She notes that Ms EN expressed a wish to deliver vaginally, however, she has made clear that no health staff who have a religious belief or religious attire can be involved in any way with her treatment or care because Ms EN, no doubt because of her mental health challenges, believes they will harm her baby. She was clear that she was also declining any form of cannulation.[23]She has read the COP3 evidence of Dr C, who as I say is the consultant psychiatrist, and is in agreement and it is her own view that Ms EN lacks capacity.[24]The upshot of her written evidence is to recommend a planned caesarean section. She is concerned about spontaneous labour and says there is only a 70 per cent chance of vaginal delivery. She says it is not very likely, that around 50 per cent of women would require instrumental intervention - forceps or ventouse delivery - which she says would be very distressing for Ms EN. She notes it may be impossible to undertake these procedures without restraint.[25]Ultimately, she is very concerned that some form of vaginal delivery is simply too risky and has the likelihood of risking harm to the physical and mental health of Ms EN but also of the baby when born. She suggests therefore that there should be some form of sedation and defers to the mental health team regarding sedation and the anaesthetic team regarding anaesthesia.[26]She sets out that Ms EN would be treated in the delivery room and then taken to theatre. She concludes her written evidence by saying, “On balance we consider it is in her best interests for elective caesarean under general anaesthetic to reduce the risks which are attached to either a vaginal delivery or an emergency caesarean section.”[27]Dr H attended the hearing remotely and gave evidence. She was questioned by Mr Fullwood and Ms Gardner and answered some questions that I had. She emphasised her concerns regarding the gestational diabetes and pointed out in her evidence that monitoring and treating that is straightforward, requiring more or less four capillary blood tests each day to monitor the diabetes, but Ms EN would only tolerate one and has not tolerated it since.[28]She explained that she has been at the acute hospital in the labour ward but in a private room with the four mental health support workers. She explained in her oral evidence what she set out in her written evidence, namely that at the beginning of the week, at her first assessment, she felt she had understood some of the issues, but during that day she had deteriorated significantly and was not consenting to any vaginal examination and repeatedly took the view that anyone with religious beliefs could not provide any care. She wanted to be left alone. She would not co-operate with the attempted assessment regarding induction. She reiterated that Ms EN could not understand or weigh up the relevant information.[29]She set out that the plan would be for there to be a caesarean section under a general anaesthetic. She set out that there will be a consultant anaesthetist and consultant obstetrician available. Her oral evidence was that that should take place almost immediately following this hearing this afternoon. Those two consultants would be present with the care team, midwife support and of course the four members of staff from the psychiatric unit. There would be the possibility of some restraint if after discussion and liaison Ms EN was not compliant and an injection of ketamine which would sedate her. She would then be taken the very short journey from her room to theatre and there would be a general anaesthetic assessment. Then she would receive the general anaesthesia and the whole procedure from the ketamine to delivery should take no more than an hour.[30]She was not aware of any specific risks of the general anaesthesia to Ms EN but she did point out because of her severe anaemia two units of blood are available. She was clear that having some form of spinal or epidural regional anaesthesia, whilst preferable, was not an option and it was the view of the treating team that Ms EN could not tolerate that.[31]She was careful about not giving evidence in the area of anaesthesia regarding the general risks but she pointed out that Ms EN had a normal body mass.[32]Whilst she had not seen Ms EN today, the perinatal team had spoken to her and she remained really as she had been. She did not really want to discuss issues.[33]The ultimate concern, as teased out in questions by Ms Gardner, was that Ms EN would not comply with instructions, would not comply with CTG assessments, would not comply with the necessary level of care required for a safe vaginal delivery.[34]More fundamentally, however, the doctor’s view was that because of the gestational diabetes the delivery had to be expedited. There was an increased risk of the foetus being born by way of stillbirth. She felt there were risks because of the late booking of the pregnancy to wait to go into labour. It was difficult to quantify the risk of stillbirth but it was, I think it is fair to say, a significant risk and of course it is a risk of the most serious harm to the foetus but also psychiatrically to Ms EN.[35]She was not clear whether Ms EN had had a general anaesthetic before. Her overall advice to the court was that a planned caesarean section by way of general anaesthetic is a relatively routine and safe procedure, albeit regional anaesthesia is preferred, and her recommendation to the court was that a planned caesarean section should take place this afternoon in line with the care plan which is before me.[36]Following the conclusion of her evidence it was clear that the court did not have sufficient evidence in respect of anaesthesia. Therefore I adjourned the case briefly and arrangements were made for a consultant anaesthetist to give evidence. Dr M joined the hearing. He has not met Ms EN but he will be the anaesthetist on call involved this afternoon. He has therefore read some of the care plan and understood the background and he will meet with Ms EN later today if the plan is authorised. He was asked about the risks of general anaesthesia in caesarean section. He said there was a risk of difficulties of tracheal intubation because of the swelling in the pregnancy, that was about 1 in 300; there was a risk of aspiration or stomach contents because again of the pregnancy; and there was a risk of blood loss, particularly with a general anaesthetic rather than a regional one.[37]He considered there were risks specifically to Ms EN that she would be non-compliant, there would be the risk of restraint and there would be the requirement of providing her sedation. He was a concerned at her low haemoglobin level of 87 and would rather it was above 110, but two units of blood were in play. So I was told.[38]Then he explained the procedure of the injection of ketamine, placing a cannula in her arm, the general anaesthesia and the operation taking place. He explained post-operatively fentanyl and morphine and local anaesthesia would be provided to deal with any pain. It was considered that her cannula should be bandaged and he was a bit concerned about agitation post-operatively, but considered that that could be dealt with by way of both pain relief and any further psychiatric medication.[39]He was of the view that this plan was the appropriate one because Ms EN would not tolerate any other alternatives. She certainly would not tolerate a local or regional anaesthesia to be delivered of her baby. He could not find any evidence she had had a general anaesthesia before, but told me that does not really change the risks and that there is a risk of anaphylaxis with a general anaesthetic but the risks of that were lower with the first anaesthesia and in any event anaphylaxis could be treated.[40]I have seen the detailed care plan which has been produced by a multidisciplinary team involving consultant obstetrician, gynaecologists, the consultant psychiatrist, the consultant anaesthetist and the perinatal mental health midwife. It is detailed and clear.[41]The only other piece of evidence I should make reference to is the very helpful witness statement dated 11 July 2025 of Ms Yvonne Chapman who is a highly-experienced solicitor. Ms. Chapman was able to visit Ms EN at the hospital. I need not detail that but Ms EN was not in a very communicative mood. Ms EN told her that the midwife was tantamount to being a “stalker”.[42]Ms Chapman tried to engage her on the question of the mode of delivery but it was quite difficult I think to get clear information. I think it is fair to say Ms EN was worried about the plan after birth. Ms EN did not understand why the psychiatric intensive care unit staff are there. When asked about vaginal delivery she said, “Natural is my only option. We need to move forward.” When there was mention of cannulas and needles Ms EN shut Ms Chapman down immediately. “Let us move forwards from today,” she said repeatedly. She was not agitated and she was calm. When asked how she would feel if the judge decided that she should have a scheduled caesarean she said, “There will be hell to pay.”[43]That is the evidence. I turn then briefly to summarise the law. I recognise from the outset that the intervention the court is being asked to make is of the most profound nature. It would involve overriding the decision-making process, however impaired, of Ms EN, it would authorise the use of force and allow for the hospital (“the state”) to determine that Ms EN is delivered of her baby by a planned caesarean section and not by way of vaginal delivery as she wishes. I remind myself of what was said by Baker J (as he then was) in the case of A University Hospital NHS Trust v CA [2016] EW COP 51 at paragraph 3: “3. At the outset, I cite the observations of Cobb J in The Mental Health Trust and Others v DD and Another [2014] EWCOP 11, another case in this court concerning an application for declarations and orders facilitating the performance of a Caesarean section operation on a woman said to lack mental capacity. At paragraph 5 of his judgment, Cobb J made this observation: ‘The rulings sought in this case challenge the most precious and valued human rights and freedoms. Authorisation for the deprivation of DD's liberty and for the use of restraint (even for a short time) is sought, as is permission to intrude, by force if necessary, into the privacy and sanctity of her home. Steps to promote her physical health and well-being, it is argued, require a physically invasive medical procedure, to be conducted under general anaesthetic. I am acutely aware of the unusually onerous responsibility which falls upon me sitting as a judge of the Court of Protection in determining this application.’ The same observations apply to these proceedings. It is therefore extremely concerning that the trust only started these proceedings less than a fortnight before the baby was due. It should be noted that the application in the DD case was made 6 or 7 weeks before the baby was due. The issues arising in the current case were not quite as complex as those in the DD case, but they involved a number of sensitive and difficult decisions on which CA, through her litigation friend the Official Solicitor, had an absolute right to be heard. Because of the shortage of time, the Official Solicitor had very little opportunity to digest and analyse the evidence. As a result, there was a significant danger that issues might not have received the care and attention they deserved. Fortunately, however, I am satisfied that, thanks to the efforts of the Official Solicitor and his representatives, all issues have in the event received full consideration.” ‘The rulings sought in this case challenge the most precious and valued human rights and freedoms. Authorisation for the deprivation of DD's liberty and for the use of restraint (even for a short time) is sought, as is permission to intrude, by force if necessary, into the privacy and sanctity of her home. Steps to promote her physical health and well-being, it is argued, require a physically invasive medical procedure, to be conducted under general anaesthetic. I am acutely aware of the unusually onerous responsibility which falls upon me sitting as a judge of the Court of Protection in determining this application.’[44]This application therefore engages profound questions of Ms EN’s psychological and physical bodily integrity in the area of the highly personal and intimate decision-making of how a baby should come into this world.[45]I am sitting in the Court of Protection, so the law in respect of capacity is clear. I remind myself of Sections 1, 2 and 3 of the Mental Capacity Act 2005. The principles have been helpfully summarised in a recent case by Cusworth J called Mid Yorkshire Teaching NHS Trust v SC [2024] EWCOP 69 (Tier 3) at paragraphs 8 and 9: “8. Lord Stephens, in A Local Authority v JB [2021] UKSC 52 explained that Section 2(1) requires the court to address two questions, the first being whether P is unable to make a decision for himself in relation to the matter, and the second being whether that inability to make a decision is "because of" an impairment of, or a disturbance in the functioning of, P's mind or brain. Since the assessment of capacity is decision-specific, the court is required to identify the correct formulation of "the matter". The correct formulation of "the matter" leads to a requirement to identify "the information relevant to the decision" under s3(1)(a) which includes information about the reasonably foreseeable consequences of deciding one way or another or of failing to make the decision. The court must identify the "information relevant to the decision" "within the specific factual context of the case". Capacity may fluctuate over time, so that a person may have capacity at one time but not at another time. The "material time" within s2(1) is decision-specific; the question is whether P has capacity to make a specific decision at the time when it needs to be made. 9. Lord Stephens went on to make clear that the information relevant to the decision includes information about the reasonably foreseeable consequences of a decision, or of failing to make a decision. These consequences are not limited to the "reasonably foreseeable consequences" for P, but can extend to consequences for others. There should be a practical limit on what needs to be envisaged as the "reasonably foreseeable consequences" of a decision or of failing to make a decision so that "the notional decision-making process attributed to the protected person should not become divorced form the actual decision-making process carried out in that regards on a daily basis by persons of full capacity". P's ability to use or weigh information relevant to the decision as part of the decision-making process" should not involve a refined analysis of the sort which does not typically inform the decision made by a person of full capacity":[46]The relevant information of course must be identified and I can do no better than quote MacDonald J in the case of North Bristol NHS Trust v R [2023] EWCOP 5 at paragraphs 62 and 63:
“62. In the foregoing context, in my judgment the information relevant to the decision on the matter in this case can usefully be derived from the questions that might reasonably be anticipated upon a member of the population at large being told that their doctor is recommending an elective Caesarean section and being asked whether or not they consent to that course. Namely, why do you want to do a Caesarean section, what are the alternatives, what will happen when it is done, is it safe for me, is it safe for my unborn child, how long will I take to recover and what will happen if I decide not to do it. Within this context, I am satisfied information relevant to the matter requiring decision by R in this case can be articulated as follows: i) The reason why an elective Caesarean section is being proposed, including that it is the clinically recommended option in R’s circumstances. ii) What the procedure for an elective Caesarean involves, including where it will be performed and by whom; its duration, the extent of the incision; the levels of discomfort during and after the procedure; the availability of, effectiveness of and risks of anaesthesia and pain relief; and the length and completeness of recovery. iii) The benefits and risks (including the risk of complications arising out of the procedure) to R of an elective Caesarean section. iv) The benefits and risks to R’s unborn child of an elective Caesarean section. v) The benefits and risks to R of choosing instead to carry the baby to term followed by natural or induced labour. vi) The benefits and risks to R’s unborn baby of carrying the baby to term followed by natural or induced labour. 63. As will be noted, in respect of the information relevant to the decision, I consider that that relevant information will include some information concerning the impact on her unborn child of R taking or not taking a decision on the matter. R’s unborn child has no separate legal identity until he or she is born. That position was confirmed in Paton v British Pregnancy Advisory Service Trustees [1979] QB 276, in which Sir George Baker held that a foetus cannot in English law have a right of its own at least until it is born and has a separate existence from its mother, an approach affirmed by the ECtHR in Paton v United Kingdom [1981[ 3 EHRR 408 in the context of Art 2 of the ECHR. But that legal position does not prevent the impact on the unborn child of taking or not taking a decision being information relevant to the matter requiring decision. Indeed, I consider it a safe assumption that one of the foremost pieces of information a pregnant woman would consider relevant in deciding whether to undergo any medical procedure during pregnancy is that of the potential impact on her unborn child. On the evidence of Dr Jobson, in this case R has shown some preference for having a live, healthy baby, as inferred from her showing occasional interest in the baby by asking for scan photos, wanting baby clothes and speaking about going to see the baby from time to time.”
[47]In terms of questions of best interests, I remind myself of both sections 1 and 4 of the Mental Capacity Act. The question of best interests, as is very clear, is not simply medical best interests but wider issues and the leading case in these medical treatment cases remains the case of Aintree v James [2014] AC 591 and particularly what Lady Hale said and paragraphs 24 and 45:
“24. This approach follows very closely the recommendations of the Law Commission in their Report on Mental Incapacity (1995, Law Com No 231) on which the 2005 Act is based. It had been suggested in Re F that it might be enough if the doctor had acted in accordance with an accepted body of medical opinion (the Bolam test for medical negligence). However, as the Court of Appeal later recognised in Re S (Adult Patient: Sterilisation) [2001] Fam 15, there can only logically be one best option. The advantage of a best interests test was that it focused upon the patient as an individual, rather than the conduct of the doctor, and took all the circumstances, both medical and non-medical, into account (paras 3.26, 3.27). But the best interests test should also contain "a strong element of 'substituted judgment'" (para 3.25), taking into account both the past and present wishes and feelings of patient as an individual, and also the factors which he would consider if able to do so (para 3.28). This might include "altruistic sentiments and concern for others" (para 3.31). The Act has helpfully added a reference to the beliefs and values which would be likely to influence his decision if he had capacity. Both provide for consultation with carers and others interested in the patient's welfare as to what would be in his best interests and in particular what his own views would have been. This is, as the Explanatory Notes to the Bill made clear, still a "best interests" rather than a "substituted judgment" test, but one which accepts that the preferences of the person concerned are an important component in deciding where his best interests lie. To take a simple example, it cannot be in the best interests to give the patient food which he does not like when other equally nutritious food is available.” “45. Finally, insofar as Sir Alan Ward and Arden LJ were suggesting that the test of the patient's wishes and feelings was an objective one, what the reasonable patient would think, again I respectfully disagree. The purpose of the best interests test is to consider matters from the patient's point of view. That is not to say that his wishes must prevail, any more than those of a fully capable patient must prevail. We cannot always have what we want. Nor will it always be possible to ascertain what an incapable patient's wishes are. Even if it is possible to determine what his views were in the past, they might well have changed in the light of the stresses and strains of his current predicament. In this case, the highest it could be put was, as counsel had agreed, that "It was likely that Mr James would want treatment up to the point where it became hopeless". But insofar as it is possible to ascertain the patient's wishes and feelings, his beliefs and values or the things which were important to him, it is those which should be taken into account because they are a component in making the choice which is right for him as an individual human being.”
[48]The best interest assessment must also consider all questions of human rights. Ms EN’s Article 8 rights to psychological and bodily integrity are fully in play. I approach this matter very seriously indeed.[49]I turn now to the position of the parties.[50]The position of the trust is that Ms EN lacks capacity to make a decision regarding the mode of delivery of her baby and ancillary medical treatment. They say it is overwhelmingly in her best interests to be delivered of her baby this afternoon by way of planned caesarean section under general anaesthetic. They ask me to authorise restraint to ensure that takes place safely.[51]The Official Solicitor’s position is to agree that a section 15 MCA declaration can be made that Ms EN lacks capacity in the relevant decision which I have just described. At the beginning of the hearing this morning, the Official Solicitor’s position as set out in Ms Gardiner’s position statement was one of not being able to support the trust’s position without further evidence. The concluding submission of the Official Solicitor on best interests is therefore to be able to support the trust’s application for a Section 16 order that the planned caesarean section under general anaesthetic and with restraint is in Ms EN’s best interests.[52]I turn then to my conclusions. I deal first with the question of capacity. Capacity is agreed between the parties. I have considered the COP3 evidence filed by the psychiatrist assessing with the consultant obstetrician and I have considered Dr H’s evidence. I have read the note of Ms Chapman. I note the parties are in agreement in respect of Section 15 declarations of incapacity and I am entirely satisfied that on the balance of probabilities the trust are correct to say Ms EN lacks capacity to make a decision regarding the mode of delivery of her baby. She is not able to weigh up the fact that she has the condition of gestational diabetes. She has refused any monitoring or treatment of that. She has not been engaging in discussions regarding the safe means of a vaginal delivery. She has not been retaining the information. I am satisfied that she is not able to understand, weigh up and use any of the relevant information regarding the risks of a vaginal delivery as opposed to a planned caesarean section. I therefore conclude that the parties are correct in their positions that she lacks capacity in that regard.[53]I turn now to the question of best interests. I must apply the factors set out in Section 4. I note that historically Ms EN has had one birth by vaginal delivery and one birth by caesarean section. I am not very clear on the circumstances of those. In terms of her wishes and feelings I note that she told Dr H only last week that she was concerned about the safety of her baby and she seemed to be understanding at that stage of the need for a caesarean section. Her present wishes seem to be clear, that she wishes to be delivered of her baby by vaginal delivery and that is clear from Ms Chapman’s note after having met her today.[54]I therefore proceed on the basis, as I must, that Ms EN is strongly opposed to the orders that I am asked to make. However, Section 4 requires me not only to consider her past wishes and feelings and current wishes and feelings but also the views of others. Sadly, I have no views from any of her family members although attempts have been made. The view of her treating obstetrician, who is highly experienced, is that the baby is at real risk of stillbirth because of the gestational diabetes. There is a risk of uncertainty, physical harm to Ms EN or the baby because of her mental health challenges and those are evident given she requires four members of staff from the psychiatric intensive care unit. The delivery by vaginal delivery is, in my judgment, fraught with risks, both to Ms EN but also to her baby.[55]There are risks to her of a general anaesthetic and a caesarean section. They are set out in the evidence and I have attempted to summarise them in this ex tempore judgment. I was careful in the hearing to pause to ensure the evidence of an anaesthetist was obtained because it was missing. When I weigh up the risks of stillbirth and harm through non-compliance with a vaginal delivery I am entirely satisfied that those risks outweigh the risks of general anaesthesia or a planned caesarean section. The best way for Ms EN to be safely delivered of her baby, to maintain the health of the baby and to maintain her own health, physical and psychiatric, is for a planned caesarean section under general anaesthesia this afternoon and I conclude that is in her best interests.[56]With some hesitation, I will sanction careful, proportionate and limited restraint for the purposes of delivering a ketamine sedation so that the cannula and general anaesthesia can be administered and necessary steps will be taken post-operatively to keep Ms EN safe.[57]I am not clear what the plan is for the child when born, but that is not a consideration for me as a Judge of the Court of Protection.[58]I have weighed up Ms EN’s human rights in my best interest analysis. I have considered them carefully under Article 8 and I am satisfied that because it is in her best interests to be delivered of her baby by a planned caesarean section to keep her and the baby safe, there is an interference with her Article 8 rights, but there is no violation of those Article 8 rights because it is in her best interests as I have explained. The restraint is also lawful being in her best interests.[59]It is not necessary for me to make any orders regarding deprivation of liberty because she is detained under Section 3 and Section 17 of the Mental Health Act that would apply to her current circumstances.[60]Those are my reasons for making what are significant interventions in the life of Ms EN. I have considered this matter as carefully as I possibly can in the rushed, unsatisfactory circumstances that have led up to this hearing. I repeat, there has been no question of the Official Solicitor or this court acting as some form of rubber stamp. There has been questioning, and testing of the evidence. For those reasons, I will make the orders.[61]I conclude by thanking the Official Solicitor and her team for acting so quickly in such challenging circumstances to obtain the views of Ms EN and to be able to properly represent her and of course I end by wishing Ms EN well in the hours ahead and I hope she is safely delivered of her baby this afternoon.[62]I will add a postscript to the judgment as follows. The circumstances of how this application was brought to court are unacceptable. It was clear to the applicant trust that Ms EN was a woman with psychiatric challenges. It was clear from 29 June 2025 that she was detained pursuant to Section 3 of the Mental Health Act. As I understand the chronology, she was assessed on Monday of this week and whilst in the morning it was considered she was engaging and had capacity, it was clear by the middle of Monday that she was not. The application was issued at 10 past 4 yesterday afternoon, seeking a four-hour hearing the next day.[63]I have received an email from a highly experienced solicitor explaining the delay. It has been approved by the applicant trust’s team. They say on the various occasions when the obstetricians and Ms EN met they felt Ms EN was able to understand and agree to the birth plan as discussed. They accept she was seen as high risk because of her mental health and a plan was drawn up at 34 weeks gestation. They say that when she was seen in clinic on 1 July she was still capable of making decisions and an MDT meeting took place on 3 July and it considered the question of fluctuating capacity. Legal advice was sought by the obstetrician from the legal department of the trust on 3 July 2025 and was informed there was a substantial risk of a patient becoming so unwell as to lose capacity which means that the treatment might have to be forced on her. The Court of Protection was in a position to make a declaration.[64]It then appears that there was discussion between that Trust and the psychiatric Trust. There was another MDT meeting on 7 July and it was felt that she lacked capacity to make the decisions about her care. As I say, on 8 July she seemed to accept induction of labour but again deteriorated quickly thereafter and I am told the obstetric team were not aware of the guidance set out by Keehan J in NHS Trust v FG and it was not appreciated, as it should have been last week, that an application to court was likely.[65]The reference to NHS Trust v FG is a reference to Keehan J's decision called NHS Trust 1 v G Practice Note [2014] EWCOP 30. In an annex to that judgment, Mr Justice Keehan set out clearly what should happen in these types of cases. He emphasised in particular that early identification of an individual in respect to whom an application might have to be made is essential. He set out that late applications must be avoided absent genuine emergencies and set out the very undesirable consequences.[66]I have had to deal with matters at a pace this morning, but it seems to me on a summary analysis of what I have been told that this application should have been made easily last week because there was a risk that this vulnerable woman who is detained may have significant challenges. It does not seem to me that the aggressive, guarded, difficult behaviours blew out of nowhere yesterday. Indeed on the obstetric Trust’s own evidence, that was the position at the start of this week.[67]To compound matters, it is unacceptable that this very urgent application was sent into court by way of an email with 12 separate attachments, each of which were password protected. I do not understand why solicitors are sending into the court password protected documents. To further compound matters the application was sent to the wrong email address. This urgent application was sent to the wrong email address. This created unnecessary delay. It is further unacceptable that no bundle was sent to me until 23 minutes past 10 this morning.[68]This is not simply a judge venting spleen regarding procedures and rules. This is because the application I have been required to deal with this morning is of the utmost gravity for Ms EN. Whilst I am satisfied I have received the assistance and evidence necessary to make decisions on capacity and best interests, that may not be the case in every scenario. It was not acceptable at the outset of this hearing there was no proper evidence on anaesthesia. That further delayed determination of matters.[69]There may come a time when a mistake is made and grave harm or death befalls a patient before the Court of Protection, because of the unacceptable procedural steps that lead up to hearings.[70]It is also unacceptable that the matter I should have been dealing with today has had to be put off. Other litigants who need determination of their litigation now have to wait. I do not see that there are any good reasons for any of this.[71]The Official Solicitor has not sought an application for her costs. If she had made an application I would have granted a costs order against the Trust in full. In the exercise of my discretion, applying Court of Protection rule 19.5, I would not have accepted any resistance from the Trust that I should not depart from the general rule in personal welfare proceedings. I would have accepted, applying 19.5(1), that the conduct of the party has merited a cost order against the Trust in the full amount. I would have been prepared to have heard submissions as to whether that costs order should have been paid pursuant to the Civil Procedure Rules on an indemnity basis, applying the general principles of CPR 44.3.[72]However, I am not asked to make any costs order and therefore I simply make those obiter observations so that if other Trusts bring these urgent applications in respect of caesarean sections they understand the time has come that cost orders will have to be more routinely made to ensure applications are brought in a timely fashion to ensure that vulnerable women like Ms EN’s care is not jeopardised by late applications being brought to court. ---------------