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Alexandra Johnstone

health provider legal help

7th Floor, 85 Fleet Street
London EC4Y 1AE

Tel: 020 7227 7283

Alexandra is a Partner in our Healthcare Providers team and has considerable experience in advising on protocols and policies in the healthcare sector, particularly those raising issues of human rights and medical ethics.

She is frequently instructed to attend inquests on behalf of healthcare bodies and has represented a large number of care homes and mental health hospitals.

Alexandra Johnstone impressed me hugely in picking up (pro bono) a very sensitive case at high speed for a client and working as a team player to coordinate pleadings and witness statements within a short time frame. Legal 500 2022

Alexandra Johnstone is known for her in-depth knowledge of mental health law and handles inquests for a number of care homes and mental health hospitals. Legal 500 2019

RadcliffesLeBrasseur’s ‘top drawer’ group is ‘at the forefront’ in acting for private healthcare providers and care homes, as well as representing NHS clients in inquests, investigations, Court of Protection claims and issues arising under mental health law. Legal 500 2017

RadcliffesLeBrasseur is highly regarded for mental health law, and frequently instructed to represent mental health providers in Court of Protection proceedings. The firm remains a noted name for handling inquests, and Alexandra Johnstone was part of a team representing an NHS Foundation Trust on an inquest into the death of a prisoner. Legal 500 2015

Areas of Expertise

Alexandra advises on claims for NHS and private mental health hospitals, including those arising from the care of prisoners. She has experience with claims arising from the deaths of patients, particularly in connection with patients who have taken their lives when on leave, and concerning the failure of assessments. She regularly undertakes advocacy at inquests.

She has a particular interest in issues relating to mental capacity and has been involved in a number of Court of Protection cases, including defending challenges to DoLS authorisations brought by residents of care homes.

She is regularly asked to lecture to a wide range of healthcare providers on issues such as mental health law, capacity, consent and inquests.


Alexandra’s recent experience includes:

  • Acting on numerous inquests on behalf of healthcare bodies, including a large number of deaths in prison.
  • Advising Mental Health Trusts on various public law issues, including the merits of a proposed judicial review of a decision of the CQC on performance rating.
  • Advice on a range of issues relating to capacity and/or validity of patient’s consent, including advising a hospital on a 16 year old patient refusing treatment for anorexia where parental consent could not be obtained.
  • Representing Trusts and Care Homes in a number of cases before the Court of Protection relating to health and welfare issues, including an important case challenging the opinion of a jointly appointed expert regarding capacity.
  • Advising a Responsible Clinician about the legal issues raised in treatment of a patient on hunger strike.
  • Advice on a number of data protection issues, including disclosure of patient information.
  • Assistance in drafting and advising on a range of policies, taking into account changes in healthcare law.
  • Advising a Mental Health Trust on whether a ban on the use of mobile phones in hospitals was unlawful.
  • Acting for a Mental Health Trust in a patient’s judicial review of an RMO’s decision to contact his parents for treatment purposes.
  • Acting and advising Mental Health Trusts in judicial reviews over decisions to close hospitals.
  • Successfully defending a Mental Health Trust in a claim for unlawful detention by a patient who alleged the incorrect Nearest Relative had been consulted.
  • Reviewing a number of hospital policies and protocols, for example, Do Not Resuscitate Policies and Consent Policies.
  • Representing two nurses charged with serious professional misconduct in the longest fitness to practise case in the NMC’s history.


Medico-Legal Society