Anorexia and Feeding under Sedation—in P’s Best Interests? (Re LV, by her Litigation Friend, the Official Solicitor)
Private Client analysis: Declarations were sought by NHS Trusts under the Mental Capacity Act 2005 (MCA 2005) that LV, a 20-year-old woman, lacked mental capacity to conduct proceedings and make decisions about her care and treatment, and that it was lawful and in LV’s best interests to undergo feeding whilst sedated within the Intensive Therapy Unit (ITU). LV was detained and receiving treatment under section 3 of the Mental Health Act 1983 (MeHA 1983) on an eating disorder unit for anorexia nervosa, which included being restrained and force-fed with a naso-gastric tube. This treatment was not successful as, in summary, LV would regurgitate most, if not all, of the feed meaning that she was losing body weight. The medical evidence demonstrated that absent this step being taken, LV would die within days or weeks. This was an urgent application and there was insufficient time for the Official Solicitor to obtain LV’s wishes and feelings directly. The Official Solicitor had consented to the application after hearing the evidence which included oral evidence from four consultants. Written by Sophie Caseley, barrister at Garden Court Chambers.