SlideShare a Scribd company logo
1 of 46
Assisted Decision-Making (Capacity) 
Bill 2013 
Anselm Eldergill
Headings 
1 Introduction 
2 Definitions 
3 Capacity 
4 Statutory principles 
5 Statutory mechanisms 
6 Assistance agreements and co-decision-making 
Anselm Eldergill
§1 — INTRODUCTION 
Anselm Eldergill
Capacity 
 Is the legal ability to bear and exercise rights or 
to be affected by legal duties or liabilities. 
RIGHTS CAPACITY 
 Capacity to have and exercise rights, e.g. voting, 
agreeing contracts, making a will. 
LIABILITY CAPACITY (RESPONSIBILITIES) 
 Capacity to be held legally liable for contracts, 
torts, crimes, etc. 
Anselm Eldergill
Individual responsibility 
‘The counterpart of 
freedom and autonomy 
is accountability for acts 
freely and 
autonomously done.’ 
Anselm Eldergill
AUTONOMY 
CAPACITY 
for autonomous action 
FREEDOM 
to act autonomously 
Requires 
Reduced by 
LACK OF CAPACITY 
for autonomous action 
RESTRAINTS 
on autonomous action 
Eldergill 
Liberal obligations 
Anselm RISK-BASED, JUST, 
LIBERAL, RULE OF LAW BENEFICENCE 
Substitute decision 
Practical assistance
Liberty, treatment, safety 
 “The extent of a people's liberty to choose 
to live as they desire must be weighed 
against the claims of many other values, of 
which equality, or justice, or happiness, or 
security, or public order are perhaps the 
most obvious examples.” (Berlin) 
 Ultimately, whether individuals “should be 
allowed certain liberties at all depends on 
the priority given by society to different 
values and the crucial point is the criterion 
by which it has to be decided that a 
particular liberty should or should not be 
allowed, or that its exercise is in need of 
restraint.” (Dias)
Laws should be 
 A last resort 
 Impose minimum powers, duties and rights 
 Unambiguous 
 Just 
 As short as possible 
 In plain English 
 provide a mechanism for enforcing duties 
 provide a remedy when powers are exceeded 
Anselm Eldergill
§2 — DEFINITIONS
Definitions 
Decision ‘includes a class of decisions’ 
Intervention ‘an action taken under this Act … in respect of the RP 
by the court or High Court 
Relevant person (a) a person whose capacity is being called into 
question or may shortly be called into question in 
respect of one or more than one matter, and includes 
such a person who is— 
(i) an appointer, or 
(ii) the donor of an enduring power of attorney, 
(b) a person who lacks capacity in respect of one or 
more than one matter in accordance with the 
provisions of this Act, or 
(c) a person who falls within paragraphs (a) and (b) 
at the same time but in respect of different matters, 
as the case requires. 
Anselm Eldergill
§3 — CAPACITY 
Anselm Eldergill
Assessing capacity 
3.—(1) Subject to subsections (2) to 
(6), for the purposes of this Act 
(including for the purposes of 
creating a decision-making 
assistance agreement, co-decision-making 
agreement or enduring 
power of attorney), a person’s 
capacity shall be assessed on the 
basis of his or her ability to 
understand the nature and 
consequences of a decision to be 
made by him or her in the context of 
the available choices at the time the 
decision is made. 
Anselm Eldergill
Lack of capacity ‘to make a 
decision’ 
3.—(2) A person lacks the capacity to make a decision if he 
or she is unable— 
(a) to understand the information relevant to the decision, 
(b) to retain that information, 
(c) to use or weigh that information as part of the process of 
making the decision, or 
(d) to communicate his or her decision (whether by talking, 
writing, using sign language, assisted technology, or any 
other means) or, if the implementation of the decision 
requires the act of a third party, to communicate by any 
means with that third party. 
Anselm Eldergill
AAnn iimmppaaiirrmmeenntt 
ooff,, oorr aa 
ddiissttuurrbbaannccee iinn 
tthhee ffuunnccttiioonniinngg 
ooff,, tthhee mmiinndd oorr 
bbrraaiinn 
 IItt ddooeess nnoott 
mmaatttteerr wwhheetthheerr 
tthhee iimmppaaiirrmmeenntt 
oorr ddiissttuurrbbaannccee 
iiss ppeerrmmaanneenntt oorr 
tteemmppoorraarryy.. 
TThhee ppeerrssoonn iiss 
uunnaabbllee ttoo mmaakkee aa 
ddeecciissiioonn iinn 
rreellaattiioonn ttoo tthhee 
mmaatttteerr ffoorr 
hheerr//hhiimmsseellff 
uunnaabbllee ttoo rreettaaiinn tthhaatt 
iinnffoorrmmaattiioonn 
uunnaabbllee ttoo ccoommmmuunniiccaattee 
tthheeiirr ddeecciissiioonn ((wwhheetthheerr 
bbyy ttaallkkiinngg,, uussiinngg ssiiggnn 
llaanngguuaaggee oorr aannyy ootthheerr 
mmeeaannss)).. 
.. . 
uunnaabbllee ttoo uunnddeerrssttaanndd tthhee 
iinnffoorrmmaattiioonn rreelleevvaanntt ttoo 
tthhee ddeecciissiioonn,, 
uunnaabbllee ttoo uussee oorr wweeiigghh 
tthhaatt iinnffoorrmmaattiioonn aass ppaarrtt 
ooff tthhee pprroocceessss ooff 
mmaakkiinngg tthhee ddeecciissiioonn,, 
Compare with 2005 Act 
There is no reference in the 2013 Bill to an impairment or 
disturbance in the functioning of the mind or brain being the cause 
of the person’s inability to make a decision. Is this of any practical 
significance in terms of the range of people or actions covered? Does 
this stray into inherent-jurisdiction type cases?
15 
SScceennaarriiooss 
 Emma is in a violent and abusive relationship from which 
she seems unable to extricate herself. She will not or cannot 
apply for an injunction. 
 John has an IQ of 80. He refuses cardiac surgery which the 
consultant tells him is necessary to address a significant risk 
of a fatal heart attack. 
 John is aged 18. He is extremely immature for his age. He 
does not want to go to college to continue training. His 
teachers and family are concerned by his failure to 
understand the likely consequences of this. 
Anselm Eldergill
Autonomy and capacity 
 An individual who is 
able to understand 
and retain the 
information relevant 
to the decision is 
nevertheless still 
incapacitated if s/he 
is ‘unable to make a 
decision based on 
that information’. 
Example 
“some people may be unable 
to exert their will … because 
of delusions or compulsions or 
[some] other reason 
connected with their 
disability. The schizophrenic 
who cannot believe what his 
doctors … tell him is one 
example.” (Who Decides, 
p.13).
§4 — STATUTORY PRINCIPLES
Statutory principles 
2013 Bill 2005 Act 
1 ‘8.—(2) It shall be presumed that a [person whose 
capacity is being called into question or may shortly be 
called into question …] has capacity in respect of the 
matter concerned unless the contrary is shown in 
accordance with the provisions of this Act.’ 
Same 
2 ‘8.—(3) A [person whose capacity is being called into 
question or may shortly be called into question …] shall 
not be considered as unable to make a decision in 
respect of the matter concerned unless all practicable 
steps have been taken, without success, to help him or 
her to do so. 
Same 
3 ‘8.—(4) A [person whose capacity is being called into 
question or may shortly be called into question …] shall 
not be considered as unable to make a decision in 
respect of the matter concerned merely by reason of 
making, having made, or being likely to make, an 
unwise decision.’ 
Same
Statutory principles 
2013 Bill 2005 Act 
4 ‘8.—(5) There shall be no intervention in 
respect of a relevant person unless it is 
necessary to do so having regard to the 
individual circumstances of the relevant 
person [RP].’ 
AAnn aacctt ddoonnee,, oorr ddeecciissiioonn 
mmaaddee,, uunnddeerr tthhee AAcctt ffoorr oorr 
oonn bbeehhaallff ooff aa ppeerrssoonn wwhhoo 
llaacckkss ccaappaacciittyy mmuusstt bbee 
ddoonnee,, oorr mmaaddee,, iinn hhiiss bbeesstt 
iinntteerreessttss.. 
5 ‘8.—(6) An intervention in respect of a 
relevant person shall— 
(a) be made in a manner that minimises— 
(i) the restriction of the RP’s rights, and 
(ii) the restriction of the RP’s freedom of 
action, and 
(b) have due regard to the need to respect 
the right of the RP to his or her dignity, 
bodily integrity, privacy and autonomy.’ 
BBeeffoorree tthhee aacctt iiss ddoonnee,, oorr 
tthhee ddeecciissiioonn iiss mmaaddee,, 
rreeggaarrdd mmuusstt bbee hhaadd ttoo 
wwhheetthheerr tthhee ppuurrppoossee ffoorr 
wwhhiicchh iitt iiss nneeeeddeedd ccaann 
bbee aass eeffffeeccttiivveellyy aacchhiieevveedd 
iinn aa wwaayy tthhaatt iiss lleessss 
rreessttrriiccttiivvee ooff tthhee ppeerrssoonn’’ss 
rriigghhttss aanndd ffrreeeeddoomm ooff 
aaccttiioonn.. 
Anselm Eldergill
Wishes, beliefs and feelings 
2013 Bill 2005 Act 
‘8.—(7) The intervener, in making an intervention in 
respect of a relevant person, shall— … 
(b) give effect, in so far as is practicable, to the past 
and present will and preferences of the relevant 
person, in so far as that will and those preferences are 
reasonably ascertainable, 
(c) take into account— 
(i) the beliefs and values of the relevant person (in 
particular those expressed in writing), in so far as 
those beliefs and values are reasonably ascertainable, 
and 
(ii) any other factors which the relevant person would 
be likely to consider if he or she were able to do so, in 
so far as those other factors are reasonably 
ascertainable’ 
The person determining what is 
in the individual’s best interests 
must consider all the relevant 
circumstances and, in 
particular, must … 
Consider, so far as is 
reasonably ascertainable, the 
person’s past and present 
wishes and feelings (and, in 
particular, any relevant written 
statement made by him when 
he had capacity); the beliefs 
and values that would be likely 
to influence his decision if he 
had capacity; and the other 
factors that he would be likely to 
consider if he were able to do 
so.
§5 — STATUTORY MECHANISMS
Statutory mechanisms 
2005 Act 
 Advance decisions (to 
refuse treatment) 
 Lasting Powers of 
Attorney (PW and P&A) 
 Court orders 
 Court appointed 
deputies 
 Section 5 (PW 
informal) 
2013 Bill 
 To be inserted in the 
Bill 
 Enduring Powers of 
Attorney (PW and P&A) 
 Decision-making order 
 Decision-making 
representative order 
 Informal decision-making 
(PW) 
= 
= 
= 
= 
= 
- Decision-making 
assistance agreements 
- Co-decision-making 
agreements and orders
23 
SScceennaarriioo –– AAddvvaannccee ddeecciissiioonn 
Mr Smith has suffered from schizophrenia for many 
years. He has been detained on a number of 
occasions. His consultant prescribes him Impotentox 
when he is acutely unwell. This has very unpleasant 
side-effects for him. He makes an advance decision 
refusing the treatment in the event he becomes 
incapacitated. A year later, he relapses and is 
admitted to hospital informally. His consultant 
considers that he requires a course of Impotentox.
24 
SScceennaarriioo –– EEPPAA((11) 
 Mr Jones has a long history of schizophrenia and many 
negative symptoms. He makes an EPA authorising his friend 
Emma to make personal welfare decisions for him should he 
become incapacitated. A year later, he is admitted to hospital 
informally and accepts treatment without really 
understanding what it is for. It is common ground that he is 
now incapacitated and Emma refuses her consent to him 
being given Impotentox. 
Anselm Eldergill
25 
SScceennaarriioo –– EEPPAA((22)) 
 Mr Jones has a long history of schizophrenia and many 
negative symptoms. He makes an EPA authorising his friend 
Emma to make personal welfare decisions for him should he 
become incapacitated. A year later, he relapses and is 
admitted to hospital, but refuses Impotentox. His consultant 
and Emma take the view that he is now incapacitated. She 
consents to him being given Impotentox, if necessary using 
restraint. 
Anselm Eldergill
Informal decision-making (PW) 
An Informal decision-maker (‘IDM’) may take or authorise the taking 
of an action in respect of the personal welfare (including healthcare 
and treatment) of a relevant person [someone who lacks capacity or 
whose capacity is being, or may shortly be, called into question] 
provided that: 
• The Act does not conflict with a relevant decision made by (i) 
the RP themselves with a co-decision-maker or with the 
assistance of a decision-making assistant; or by (ii) a decision-making 
representative; or by (iii) an attorney, which the IDM 
has knowledge of or ought reasonably to have knowledge of. 
• If the act is intended to restrain the person, sub-ss. 27(5)-(8) 
are satisfied. 
• The matter is not one reserved to the High Court (non-therapeutic 
sterilisation, withdrawal of artificial life-sustaining 
treatment, the donation of an organ) or closely connected to 
such a matter.
Compare with the 5 SSeeccttiioonn 55 CCoonnddiittiioonnss 
11 The act is one undertaken ‘in connection with’ another’ person’s care or 
22 The person doing it takes reasonable steps to establish whether the 
recipient has capacity; 
33 S/he reasonably believes that the recipient lacks capacity; 
44 S/he reasonably believes that it is in their best interests for act to be 
55 If s/he uses restraint, s/he reasonably believes BOTH that it is 
necessary to do the act in order to prevent harm to the person and that 
the act is a proportionate response to the likelihood of their suffering 
harm and the seriousness of that harm. 
DEFINITION OF RESTRAINT 
treatment; 
done; 
FFoorr tthheessee ppuurrppoosseess,, aa ppeerrssoonn rreessttrraaiinnss aannootthheerr ppeerrssoonn iiff hhee ((aa)) uusseess,, oorr tthhrreeaatteennss ttoo uussee,, ffoorrccee ttoo sseeccuurree tthhee 
ddooiinngg ooff aann aacctt wwhhiicchh ss//hhee rreessiissttss,, oorr ((bb)) rreessttrriiccttss tthheeiirr lliibbeerrttyy ooff mmoovveemmeenntt,, wwhheetthheerr oorr nnoott tthheeyy rreessiisstt..
28 
SScceennaarriioo –– IInnffoorrmmaall ddeecciissiioonnss 
 Ms Fox has a profound learning disability 
and epilepsy. She is aged 17 and is being 
cared for in specialist accommodation 
during the week. Sometimes restraint is 
necessary to get her to take medication. 
Is this lawful? 
 Ms Fox returns home at weekends. Can 
her parents use restraint where this is 
necessary in order to get her to take her 
medication? 
Anselm Eldergill
SScceennaarriiooss 
 A naso-gastric tube is inserted in order 
to treat an informal patient who suffers 
from anorexia nervosa. 
Anselm Eldergill
SScceennaarriioo 
The local mental health Crisis Resolution 
Team is visiting Ms Thomas at her home. 
She has been referred to the team as an 
alternative to formal admission to 
hospital. She says that she does not 
want to take medication. A syrup is given 
to her by a member of the team who 
says restraint can be used if she resists. 
Anselm Eldergill
§6 — DECISION-MAKING ASSISTANCE 
AGREEMENTS & CO-DECISION-MAKING 
Anselm Eldergill
A mezzanine? 
Advance decisions 
LPAs (PW and P&A) 
Section 5 (PW informal) 
Court orders 
Court appointed deputies 
Decision-making 
assistance agreements 
Co-decision-making 
agreements and orders 
LPAs: subject to any conditions or 
restrictions, and PW LPA authority 
subject to lack of capacity 
Court’s powers subject to capacity, 
deputy’s subject to capacity and 
any LPA 
Anselm Eldergill
Trumps are … 
Mechanism Trumped by: 
• Informal decision-making 
(PW) 
•Not authorised to take or authorise an action which conflicts 
with a relevant decision made by (i) the RP with a co-decision- 
maker or with the assistance of a decision-making 
assistant; (ii) a decision-making representative; (iii) an 
attorney. 
•Decision-making 
ASSISTANCE 
agreements 
• With regard to relevant decision(s), ‘invalidated’ by a 
subsequent a co-decision-maker, decision-making 
representative or attorney 
•Co-decision-MAKING 
agreements 
•With regard to relevant decision(s), ‘invalidated’ by a 
subsequent a decision-making representative or attorney 
• Decision-making 
representative order 
• Powers, duties and conditions are specified by the court 
in the order appointing the representative, and 
representative may not exercise any power exercisable 
by an attorney 
• Attorney • May be removed by the court in limited circumstances 
• Decision-making 
order 
• Subject to statutory principles and statutory framework 
Anselm Eldergill
Decision-making assistance agreements 
Appointer Appointee Functions Notes 
Appointer (an 
Decision-making 
 To assist appointer re 
adult who 
Assistant 
making decisions on 
considers that 
PW [s.25(a)] and/or 
their capacity is, 
PA [s.26(1)(a)] 
or may shortly 
 Explain relevant info 
be, in question) 
and considerations; 
ascertain and help to 
communicate 
appointer’s ‘will and 
preferences’; assist 
appointer to obtain 
information and 
personal records s/he 
is entitled to; assist 
appointer to ‘make and 
express’ a relevant 
decision, and 
endeavour to ensure 
that relevant decisions 
are implemented. 
 Agreement must 
comply with regs. 
 Will (it appears) be 
in writing with notice 
of agreement to the 
PG 
 Agreement is 
partially or wholly 
‘invalidated’ by a 
subsequent co-decision 
maker, 
decision-making rep 
or attorney covering 
the relevant 
decision or all 
relevant decisions 
(s.10(5).
Co-decision-making agreements 
Appointer Appointee Functions Notes 
Appointer (an 
Co-decision-maker 
21.—(1) … The co-decision-maker 
adult who 
shall advise the appointer 
considers that 
their capacity is, 
or may shortly 
be, in question) 
respecting … relevant decisions, 
…shall share the authority to 
make relevant decisions, and 
may do all things necessary ‘to 
give effect to the authority vested 
in him or her.’ 
Explain relevant info and 
considerations; ascertain and 
help to communicate appointer’s 
‘will and preferences’; assist 
appointer to obtain information 
and personal records s/he is 
entitled to; assist appointer to 
‘make and express’ a relevant 
decision, and endeavour to 
ensure that relevant decisions are 
implemented. 
Anselm Eldergill
Declarations under section 15(1) 
Anselm Eldergill 
s.15—(1) ‘The 
relevant person 
lacks capacity to 
make one or more 
than one decision 
specified in the 
application relating 
to their PW or PA 
(a) UNLESS 
(b) EVEN IF 
the assistance of a 
suitable person as a 
co-decision-maker 
is made available to 
him or her’ 
s.17(5) The parties to the agreement (RP 
and co-decision-maker) consent 
to the making of the order 
s.17(2) The agreement is made in 
accordance with the Act 
s.17(2) The agreement is made in 
accordance with the will and 
preferences of the RP 
s.17(5) There is presently no decision-making 
agreement but the court 
is satisfied both that the RP has 
capacity to appoint a co-decision-maker 
or that a suitable person is 
willing to be appointed. 
s.17(5), 
s.20 
The parties to the agreement (RP 
and co-decision-maker) do not 
consent to the making of the order 
or the appointee is ineligible 
s.17(5) There is presently no decision-making 
agreement and the court 
is either not satisfied that the RP 
has capacity to appoint a co-decision- 
maker or that a suitable 
person is willing to be so 
appointed 
Court is able 
to make such 
an order 
Court is 
unable to 
make such 
an order 
DECISION-MAKING ORDER or 
DECISION-MAKING REP ORDER
Court applications under Part 4 
EX PARTE LEAVE 
TO APPLY NOT 
REQUIRED BY 
 Relevant person or 
their spouse/civil 
partner, decision-making 
assistant, co-decision 
maker, 
decision-making rep, 
attorney 
 Person specified in a 
court order 
 Public Guardian 
THE APPLICATION 
14.—(5) An application to the court … (including an 
ex parte application …) shall state— 
(a) the applicant’s connection with the relevant 
person, 
(b) the benefit to the relevant person sought to be 
achieved by the application, and 
(c) the reasons why the application is being made, in 
particular— 
(i) the reason why the benefit to the relevant person 
sought to be achieved has failed to be achieved in 
any other appropriate and practicable manner taken 
prior to the making of the application, and 
(ii) the reason why, in the opinion of the applicant, no 
other appropriate and practicable manner to achieve 
that benefit remains to be taken prior to the making 
of the application.
High Court 
 Non-therapeutic 
sterilisation 
 Withdrawal of artificial 
life-sustaining 
treatment 
 The donation of an 
organ 
 EPA jurisdiction 
Section 4 and Part 6 
Circuit Court 
 Exclusive jurisdiction 
in all other respects. 
38 
Jurisdiction of the courts 
Anselm Eldergill
39 
Effect of co-decision-making order 
Section Provision 
s.17(3)(a) [Where a court makes a declaration under s.15(1)(a)] ‘A 
co-decision-making agreement has no effect unless it is 
the subject of a co-decision-making order.’ 
s.17(4) Where the court makes a co-decision-making order, ‘a 
relevant decision made otherwise than jointly by the RP 
and the co-decision-maker is void’. 
s.17(6) The court may vary or discharge a co-decision-making 
order of its own motion or on application to it. 
s.17(7) The Act provides for reviews of such orders after 
approximately one year and then every 3 years. 
s.17(9) The court may revoke or vary an order if satisfied that a 
co-decision-maker is behaving/proposes to behave 
outside their authority or in a manner that is not in ‘the 
interests’ of the RP. 
s.17(3) Once an order is in place, an agreement cannot be varied 
or revoked except by court order (upon an application)
40 
Events following the making of the order 
EVENT: s17(10) 
The court is satisfied that: 
(a) the relevant person’s capacity to make a 
relevant decision has improved to the extent that 
he or she no longer requires the assistance of the 
co-decision-maker for that relevant decision, 
(b) the relevant person’s capacity to make a 
relevant decision has deteriorated to the extent 
that he or she is unable to make that relevant 
decision even when assisted by the co-decision-maker, 
(c) the relationship between the relevant person 
and the co-decision-maker has broken down, 
(d) the relevant person is unable, unwilling or 
refusing to accept the assistance of the co-decision- 
maker, or 
(e) the co-decision-maker is unable, unwilling or 
refusing to continue as such co-decision-maker. 
CONSEQUENCE: s.17(11) 
The court may: 
(a) revoke the co-decision-making order 
concerned, or 
(b) vary the terms of the co-decision-making 
order relating to the appointment 
of the co-decision-maker under the co-decision- 
making agreement which 
appointed the co-decision-maker. 
(12) The court, on making an order under 
this section which has the effect of 
revoking its approval of the appointment 
of a co-decision-maker for a relevant 
person under a co-decision-making 
agreement, shall, where the court 
considers it necessary, make further 
orders under this Part in respect of the 
relevant person. 
Anselm Eldergill
41 
How are co-decisions actually made? 
 17-(4) Where the court makes a co-decision- 
making order in respect of 
a co-decision-making agreement, a 
relevant decision made otherwise 
than jointly by the relevant person 
and the co-decision-maker is void. 
 18-(13) A relevant decision made in 
good faith jointly by the appointer 
and the co-decision-maker for the 
appointer shall be considered to 
have been made by the appointer. 
 21-(2) Where a relevant decision 
made by the appointer and a co-decision- 
maker for the appointer 
requires the signing of any 
document for its implementation, 
the document is void unless the 
appointer and the co-decision-maker 
co-sign the document. 
ACQUIESCENCE 
 19.—A co-decision-maker for the 
appointer shall acquiesce in a 
relevant decision made by the 
appointer and shall not refuse to 
sign a document referred to in 
section 21(2) if the following 2 
conditions are met: 
 (a) a reasonable person could have 
made that relevant decision; and 
 (b) no harm to the appointer or any 
other person is likely to result from 
that relevant decision.
Co- ? 
 Joint? Joint decision? 
 Co-executors 
 Co-attorney 
 Smith & Co. 
 Co-worker 
 Cohabit 
 Co-operate 
Anselm Eldergill 
‘Co-decision-maker’
Victorian Law Reform Commission 
 In a consultation paper, the Commission proposed the 
introduction of a new co-decision making appointment to help 
people in need of assistance with decision making. 
 Some groups supported the entire continuum of decision-making 
appointments proposed by the Commission, including 
co-decision makers. However, responses were mixed. 
Concerns 
 The Mental Health Legal Centre indicated that while they 
initially supported the proposal for co-decision makers, 
negative consumer feedback and concerns about the 
potential for abuse had changed their view. 
 Victoria Legal Aid expressed concern that a co-decision-making 
arrangement has the potential to be an ‘uneven 
partnership’, where the co-decision maker may heavily 
influence the person with a disability to agree with a decision 
that the co-decision maker thinks is appropriate in the 
circumstances. 
Victorian Law Reform Commission – Guardianship: Final Report, 2012 
Anselm Eldergill
Victorian Law Reform Commission 
 The Federation of Community Legal Centres shared Victoria 
Legal Aid’s concerns, and argued that ‘the co-decision making 
model … seems likely to increase complexity without much 
associated benefit’. 
Commission itself in favour 
 The Commission itself supported the introduction of co-decision-making: 
‘Co-decision making is qualitatively different to substitute 
decision making because the person with impaired decision-making 
ability continues to have legal responsibility for decisions 
about their own affairs, even though those decisions require the 
agreement of another person. 
Difficulties to consider 
 However, there were a number of ‘challenges’: 
 ‘complexity, and potential confusion … Defining the meaning of a 
‘joint’ decision, identifying the potential users … and describing 
the responsibilities of third parties who transact with co-decision 
makers are all important challenges.’ 
Victorian Law Reform Commission – Guardianship: Final Report, 2012 Anselm Eldergill
Victorian Law Reform Commission 
 ‘… the co-decision maker may be in a position to exert 
significant influence over a person with impaired decision-making 
ability. This creates the potential for abuse. In 
circumstances where a person’s decision-making ability 
fluctuates considerably, it may also be difficult for co-decision 
makers to determine whether a decision has been jointly 
made, or whether it is really a substitute decision. 
Liability to third parties 
 ‘Third parties will need to decide how they wish to deal with 
co-decision makers.’ 
 To ensure the effectiveness of co-decision-making 
arrangements, the law should state that decisions made and 
actions taken by the co-decision maker and the represented 
person within the scope of their joint arrangement should be 
treated as if they were acts of the represented person with 
capacity.’ 
Victorian Law Reform Commission – Guardianship: Final Report, 2012 
Anselm Eldergill
Victorian Law Reform Commission 
Capacity needed to make a co-decision making agreement 
 ‘Before making a co-decision-making order, [the tribunal] 
must be satisfied that it is unlikely that a person has the 
capacity to make the relevant decisions alone, and is in need 
of a co-decision maker. It is therefore necessary that the law 
specify that the person is deemed to lack capacity to make 
the relevant decisions without the support of a co-decision 
maker.’ 
Liability of the appointee 
 ‘… because the role is an unpaid, altruistic one, the 
Commission believes that the law should provide legal 
immunity for co-decision makers who have acted in good 
faith, within the terms of their appointment, and in 
accordance with their legal responsibilities. Any claim or 
action arising out of a co-decision-making arrangement 
should ordinarily be a claim against the estate of the person 
supported under that arrangement.’ 
Victorian Law Reform Commission – Guardianship: Final Report, 2012 Anselm Eldergill

More Related Content

What's hot

Fitness to stand trial 01
Fitness to stand trial 01Fitness to stand trial 01
Fitness to stand trial 01Udayan Majumder
 
Testamentary capacity ppt
Testamentary capacity pptTestamentary capacity ppt
Testamentary capacity pptdeveshwaralladi
 
Medical treatment seminar, May 2018, Manchester
Medical treatment seminar, May 2018, ManchesterMedical treatment seminar, May 2018, Manchester
Medical treatment seminar, May 2018, ManchesterBrowne Jacobson LLP
 
LEGAL MATTERS - Appointment of Curators and Administrators - March 2015
LEGAL MATTERS - Appointment of Curators and Administrators - March 2015LEGAL MATTERS - Appointment of Curators and Administrators - March 2015
LEGAL MATTERS - Appointment of Curators and Administrators - March 2015lize de la harpe
 
Assessment of evidence
Assessment of evidenceAssessment of evidence
Assessment of evidencekaziabubakar
 
Implications for Psychiatrists of Case-Law on the Mental Health Act 2001
Implications for Psychiatrists of Case-Law on the Mental Health Act 2001Implications for Psychiatrists of Case-Law on the Mental Health Act 2001
Implications for Psychiatrists of Case-Law on the Mental Health Act 2001Darius Whelan
 
Lifecare planning by use of guardianships.website
Lifecare planning by use of guardianships.websiteLifecare planning by use of guardianships.website
Lifecare planning by use of guardianships.websiteviking99
 
Chart - Immigration Effect of Selected California Firearm Offenses
Chart - Immigration Effect of Selected California Firearm OffensesChart - Immigration Effect of Selected California Firearm Offenses
Chart - Immigration Effect of Selected California Firearm OffensesUmesh Heendeniya
 
Direct Threat and Safety in the Workplace
Direct Threat and Safety in the WorkplaceDirect Threat and Safety in the Workplace
Direct Threat and Safety in the WorkplaceChakir Underdown
 
Republic of ireland mental health tribunals 2009
Republic of ireland mental health tribunals 2009Republic of ireland mental health tribunals 2009
Republic of ireland mental health tribunals 2009Anselm Eldergill
 
Compare and contrast the Mc Naughtan rule with the Durham rule
Compare and contrast the Mc Naughtan rule with the Durham ruleCompare and contrast the Mc Naughtan rule with the Durham rule
Compare and contrast the Mc Naughtan rule with the Durham ruleAbdul Qadeer Chachar
 
Insanity and automatism 2011 12
Insanity and automatism 2011 12Insanity and automatism 2011 12
Insanity and automatism 2011 12Miss Hart
 
Intentional Tort By Dr. Tabrez Ahmad Associate Professor of Law KIIT Law Scho...
Intentional Tort By Dr. Tabrez Ahmad Associate Professor of Law KIIT Law Scho...Intentional Tort By Dr. Tabrez Ahmad Associate Professor of Law KIIT Law Scho...
Intentional Tort By Dr. Tabrez Ahmad Associate Professor of Law KIIT Law Scho...guest8329fca8
 
Revitalizing the Code: Delinquency & Competency
Revitalizing the Code: Delinquency & CompetencyRevitalizing the Code: Delinquency & Competency
Revitalizing the Code: Delinquency & Competencybartoncenter
 

What's hot (18)

Fitness to stand trial 01
Fitness to stand trial 01Fitness to stand trial 01
Fitness to stand trial 01
 
Testamentary capacity ppt
Testamentary capacity pptTestamentary capacity ppt
Testamentary capacity ppt
 
Medical treatment seminar, May 2018, Manchester
Medical treatment seminar, May 2018, ManchesterMedical treatment seminar, May 2018, Manchester
Medical treatment seminar, May 2018, Manchester
 
LEGAL MATTERS - Appointment of Curators and Administrators - March 2015
LEGAL MATTERS - Appointment of Curators and Administrators - March 2015LEGAL MATTERS - Appointment of Curators and Administrators - March 2015
LEGAL MATTERS - Appointment of Curators and Administrators - March 2015
 
Assessment of evidence
Assessment of evidenceAssessment of evidence
Assessment of evidence
 
Consent as defense
Consent as defenseConsent as defense
Consent as defense
 
Implications for Psychiatrists of Case-Law on the Mental Health Act 2001
Implications for Psychiatrists of Case-Law on the Mental Health Act 2001Implications for Psychiatrists of Case-Law on the Mental Health Act 2001
Implications for Psychiatrists of Case-Law on the Mental Health Act 2001
 
Lifecare planning by use of guardianships.website
Lifecare planning by use of guardianships.websiteLifecare planning by use of guardianships.website
Lifecare planning by use of guardianships.website
 
Chart - Immigration Effect of Selected California Firearm Offenses
Chart - Immigration Effect of Selected California Firearm OffensesChart - Immigration Effect of Selected California Firearm Offenses
Chart - Immigration Effect of Selected California Firearm Offenses
 
Passaic Seminar Final
Passaic Seminar FinalPassaic Seminar Final
Passaic Seminar Final
 
Direct Threat and Safety in the Workplace
Direct Threat and Safety in the WorkplaceDirect Threat and Safety in the Workplace
Direct Threat and Safety in the Workplace
 
Republic of ireland mental health tribunals 2009
Republic of ireland mental health tribunals 2009Republic of ireland mental health tribunals 2009
Republic of ireland mental health tribunals 2009
 
Compare and contrast the Mc Naughtan rule with the Durham rule
Compare and contrast the Mc Naughtan rule with the Durham ruleCompare and contrast the Mc Naughtan rule with the Durham rule
Compare and contrast the Mc Naughtan rule with the Durham rule
 
LAW OF TORTS
LAW OF TORTSLAW OF TORTS
LAW OF TORTS
 
Insanity and automatism 2011 12
Insanity and automatism 2011 12Insanity and automatism 2011 12
Insanity and automatism 2011 12
 
Tort introduction
Tort introduction Tort introduction
Tort introduction
 
Intentional Tort By Dr. Tabrez Ahmad Associate Professor of Law KIIT Law Scho...
Intentional Tort By Dr. Tabrez Ahmad Associate Professor of Law KIIT Law Scho...Intentional Tort By Dr. Tabrez Ahmad Associate Professor of Law KIIT Law Scho...
Intentional Tort By Dr. Tabrez Ahmad Associate Professor of Law KIIT Law Scho...
 
Revitalizing the Code: Delinquency & Competency
Revitalizing the Code: Delinquency & CompetencyRevitalizing the Code: Delinquency & Competency
Revitalizing the Code: Delinquency & Competency
 

Viewers also liked

Mental capacity act 2005
Mental capacity act 2005Mental capacity act 2005
Mental capacity act 2005Angela Jackson
 
Using the Mental Capacity Act
Using the Mental Capacity Act Using the Mental Capacity Act
Using the Mental Capacity Act lnnmhomeless
 
Mental Capacity Act and Deprivation of Liberty Safeguard - Ben Troke - Januar...
Mental Capacity Act and Deprivation of Liberty Safeguard - Ben Troke - Januar...Mental Capacity Act and Deprivation of Liberty Safeguard - Ben Troke - Januar...
Mental Capacity Act and Deprivation of Liberty Safeguard - Ben Troke - Januar...Browne Jacobson LLP
 
The Mental Capacity Act
The Mental Capacity ActThe Mental Capacity Act
The Mental Capacity Actchris271154
 
Mental capacity Act & DOLS
Mental capacity Act & DOLSMental capacity Act & DOLS
Mental capacity Act & DOLSGallery
 

Viewers also liked (6)

Mental capacity act 2005
Mental capacity act 2005Mental capacity act 2005
Mental capacity act 2005
 
MCA 2005/ DoLs Briefing
MCA 2005/ DoLs BriefingMCA 2005/ DoLs Briefing
MCA 2005/ DoLs Briefing
 
Using the Mental Capacity Act
Using the Mental Capacity Act Using the Mental Capacity Act
Using the Mental Capacity Act
 
Mental Capacity Act and Deprivation of Liberty Safeguard - Ben Troke - Januar...
Mental Capacity Act and Deprivation of Liberty Safeguard - Ben Troke - Januar...Mental Capacity Act and Deprivation of Liberty Safeguard - Ben Troke - Januar...
Mental Capacity Act and Deprivation of Liberty Safeguard - Ben Troke - Januar...
 
The Mental Capacity Act
The Mental Capacity ActThe Mental Capacity Act
The Mental Capacity Act
 
Mental capacity Act & DOLS
Mental capacity Act & DOLSMental capacity Act & DOLS
Mental capacity Act & DOLS
 

Similar to Assisted-Decision Making Bill 2013 (Republic of Ireland)

Legal issues related to mental Mental health ( uganda) CRPD and others act
Legal issues related to mental Mental health ( uganda)  CRPD and others actLegal issues related to mental Mental health ( uganda)  CRPD and others act
Legal issues related to mental Mental health ( uganda) CRPD and others actcorbettaRDC
 
Legal Capacity and the Assisted Decision-Making (Capacity) Bill 2013
Legal Capacity and the Assisted Decision-Making (Capacity) Bill 2013Legal Capacity and the Assisted Decision-Making (Capacity) Bill 2013
Legal Capacity and the Assisted Decision-Making (Capacity) Bill 2013Darius Whelan
 
The President has just presented some proposed legislation to Congre
The President has just presented some proposed legislation to CongreThe President has just presented some proposed legislation to Congre
The President has just presented some proposed legislation to Congrelourapoupheq
 
Medico legal approach of the psychiatric patient
Medico legal approach of the psychiatric patientMedico legal approach of the psychiatric patient
Medico legal approach of the psychiatric patientMohamed Sedky
 
Advocacy for people with disabilities
Advocacy for people with disabilitiesAdvocacy for people with disabilities
Advocacy for people with disabilitiesSocial Care Ireland
 
Bill of rights 1987 Constitution of the Philippines
Bill of rights 1987 Constitution of the PhilippinesBill of rights 1987 Constitution of the Philippines
Bill of rights 1987 Constitution of the PhilippinesVon Ryan Sugatan
 
Kate Hill, Inpractice Training. RR Conference workshop 26th June '14
Kate Hill, Inpractice Training. RR Conference workshop 26th June '14Kate Hill, Inpractice Training. RR Conference workshop 26th June '14
Kate Hill, Inpractice Training. RR Conference workshop 26th June '14Restraint Reduction Network
 
Principles of Mental Health Laws (Eldergill)
Principles of Mental Health Laws (Eldergill)Principles of Mental Health Laws (Eldergill)
Principles of Mental Health Laws (Eldergill)Anselm Eldergill
 
Bill of Rights - 1987 Philippine Constitution
Bill of Rights - 1987 Philippine ConstitutionBill of Rights - 1987 Philippine Constitution
Bill of Rights - 1987 Philippine ConstitutionPhaura Reinz
 
Principles of Mental Health Laws (rev)
Principles of Mental Health Laws (rev)Principles of Mental Health Laws (rev)
Principles of Mental Health Laws (rev)Anselm Eldergill
 
Lecture Note- 5 Principle of Natural Justice.pptx
Lecture Note- 5 Principle of Natural Justice.pptxLecture Note- 5 Principle of Natural Justice.pptx
Lecture Note- 5 Principle of Natural Justice.pptxLoreetoSchool
 
Role of Next of kin in health decision making.pptx
Role of Next of kin in health decision making.pptxRole of Next of kin in health decision making.pptx
Role of Next of kin in health decision making.pptxAmin Badamosi
 
Admin law presentation on test of bias
Admin law presentation on test of bias Admin law presentation on test of bias
Admin law presentation on test of bias Alex Sebit sebit
 
Supt.training.standard.care
Supt.training.standard.careSupt.training.standard.care
Supt.training.standard.careWSU Cougars
 
Constitutional right to aa
Constitutional right to aaConstitutional right to aa
Constitutional right to aaallanX
 
Role of Next of Kin in healthcare.pdf
Role  of Next of Kin  in healthcare.pdfRole  of Next of Kin  in healthcare.pdf
Role of Next of Kin in healthcare.pdfAmin Badamosi
 
Jurisprudence - Theories of Adjudication
Jurisprudence - Theories of AdjudicationJurisprudence - Theories of Adjudication
Jurisprudence - Theories of Adjudicationsurrenderyourthrone
 
Anselm Eldergill: The Court of Protection and the Mental Capacity Act: Capaci...
Anselm Eldergill: The Court of Protection and the Mental Capacity Act: Capaci...Anselm Eldergill: The Court of Protection and the Mental Capacity Act: Capaci...
Anselm Eldergill: The Court of Protection and the Mental Capacity Act: Capaci...Darius Whelan
 

Similar to Assisted-Decision Making Bill 2013 (Republic of Ireland) (20)

Legal issues related to mental Mental health ( uganda) CRPD and others act
Legal issues related to mental Mental health ( uganda)  CRPD and others actLegal issues related to mental Mental health ( uganda)  CRPD and others act
Legal issues related to mental Mental health ( uganda) CRPD and others act
 
Alzheimers legal plans
Alzheimers legal plansAlzheimers legal plans
Alzheimers legal plans
 
Evoking human agency and autonomy where interpretation meets indeterminacy
Evoking human agency and autonomy where interpretation meets indeterminacyEvoking human agency and autonomy where interpretation meets indeterminacy
Evoking human agency and autonomy where interpretation meets indeterminacy
 
Legal Capacity and the Assisted Decision-Making (Capacity) Bill 2013
Legal Capacity and the Assisted Decision-Making (Capacity) Bill 2013Legal Capacity and the Assisted Decision-Making (Capacity) Bill 2013
Legal Capacity and the Assisted Decision-Making (Capacity) Bill 2013
 
The President has just presented some proposed legislation to Congre
The President has just presented some proposed legislation to CongreThe President has just presented some proposed legislation to Congre
The President has just presented some proposed legislation to Congre
 
Medico legal approach of the psychiatric patient
Medico legal approach of the psychiatric patientMedico legal approach of the psychiatric patient
Medico legal approach of the psychiatric patient
 
Advocacy for people with disabilities
Advocacy for people with disabilitiesAdvocacy for people with disabilities
Advocacy for people with disabilities
 
Bill of rights 1987 Constitution of the Philippines
Bill of rights 1987 Constitution of the PhilippinesBill of rights 1987 Constitution of the Philippines
Bill of rights 1987 Constitution of the Philippines
 
Kate Hill, Inpractice Training. RR Conference workshop 26th June '14
Kate Hill, Inpractice Training. RR Conference workshop 26th June '14Kate Hill, Inpractice Training. RR Conference workshop 26th June '14
Kate Hill, Inpractice Training. RR Conference workshop 26th June '14
 
Principles of Mental Health Laws (Eldergill)
Principles of Mental Health Laws (Eldergill)Principles of Mental Health Laws (Eldergill)
Principles of Mental Health Laws (Eldergill)
 
Bill of Rights - 1987 Philippine Constitution
Bill of Rights - 1987 Philippine ConstitutionBill of Rights - 1987 Philippine Constitution
Bill of Rights - 1987 Philippine Constitution
 
Principles of Mental Health Laws (rev)
Principles of Mental Health Laws (rev)Principles of Mental Health Laws (rev)
Principles of Mental Health Laws (rev)
 
Lecture Note- 5 Principle of Natural Justice.pptx
Lecture Note- 5 Principle of Natural Justice.pptxLecture Note- 5 Principle of Natural Justice.pptx
Lecture Note- 5 Principle of Natural Justice.pptx
 
Role of Next of kin in health decision making.pptx
Role of Next of kin in health decision making.pptxRole of Next of kin in health decision making.pptx
Role of Next of kin in health decision making.pptx
 
Admin law presentation on test of bias
Admin law presentation on test of bias Admin law presentation on test of bias
Admin law presentation on test of bias
 
Supt.training.standard.care
Supt.training.standard.careSupt.training.standard.care
Supt.training.standard.care
 
Constitutional right to aa
Constitutional right to aaConstitutional right to aa
Constitutional right to aa
 
Role of Next of Kin in healthcare.pdf
Role  of Next of Kin  in healthcare.pdfRole  of Next of Kin  in healthcare.pdf
Role of Next of Kin in healthcare.pdf
 
Jurisprudence - Theories of Adjudication
Jurisprudence - Theories of AdjudicationJurisprudence - Theories of Adjudication
Jurisprudence - Theories of Adjudication
 
Anselm Eldergill: The Court of Protection and the Mental Capacity Act: Capaci...
Anselm Eldergill: The Court of Protection and the Mental Capacity Act: Capaci...Anselm Eldergill: The Court of Protection and the Mental Capacity Act: Capaci...
Anselm Eldergill: The Court of Protection and the Mental Capacity Act: Capaci...
 

More from Anselm Eldergill

Judge Professor Eldergill Resume March 2021
Judge Professor Eldergill Resume March 2021Judge Professor Eldergill Resume March 2021
Judge Professor Eldergill Resume March 2021Anselm Eldergill
 
Part II of the Mental Health Act 1983
Part II of the Mental Health Act 1983Part II of the Mental Health Act 1983
Part II of the Mental Health Act 1983Anselm Eldergill
 
How to organise and chair serious untoward incident inquiries
How to organise and chair serious untoward incident inquiriesHow to organise and chair serious untoward incident inquiries
How to organise and chair serious untoward incident inquiriesAnselm Eldergill
 
Personality Disorder, the Law and Individual Rights
Personality Disorder, the Law and Individual RightsPersonality Disorder, the Law and Individual Rights
Personality Disorder, the Law and Individual RightsAnselm Eldergill
 
Claissifying and Diagnosing Mental Disorder
Claissifying and Diagnosing Mental DisorderClaissifying and Diagnosing Mental Disorder
Claissifying and Diagnosing Mental DisorderAnselm Eldergill
 
Mental Health and Mental Disorder: Key Concepts
Mental Health and Mental Disorder: Key ConceptsMental Health and Mental Disorder: Key Concepts
Mental Health and Mental Disorder: Key ConceptsAnselm Eldergill
 
15 Years of the Mental Capacity Act: Where are we now?
15 Years of the Mental Capacity Act: Where are we now?15 Years of the Mental Capacity Act: Where are we now?
15 Years of the Mental Capacity Act: Where are we now?Anselm Eldergill
 
Judge Professor Anselm Eldergill resume 10 may 2019
Judge Professor Anselm Eldergill resume 10 may 2019Judge Professor Anselm Eldergill resume 10 may 2019
Judge Professor Anselm Eldergill resume 10 may 2019Anselm Eldergill
 
Mental Health Tribunal Powers: Final Report on Part V of Mental Health Act 1983
Mental Health Tribunal Powers: Final Report on Part V of Mental Health Act 1983Mental Health Tribunal Powers: Final Report on Part V of Mental Health Act 1983
Mental Health Tribunal Powers: Final Report on Part V of Mental Health Act 1983Anselm Eldergill
 
Professor Anselm Eldergill, Judge of the Court of Protection, London
Professor Anselm Eldergill, Judge of the Court of Protection, LondonProfessor Anselm Eldergill, Judge of the Court of Protection, London
Professor Anselm Eldergill, Judge of the Court of Protection, LondonAnselm Eldergill
 
The Classification of Mental Disorders, Eldergill
The Classification of Mental Disorders, EldergillThe Classification of Mental Disorders, Eldergill
The Classification of Mental Disorders, EldergillAnselm Eldergill
 
Mental Health and Mental Disorder: The Legal Significance of Medical Concepts
Mental Health and Mental Disorder: The Legal Significance of Medical ConceptsMental Health and Mental Disorder: The Legal Significance of Medical Concepts
Mental Health and Mental Disorder: The Legal Significance of Medical ConceptsAnselm Eldergill
 
Involuntary psychiatric hospitalization, Appeals: Case preparation
Involuntary psychiatric hospitalization, Appeals: Case preparationInvoluntary psychiatric hospitalization, Appeals: Case preparation
Involuntary psychiatric hospitalization, Appeals: Case preparationAnselm Eldergill
 
Princeton University Law Journal: Severe personality disorder and the law
Princeton University Law Journal: Severe personality disorder and the lawPrinceton University Law Journal: Severe personality disorder and the law
Princeton University Law Journal: Severe personality disorder and the lawAnselm Eldergill
 
Homicides by Psychiatric Patients
Homicides by Psychiatric PatientsHomicides by Psychiatric Patients
Homicides by Psychiatric PatientsAnselm Eldergill
 
The NHS in the past, Eldergill
The NHS in the past, EldergillThe NHS in the past, Eldergill
The NHS in the past, EldergillAnselm Eldergill
 
Compassion and the Law: A Judicial Perspective
Compassion and the Law: A Judicial PerspectiveCompassion and the Law: A Judicial Perspective
Compassion and the Law: A Judicial PerspectiveAnselm Eldergill
 

More from Anselm Eldergill (20)

Judge Professor Eldergill Resume March 2021
Judge Professor Eldergill Resume March 2021Judge Professor Eldergill Resume March 2021
Judge Professor Eldergill Resume March 2021
 
Part II of the Mental Health Act 1983
Part II of the Mental Health Act 1983Part II of the Mental Health Act 1983
Part II of the Mental Health Act 1983
 
How to organise and chair serious untoward incident inquiries
How to organise and chair serious untoward incident inquiriesHow to organise and chair serious untoward incident inquiries
How to organise and chair serious untoward incident inquiries
 
Personality Disorder, the Law and Individual Rights
Personality Disorder, the Law and Individual RightsPersonality Disorder, the Law and Individual Rights
Personality Disorder, the Law and Individual Rights
 
Claissifying and Diagnosing Mental Disorder
Claissifying and Diagnosing Mental DisorderClaissifying and Diagnosing Mental Disorder
Claissifying and Diagnosing Mental Disorder
 
Mental Health and Mental Disorder: Key Concepts
Mental Health and Mental Disorder: Key ConceptsMental Health and Mental Disorder: Key Concepts
Mental Health and Mental Disorder: Key Concepts
 
15 Years of the Mental Capacity Act: Where are we now?
15 Years of the Mental Capacity Act: Where are we now?15 Years of the Mental Capacity Act: Where are we now?
15 Years of the Mental Capacity Act: Where are we now?
 
Judge Professor Anselm Eldergill resume 10 may 2019
Judge Professor Anselm Eldergill resume 10 may 2019Judge Professor Anselm Eldergill resume 10 may 2019
Judge Professor Anselm Eldergill resume 10 may 2019
 
Mental Health Tribunal Powers: Final Report on Part V of Mental Health Act 1983
Mental Health Tribunal Powers: Final Report on Part V of Mental Health Act 1983Mental Health Tribunal Powers: Final Report on Part V of Mental Health Act 1983
Mental Health Tribunal Powers: Final Report on Part V of Mental Health Act 1983
 
Compassion and the Law
Compassion and the LawCompassion and the Law
Compassion and the Law
 
Professor Anselm Eldergill, Judge of the Court of Protection, London
Professor Anselm Eldergill, Judge of the Court of Protection, LondonProfessor Anselm Eldergill, Judge of the Court of Protection, London
Professor Anselm Eldergill, Judge of the Court of Protection, London
 
The Classification of Mental Disorders, Eldergill
The Classification of Mental Disorders, EldergillThe Classification of Mental Disorders, Eldergill
The Classification of Mental Disorders, Eldergill
 
Mental Health and Mental Disorder: The Legal Significance of Medical Concepts
Mental Health and Mental Disorder: The Legal Significance of Medical ConceptsMental Health and Mental Disorder: The Legal Significance of Medical Concepts
Mental Health and Mental Disorder: The Legal Significance of Medical Concepts
 
Involuntary psychiatric hospitalization, Appeals: Case preparation
Involuntary psychiatric hospitalization, Appeals: Case preparationInvoluntary psychiatric hospitalization, Appeals: Case preparation
Involuntary psychiatric hospitalization, Appeals: Case preparation
 
Princeton University Law Journal: Severe personality disorder and the law
Princeton University Law Journal: Severe personality disorder and the lawPrinceton University Law Journal: Severe personality disorder and the law
Princeton University Law Journal: Severe personality disorder and the law
 
Homicides by Psychiatric Patients
Homicides by Psychiatric PatientsHomicides by Psychiatric Patients
Homicides by Psychiatric Patients
 
The NHS in the past, Eldergill
The NHS in the past, EldergillThe NHS in the past, Eldergill
The NHS in the past, Eldergill
 
Why be liberal?
Why be liberal?Why be liberal?
Why be liberal?
 
Compassion july 2015
Compassion july 2015Compassion july 2015
Compassion july 2015
 
Compassion and the Law: A Judicial Perspective
Compassion and the Law: A Judicial PerspectiveCompassion and the Law: A Judicial Perspective
Compassion and the Law: A Judicial Perspective
 

Recently uploaded

Mediation ppt for study materials. notes
Mediation ppt for study materials. notesMediation ppt for study materials. notes
Mediation ppt for study materials. notesPRATIKNAYAK31
 
如何办理(SFSta文凭证书)美国旧金山州立大学毕业证学位证书
如何办理(SFSta文凭证书)美国旧金山州立大学毕业证学位证书如何办理(SFSta文凭证书)美国旧金山州立大学毕业证学位证书
如何办理(SFSta文凭证书)美国旧金山州立大学毕业证学位证书Fs Las
 
如何办理佛蒙特大学毕业证学位证书
 如何办理佛蒙特大学毕业证学位证书 如何办理佛蒙特大学毕业证学位证书
如何办理佛蒙特大学毕业证学位证书Fir sss
 
LITERAL RULE OF INTERPRETATION - PRIMARY RULE
LITERAL RULE OF INTERPRETATION - PRIMARY RULELITERAL RULE OF INTERPRETATION - PRIMARY RULE
LITERAL RULE OF INTERPRETATION - PRIMARY RULEsreeramsaipranitha
 
如何办理美国加州大学欧文分校毕业证(本硕)UCI学位证书
如何办理美国加州大学欧文分校毕业证(本硕)UCI学位证书如何办理美国加州大学欧文分校毕业证(本硕)UCI学位证书
如何办理美国加州大学欧文分校毕业证(本硕)UCI学位证书Fir L
 
如何办理(UoM毕业证书)曼彻斯特大学毕业证学位证书
如何办理(UoM毕业证书)曼彻斯特大学毕业证学位证书如何办理(UoM毕业证书)曼彻斯特大学毕业证学位证书
如何办理(UoM毕业证书)曼彻斯特大学毕业证学位证书srst S
 
Indemnity Guarantee Section 124 125 and 126
Indemnity Guarantee Section 124 125 and 126Indemnity Guarantee Section 124 125 and 126
Indemnity Guarantee Section 124 125 and 126Oishi8
 
如何办理(Lincoln文凭证书)林肯大学毕业证学位证书
如何办理(Lincoln文凭证书)林肯大学毕业证学位证书如何办理(Lincoln文凭证书)林肯大学毕业证学位证书
如何办理(Lincoln文凭证书)林肯大学毕业证学位证书Fs Las
 
Model Call Girl in Haqiqat Nagar Delhi reach out to us at 🔝8264348440🔝
Model Call Girl in Haqiqat Nagar Delhi reach out to us at 🔝8264348440🔝Model Call Girl in Haqiqat Nagar Delhi reach out to us at 🔝8264348440🔝
Model Call Girl in Haqiqat Nagar Delhi reach out to us at 🔝8264348440🔝soniya singh
 
如何办理新西兰奥克兰商学院毕业证(本硕)AIS学位证书
如何办理新西兰奥克兰商学院毕业证(本硕)AIS学位证书如何办理新西兰奥克兰商学院毕业证(本硕)AIS学位证书
如何办理新西兰奥克兰商学院毕业证(本硕)AIS学位证书Fir L
 
如何办理伦敦南岸大学毕业证(本硕)LSBU学位证书
如何办理伦敦南岸大学毕业证(本硕)LSBU学位证书如何办理伦敦南岸大学毕业证(本硕)LSBU学位证书
如何办理伦敦南岸大学毕业证(本硕)LSBU学位证书FS LS
 
如何办理(KPU毕业证书)加拿大昆特兰理工大学毕业证学位证书
 如何办理(KPU毕业证书)加拿大昆特兰理工大学毕业证学位证书 如何办理(KPU毕业证书)加拿大昆特兰理工大学毕业证学位证书
如何办理(KPU毕业证书)加拿大昆特兰理工大学毕业证学位证书Fir sss
 
Offences against property (TRESPASS, BREAKING
Offences against property (TRESPASS, BREAKINGOffences against property (TRESPASS, BREAKING
Offences against property (TRESPASS, BREAKINGPRAKHARGUPTA419620
 
THE FACTORIES ACT,1948 (2).pptx labour
THE FACTORIES ACT,1948 (2).pptx   labourTHE FACTORIES ACT,1948 (2).pptx   labour
THE FACTORIES ACT,1948 (2).pptx labourBhavikaGholap1
 

Recently uploaded (20)

Rohini Sector 25 Call Girls Delhi 9999965857 @Sabina Saikh No Advance
Rohini Sector 25 Call Girls Delhi 9999965857 @Sabina Saikh No AdvanceRohini Sector 25 Call Girls Delhi 9999965857 @Sabina Saikh No Advance
Rohini Sector 25 Call Girls Delhi 9999965857 @Sabina Saikh No Advance
 
Russian Call Girls Service Gomti Nagar \ 9548273370 Indian Call Girls Service...
Russian Call Girls Service Gomti Nagar \ 9548273370 Indian Call Girls Service...Russian Call Girls Service Gomti Nagar \ 9548273370 Indian Call Girls Service...
Russian Call Girls Service Gomti Nagar \ 9548273370 Indian Call Girls Service...
 
Mediation ppt for study materials. notes
Mediation ppt for study materials. notesMediation ppt for study materials. notes
Mediation ppt for study materials. notes
 
Sensual Moments: +91 9999965857 Independent Call Girls Vasundhara Delhi {{ Mo...
Sensual Moments: +91 9999965857 Independent Call Girls Vasundhara Delhi {{ Mo...Sensual Moments: +91 9999965857 Independent Call Girls Vasundhara Delhi {{ Mo...
Sensual Moments: +91 9999965857 Independent Call Girls Vasundhara Delhi {{ Mo...
 
如何办理(SFSta文凭证书)美国旧金山州立大学毕业证学位证书
如何办理(SFSta文凭证书)美国旧金山州立大学毕业证学位证书如何办理(SFSta文凭证书)美国旧金山州立大学毕业证学位证书
如何办理(SFSta文凭证书)美国旧金山州立大学毕业证学位证书
 
如何办理佛蒙特大学毕业证学位证书
 如何办理佛蒙特大学毕业证学位证书 如何办理佛蒙特大学毕业证学位证书
如何办理佛蒙特大学毕业证学位证书
 
LITERAL RULE OF INTERPRETATION - PRIMARY RULE
LITERAL RULE OF INTERPRETATION - PRIMARY RULELITERAL RULE OF INTERPRETATION - PRIMARY RULE
LITERAL RULE OF INTERPRETATION - PRIMARY RULE
 
Old Income Tax Regime Vs New Income Tax Regime
Old  Income Tax Regime Vs  New Income Tax   RegimeOld  Income Tax Regime Vs  New Income Tax   Regime
Old Income Tax Regime Vs New Income Tax Regime
 
如何办理美国加州大学欧文分校毕业证(本硕)UCI学位证书
如何办理美国加州大学欧文分校毕业证(本硕)UCI学位证书如何办理美国加州大学欧文分校毕业证(本硕)UCI学位证书
如何办理美国加州大学欧文分校毕业证(本硕)UCI学位证书
 
如何办理(UoM毕业证书)曼彻斯特大学毕业证学位证书
如何办理(UoM毕业证书)曼彻斯特大学毕业证学位证书如何办理(UoM毕业证书)曼彻斯特大学毕业证学位证书
如何办理(UoM毕业证书)曼彻斯特大学毕业证学位证书
 
Indemnity Guarantee Section 124 125 and 126
Indemnity Guarantee Section 124 125 and 126Indemnity Guarantee Section 124 125 and 126
Indemnity Guarantee Section 124 125 and 126
 
如何办理(Lincoln文凭证书)林肯大学毕业证学位证书
如何办理(Lincoln文凭证书)林肯大学毕业证学位证书如何办理(Lincoln文凭证书)林肯大学毕业证学位证书
如何办理(Lincoln文凭证书)林肯大学毕业证学位证书
 
Model Call Girl in Haqiqat Nagar Delhi reach out to us at 🔝8264348440🔝
Model Call Girl in Haqiqat Nagar Delhi reach out to us at 🔝8264348440🔝Model Call Girl in Haqiqat Nagar Delhi reach out to us at 🔝8264348440🔝
Model Call Girl in Haqiqat Nagar Delhi reach out to us at 🔝8264348440🔝
 
如何办理新西兰奥克兰商学院毕业证(本硕)AIS学位证书
如何办理新西兰奥克兰商学院毕业证(本硕)AIS学位证书如何办理新西兰奥克兰商学院毕业证(本硕)AIS学位证书
如何办理新西兰奥克兰商学院毕业证(本硕)AIS学位证书
 
Vip Call Girls Greater Noida ➡️ Delhi ➡️ 9999965857 No Advance 24HRS Live
Vip Call Girls Greater Noida ➡️ Delhi ➡️ 9999965857 No Advance 24HRS LiveVip Call Girls Greater Noida ➡️ Delhi ➡️ 9999965857 No Advance 24HRS Live
Vip Call Girls Greater Noida ➡️ Delhi ➡️ 9999965857 No Advance 24HRS Live
 
如何办理伦敦南岸大学毕业证(本硕)LSBU学位证书
如何办理伦敦南岸大学毕业证(本硕)LSBU学位证书如何办理伦敦南岸大学毕业证(本硕)LSBU学位证书
如何办理伦敦南岸大学毕业证(本硕)LSBU学位证书
 
如何办理(KPU毕业证书)加拿大昆特兰理工大学毕业证学位证书
 如何办理(KPU毕业证书)加拿大昆特兰理工大学毕业证学位证书 如何办理(KPU毕业证书)加拿大昆特兰理工大学毕业证学位证书
如何办理(KPU毕业证书)加拿大昆特兰理工大学毕业证学位证书
 
Russian Call Girls Rohini Sector 7 💓 Delhi 9999965857 @Sabina Modi VVIP MODEL...
Russian Call Girls Rohini Sector 7 💓 Delhi 9999965857 @Sabina Modi VVIP MODEL...Russian Call Girls Rohini Sector 7 💓 Delhi 9999965857 @Sabina Modi VVIP MODEL...
Russian Call Girls Rohini Sector 7 💓 Delhi 9999965857 @Sabina Modi VVIP MODEL...
 
Offences against property (TRESPASS, BREAKING
Offences against property (TRESPASS, BREAKINGOffences against property (TRESPASS, BREAKING
Offences against property (TRESPASS, BREAKING
 
THE FACTORIES ACT,1948 (2).pptx labour
THE FACTORIES ACT,1948 (2).pptx   labourTHE FACTORIES ACT,1948 (2).pptx   labour
THE FACTORIES ACT,1948 (2).pptx labour
 

Assisted-Decision Making Bill 2013 (Republic of Ireland)

  • 1. Assisted Decision-Making (Capacity) Bill 2013 Anselm Eldergill
  • 2. Headings 1 Introduction 2 Definitions 3 Capacity 4 Statutory principles 5 Statutory mechanisms 6 Assistance agreements and co-decision-making Anselm Eldergill
  • 3. §1 — INTRODUCTION Anselm Eldergill
  • 4. Capacity  Is the legal ability to bear and exercise rights or to be affected by legal duties or liabilities. RIGHTS CAPACITY  Capacity to have and exercise rights, e.g. voting, agreeing contracts, making a will. LIABILITY CAPACITY (RESPONSIBILITIES)  Capacity to be held legally liable for contracts, torts, crimes, etc. Anselm Eldergill
  • 5. Individual responsibility ‘The counterpart of freedom and autonomy is accountability for acts freely and autonomously done.’ Anselm Eldergill
  • 6. AUTONOMY CAPACITY for autonomous action FREEDOM to act autonomously Requires Reduced by LACK OF CAPACITY for autonomous action RESTRAINTS on autonomous action Eldergill Liberal obligations Anselm RISK-BASED, JUST, LIBERAL, RULE OF LAW BENEFICENCE Substitute decision Practical assistance
  • 7. Liberty, treatment, safety  “The extent of a people's liberty to choose to live as they desire must be weighed against the claims of many other values, of which equality, or justice, or happiness, or security, or public order are perhaps the most obvious examples.” (Berlin)  Ultimately, whether individuals “should be allowed certain liberties at all depends on the priority given by society to different values and the crucial point is the criterion by which it has to be decided that a particular liberty should or should not be allowed, or that its exercise is in need of restraint.” (Dias)
  • 8. Laws should be  A last resort  Impose minimum powers, duties and rights  Unambiguous  Just  As short as possible  In plain English  provide a mechanism for enforcing duties  provide a remedy when powers are exceeded Anselm Eldergill
  • 10. Definitions Decision ‘includes a class of decisions’ Intervention ‘an action taken under this Act … in respect of the RP by the court or High Court Relevant person (a) a person whose capacity is being called into question or may shortly be called into question in respect of one or more than one matter, and includes such a person who is— (i) an appointer, or (ii) the donor of an enduring power of attorney, (b) a person who lacks capacity in respect of one or more than one matter in accordance with the provisions of this Act, or (c) a person who falls within paragraphs (a) and (b) at the same time but in respect of different matters, as the case requires. Anselm Eldergill
  • 11. §3 — CAPACITY Anselm Eldergill
  • 12. Assessing capacity 3.—(1) Subject to subsections (2) to (6), for the purposes of this Act (including for the purposes of creating a decision-making assistance agreement, co-decision-making agreement or enduring power of attorney), a person’s capacity shall be assessed on the basis of his or her ability to understand the nature and consequences of a decision to be made by him or her in the context of the available choices at the time the decision is made. Anselm Eldergill
  • 13. Lack of capacity ‘to make a decision’ 3.—(2) A person lacks the capacity to make a decision if he or she is unable— (a) to understand the information relevant to the decision, (b) to retain that information, (c) to use or weigh that information as part of the process of making the decision, or (d) to communicate his or her decision (whether by talking, writing, using sign language, assisted technology, or any other means) or, if the implementation of the decision requires the act of a third party, to communicate by any means with that third party. Anselm Eldergill
  • 14. AAnn iimmppaaiirrmmeenntt ooff,, oorr aa ddiissttuurrbbaannccee iinn tthhee ffuunnccttiioonniinngg ooff,, tthhee mmiinndd oorr bbrraaiinn  IItt ddooeess nnoott mmaatttteerr wwhheetthheerr tthhee iimmppaaiirrmmeenntt oorr ddiissttuurrbbaannccee iiss ppeerrmmaanneenntt oorr tteemmppoorraarryy.. TThhee ppeerrssoonn iiss uunnaabbllee ttoo mmaakkee aa ddeecciissiioonn iinn rreellaattiioonn ttoo tthhee mmaatttteerr ffoorr hheerr//hhiimmsseellff uunnaabbllee ttoo rreettaaiinn tthhaatt iinnffoorrmmaattiioonn uunnaabbllee ttoo ccoommmmuunniiccaattee tthheeiirr ddeecciissiioonn ((wwhheetthheerr bbyy ttaallkkiinngg,, uussiinngg ssiiggnn llaanngguuaaggee oorr aannyy ootthheerr mmeeaannss)).. .. . uunnaabbllee ttoo uunnddeerrssttaanndd tthhee iinnffoorrmmaattiioonn rreelleevvaanntt ttoo tthhee ddeecciissiioonn,, uunnaabbllee ttoo uussee oorr wweeiigghh tthhaatt iinnffoorrmmaattiioonn aass ppaarrtt ooff tthhee pprroocceessss ooff mmaakkiinngg tthhee ddeecciissiioonn,, Compare with 2005 Act There is no reference in the 2013 Bill to an impairment or disturbance in the functioning of the mind or brain being the cause of the person’s inability to make a decision. Is this of any practical significance in terms of the range of people or actions covered? Does this stray into inherent-jurisdiction type cases?
  • 15. 15 SScceennaarriiooss  Emma is in a violent and abusive relationship from which she seems unable to extricate herself. She will not or cannot apply for an injunction.  John has an IQ of 80. He refuses cardiac surgery which the consultant tells him is necessary to address a significant risk of a fatal heart attack.  John is aged 18. He is extremely immature for his age. He does not want to go to college to continue training. His teachers and family are concerned by his failure to understand the likely consequences of this. Anselm Eldergill
  • 16. Autonomy and capacity  An individual who is able to understand and retain the information relevant to the decision is nevertheless still incapacitated if s/he is ‘unable to make a decision based on that information’. Example “some people may be unable to exert their will … because of delusions or compulsions or [some] other reason connected with their disability. The schizophrenic who cannot believe what his doctors … tell him is one example.” (Who Decides, p.13).
  • 17. §4 — STATUTORY PRINCIPLES
  • 18. Statutory principles 2013 Bill 2005 Act 1 ‘8.—(2) It shall be presumed that a [person whose capacity is being called into question or may shortly be called into question …] has capacity in respect of the matter concerned unless the contrary is shown in accordance with the provisions of this Act.’ Same 2 ‘8.—(3) A [person whose capacity is being called into question or may shortly be called into question …] shall not be considered as unable to make a decision in respect of the matter concerned unless all practicable steps have been taken, without success, to help him or her to do so. Same 3 ‘8.—(4) A [person whose capacity is being called into question or may shortly be called into question …] shall not be considered as unable to make a decision in respect of the matter concerned merely by reason of making, having made, or being likely to make, an unwise decision.’ Same
  • 19. Statutory principles 2013 Bill 2005 Act 4 ‘8.—(5) There shall be no intervention in respect of a relevant person unless it is necessary to do so having regard to the individual circumstances of the relevant person [RP].’ AAnn aacctt ddoonnee,, oorr ddeecciissiioonn mmaaddee,, uunnddeerr tthhee AAcctt ffoorr oorr oonn bbeehhaallff ooff aa ppeerrssoonn wwhhoo llaacckkss ccaappaacciittyy mmuusstt bbee ddoonnee,, oorr mmaaddee,, iinn hhiiss bbeesstt iinntteerreessttss.. 5 ‘8.—(6) An intervention in respect of a relevant person shall— (a) be made in a manner that minimises— (i) the restriction of the RP’s rights, and (ii) the restriction of the RP’s freedom of action, and (b) have due regard to the need to respect the right of the RP to his or her dignity, bodily integrity, privacy and autonomy.’ BBeeffoorree tthhee aacctt iiss ddoonnee,, oorr tthhee ddeecciissiioonn iiss mmaaddee,, rreeggaarrdd mmuusstt bbee hhaadd ttoo wwhheetthheerr tthhee ppuurrppoossee ffoorr wwhhiicchh iitt iiss nneeeeddeedd ccaann bbee aass eeffffeeccttiivveellyy aacchhiieevveedd iinn aa wwaayy tthhaatt iiss lleessss rreessttrriiccttiivvee ooff tthhee ppeerrssoonn’’ss rriigghhttss aanndd ffrreeeeddoomm ooff aaccttiioonn.. Anselm Eldergill
  • 20. Wishes, beliefs and feelings 2013 Bill 2005 Act ‘8.—(7) The intervener, in making an intervention in respect of a relevant person, shall— … (b) give effect, in so far as is practicable, to the past and present will and preferences of the relevant person, in so far as that will and those preferences are reasonably ascertainable, (c) take into account— (i) the beliefs and values of the relevant person (in particular those expressed in writing), in so far as those beliefs and values are reasonably ascertainable, and (ii) any other factors which the relevant person would be likely to consider if he or she were able to do so, in so far as those other factors are reasonably ascertainable’ The person determining what is in the individual’s best interests must consider all the relevant circumstances and, in particular, must … Consider, so far as is reasonably ascertainable, the person’s past and present wishes and feelings (and, in particular, any relevant written statement made by him when he had capacity); the beliefs and values that would be likely to influence his decision if he had capacity; and the other factors that he would be likely to consider if he were able to do so.
  • 21. §5 — STATUTORY MECHANISMS
  • 22. Statutory mechanisms 2005 Act  Advance decisions (to refuse treatment)  Lasting Powers of Attorney (PW and P&A)  Court orders  Court appointed deputies  Section 5 (PW informal) 2013 Bill  To be inserted in the Bill  Enduring Powers of Attorney (PW and P&A)  Decision-making order  Decision-making representative order  Informal decision-making (PW) = = = = = - Decision-making assistance agreements - Co-decision-making agreements and orders
  • 23. 23 SScceennaarriioo –– AAddvvaannccee ddeecciissiioonn Mr Smith has suffered from schizophrenia for many years. He has been detained on a number of occasions. His consultant prescribes him Impotentox when he is acutely unwell. This has very unpleasant side-effects for him. He makes an advance decision refusing the treatment in the event he becomes incapacitated. A year later, he relapses and is admitted to hospital informally. His consultant considers that he requires a course of Impotentox.
  • 24. 24 SScceennaarriioo –– EEPPAA((11)  Mr Jones has a long history of schizophrenia and many negative symptoms. He makes an EPA authorising his friend Emma to make personal welfare decisions for him should he become incapacitated. A year later, he is admitted to hospital informally and accepts treatment without really understanding what it is for. It is common ground that he is now incapacitated and Emma refuses her consent to him being given Impotentox. Anselm Eldergill
  • 25. 25 SScceennaarriioo –– EEPPAA((22))  Mr Jones has a long history of schizophrenia and many negative symptoms. He makes an EPA authorising his friend Emma to make personal welfare decisions for him should he become incapacitated. A year later, he relapses and is admitted to hospital, but refuses Impotentox. His consultant and Emma take the view that he is now incapacitated. She consents to him being given Impotentox, if necessary using restraint. Anselm Eldergill
  • 26. Informal decision-making (PW) An Informal decision-maker (‘IDM’) may take or authorise the taking of an action in respect of the personal welfare (including healthcare and treatment) of a relevant person [someone who lacks capacity or whose capacity is being, or may shortly be, called into question] provided that: • The Act does not conflict with a relevant decision made by (i) the RP themselves with a co-decision-maker or with the assistance of a decision-making assistant; or by (ii) a decision-making representative; or by (iii) an attorney, which the IDM has knowledge of or ought reasonably to have knowledge of. • If the act is intended to restrain the person, sub-ss. 27(5)-(8) are satisfied. • The matter is not one reserved to the High Court (non-therapeutic sterilisation, withdrawal of artificial life-sustaining treatment, the donation of an organ) or closely connected to such a matter.
  • 27. Compare with the 5 SSeeccttiioonn 55 CCoonnddiittiioonnss 11 The act is one undertaken ‘in connection with’ another’ person’s care or 22 The person doing it takes reasonable steps to establish whether the recipient has capacity; 33 S/he reasonably believes that the recipient lacks capacity; 44 S/he reasonably believes that it is in their best interests for act to be 55 If s/he uses restraint, s/he reasonably believes BOTH that it is necessary to do the act in order to prevent harm to the person and that the act is a proportionate response to the likelihood of their suffering harm and the seriousness of that harm. DEFINITION OF RESTRAINT treatment; done; FFoorr tthheessee ppuurrppoosseess,, aa ppeerrssoonn rreessttrraaiinnss aannootthheerr ppeerrssoonn iiff hhee ((aa)) uusseess,, oorr tthhrreeaatteennss ttoo uussee,, ffoorrccee ttoo sseeccuurree tthhee ddooiinngg ooff aann aacctt wwhhiicchh ss//hhee rreessiissttss,, oorr ((bb)) rreessttrriiccttss tthheeiirr lliibbeerrttyy ooff mmoovveemmeenntt,, wwhheetthheerr oorr nnoott tthheeyy rreessiisstt..
  • 28. 28 SScceennaarriioo –– IInnffoorrmmaall ddeecciissiioonnss  Ms Fox has a profound learning disability and epilepsy. She is aged 17 and is being cared for in specialist accommodation during the week. Sometimes restraint is necessary to get her to take medication. Is this lawful?  Ms Fox returns home at weekends. Can her parents use restraint where this is necessary in order to get her to take her medication? Anselm Eldergill
  • 29. SScceennaarriiooss  A naso-gastric tube is inserted in order to treat an informal patient who suffers from anorexia nervosa. Anselm Eldergill
  • 30. SScceennaarriioo The local mental health Crisis Resolution Team is visiting Ms Thomas at her home. She has been referred to the team as an alternative to formal admission to hospital. She says that she does not want to take medication. A syrup is given to her by a member of the team who says restraint can be used if she resists. Anselm Eldergill
  • 31. §6 — DECISION-MAKING ASSISTANCE AGREEMENTS & CO-DECISION-MAKING Anselm Eldergill
  • 32. A mezzanine? Advance decisions LPAs (PW and P&A) Section 5 (PW informal) Court orders Court appointed deputies Decision-making assistance agreements Co-decision-making agreements and orders LPAs: subject to any conditions or restrictions, and PW LPA authority subject to lack of capacity Court’s powers subject to capacity, deputy’s subject to capacity and any LPA Anselm Eldergill
  • 33. Trumps are … Mechanism Trumped by: • Informal decision-making (PW) •Not authorised to take or authorise an action which conflicts with a relevant decision made by (i) the RP with a co-decision- maker or with the assistance of a decision-making assistant; (ii) a decision-making representative; (iii) an attorney. •Decision-making ASSISTANCE agreements • With regard to relevant decision(s), ‘invalidated’ by a subsequent a co-decision-maker, decision-making representative or attorney •Co-decision-MAKING agreements •With regard to relevant decision(s), ‘invalidated’ by a subsequent a decision-making representative or attorney • Decision-making representative order • Powers, duties and conditions are specified by the court in the order appointing the representative, and representative may not exercise any power exercisable by an attorney • Attorney • May be removed by the court in limited circumstances • Decision-making order • Subject to statutory principles and statutory framework Anselm Eldergill
  • 34. Decision-making assistance agreements Appointer Appointee Functions Notes Appointer (an Decision-making  To assist appointer re adult who Assistant making decisions on considers that PW [s.25(a)] and/or their capacity is, PA [s.26(1)(a)] or may shortly  Explain relevant info be, in question) and considerations; ascertain and help to communicate appointer’s ‘will and preferences’; assist appointer to obtain information and personal records s/he is entitled to; assist appointer to ‘make and express’ a relevant decision, and endeavour to ensure that relevant decisions are implemented.  Agreement must comply with regs.  Will (it appears) be in writing with notice of agreement to the PG  Agreement is partially or wholly ‘invalidated’ by a subsequent co-decision maker, decision-making rep or attorney covering the relevant decision or all relevant decisions (s.10(5).
  • 35. Co-decision-making agreements Appointer Appointee Functions Notes Appointer (an Co-decision-maker 21.—(1) … The co-decision-maker adult who shall advise the appointer considers that their capacity is, or may shortly be, in question) respecting … relevant decisions, …shall share the authority to make relevant decisions, and may do all things necessary ‘to give effect to the authority vested in him or her.’ Explain relevant info and considerations; ascertain and help to communicate appointer’s ‘will and preferences’; assist appointer to obtain information and personal records s/he is entitled to; assist appointer to ‘make and express’ a relevant decision, and endeavour to ensure that relevant decisions are implemented. Anselm Eldergill
  • 36. Declarations under section 15(1) Anselm Eldergill s.15—(1) ‘The relevant person lacks capacity to make one or more than one decision specified in the application relating to their PW or PA (a) UNLESS (b) EVEN IF the assistance of a suitable person as a co-decision-maker is made available to him or her’ s.17(5) The parties to the agreement (RP and co-decision-maker) consent to the making of the order s.17(2) The agreement is made in accordance with the Act s.17(2) The agreement is made in accordance with the will and preferences of the RP s.17(5) There is presently no decision-making agreement but the court is satisfied both that the RP has capacity to appoint a co-decision-maker or that a suitable person is willing to be appointed. s.17(5), s.20 The parties to the agreement (RP and co-decision-maker) do not consent to the making of the order or the appointee is ineligible s.17(5) There is presently no decision-making agreement and the court is either not satisfied that the RP has capacity to appoint a co-decision- maker or that a suitable person is willing to be so appointed Court is able to make such an order Court is unable to make such an order DECISION-MAKING ORDER or DECISION-MAKING REP ORDER
  • 37. Court applications under Part 4 EX PARTE LEAVE TO APPLY NOT REQUIRED BY  Relevant person or their spouse/civil partner, decision-making assistant, co-decision maker, decision-making rep, attorney  Person specified in a court order  Public Guardian THE APPLICATION 14.—(5) An application to the court … (including an ex parte application …) shall state— (a) the applicant’s connection with the relevant person, (b) the benefit to the relevant person sought to be achieved by the application, and (c) the reasons why the application is being made, in particular— (i) the reason why the benefit to the relevant person sought to be achieved has failed to be achieved in any other appropriate and practicable manner taken prior to the making of the application, and (ii) the reason why, in the opinion of the applicant, no other appropriate and practicable manner to achieve that benefit remains to be taken prior to the making of the application.
  • 38. High Court  Non-therapeutic sterilisation  Withdrawal of artificial life-sustaining treatment  The donation of an organ  EPA jurisdiction Section 4 and Part 6 Circuit Court  Exclusive jurisdiction in all other respects. 38 Jurisdiction of the courts Anselm Eldergill
  • 39. 39 Effect of co-decision-making order Section Provision s.17(3)(a) [Where a court makes a declaration under s.15(1)(a)] ‘A co-decision-making agreement has no effect unless it is the subject of a co-decision-making order.’ s.17(4) Where the court makes a co-decision-making order, ‘a relevant decision made otherwise than jointly by the RP and the co-decision-maker is void’. s.17(6) The court may vary or discharge a co-decision-making order of its own motion or on application to it. s.17(7) The Act provides for reviews of such orders after approximately one year and then every 3 years. s.17(9) The court may revoke or vary an order if satisfied that a co-decision-maker is behaving/proposes to behave outside their authority or in a manner that is not in ‘the interests’ of the RP. s.17(3) Once an order is in place, an agreement cannot be varied or revoked except by court order (upon an application)
  • 40. 40 Events following the making of the order EVENT: s17(10) The court is satisfied that: (a) the relevant person’s capacity to make a relevant decision has improved to the extent that he or she no longer requires the assistance of the co-decision-maker for that relevant decision, (b) the relevant person’s capacity to make a relevant decision has deteriorated to the extent that he or she is unable to make that relevant decision even when assisted by the co-decision-maker, (c) the relationship between the relevant person and the co-decision-maker has broken down, (d) the relevant person is unable, unwilling or refusing to accept the assistance of the co-decision- maker, or (e) the co-decision-maker is unable, unwilling or refusing to continue as such co-decision-maker. CONSEQUENCE: s.17(11) The court may: (a) revoke the co-decision-making order concerned, or (b) vary the terms of the co-decision-making order relating to the appointment of the co-decision-maker under the co-decision- making agreement which appointed the co-decision-maker. (12) The court, on making an order under this section which has the effect of revoking its approval of the appointment of a co-decision-maker for a relevant person under a co-decision-making agreement, shall, where the court considers it necessary, make further orders under this Part in respect of the relevant person. Anselm Eldergill
  • 41. 41 How are co-decisions actually made?  17-(4) Where the court makes a co-decision- making order in respect of a co-decision-making agreement, a relevant decision made otherwise than jointly by the relevant person and the co-decision-maker is void.  18-(13) A relevant decision made in good faith jointly by the appointer and the co-decision-maker for the appointer shall be considered to have been made by the appointer.  21-(2) Where a relevant decision made by the appointer and a co-decision- maker for the appointer requires the signing of any document for its implementation, the document is void unless the appointer and the co-decision-maker co-sign the document. ACQUIESCENCE  19.—A co-decision-maker for the appointer shall acquiesce in a relevant decision made by the appointer and shall not refuse to sign a document referred to in section 21(2) if the following 2 conditions are met:  (a) a reasonable person could have made that relevant decision; and  (b) no harm to the appointer or any other person is likely to result from that relevant decision.
  • 42. Co- ?  Joint? Joint decision?  Co-executors  Co-attorney  Smith & Co.  Co-worker  Cohabit  Co-operate Anselm Eldergill ‘Co-decision-maker’
  • 43. Victorian Law Reform Commission  In a consultation paper, the Commission proposed the introduction of a new co-decision making appointment to help people in need of assistance with decision making.  Some groups supported the entire continuum of decision-making appointments proposed by the Commission, including co-decision makers. However, responses were mixed. Concerns  The Mental Health Legal Centre indicated that while they initially supported the proposal for co-decision makers, negative consumer feedback and concerns about the potential for abuse had changed their view.  Victoria Legal Aid expressed concern that a co-decision-making arrangement has the potential to be an ‘uneven partnership’, where the co-decision maker may heavily influence the person with a disability to agree with a decision that the co-decision maker thinks is appropriate in the circumstances. Victorian Law Reform Commission – Guardianship: Final Report, 2012 Anselm Eldergill
  • 44. Victorian Law Reform Commission  The Federation of Community Legal Centres shared Victoria Legal Aid’s concerns, and argued that ‘the co-decision making model … seems likely to increase complexity without much associated benefit’. Commission itself in favour  The Commission itself supported the introduction of co-decision-making: ‘Co-decision making is qualitatively different to substitute decision making because the person with impaired decision-making ability continues to have legal responsibility for decisions about their own affairs, even though those decisions require the agreement of another person. Difficulties to consider  However, there were a number of ‘challenges’:  ‘complexity, and potential confusion … Defining the meaning of a ‘joint’ decision, identifying the potential users … and describing the responsibilities of third parties who transact with co-decision makers are all important challenges.’ Victorian Law Reform Commission – Guardianship: Final Report, 2012 Anselm Eldergill
  • 45. Victorian Law Reform Commission  ‘… the co-decision maker may be in a position to exert significant influence over a person with impaired decision-making ability. This creates the potential for abuse. In circumstances where a person’s decision-making ability fluctuates considerably, it may also be difficult for co-decision makers to determine whether a decision has been jointly made, or whether it is really a substitute decision. Liability to third parties  ‘Third parties will need to decide how they wish to deal with co-decision makers.’  To ensure the effectiveness of co-decision-making arrangements, the law should state that decisions made and actions taken by the co-decision maker and the represented person within the scope of their joint arrangement should be treated as if they were acts of the represented person with capacity.’ Victorian Law Reform Commission – Guardianship: Final Report, 2012 Anselm Eldergill
  • 46. Victorian Law Reform Commission Capacity needed to make a co-decision making agreement  ‘Before making a co-decision-making order, [the tribunal] must be satisfied that it is unlikely that a person has the capacity to make the relevant decisions alone, and is in need of a co-decision maker. It is therefore necessary that the law specify that the person is deemed to lack capacity to make the relevant decisions without the support of a co-decision maker.’ Liability of the appointee  ‘… because the role is an unpaid, altruistic one, the Commission believes that the law should provide legal immunity for co-decision makers who have acted in good faith, within the terms of their appointment, and in accordance with their legal responsibilities. Any claim or action arising out of a co-decision-making arrangement should ordinarily be a claim against the estate of the person supported under that arrangement.’ Victorian Law Reform Commission – Guardianship: Final Report, 2012 Anselm Eldergill

Editor's Notes

  1. Every power must be circumscribed by rights. A power to detain gives rise to a right to appeal. Every duty has to be backed by some power which enables the person having the duty to perform it.
  2. The test is based on the idea of an inability to make a true choice. In other words I know what you want, what you wish, better than you yourself do.