In County Durham & Darlington NHS Foundation Trust v SS & Ors [2016] EWHC 535 (Fam), the court was concerned with a profoundly disabled 7 year old girl who was in the care of the local authority, and who was thought to be on a downward trajectory in view of her many serious physical and neurological disabilities. The relevant NHS Trust sought declarations that  it was lawful for their clinicians to treat SS in accordance with their clinical discretion, effectively to impose a ceiling of care such that resuscitation and admission to intensive care would be most unlikely to be offered. The child’s guardian supported the Trust’s application; SS’s parents opposed it. Granting the declarations sought, Cobb J commented on and approved the usefulness of the Royal College of Paediatrics and Child Health guidance "Making decisions to limit treatment in life-limiting and life-threatening conditions in children: a framework for practice” (2015).