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Local government law: key judgments, regulatory and policy updates across social care, housing, planning, education, governance, health, licensing and finance—13 November 2025

Published on: 13 November 2025

Published by a LexisNexis Local Government expert
Legal News
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In this issue:

  • Social care
  • Social housing
  • Education
  • Planning
  • Governance
  • Healthcare
  • Children’s social care
  • Licensing
  • Local government finance
  • Daily and weekly news alerts
  • New and updated content
  • New Q&As

Social care

Court of Protection authorises high-risk surgery and post-operative mechanical ventilation in intensive care for young adult lacking capacity (RS, Re (Best Interests: Surgery and Intensive Care))

In GH v RS (by his litigation friend, the Official Solicitor) and others, the Court of Protection sanctioned high-risk spinal surgery with planned prolonged elective ventilation for an 18-year-old who lacked capacity, finding the treatment to be in his best interests under the Mental Capacity Act 2005. Applying Aintree University Hospitals NHS Foundation Trust v James, Mr Justice Poole balanced serious intra- and post-operative hazards against meaningful gains in mobility, comfort, and life expectancy. The ruling emphasises the court’s responsibility to resolve finely poised medical treatment choices on an objective basis, providing reassurance to clinicians and families, and confirms that elective intensive care may, in exceptional circumstances, be warranted for people with profound disabilities. Practical implications written by Victoria Butler-Cole KC of 39 Essex Chambers. See News Analysis: Court of Protection authorises high-risk surgery and post-operative mechanical ventilation in intensive care...

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