Doctors can stop providing life-support treatment to a brain-damaged five-year-old girl, a judge has ruled.

Pippa Knight has suffered brain damage and is in a vegetative state.

Specialists treating her at the Evelina Children's Hospital in London said life-support treatment should end.

Hospital bosses had asked Mr Justice Poole to rule that ending treatment, and allowing Pippa to die, would be lawful and in her best interests.

But Pippa’s mum, Paula Parfitt, 41, of Strood, Kent, disagreed.

She wants Pippa to be placed on a portable ventilator and allowed home.

The judge heard evidence at a trial in the Family Division of the High Court in London in December.

Paula Parfitt with her five-year-old daughter Pippa Knight
Lawyers for her mum said she was disappointed

He ruled on Friday life-support treatment should end and Pippa should be allowed to die.

Mr Justice Poole said “continued mechanical ventilation” is against her best interests.

Lawyers representing Pippa’s mum said she was disappointed with the ruling and wanted to mount an appeal against it at the Court of Appeal.

In his ruling, Mr Justice Poole said the case was “heart-rending".

Pippa Knight is being cared for in hospital
Evelina Children's Hospital has been caring for the girl

He added: "Ms Parfitt has fought as hard for Pippa as any parent could.

”Responsibility for the decisions in this case lies with the court, not with her.

“My conclusion is that continued mechanical ventilation is contrary to Pippa's best interests."

He added he "cannot give weight to Ms Parfitt's view that home care would improve Pippa's condition, because it is at odds with the unanimous view of the clinicians and medical experts”.

The court heard Pippa, who was born in April 2015, initially developed normally.

But in December 2016 she became unwell and began to suffer seizures.

Paula Parfitt, the mother of five-year-old Pippa Knight, outside the Royal Courts of Justice, London
Her mum wants to appeal the ruling

Specialists diagnosed a rare condition - acute necrotising encephalopathy.

The judge said she now had no awareness of her environment.

He added: "Therefore, there would be no benefit to her from being in a home bedroom as opposed to a hospital unit.

"Family members may be able to spend more time with her at home in a more peaceful and welcoming environment, but she would not be aware of their visits or of the benefit to others.

"She would not be aware of any of the changes in her environment or in her care regime."

During the December hearing, Pippa’s mum said: "I just will not give up on her.

“If there is an opportunity for her to go home then it is what God would want.”

She said nobody knew what might happen and said there might be changes in medical science.

But Michael Mylonas QC, representing Guy's and St Thomas' NHS Foundation Trust which runs the hospital, said there was no hope the little girl would improve.

He said: “The decision to bring this application is made only after the most anxious consideration and review of all the available evidence.”