I think it would be only sensible for GOSH etc to review their procedures following this case, to see if there was anything they could have done better/differently. I would hope in such cases that looking at 'best practice' was something that was always active. As regards the court process, I cannot see anyone wanting to remove the parents right to appeal, or indeed the Guardian etc. But I think that going straight for the adversarial process might not always be the best course. Publicity -- in this case the family wanted it, but that need not always be so. And then we have the public interest aspect, and the fact that sometimes justice needs to be seen to be done, at least in terms of the final published judgements and statements of position.
The one aspect I'm actually quite ambivalent about is the tweeting from the court room aspect (leaving aside the american rleigious nutters who seem to have repeatedly videoed and photographed from the court room). As I understand it, court artists, for example, AREN'T allowed to sketch within the court room. So, do journalists in court make notes the old-fashioned way, or use electronic devices? If you can't sketch you can doodle.................
Okay, I think as great as it is from a news aspect to get an almost live reasonable precis from people like Joshua Rozenberg, you then have the spectator aspect, it becomes almost addictive. And does the tweeting have potential to interrupt the court process?
I think there might be room for improvement in terms of more mediation and less adversarial court room stuff. Legal aid for parents in such cases obviously, that needs to change ASAP, people in such a situation should not have to rely on the goodwill of the legal profession.
The guardian/hospital/family triumvirate system seems to have worked quite well, in terms of the patients needs being addressed. And given the kneejerk 'parents know best, how dare the state interfere' reaction, I think that the rights of the child and the way they have been upheld all along, we have a lot to be proud of in terms of our medical ethics set-up and our legal system. Damn sight better than what might go on in the US if Dr Hirano is anything to base a judgement on................