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133:... the decision to move Miss Coughlan against her will and in breach of the health authority’s own promise was in the circumstances unfair. It was unfair because it frustrated her legitimate expectation of having a home for life in Mardon House.... The truth is that, while has the duty to continue to promote a comprehensive free health service and he must never, in making a decision under section 3, disregard that duty, a comprehensive health service may never, for human financial and other resource reasons, be achievable.
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The Court of Appeal held there was a legitimate expectation to fair treatment, with a substantive benefit of the ‘home for life’. Frustrating the expectation would be an abuse of power. However the duty to promote health, in statute, was not a duty to ensure the service was comprehensive.
114:, needing constant care. Devon HA decided it should be closed in 1996, although she had been assured before it was a ‘home for life’. The Health Authority argued Mardon House had become ‘a prohibitively expensive white elephant’ which ‘left fewer resources available for other services’.
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said that the failure to keep the home open was ‘equivalent to a breach of contract in private law’. He said the following.
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NHS (Procurement, Patient Choice and
Competition) (No 2) Regulations 2013
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Miss
Coughlan claimed she should be able to remain at Mardon House,
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R v North and East Devon Health
Authority, ex p Coughlan
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R (Coughlan) v North and East Devon Health
Authority
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NHS (Charges to
Overseas Visitors) Regulations 2015
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415:United Kingdom constitutional case law
410:United Kingdom administrative case law
319:R (Watts) v Bedford Primary Care Trust
295:R (Coughlan) v North and East Devon HA
32:R (Coughlan) v North and East Devon HA
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405:United Kingdom enterprise case law
307:R (Ann Marie Rogers) v Swindon PCT
283:R (B) v Cambridge Health Authority
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330:National Health Service Act 2006
272:National Health Service Act 2006
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140:was also discussed.
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387:References
230:regs 11-12
252:regs 2-11
206:ECHR 1950
186:UDHR 1948
356:ECHR 453
344:regs 3-9
144:See also
118:Judgment
71:Keywords
61:Citation
188:art 25
108:Exeter
76:Health
382:Notes
102:Facts
90:is a
51:Court
363:see
264:s 1
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171:e
164:t
157:v
20:)
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