Associated Press reports. The High Court had also ordered clinics to seek a judge’s permission before prescribing puberty blockers to anyone under 18.The High Court “was not in a position to generalise about the capability of persons of different ages to understand what is necessary for them to be competent to consent to the administration of puberty blockers,” the appeals court judges wrote.“Moreover, the effect of the guidance was to require applications to the court in circumstances where the Divisional Court [a branch of the High Court] itself had recognised that there was no legal obligation to do so,” they continued. “It placed patients, parents and clinicians in a very difficult position.