London Daily

Focus on the big picture.
Tuesday, Aug 11, 2026

Archie Battersbee: Who decides when life support ends?

Archie Battersbee: Who decides when life support ends?

Cases like Archie Battersbee's are extremely rare. But when disagreements occur over whether a child's life support should end, they present terrible anguish for those involved, as well as lengthy court battles.

Tragically, for a small number of children who become critically ill each year, medicine reaches its limits, says Prof Dominic Wilkinson, an expert in medical ethics, and Consultant Neonatologist at the University of Oxford.

"For children like Archie, doctors cannot make them better, and advanced medical techniques and technologies may end up doing more harm than good. Sometimes, all medicine can do is to prolong the inevitable."

Prof Wilkinson says that in the vast majority of cases, parents and doctors are able to come together to agree on what would be best for a seriously ill child. Sometimes medical teams may need external help to reach an agreement.

"For example, they may draw on a clinical ethics committee, or independent mediation, or may seek second opinions from specialists in other hospitals.

"In a tiny proportion of cases, if parents and doctors cannot agree what would be best for a child who is stuck on life support in an intensive care unit, the right thing to do is to ask the court to help."

The court does not side with either doctors or parents. It focuses exclusively on what would be best for the child.

Archie's case had been heard in several top courts. His doctors said it would be in his best interests for treatment to be withdrawn.

The 12-year-old had spent months in hospital on life support, since being discovered unconscious at his home in April. The medics treating him at The Royal London Hospital in Whitechapel said he had suffered such devastating brain injury at the time of the incident that there is no way he would recover.

Archie, pictured with his mother Hollie Dance, who asked for more time to allow her son to recover


Archie's parents said they do not understand the rush to end his life-support.

So who should decide that medical care should stop, and how?

Palliative care professor Baroness Finlay of Llandaff hopes independent mediators can be used in future as "adversarial conflict doesn't help anybody".

Speaking to Times Radio this week, she said: "I'm hoping that by the end of the summer we'll have an inquiry into different ways of handling these very, very difficult cases so that there is independent mediation.

"And I say independent because, if it's supplied by the hospital, or it's supplied by the parents, one side may feel mistrustful of the other.

"But to be in the situation of adversarial conflict doesn't help anybody. The parents don't want to go to court. The doctors don't want to go to court. The managers don't want to go to court.

"My worry is that these cases are going forward to court too quickly and too early, and that we need an alternative way of managing the communication between the doctors and the parents, and sometimes others in the family as well."

What that independent mediation might look like is unclear.

Dr Daniel Sokol, medical ethicist and barrister, said sometimes the courts must be the independent adjudicator. But that doesn't stop society drawing judgements.

"When these cases reach the press and social media, a distorted, sometimes one-sided picture of what is really happening is painted," said Dr Sokol.

"Without reading the court judgments or knowing the full details, people suddenly become experts in medical ethics, commenting aggressively on the rights and wrongs of the case, blaming the clinicians, the hospital, the relatives or whoever holds a different position to their own.

"This can cause real harm to the targets of their abuse and may dissuade clinicians from challenging parents in the future, even though the latter may be making decisions contrary to the interests of vulnerable patients.

"I have been told by paediatric doctors that they are reluctant to go against the views of parents, given the torrent of abuse they received in previous high-profile cases."

Newsletter

Related Articles

0:00
0:00
Close
Nicola Sturgeon Says She Has No Contact With Estranged Husband After SNP Embezzlement Case
Police Arrest Two Men After Aberdeenshire Defense Technology Office Break-In
Greater Manchester Councils Gain Powers to Restrict New Vape and Betting Shops
Coroner Finds Treasury Workplace Failures Contributed to Personal Assistant’s Suicide
English and Welsh Courts Ban Meta Smart Glasses Over Recording and Privacy Risks
Strait of Hormuz Disruption Could Double UK Inflation and Trigger Recession, Forecasters Warn
UK Expands Global Talent Visa Scheme to Support Research-Intensive Companies
UK Equity Funds Suffer Record One Point Six Billion Pound Outflow Amid Capital Gains Tax Fears
Three-Quarters of England Enters Drought as Fifth Summer Heatwave Raises Economic Risks
UK Hiring Stabilizes for First Time Since 2022 as Employers Adjust to Higher Payroll Costs
UK Chancellor Orders Whitehall Spending Cuts as Public Debt Exceeds Three Trillion Pounds
UK Manufacturing Output Records Fourth Straight Month of Growth
UK Condemns Russian Torture of Ukrainian Prisoners and Recruitment of Foreign Nationals
Long-Lost Royal Navy Warship HMS Tiger Found in English Channel After 118 Years
Northern Ireland Finance Minister Seeks Urgent Treasury Talks Over Regional Budget Pressures
UK Government Targets Subscription Traps and Misleading Discounts in New Consumer Rules
Alleged Cartel Boss Daniel Kinahan Extradited From Dubai to Face Criminal Charges
AI Chatbots Challenge Traditional News Consumption and Raise Job Concerns
Andy Burnham Government Promises Crackdown on Exploitative Business Practices
UK University Funding Model Faces Growing Pressure From Unsustainable Student Debt
Government Urged to Subsidise Energy Bills for Vulnerable UK Households
UK Military Spending Plans Threaten to Deepen Infrastructure Funding Gap
Israeli Government Rejects US Peace Framework for Gaza
New Labour Government Signals Closer Economic and Strategic Ties With European Union
Amber Heat-Health Alerts Issued Across England as Temperatures Threaten 36 Degrees
UK Economy Expected to Grow Despite Energy and Supply Chain Shock From Iran Conflict
Foreign Social Media Accounts Drove Disinformation During Belfast and Southampton Riots
Record Number of Migrants Cross English Channel in Single Vessel as Smugglers Deploy Mega-Dinghies
Russia’s A7 Builds a State-Linked Payments Network Beyond Western Sanctions
Reports of Mark Zuckerberg-Linked Superyacht Declining Rescue Assistance Draw Maritime Scrutiny
Preserving Three Banksy Artworks in London Has Cost Taxpayers Nearly £150,000
Four Ugandan Athletes Disappear From Delegation After UK Sporting Events
French Authorities Report Channel Interventions as Cross-Border Migration Dispute Continues
Home Office Admits Error in Settled Status Case Involving Long-Term Italian Resident
Unite Calls for Independent Review of UK Budget Watchdog's Fiscal Forecasting Rules
Thinktank Calls for £175 Annual Energy Bill Cut for Low-Income Households
Foreign-Linked Social Media Accounts Amplified Recent Unrest in Belfast and Southampton, Analysis Finds
London Mayor Sadiq Khan Orders Westminster to Drop Proposed Soho and West End Hospitality Ban
Royal Navy Deployments to Monitor Russian Activity in UK Waters Rise 25 Percent
UK Economy Expected to Grow 0.4 Percent in Second Quarter Despite Geopolitical Pressures
Andy Burnham Launches Cost-of-Living Measures Targeting Subscription Traps and Misleading Discounts
Hyper-Realistic Reborn Dolls Draw Collectors Seeking Comfort and Craft
Gen Z Cuts Back on Dating as a Night Out Nears $200
Patients Turn to Artificial Intelligence for Therapy as Psychiatrists Warn of Privacy and Clinical Risks
Couples Embrace ‘Sleep Divorce’ to Protect Rest and Reduce Tension
Meta Ordered to Pay $567 Million and Change Facebook and Instagram Safeguards for Children
Up to only 10 Months in Prison for Swedish Officer’s Murderer Sparks Anger
Success: Nvidia Turned Gaming Chips Into the Engine of the AI Boom
Jorge Messi, Lionel Messi’s Father and Longtime Agent, Dies at 68
AI’s Next Bottleneck Is Power, Not Just Nvidia Chips
×