1. Lasting Power Of Attorney (LPOA) Wendy Burn Consultant Old Age Psychiatrist Leeds July 2014

2. Contents What is a lasting power of attorney Who is involved How is capacity to sign assessed What do the forms look like Charges July 2014

3. What is a Lasting Power of Attorney? A lasting power of attorney is a legal document that lets the ‘donor’ appoint people (known as ‘attorneys’) to make decisions on their behalf. There are 2 types of lasting power of attorney: 1. Health and welfare 2. Property and financial affairs Patients can choose to make 1 type or both. July 2014

4. LPOA People must be 18 or over and have mental capacity – the ability to make their own decisions – when they make a LPOA The LPOA enables others to manage finances or decisions about health if the person becomes incapable of doing this July 2014

5. People involved The donor, who is the person giving the lasting power of attorney. At least one person to act as an attorney. At least one certificate provider. At least one person to be told or a second certificate provider. At least one witness. July 2014

6. Certificate Provider Must be an independent person who is able to confirm that the donor understands the significance of the lasting power of attorney Must have known the donor well for at least two years OR have relevant professional skills to enable them to confirm that the donor understands the significance of the lasting power of attorney (for example, a GP or solicitor). Also need to certify that no undue pressure or fraud is involved in the making of the lasting power of attorney July 2014

7. Certificate Provider Attorney(s) or replacement attorney(s) cannot also act as a certificate provider A person to be told can act as a certificate provider There must be at least one certificate provider, two if there are not any people to be told July 2014

8. Independent Witness Patient’s signature at the end of part A must be witnessed by an independent witness. The certificate provider or person to be told can act as a witness. Attorney(s) or replacement attorney(s) cannot act as a witness. July 2014

9. Examination of the patient See patient alone Assess cognition, simple test is fine Assess capacity If any doubt about capacity or decision seek further help from psychiatrist or solicitor July 2014

10. Capacity Assessment You must assess a patient’s capacity to make a particular decision at the time it needs to be made. Each decision made requires a separate assessment Ensure patient understands concepts and trusts the attorneys July 2014

11. A person with capacity Will be able to understand the information relevant to the decision Will retain that information as long as is needed to make a decision Can use or weigh that information as part of the process of making the decision Can communicate a decision (whether by talking, using sign language or any other means) July 2014

12. Making a LPOA Can use a solicitor Forms available on the internet: https://www.gov.uk/lasting-power-of-attorney https://www.gov.uk/lasting-power-of-attorney Forms should be completed by family, patient or solicitor before you sign July 2014

13. LPOA Form Part A completed by the donor Part B completed by the certificate provider Part C completed by the attorney(s) July 2014

14. LPOA Part A-patient signs July 2014

15. LPOA Part A-witness signs July 2014

16. Order of signatures Part A must be filled in and signed before the Certificate Provider signs Once part A is complete Certificate Provider should sign as soon as possible July 2014

17. LPOA Part B: state why you can act as certificate provider July 2014

18. LPOA part B: fill in your details and sign July 2014

19. After completion After they have been completed forms must be registered with the Office of the Public Guardian Form will be returned registered and stamped and ready for use July 2014

20. Charges for LPOA No set charges I do health and welfare free For financial affairs I charge £50 at my office, £100 for home visit Private psychiatrist fees around £500 July 2014

21. Any questions? July 2014