Choice of location for brain-stem death testing is a best interests decision (NHS Trust v DT)
Private client analysis: The Court of Protection held that the location of brain stem death testing must be determined according to the patient’s best interests under the Mental Capacity Act 2005. Where a viable option exists for testing abroad, treating doctors must consider evidence of the patient’s wishes, cultural connections and religious beliefs. The court authorised transfer to Country W for testing despite medical risks, given compelling evidence of the patient’s connection there. While narrow in application due to the requirement for private funding, the judgment provides guidance on balancing clinical considerations against cultural and religious factors in determining testing location. Practical implications written by Victoria Butler-Cole KC of 39 Essex Chambers.