The father of Alfie Evans says the toddler at the centre of a life support legal battle has been breathing on his own for nine hours.
A High Court judge has dismissed a "last-ditch appeal" by parents Tom Evans and Kate James over the fate of the 23-month-old boy.
Mr Justice Hayden said doctors at Alder Hey Children’s Hospital in Liverpool could stop providing life-support treatment to Alfie.
Alfie’s parents, who are both in their early 20s and from Liverpool, asked for a delay to give them time to mount a further challenge.
But the judge has refused their application and given doctors the go-ahead to stop treatment and bring Alfie’s life to an end.
Mr Justice Hayden analysed issues at a hearing in the Family Division of the High Court late on Monday.
The judge heard submissions from lawyers representing hospital bosses, Alfie’s parents and Alfie via a telephone link.
He gave lawyers permission to release a recording of the hearing to the Press Association.
All previous hearings in the case have been staged in public.
Alfie’s parents want treatment to continue and want to fly him to a hospital in Rome.
Barrister Paul Diamond, who represents the couple, told the judge that Alfie had been granted Italian citizenship on Monday.
He said an Italian government representative wanted to intervene in the case and asked for more time.
Mr Diamond said there was now an “international relations element” to the case.
But Michael Mylonas QC, who leads Alder Hey’s team, said any granting of Italian citizenship made no difference.
He said there could be “no possible suggestion” that English courts did not have jurisdiction.
Sophia Roper, who represents Alfie and takes instructions from a court-appointed guardian, agreed with Mr Mylonas.
She said she was not “completely satisfied” that Alfie had been granted Italian citizenship.
But she said any granting of Italian citizenship seemed designed to “frustrate” orders made in a British court.
Mr Justice Hayden dismissed Mr Diamond’s application, saying it amounted to a “last-ditch appeal”.
“I am not going to provide more time,” he said.
“Alfie is a British citizen, he is undoubtedly habitually resident in the UK.
“He falls therefore under the jurisdiction of the High Court.”
The judge said no “jurisdictional issue” arose.
Mr Evans had earlier told journalists that he had “been in touch with the ambassador of Italy”.
“My son belongs to Italy,” he said. “I love Alfie and I love Kate, I will not give up.”
Pope Francis has also expressed support for the couple.
He said in a tweet on Monday: “Moved by the prayers and immense solidarity shown little Alfie Evans, I renew my appeal that the suffering of his parents may be heard and that their desire to seek new forms of treatment may be granted.”
At one point on Monday supporters of the family had attempted to storm Alder Hey.
They ran towards the main doors but police blocked their way.
Police remained outside the entrances to the children’s hospital throughout the day.
Alfie’s parents have lost two rounds of fights.
Judges have heard that Alfie, born on May 9 2016, is in a “semi-vegetative state” and has a degenerative neurological condition doctors had not definitively diagnosed.
Specialists say his brain has been “eroded”.
In February, Mr Justice Hayden had ruled that doctors at Alder Hey could stop treating Alfie against the wishes of his parents following hearings in the Family Division of the High Court in London and Liverpool.
Specialists at Alder Hey said life support treatment should stop and Mr Justice Hayden said he accepted medical evidence which showed that further treatment was futile.
He said flying Alfie to a foreign hospital would be wrong and pointless.
Court of Appeal judges upheld his decisions. Supreme Court justices and European Court of Human Rights judges refused to intervene.
The couple then argued Alfie was being wrongly “detained” at Alder Hey and made a habeas corpus application.
Mr Justice Hayden dismissed that application.
Appeal judges upheld Mr Justice Hayden’s decision.
On Friday Supreme Court justices said they would not intervene.
Early on Monday EHCR judges also refused to intervene.