Www.hartbrown.co.uk Distinctly Better. www.hartbrown.co.uk Alyson Coulson Partner Trust & Estates Department.

Slides:



Advertisements
Similar presentations
Confidentiality, Consent and Data Protection Elizabeth M Robertson Deputy Medical Director Grampian University Hospitals Trust.
Advertisements

Mental Capacity Act 2005.
Assessing capacity in General Practice. Aims Brief overview of metal capacity act Become more familiar with assessing capacity in General Practice.
The Mental Capacity Act 2005 Implications for Front Line Staff Richard Williams Professor of Mental Health Strategy, University of Glamorgan Professor.
2005. Why is it necessary When person lacks capacity physicians have power and influence over them which could be abused 30% pts on acute medical wards.
Epilepsy and Mental capacity
Mental Capacity Dan Haworth.
The mental capacity act 2005
Principle 4 - Anything done for, or on behalf of a person who lacks capacity must be done in the persons best interests Test for Capacity has found the.
Who needs a Welfare Guardian? Sue Sue Gates Senor Researcher Donald Beasley Institute P O Box 6189 Dunedin.
Sophie Harvey GPST1 Abid Sabir GPST1 19/12/2012
2009 Mental Capacity Act 2005 Implications for Shared Lives Carers.
When you can’t manage your own affairs The Protection of Personal and Property Rights Act 1988.
Distinctly Better. Alyson Coulson And Shaun Parry-Jones Partners, Trust & Investment Department Presentation to:
Lasting Power Of Attorney (LPOA) Wendy Burn Consultant Old Age Psychiatrist Leeds July 2014.
GARY HAIGH CAPACITY AND CONSENT. CONSENT Establishing consent is fundamental to respect for patients rights. It is a legal obligation.
Consent to Care and Treatment The Policy Company Limited ©
PLANNING FOR INCAPACITY 18 July Lucy Taylor Solicitor Court of Protection Team Irwin Mitchell LLP.
1 Palliative Care Conference 4 July 2004  Briefing on Mental Capacity Act  Advance Decisions  Deprivation of Liberty  The Lessons Learned John Gibbons.
The Role of the IMCA Northwest Advocacy Services (A Division of SHAP Limited) Elly Davis Lead IMCA.
MCA Learning Pack – Session 3 1 Mental Capacity Act 2005: a practice-based course Supporting older people in care homes and the community as they would.
Mental Capacity 23 rd Sept Matt O’Connor –Safeguarding Lead B&AtPCT.
Mental Capacity Act – Principles and Practice
ADVANCE PLANNING UNDER THE MENTAL CAPACITY ACT Dr Mohan Mudigonda Bilston Health Centre.
Mental Capacity Act and the Deprivation of Liberty Safeguards Andrea Gray Mental Health Legislation Manager Welsh Government.
Syed & Quinn Ltd 09/10/2015 Syed & Quinn Ltd
1 Support needs of guardians and attorneys in Scotland Jan Killeen, Public Policy Director, Alzheimer Scotland.
THE MENTAL CAPACITY ACT WHY THE ACT? No existing legal framework to protect incapacitated people Only safeguards relate to money & assets Incapacity.
Deputyship and the Court of Protection Michael Culver TEP CTAPS Associate Solicitor and Team Leader
Louise Wilson, Solicitor.  Royal Assent – April 2005  Came into force April & October 2007  Many common law principles now enshrined in statute  Court.
Mental Capacity Act Practitioners Forum Lasting Powers of Attorney.
1 Understanding and Managing Huntingdon’s Disease Mental Capacity Act 2005 Julia Barrell MCA Manager Cardiff and Vale UHB.
Mental Capacity Act – Principles and Practice Steve Blades GP Lead for Adult Safeguarding.
ACP Learning Pack Session Three 1 ACP Learning Pack Session Three:- The affect of the Mental Capacity Act 2005 on advance care planning.
Mental Capacity Act 2005 Safeguarding Adults.
Anything done for, or on behalf of a person who lacks capacity must be done in the persons best interests – This does not relate to any treatments under.
The Law in Action; The Court of Protection Janice White Senior Solicitor 18 th April 2013.
Project title 2014 Law Commission’s Consultation Richard Copson 25 September 2015.
Easy Read Summary Mental Capacity Act Mental Capacity Act A Summary The Mental Capacity Act 2005 will help people to make their own decisions.
Consent & Vulnerable Adults Aim: To provide an opportunity for Primary Care Staff to explore issues related to consent & vulnerable adults.
Who is the MCA for? Anyone aged 16 or over who is unable to make a decision for themselves due to an impairment, or disturbance, in the functioning of.
Bridie Woolnough Resolution Officer Health Care Complaints Commission
Issue requiring person to give informed consent All adults should be presumed to have capacity unless the opposite has been demonstrated. Consent must.
Mental Capacity Act and DoLS. Aim – Mental Capacity Act You will: Know what is covered by the MCA Understand the principles of the Act Understand what.
Mental Capacity Implementation Programme Mental Capacity Act 2005.
Patients and doctors making decisions together GMC Guidance 2008.
The Mental Health Act & Mental Capacity act Dr Faye Tarrant ST5 Substance Misuse.
Being in control of my choices Martin Watson Mental Capacity Act Project NHS Birmingham South Central CCG.
The 5 Principles of the MCA The Safeguards of the Act 1. Start by assuming the person has capacity to make the decision for themselves Every adult over.
Dennis is 90 years old, he has fallen over and needs an operation, the medical team states that his wife can consent on his behalf, if he is unable to.
Mental Capacity Implementation Programme Mental Capacity Act 2005 Paul Gantley National Implementation Programme Manager DH / CSIP
Health and Social Care Training Mental Incapacity Act 2005 Awareness.
Mental Capacity Act Working Towards Implementation.
The Mental Capacity Act Learning Objectives   What is the Mental Capacity Act, including the Deprivation of Liberty Safeguards   Awareness of.
1 MCA Learning Pack – Session 4 Mental Capacity Act 2005: a practice-based course Supporting older people in care homes and the community as they would.
Martin Humes Community Manager London. POhWER IMCA advocacy There is a legal duty for an IMCA to be instructed where:  there is a decision to be made.
The Mental Capacity Act How this relates to the NMC Code Mental Capacity Act Project Team.
Law relating to the patient who lacks capacity Dr Melissa McCullough Queen’s University Belfast.
Mental Capacity Act 2005 The Mental Capacity Act 2005 provides a legal framework to empower and protect people aged 16 and over who lack, or may lack,
Lawtrack GPS trackers for people with mental incapacity
Unit 503: Champion equality, diversity and inclusion
Mental Capacity Act Practitioners Forum
Mental Capacity Act (2005) Best Interest Pathway
Mental Capacity Act (2005) Best Interest Pathway
Mental Capacity Act (2005) Best Interest Pathway
CAPACITY & CONSENT  .
From Dementia Skilled Improving Practice NES/SSSC 2011
Mental Health Capacity Act Guidance In what situations is it legal to make a decision on someone else’s behalf? What are the processes you should go.
Mental Capacity Act 2005.
Mental Capacity Act (2005) Best Interest Pathway
Presentation transcript:

Distinctly Better

Alyson Coulson Partner Trust & Estates Department

Get proper advice!  This talk is for general information only. They are general thoughts and principles and should not be relied on for your own purposes as everyone’s circumstances are different.  Before taking any action, you do need to consider taking proper independent legal advice, which will address your particular circumstances in respect of the matters discussed.

About Hart Brown 1.One of the largest legal practices in Surrey 2.Founded in offices: Woking, Cobham, Cranleigh, Guildford, Godalming and Wimbledon Village 4.15 Partners – total 100 staff

About our Legal Departments  Commercial business  Commercial property  Residential property  Family  Dispute resolution  Trust & Estates

Lasting Powers of Attorney  What are they?  Powers of attorney  Enduring powers of attorney  Lasting powers of attorney.... and if you don’t make provision?

Lasting Powers of Attorney The Alternative  Appointment by the Court of Protection  Deputyship  Who applies?  Costs  Restrictions – acting on behalf of the Court  Accounts

Lasting Powers of Attorney 2 Parts  Property and financial affairs  Health and welfare

Lasting Powers of Attorney Property and financial affairs  Buying and selling property  Operating bank accounts  Dealing with investments  Tax affairs, claiming benefits

Lasting Powers of Attorney Health and Welfare  Where to live and who to live with  Day to day decisions, diet, dress  Medical examination or treatment – refusing/consenting

Lasting Powers of Attorney Health and Welfare  Who the donor has contact with  Assessment for and provision of community services  Arrangements to facilitate dental or medical treatment

Lasting Powers of Attorney Health and Welfare  Complaints about the donor’s care  Whether the donor should take part in social or leisure activities, education or training  Personal correspondence and papers

Lasting Powers of Attorney Health and Welfare  Rights of access to personal information (e.g. medical records)  Life sustaining treatment-specific question, witness required  Advance decisions v LPAs

Lasting Powers of Attorney The Process  Take instructions  Draw up and sign the document  Certificate – skills or knowledge based, 1 or 2 providers  Attorneys sign  Register the LPA

Lasting Powers of Attorney Drawing up the document  Appointment – how many Attorneys?  Joint or joint and several? or both!  All property and affairs?  With restriction?  Dialogue boxes

Lasting Powers of Attorney  When does it come into use?  Property and financial affairs  Health and welfare

Lasting Powers of Attorney  Checks and balances  Choice of attorney  Certificate/s  Storage of document  Registration  The register

Lasting Powers of Attorney  Registration process  Notice  Application  Registration  The attorney can then assist  Role of the Court of Protection

Practical issues When will you be asked to work with us as lawyers?  Assessment of mental capacity  Completion of formal forms for the Court  Acting as witnesses, expert witnesses or certificate providers

When might capacity assessments be required?  Making a will  Making or registering a power of attorney  Revoking a power of attorney  On application for deputyship – capacity to manage financial affairs  Various others?

Solicitors instructing doctors  Do not assume expertise in these matters  Quality of instructions = quality of advice  Be clear about what client wishes to do  Inform and explain (in clear and simple terms) the legal test to be applied  Provide all relevant information  Confirm the standard of proof  Reminder that challenge is possible

Doctors receiving instructions  Decline if insufficient experience  Request more information if required  Details of test of capacity as required by law  Why opinion is sought and effect on your patient  Details of the patient’s property, affairs and family background if relevant to test  Is the matter likely to be disputed?

Doctors receiving instructions  Be specific – reports lacking details, diagnosis and reasons will be of little value  Your report could significantly affect the patient’s autonomy to make decisions  Your report could allow the patient or a third party to carry on doing something prejudicial to the patient  You may need to support your report in Court.

Witnessing documents Why do we ask – the “golden rule” Kenward vs Adams (1975) Where a will has been drawn up for an elderly person or someone who is seriously ill, it should be witnessed or approved by a medical practitioner. It is assumed that the doctor will have made an assessment of capacity.

To assist or not with a request to assess capacity?  What is the policy of your surgery?  Take advice from your professional body  Do you feel confident to assist?

Who should assess capacity? The individual who wishes to make a decision on behalf of an incapacitated person is responsible for assessing his or her capacity. Where consent to medical treatment is required, the health professional proposing the treatment needs to decide whether the patient has the capacity to consent. The reasons why capacity is in doubt should be recorded in the medical record, as should details of the assessment process and its findings. The more serious the decision, the more formal the assessment of capacity is likely to be, and, where appropriate, it might be advisable to refer to a psychiatrist or psychologist for a second opinion. BMA Guidance

How do I assess capacity?  The test is functional - focusing on a decision making process  Does the person have “an impairment of, or a disturbance in the functioning of, the mind or brain” which may affect their ability to make the decision in question?

How do I assess capacity? Under the MCA, a person is regarded as being unable to make a decision if, at the time the decision needs to be made, he or she is unable:  to understand the information relevant to the decision  to retain the information relevant to the decision  to use or weigh the information; or  to communicate the decision (by any means). Where an individual fails one or more parts of this test, then they do not have the relevant capacity and the entire test is failed.

How do I assess capacity?  Consult family and friends if appropriate for background information.  Don’t discriminate or assume based on age, appearance, their condition or behaviour  Accept that capacity may fluctuate and that advice or assistance may be required from others more experienced or qualified.

To assist or not? Only do it if…. You have formally assessed capacity as per your professional guidelines. You are satisfied that you can make a decision about capacity made on reasonable belief backed by objective reasons. ALWAYS Make a formal record

Assessment of capacity in treatment decisions  When you need to make your own assessment of a patient’s capacity to receive treatment.  What do you need to bear in mind?  Is the appointment of an Independent Mental Capacity Advocate (IMCA) required?

What are the basic principles of the Act?  Presumption that there is capacity. Proving otherwise falls upon the challenger.  Maximise decision making capacity.  Freedom to make unwise decisions  BEST INTERESTS  Is there a less restrictive alternative?

Best Interests – what does it mean?  All decisions taken on behalf of someone who lacks capacity must be taken in their best interests.  Not necessarily a decision based on what they would want although this must be taken into account.  Taking into consideration all relevant factors, the most objective test possible.

Best Interests – what do I take into account? The views of the patient as far as they are able to express them  Can it wait until capacity is restored?  Past and present wishes expressed verbally or in writing? Is there an LPA, an Advance decision?  Beliefs or values  The effect on other people if the patient would have considered this.

Best Interests – what do I take into account?  The views of others close to the individual – family, friends, carers.  The views of those previously nominated – attorneys or deputies.  The exception – a valid and applicable advance decision refusing medical treatment made when they had capacity.

IMCA  An Independent Mental Capacity Advocate.  Appropriate if you cannot obtain the views of others close to the individual suitable to help make decisions about medical treatment such as family, friends, carers.  If in serious doubt as to the best course of action to take, healthcare professionals should refer to The Court of Protection.  Certain decisions MUST always be referred to the Court – sterilisation, withdrawal of nutrition/hydration in PVS cases.

Questions? Alyson Coulson Partner with Hart Brown Solicitors

Distinctly Better