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Lasting Power of Attorney (LPA)

Central Middlesex Hospital, part of London NW University Hospital Trust

Patient dies as NHS Trust fails to comply with the MCA

On the 29th December 2021, Jenny Kitzinger and Celia Kitzinger shared a challenging and troubling case on the website Open Justice Court of Protection.  This case demonstrates the lack of knowledge and application of the Mental Capacity Act (2005) by London North West University Healthcare NHS Trust, who continue to be rated as ‘Requires Improvement’ by the Care Quality Commission

In this case, the patient, Mrs W had her nasogastric tube removed by medical staff on 10th November 2021. Mrs W had previously assigned the role of Lasting Power of Attorney (LPA) for Health and Welfare to her children. However, her children were not consulted in this process, and the clinicians declined to reinstate the feeding tube when challenged. The Trust then proceeded to withdraw hydration from Mrs W as well.

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Mental Capacity: Elderly lady watching video supported by nurse in mask.

Accessibility in a digital age

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Equal access for all has been a standing call for social inclusion and disability rights activists for many years. Ramps have been custom built for venues, alternate access routes established, consideration of visual distinguishment on steps for those who are visually impaired added, contrast colours established on posts and lifts put in amongst many other elements to ensure everyone can physically move as freely as possible.

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