Leroy is a 14 year old boy who has had asthma since he was 5 years old. This was initially managed at home by his mother until he went to High School when Leroy himself took over the management of his condition. His asthma is well managed and Leroy is a sensible young man who recognises signs of an exacerbation of his condition early and acts accordingly. It is the school holidays and Leroy has been out for the day with a group of friends. They went to a skatepark near the home of one of his friends and have been enjoying skateboarding and just having a good time together. On the last run of the day Leroy fell hard onto his outstretched left arm. He is experiencing severe pain in his left shoulder which also looks 'odd' and, since the skatepark is only a 2-minute walk from the hospital, his friends have accompanied him to the Children's Emergency Department. His mother is at work and it will take her at least 2 hours to get to the hospital.
It has been established that Leroy has dislocated his left shoulder which requires manipulation under sedation in order to return it to the correct position.
It is proposed that Leroy is considered Gillick competent and therefore able to consent to the treatment he requires