McHale Jean
University of Birmingham.
Br J Nurs. 2011;20(20):1308-9. doi: 10.12968/bjon.2011.20.20.1308.
This article explores the decision in the case of W v M, S and an NHS Primary Care Trust [2011] EWHC 2443 (Fam) in which an application to withdraw feeding from a woman in a minimally conscious state was rejected by Baker J in the Court of Protection. The article places the case in the context of the development of case law concerning the withdrawal of treatment from patients lacking decision-making capacity, where death will be the inevitable consequence of the withdrawal of treatment after the decision in Airedale NHS Trust v Bland. It questions whether nearly two decades after the Bland decision there is scope for the boundaries of the decision to withdraw treatment from patients in 'futile' conditions to be reconsidered by the Supreme Court.
本文探讨了W诉M、S及国民保健服务初级医疗信托案[2011] EWHC 2443 (Fam)中的判决,在该案件中,保护法庭的贝克法官驳回了一项针对处于最低意识状态的女性停止喂食的申请。本文将该案件置于关于对缺乏决策能力的患者停止治疗的判例法发展背景下进行考量,自艾尔克国民保健服务信托基金诉布兰德案的判决之后,停止治疗将不可避免地导致患者死亡。本文质疑,在布兰德案判决近二十年后,最高法院是否有空间重新审视对处于“无意义”状况的患者停止治疗的判决界限。