Saudi Press

Saudi Arabia and the world
Friday, May 22, 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 His doctors said it would be in his best interests for treatment to be withdrawn.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

Saudi Press
0:00
0:00
Close
The Great Western Exit: Why Best Citizens Are Fleeing the Rich World [PODCAST]
The New Robber Barons of Intelligence: Are AI Bosses More Powerful Than Rockefeller?
The AI Gold Rush Is Coming for America’s Last Open Spaces [Podcast]
The Pentagon’s AI Squeeze: Eight Tech Giants Get In, Anthropic Gets Shut Out [Podcast]
The War Map: Professor Jiang’s Dark Theory of Iran, Trump, China, Russia, Israel, and the Coming Global Shock [Podcast]
AI Isn’t Stealing Your Job. It’s Dismantling It Piece by Piece.
Kennedy’s Quiet War on Antidepressants Sparks Alarm Across America’s Medical Establishment
Russian Oligarch’s Superyacht Crosses Hormuz via Iran-Controlled Route
Crypto Scammers Capitalize on Maritime Chaos Near the Strait of Hormuz: A Rising Threat to Shipping Companies
Changi Airport: How Singapore Engineered the World’s Most Efficient Travel Experience
News Roundup
Microsoft lost 2.5 millions users (French government) to Linux
Strategic Saudi-Bahrain Causeway Closed Amid Security Concerns as Trump Deadline Approaches
Saudi Arabia Keeps Red Sea Oil Exports Flowing Despite Regional Tensions
Pipeline Attack Cuts Significant Share of Saudi Arabia’s Oil Export Capacity
Saudi Business Leader Abudawood Appointed Chairman of Merit Incentives Group
TotalEnergies Confirms Damage at Saudi Refinery Following Security Incident
Saudi Arabia Launches Early Construction Phase for King Salman Stadium Project
Saudi Shift Away from Longstanding Dollar Oil Framework Gains Attention Amid Iran Conflict
Türkiye and Saudi Arabia Resolve Long-Running Transit Visa Dispute
Saudi Oil Capacity and Pipeline Flows Reduced as Supply Risks Intensify
TotalEnergies Reports Damage to Saudi SATORP Refinery Following Security Incidents
Gulf States Assess Prospects of U.S.-Iran Truce as Regional Stability Efforts Intensify
South Korea Resumes Honey Exports to Saudi Arabia Following Sanitary Approval
Saudi Arabia Carries Out Sentences in Eastern Province Following Security Convictions
Saudi Sovereign Wealth Fund Backs King Street’s Regional Credit Strategy
Saudi Arabia Secures World Cup Return as Egypt Celebrates Landmark Qualification
Iran and Saudi Arabia Intensify Diplomatic Engagement Amid Regional Tensions
Russia and Saudi Arabia Open Visa-Free Travel Corridor for Citizens
Saudi Oil Output Capacity Reduced by 600,000 Barrels Per Day Amid Regional Conflict
Saudi Arabia Suspends Operations at Select Energy Sites as Precautionary Measure
Saudi Arabia Halts Operations at Multiple Energy Facilities Amid Heightened Tensions
Global Markets Jolt as Iran Signals Ceasefire Breakdown and Rising Regional Tensions
King Street Aligns with Saudi Sovereign Wealth Fund to Expand Alternative Investments in Middle East
Attack on Saudi Arabia’s Jubail Petrochemical Hub Raises Global Supply Concerns
Debate Emerges Over Saudi Strategic Decisions as Gulf Cooperation Council Dynamics Come Into Focus
Saudi Arabia Expands Full Workforce Localisation to 69 Professions in Major Labour Reform
Emerging Alliance of Pakistan, Turkey, Egypt and Saudi Arabia Signals New Regional Power Dynamic Amid Iran Conflict
Iran Linked to Strikes Across Gulf States Following Refinery Attack Escalation
Saudi Arabia Voices Concern Over Fragile US–Iran Ceasefire Stability
Starmer Warns Sustained Effort Needed to Ensure US–Iran Ceasefire Holds
Saudi Arabia’s Key East-West Oil Pipeline Targeted Following Ceasefire Announcement
Iran Targets Saudi Arabia’s East-West Oil Pipeline in Escalating Regional Tensions
Trump Warns of Civilizational Stakes as Iran Halts Negotiations
Saudi Companies Expand Remote Work Measures Ahead of Iran-Related Security Concerns
Iran Warns of Strikes on Saudi Energy Infrastructure if US Targets Its Facilities
Iran Urges Civilians to Form Human Shields Around Nuclear Sites as Diplomatic Deadline Approaches
Saudi Arabia Raises Oil Prices to Record Premiums Amid Supply Pressures Linked to Iran Conflict
Key Saudi-Bahrain Causeway Closed Amid Heightened Security Concerns Linked to Iran
Formula One Calendar Gap Explained as Fans Await Next Grand Prix
×