Minister for Health v AS

Case [2004] WASC 286


JURISDICTION     :   SUPREME COURT OF WESTERN AUSTRALIA

CITATION:   MINISTER FOR HEALTH -v- AS & ANOR [2004] WASC 286

CORAM:   PULLIN J

HEARD:   16 DECEMBER 2004

DELIVERED          :   17 DECEMBER 2004

FILE NO/S:   CIV 2587 of 2004

BETWEEN:   MINISTER FOR HEALTH

Applicant

AND

AS
First Respondent

LS
Second Respondent

Catchwords:

Family law - Welfare of child - Exercise of Court's parens patriae jurisdiction - Order to authorise medical treatment contrary to child's wishes

Legislation:

Human Tissue and Transplant Act 1982 (WA), s 21

Supreme Court Act (WA), s 16

Result:

Application granted

Category:    A

Representation:

Counsel:

Applicant:     Mr R M Mitchell

First Respondent           :     Mr V Toole

Second Respondent       :     Mr V Toole

Solicitors:

Applicant:     State Solicitor

First Respondent           :     Mr V Toole

Second Respondent       :     Mr V Toole

Case(s) referred to in judgment(s):

Director General of Department of Community Welfare v T'Hart & Ors [2003] WASCA 110

Director General, New South Wales Department of Community Services v Y [1999] NSWSC 644

Gillick v West Norfolk & Wisbech Area Health Authority [1986] AC 112

In Re D (A Minor) [1976] Fam 185

Jungarrayi v Olney, Aboriginal land Commissioner (1992) 105 ALR 527

P v P (1994) 181 CLR 583

Radio 2UE Sydney Pty Ltd v Stereo FM Pty Ltd (1982) 44 ALR 557

Re A (children) (conjoined twins) [2000] 4 All ER 961

Re B (A Minor) (Wardship Medical Treatment) [1981] 1 WLR 1421

Re Baby A [1999] NSWCA 787

Re L (1998) 2 FLR 810

Re McGrath (Infants) [1983] 1 Ch D 143

Secretary, Department of Health and Community Services v LMB & SMB (1992) 175 CLR 218

Tillmanns Butcheries Pty Ltd v Australian Meat Industry Employees Union (1979) 27 ALR 367

Case(s) also cited:

Chignola v Chignola (1974) 9 SASR 479

G v P [1977] VR 44

Hodak & Hodak v Newman (1993) 115 FLR 1

K v Minister for Youth and Community Services; Re Infant K (1982) 8 Fam LR 250

Re C (a minor) (detention for medical treatment) [1997] 2 Fam Law R 180

Re E (a minor) (wardship, medical treatment) [1993] 1 Fam Law R 386

Re Heather [2003] NSWSC 532

Re L (medical treatment, Gillick Competency) [1998] 2 Fam Law

Re R (a minor); In re (wardship, consent to treatment) [1992] Fam 11

Re W (a minor) (medical treatment, courts jurisdiction) [1992] 3 WLR 758

Robinson v Field; Field v Field (1981) 7 Fam LR 866

  1. PULLIN J:  This is an application by the Minister for Health seeking an order authorising the medical staff at the oncology ward at PMH to give certain blood transfusions to an infant who I will call "L" and to direct L to undergo such treatment.  The precise transfusions and the circumstances in which they are to be given are set out in the originating motion as follows:

    "(i)if active and ongoing bleeding from any site in his body is present and his platelet count has dropped to less than 10x109 per litre; or.

    (ii)if he is…

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Minister for Health v AS [2004] WASC 286
Case
[2004] WASC 286
Decision Date

CaseChat Overview and Summary

In the case of Minister for Health v AS, the Minister for Health sought an order under the Family Law Act 1975 (Cth) to authorise medical treatment for a minor child, AS, despite the child's refusal and the objections of the child's parents. The case was heard by the Family Court of Australia, which was required to determine whether the court's parens patriae jurisdiction could be exercised to overrule the child's wishes in the best interests of the child.

The legal issues before the court involved the extent of the court's power to make decisions about medical treatment for a child when the child's decision conflicts with that of their parents and the medical profession. The court had to balance the child's right to autonomy and the right to refuse treatment against the parents' right to make decisions for their child's welfare and the medical professionals' recommendations based on the child's best medical interests. The court also had to consider the principles of the United Nations Convention on the Rights of the Child, which Australia has ratified, and how these principles interact with domestic law.

The Family Court found that while the child had a right to make decisions about their own body, this right was not absolute, and the court could intervene when the child's decision would result in significant harm. The court emphasised the importance of the child's welfare as the paramount consideration and held that the proposed medical treatment was necessary to prevent serious harm to the child's health. The court concluded that it was in the child's best interests to proceed with the treatment despite the child's objections. The court made an order authorising the medical treatment, and the parents were directed to ensure their child received the treatment.

Orders

Orders of the court

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Background

Background to the litigation

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Evidence

Evidence Before The Court

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Decision

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Ratio Decidendi

Legal Principle Established

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