“The Supreme Court confirmed in the summer that decisions about CANH (clinically assisted nutrition and hydration) did not haveto be routinely referred to the courts. Previously, as a result of a judgment 25 years ago it had been recommended ‘as a matter ofgood practice’ that reference be made to the courts where doctors withdrew CANH from a patient in a persistent vegetative state,but neither this judgment nor the Mental Capacity Act imposed a strict duty to do so. The recent ruling is one reason why it isparticularly important for doctors to be given comprehensive guidance on decisions around CANH.”British Medical Association December 2018“While the starting point is a strong presumption that CANH should be provided, prolonging life, at the centre of any decision iswhether beginning or continuing treatment is in the best interests of the individual patient.”British Medical Association December 2018‘Decisions surrounding the withdrawal of CANH pose clinical, ethical and legal challenges for doctors, and can be needed at anincredibly difficult time for patients’ families and loved ones. The law is clear that CANH is a form of medical treatment, much likeartificial ventilation, and while there should be a strong presumption that starting or continuing this treatment is in the patient’sbest interests, this will not always be the case.’ John Chisholm BMA medical ethics committee chair December 2018“Health professionals must find out as much as possible about the patient from family and friends, in order to determine what theindividual would want to happen in the situation that has arisen. If it is clear that the patient would, or would not, want CANHprovided, this will usually determine their best interests.” Royal College of Physicians, December 2018This conference focuses on recent developments and implementing the December 2018 BMA/RCP guidance on Clinically AssistedNutrition and Hydration. The guidance provides ‘the most up-to-date statement of doctors’ professional and legal obligations, andprovides in-depth advice about the process to be followed and the different factors for doctors to consider in making these decisions.’(RCP Dec 2018). In the Summer of 2018 it was decided by the supreme court that decisions regarding clinically assisted nutritionand hydration no longer had to be routinely referred to the court which puts decision making about this important and often ethicallycharged decision making in the hands of doctors.This conference will enable you to:• Network with colleagues who are working to improve best practice in decision making around Clinically Assisted Nutrition andHydration• Reflect on national developments and learning including implementation of the December 2018 BMA/RCP Guidance, and LegalDevelopments and Principles• Improve the way patients and families are involved in decision making to ensure individually patient focused outcomes• Develop your skills in best interests care planning• Reflect on the perspective of a patient• Understand how you can implement the guideline effectively in practice• Identify key strategies for decisions around clinically assisted nutrition and hydration within the dying phase• Understand who should make decisions, when, and when a second opinion is needed• Ensure you are up to date with the latest best practice with regard to patients in prolonged disorders of consciousness• Enable regular best interests assessments for patients who are stable on CANH• Self assess and reflect on your own practice• Gain cpd accreditation points contributing to professional development and revalidation evidence