London Daily

Focus on the big picture.
Thursday, Jul 09, 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 His doctors said it would be in his best interests for treatment to be withdrawn.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
Tech Pulse: The Future of AI and Screen Culture
Global News Briefing: Escalating Geopolitical Tensions and Corporate Shakeups
Global News Brief: Escalating Conflicts, Public Health Crises, and World Cup Drama
Rare Early Copy of US Declaration of Independence Found in British Archive
Cornish Language Revival Gains Momentum Through Schools and Community Programs
UK Authorities Face Criticism Over Prisoner Early Release Safeguards
Clacton By-Election Set After Nigel Farage Resigns Seat to Trigger Contest
Government Agencies Review Long-Term Fiscal Risks from Aging Population and Low Productivity
UK Heatwaves Expose Pressure on Public Transport and Housing Infrastructure
UK Government Prepares Welfare Review Amid Debate Over Personal Independence Payment Reform
UK Government Expands Rapid Endometriosis Testing Across NHS Services
Vistry Group Issues Profit Warning as UK Housing Market Faces Continued Pressure
Virgin Media Receives Record Twenty-Eight Million Pound Fine Over Contract Cancellation Failures
Office for Budget Responsibility Warns UK Public Finances Face Long-Term Pressure
UK Watchdog Warns Regional Income Gap Has Barely Narrowed in Three Decades
IMF Raises United Kingdom Growth Forecast as Inflation and Energy Pressures Ease
UK Government Launches Regulatory Reform Bill to Speed Up Commercialization of Innovation
Prince Harry Loses Privacy Lawsuit Against Daily Mail Publisher After High Court Rejects Claims
Federal Financial Framework Shifts as Treasury Launches Universal Savings Program for Minors
Jet2 Reports Strong Summer Travel Demand as Bookings Rise Seven Percent
Prince Harry Loses High Court Privacy Case Against Daily Mail Publisher
British Universities Warn Against Potential European Union Tuition Fee Changes
Heal Fertility Clinic Investigated After Embryo Biopsy Sample Mix-Up
Resolution Foundation Warns Regional Income Divide Has Barely Improved Since 1997
British Markets Remain Cautious as Middle East Tensions Rise and Government Transition Nears
Andy Burnham Poised to Become United Kingdom Prime Minister in Expected Political Transition
Nigel Farage Resigns as Member of Parliament Ahead of By-Election Amid Funding Investigation
Trump Declares Iran Ceasefire Over After Renewed Attacks on United States Bases
French Court Allows Le Pen to Run for Presidency, but with an Electronic Tag: "I Will Appeal, and I Will Run"
$1.4 Trillion: The Lawsuit That Could Crush Meta
Europe's Growing Struggle with Extreme Heat and Air Conditioning
UK Daily Briefing: Legal Developments and Social Issues
Political Turmoil and Rising Costs
Anthropic Reengineers Agentic Architecture to Shift Autonomous Workplace Automation to the Cloud
Logic Flaw in Windows 11 Permission Architecture Silently Consumes Hundreds of Gigabytes of Local Storage
Apple Advances Late-Stage Operating Systems with Fourth Beta Deployments
Global Crisis Alert: Escalating Middle East Tensions and UK Political Upheaval
UK Parliament Pushes for Greater Domestic Control Over Critical Technologies
UK Parliament Warns Trade Fair and Exhibition Industry Is Losing Global Competitiveness
Police Launch Murder Investigation After Mother and Two Children Found Dead Near Bedford
British Chambers of Commerce Survey Shows Business Confidence Falls to Post-Pandemic Low
UK Parliament Report Warns Britain Risks Falling Behind in Artificial Intelligence Sovereignty
Office for Budget Responsibility Warns United Kingdom Faces Long-Term Fiscal Pressures
Nigel Farage Resigns as Member of Parliament Amid Financial Scrutiny and Triggers By-Election
Deep Purple Has Released Its Best Album in Decades
UK MPs Criticise Student Loan System as Potentially Mis-Sold to Millions of Borrowers
Policy Groups Propose Bank of England-Backed Solar Loan Scheme for Millions of Homes
UK Health Agency Issues Amber Heat Alerts Across Six Regions as Temperatures Rise
Royal Air Force F-35 Jets Conduct First High North Air Policing Missions From Aircraft Carrier
Major UK Companies Join Government Cybersecurity Pledge Amid Rising Digital Threats
×