“[The Claimant] has been fully investigated with the latest available technology at Addenbrooke’s Hospital, where the findings have supported the clinical diagnosis of a low awareness state. He demonstrates a sleep-wake cycle. He has a vey (sic) limited range of physical responses to specific stimuli which implies a degree of cortical processing that may be associated with a restricted form of awareness. There is, however, no evidence of any understanding of his situation or of a wish to communicate with others and his attention is focused on objects moving in his line of vision, and upon manipulating an object held in his left hand. This appears to be restricted to the process of turning the object around in his hand without any other definable purpose. He shows no behavioural sign of recognising family members or distinguishing between them and strangers, although it appears probable that there is sufficient cortical function for the visual cortex of the brain to be able to make a distinction between a familiar and unfamiliar face. At no time does he give any outward indication of recognition, pleasure or displeasure. This situation is now likely to be permanent. In the absence of any purposeful communication or any consistent indications of emotions that might indicate the presence of pleasure or displeasure, it is very difficult to define what resources should be made available to Mr. Mabiriizi in the future in order to maintain an optimal quality of life, given that his responsivity is unlikely to improve. The fact that he does sometimes indicate the possibility of discomfort during, for example, defecation, implies that it is in his interests to be kept clean, well nourished and in a comfortable position, which in my opinion the current regime of care appears to be providing. I do not believe that any further or additional specific therapies are necessary in an attempt to change his behaviour as I do not believe that any further change is feasible.”