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Clinical decisions – available options or best interests?

In a judgment handed down on 3rd March, Townsend v Epsom & St Helier NHS Trust [2026] EWCA Civ 195, the Court of Appeal considered whether or not a ‘clinical decision’ not to continue life sustaining medical treatment was a decision subject to best interests considerations (and thus also subject to the ‘supervision’ of the Court of Protection).

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Multi-Neighbourhood Provider Contracting Clarification

At the end of January NHS England published a document which provides an important update related to how Multi-Neighbourhood Providers (MNP) will be contracted from as early as April 2026. This does not provide clarity in relation to Single Neighbourhood Providers (SNPs) but it is a significant piece in the puzzle and indicates that progress is likely to accelerate as the end of the financial year approaches.

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London Ambulance Service NHS Trust v Sodola (Debarred)

In London Ambulance Service NHS Trust v Sodola (Debarred), the Employment Appeal Tribunal (EAT) held that the Employment Tribunal (ET) was wrong to infer that the Trust’s delay in providing written feedback about why a black employee had not been promoted, was discrimination on the grounds of race.

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