Court makes best interests decisions re pregnancy and contraception for woman with complex mental health presentation (KP (Termination of Pregnancy))
Private Client analysis: The Court of Protection held that a 19-year-old woman with cerebral palsy, autism and multiple personas lacked capacity to make decisions about pregnancy termination and contraception. Applying the Mental Capacity Act 2005 (MCA 2005) framework, the court found termination and contraceptive implant were in her best interests given her deteriorating mental health and self-harm risks. Notable for practitioners, despite unanimous agreement among parties, the Trust sought court approval rather than relying on MCA 2005, ss 5 and 6, demonstrating how judicial oversight can help preserve therapeutic relationships in complex medical cases. Practical implications written by Sophie Caseley of Garden Court Chambers.