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Archives of Disease in Childhood 2007;92:746-749; doi:10.1136/adc.2006.111856
Copyright © 2007 BMJ Publishing Group Ltd & Royal College of Paediatrics and Child Health.

Leading articles

Withdrawal of treatment

Dilemmas in the medical treatment of patients facing inevitable death

Robin Powell

Correspondence to:
Robin Powell, Tanfield Chambers, 2–5 Warwick Court, London WC1R 5DJ, UK; rpowell@tanfieldchambers.co.uk

Accepted 13 April 2007


Paediatricians feel that they are now compelled to treat a patient against their wishes and may be liable to civil or criminal action if they withdraw treatment

The first 150 words of the full text of this article appear below.

The judgment of Mr Justice Holman in the case of MB [2006] EWHC 507 (Fam) has raised concerns amongst paediatricians that they are now compelled to treat a child against their conscience. MB was a child who had the most severe form of spinal muscular atrophy. An NHS Trust sought a declaration that the child MB lacked the capacity to make decisions with regard to his future treatment and that it shall be lawful, notwithstanding his parents’ refusal to consent, and in MB’s best interests, for the medical staff to (a) withdraw all forms of ventilation and (b) provide palliative care. The judge refused to grant the declaration. This paper explores the concern of paediatricians that they are now compelled to treat a patient against their wishes and may be liable to civil or criminal action if they withdraw treatment.

MB was a child who suffered from . . . [Full text of this article]


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