“… Although each civil claim is of course based upon different facts there are common themes. The central allegations in many of the cases involve: a. Diagnosing patients with breast cancer who did not have cancer. b. Performing unnecessary breast surgery (wide local excisions or mastectomies) upon women (and some men) who had no clinical need for such surgery. In many cases, it is alleged that Mr. Paterson repeatedly performed unnecessary procedures on the same patient. c. Performing incomplete (“cleavage sparing”) mastectomies on patients who required full mastectomies leading, in many cases, to the recurrence of cancer and/or the need for substantial corrective surgery. d. Failing to obtain patients’ informed consent for invasive surgery.”
“If during proceedings a party lacks capacity to continue to conduct proceedings, no party may take any further step in the proceedings without the permission of the court until the protected party has a litigation friend.” (Emphasis added.)
“The court may – (a) direct that a person may not act as a litigation friend; (b) terminate a litigation friend's appointment; or (c) appoint a new litigation friend in substitution for an existing one ….”
“An application for an order under rule 21.7 must also be served on – (a) the person who is the litigation friend, or who is purporting to act as the litigation friend, when the application is made; and (b) the person who it is proposed should be the litigation friend, if he is not the applicant ….”
“… The father has a learning disability. He is a "protected party" within the meaning of Rule 2.3 of theFamily Procedure Rules 2010 . As a matter of law he is not able, as a protected party, to act without a litigation friend. Quite apart from that, the father's learning disability in any event requires him to have considerable support and assistance to be able to participate effectively in the proceedings. The Official Solicitor has agreed to act as his litigation friend. The Official Solicitor cannot be compelled to act as anyone's litigation friend. His practice is to agree to act only if there is funding for the protected party's litigation costs, because his own budget – the monies voted to him by Parliament – is not sufficient to enable him to fund the costs of litigation of the type the father is involved in. The Official Solicitor was willing to act here only because the father's solicitor and counsel have agreed to act, thus far, pro bono. But without the protection against an adverse costs order which the father (and derivatively the Official Solicitor) would enjoy if the father had legal aid, the Official Solicitor has a possible exposure to an adverse costs order – for instance, if the local authority was to obtain an order for costs against him – which, understandably, he is unwilling to assume. The consequence is that the Official Solicitor was not willing to act as the father's litigation friend unless [indemnified].”
“Where it is sought to appoint the Official Solicitor as the litigation friend, provision must be made for payment of his charges.”
“The Official Solicitor does not charge for acting as litigation friend, but does require funding for the costs of instructing solicitors to act in the litigation, or for his own charges where he also acts as solicitor. The Official Solicitor is not funded to subsidise private litigation and will only consent to act in a particular case if his costs are guaranteed from the outset. If legal aid or a CFA is not available but a protected party has assets, the Official Solicitor will require an order from the Court of Protection authorising him to act and to take his costs from the protected party’s assets. Where the litigation involves an estate or trust fund he may agree to act if there is agreement that his costs will be met from that estate or trust. Where the Official Solicitor is asked to act for a defendant and there is no other method of funding his costs of obtaining legal representation, he will require an undertaking from the claimant to meet his costs ….”