Caselaw Digest
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MA & Anor, Re

8 December 2023
[2023] EWCOP 65
Court of Protection
An elderly couple with dementia were separated because one partner's behaviour was causing problems. The court decided, after carefully considering their best interests, that it's best for them to have no contact for now, to avoid upsetting them. This will be reviewed in a few months.

Key Facts

  • MA (84) and AA (89), married for 63 years, both have dementia.
  • MA has advanced dementia and challenging behaviours; AA's dementia is more advanced but he is compliant.
  • They were initially placed together but separated due to MA's care needs and challenging behaviours.
  • A COP9 application sought to end all contact between them due to distress and risk.
  • MA strongly opposes the cessation of contact; AA's position is to remain at his current placement and have no contact, subject to review.

Legal Principles

Best Interests

Mental Capacity Act 2005 (MCA 2005), sections 1, 4, 4A, 16, 21A

Deprivation of Liberty

MCA 2005, section 4A, Schedule A1

Article 8 ECHR (right to respect for private and family life)

European Convention on Human Rights, Article 8

Care Act 2014, section 1(1) (duty to promote wellbeing)

Care Act 2014

Balancing best interests in two-person cases

HH v Hywel Dda University Health Board & Ors [2023] EWCOP 18

Best interests criteria

Aintree University Hospitals NHS Foundation Trust v James and others [2013] UKSC 67

Court's jurisdiction limited to available options

N v ACCG and Others [2017] UKSC 22

Factors of magnetic importance

ITW v Z. M and Various Charities [2009] EWHC 2525 (Fam)

Court's power to grant declaratory relief

MCA 2005, section 15

Outcomes

MA and AA should remain in their current placements.

Balancing their best interests, considering the lack of available options and the significant distress caused by contact attempts.

All contact between MA and AA should cease.

The evidence shows that neither benefits from any form of contact, and that attempts at contact cause significant distress to both. MA's current wishes and feelings are not in favor of contact, and AA does not recognize MA.

No declaration of Article 8 breach.

The court found the decision to cease contact was necessary and proportionate to protect MA's best interests and complied with the Care Act 2014.

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