The family of a brain-damaged man have called for certainty when doctors decide if he is brain dead.
Andy Casey, from south London, has been in St George’s Hospital in Tooting for a week after being punched in the back of the head.
The 20-year-old’s family say doctors treating him at the hospital want to do a brain stem test to assess whether he is brain dead before removing life support.
The family oppose the test, citing questions over its reliability after two recent cases where the test was used to wrongly declare living people as dead.
Mr Casey’s mother Samantha Johnson told Sky News the test is “not 100% accurate”.
She said: “If they do this test and it comes back zero activity, they can turn off the machine … it’s not a 100% accurate test so there could be a chance that my son could pull through this.
“I believe my son is fighting. He needs this chance and I’m going to fight no matter what.”
The brain stem test is a clinical examination carried out when there is clear evidence of serious brain damage that cannot be cured.
It consists of a series of mini tests to check the brain’s automatic functions, including reaction to light in the eyes, ice-cold water in the ear and a short period off a ventilator, to see whether a patient attempts to take a breath.
Image: Andy Casey’s mother Samantha Johnson
Teen and baby ‘wrongly declared brain dead’
In March 2021, 18-year-old Lewis Roberts was declared brain stem dead after a road accident.
But he began breathing independently hours before his organs were to be extracted for donation. He went on to make significant recovery and a year later was able to play football and basketball.
Last year, the test wrongly found a baby at a hospital in London dead before he also began breathing independently.
High Court judge Mr Justice Hayden, who was asked to decide what was in the baby’s best interests, called the test “unreliable”.
Before then, medical consensus had been that the brain stem test was the gold standard. The baby’s case shattered that orthodoxy and the Academy of Medical Royal Colleges pledged to update guidance around brain stem testing.
Baroness Ilora Finlay, former president of the British Medical Association, suggested doctors could look at each case individually in the interim.
She said: “Guidelines and protocols are really helpful, they act as a checklist of a minimum thing to do – but they don’t take away the importance of individual assessment.”
Baroness Finlay said such cases are already complicated without uncertainty over guidelines.
She added: “These are incredibly difficult situations for all the clinical team, nurses, doctors the other staff as well as of course for the families who are distraught.”
St George’s Hospital has been contacted for comment.
The UK’s economic slowdown gathered further momentum during the third quarter of the year with growth of just 0.1%, according to an early official estimate that makes horrific reading for the chancellor.
The Office for National Statistics (ONS) reported a surprise contraction for economic output during September of -0.1% – with some of the downwards pressure being applied by the cyber attack disruption to production at Jaguar Land Rover.
The figures for July-September followed on the back of a 0.3% growth performance over the previous three months and the 0.7% expansion achieved between January and March.
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3:22
Growth ‘slightly worse than expected’
The encouraging start to 2025 was soon followed by the worst of Donald Trump’s trade war salvoes and the implementation of budget measures that placed employers on the hook for £25bn of extra taxes.
Economists have blamed those factors since for pushing up inflation and harming investment and employment.
ONS director of economic statistics, Liz McKeown, said: “Growth slowed further in the third quarter of the year with both services and construction weaker than in the previous period. There was also a further contraction in production.
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“Across the quarter as a whole, manufacturing drove the weakness in production. There was a particularly marked fall in car production in September, reflecting the impact of a cyber incident, as well as a decline in the often-erratic pharmaceutical industry.
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What next for the UK economy?
“Services were the main contributor to growth in the latest quarter, with business rental and leasing, live events and retail performing well, partially offset by falls in R&D [research and development] and hair and beauty salons.”
When measured by per head of population- a preferred measure of living standards – zero growth was registered during the third quarter.
The weaker-than-expected figures will add fuel to expectations that the Bank of England can cut interest rates at its December meeting after November’s hold.
The vast majority of financial market participants now expect a reduction to 3.75% from 4% on 18 December.
Data earlier this week showed the UK’s unemployment rate at 5% – up from 4.1% when Labour came to power with a number one priority of growing the economy.
Since then, the government’s handling of the economy has centred on its stewardship of the public finances.
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Chancellor questioned by Sky News
The chancellor was accused by business groups of harming private sector investment and employment through hikes to minimum wage levels and employer national insurance contributions.
The Bank has backed the assertion that hiring and staff retention has been hit as a result of those extra costs.
There is also evidence that rising employment costs have been passed on to consumers and contributed to the UK’s stubbornly high rate of inflation of 3.8% – a figure that is now expected to ease considerably in the coming months.
Rachel Reeves has blamed other factors – such as Brexit and the US trade war – for weighing on the economy, leaving her facing a similar black hole to the one she says she inherited from the Conservatives.
She said of the latest economic data: “We had the fastest-growing economy in the G7 in the first half of the year, but there’s more to do to build an economy that works for working people.
“At my budget later this month, I will take the fair decisions to build a strong economy that helps us to continue to cut waiting lists, cut the national debt and cut the cost of living.”
Shadow chancellor Sir Mel Stride responded: “Today’s ONS figures show the economy shrank in the latest month, under a Prime Minister and Chancellor who are in office but not in power.”
The Scottish government and For Women Scotland’s long-running legal battle over the definition of a woman is yet to come to a close.
For Women Scotland (FWS) won the case in April when the country’s highest court ruled “woman” and “sex” in the Equality Act 2010 refers to “a biological woman and biological sex”.
The Scottish government was ordered to pay a portion of the campaign group’s legal costs.
FWS told Sky News the bill of costs for the Supreme Court element of the case was more than £270,000, however various parts have reportedly been disputed by the Scottish government.
That has now been submitted to the court for determination and a decision is awaited.
Image: Pic: PA
The Outer and Inner House element of the case at the Court of Session in Edinburgh was said to be more than £150,000.
Trina Budge, co-director of FWS, said the group is also due an uplift – a small percentage of the final expenses awarded.
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Ms Budge claimed Scottish ministers are yet to enter into any negotiations on settlement and a date has been set in January for a hearing before the Auditor of the Court of Session to confirm the amount the government will have to pay.
Ms Budge said: “The delay always suits the paying party but I think it’s quite unusual to decline to enter into any discussions at all.
“It’s highly likely this is a deliberate tactic in the hope of starving us of funds to prevent us continuing our latest case on the lawfulness of housing male prisoners on the female estate.
“However, it should come as no surprise to the government that we have massive support and we will, of course, be continuing regardless of any sharp practices.”
Image: Susan Smith and Marion Calder, co-directors of For Women Scotland, outside the Supreme Court in London in April. Pic: PA
It is understood the bill of costs for the Supreme Court case was lodged by FWS in August, while the expenses linked to the Court of Session action was submitted in September.
Figures revealed by a recent Freedom of Information (FOI) request show the Scottish government has spent at least £374,000 on the case.
Final costs are yet to be confirmed but will be published once complete.
A Scottish government spokesperson said: “There is an established process to be undertaken to agree the final costs for a legal case and these will be calculated and published in due course.”
If possible, schools can also provide gender neutral toilets for transgender students.
However, court proceedings continue over transgender prisoners.
Current SPS guidance allows for a transgender woman to be admitted into the female estate if the inmate does not meet the violence against women and girls criteria, and there is no other basis “to suppose” they could pose an “unacceptable risk of harm” to those also housed there.
First Minister John Swinney and Justice Secretary Angela Constance have both dodged questions on the case, citing it would be inappropriate to comment on live court proceedings.
Image: Justice Secretary Angela Constance and First Minister John Swinney. Pic: PA
On Tuesday, Ms Constance was accused by former Scottish Tory leader Douglas Ross of “misleading” Holyrood, saying she could give full answers under contempt of court legislation.
Scottish Tory MSP Tess White, the party’s equalities spokesperson, added she was “spine-chillingly concerned” of a repeat of the Isla Bryson case.
Image: The case of Isla Bryson sparked a public outcry after the double rapist was sent to a women-only prison. Pic: PA
Bryson, a transgender woman born Adam Graham, was initially sent to a women-only prison despite being convicted of raping two women.
The offender was later transferred to the male estate following a public outcry.
Speaking to Sky News, Ms White said: “John Swinney was quick to waste taxpayers’ money fighting a case which confirmed what the vast majority of the public knew beforehand: a woman is an adult human female.”
The MSP for North East Scotland urged the SNP administration to “pay up and finally respect the clear judgment from the Supreme Court”.
A Scottish government spokesperson said: “It is the Scottish government’s long-held position that it is inappropriate for Scottish ministers to comment on live litigation.
“In all cases, we have an obligation to uphold the independence of the judiciary. We do not want the government to ever be seen as interfering in the work of the independent courts.”
The storm, named by Spain’s meteorological service, is currently affecting the Canary Islands.
Claudia could result in travel disruptions, power cuts, and flooding in some areas, according to the Met Office.
Met Office Chief Meteorologist Matthew Lehnert said: “Storm Claudia will bring very heavy rainfall to a large swathe of central and southern England and Wales on Friday into Saturday.
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“This rain will become slow moving, and some areas could see up to a month’s worth of rain in 24 hours.
“Within the Amber warning areas, some could see in excess of 150mm accumulate during the event, with 60-80mm fairly widely.”
Strong winds across northwest England and northwest Wales pose an added hazard, with gusts of up to 70mph possible in exposed areas within the warning zone, he added.
A colder weekend
By the weekend, the north of the UK will see a colder air mass, with overnight frosts, according to the Met Office.
Some showers will persist, but overall it will be a considerably drier and brighter period of weather in this area.
Further south, the weekend will start off largely cloudy and wet, and still mild in the far south. Gradually, the rain will ease and eventually clear to the south, with the drier, colder conditions further north spreading to all areas by the start of next week.
Early next week, temperatures will drop sharply across the country, particularly in the north and east, bringing the first snow of the season in some areas.