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17375
17Chapter 17
375
CONTENTSIntroduction� 376
Current�law� 376
Community�responses� 383
Other�jurisdictions� 387
Convention�on�the�Rights�of�Persons�with�Disabilities� 391
The�Commission’s�views�and�conclusions� 393
Responsibilities of substitute decision makers
Victorian Law Reform Commission – Guardianship: Final Report 24376
17Chapter 17Responsibilities of substitute decision makers
INTROduCTION17.1 Thischapteraddressestheresponsibilitiesofsubstitutedecisionmakers,particularly
theprinciplesandconsiderationsthatshouldguidethedecisionstheymake.
17.2 Thetensionbetweenthevaluesof‘autonomy’and‘protection’,or‘beneficence’,havebeenattheheartofdebatesanddevelopmentsinmodernguardianshiplaws.1Thischapterconsidersthesecompetingvalueswhenproposingthatdecision-makingprinciplesshouldbemodernisedsothattheyreflecttheemphasisonparticipation,equalityandautonomyembodiedwithintheUnitedNations’Convention on the Rights of Persons with Disabilities(theConvention).2Inparticular,theCommissionsuggeststhattheprincipleof‘substitutedjudgment’shouldhavegreaterprominenceinnewguardianshiplaws.
17.3 TheCommissionalsoproposesthatsimilarprinciplesshouldapplytoallsubstitutedecision-makingarrangements,regardlessofhowtheyareappointed.ThischangereflectstheCommission’srecommendationformoreintegrationofthelawacrossthevarioussubstitutedecision-makingappointments.
17.4 Thischapteralsoconsidersotherresponsibilitiessubstitutedecisionmakershaveintheperformanceoftheirroles,includinganobligationtoavoidconflictsofinterests,andadutyofconfidentialitytotherepresentedperson.
17.5 TheCommission’srecommendationsabouthowsubstitutedecisionmakersshouldbeheldaccountablefortheirconductandthedecisionstheymakeisdiscussedinChapter18.
CuRRENT Law17.6 Theresponsibilitiesofguardians,administratorsandthepersonresponsibleformedical
decisionsaresetoutprimarilyintheGuardianship and Administration Act 1986 (Vic)(‘G&AAct’).Thesesubstitutedecisionmakersalsohavegenerallawresponsibilities,suchasfiduciaryduties,whichawaitdevelopmentbythecourtsincaselaw.
17.7 TheresponsibilitiesofenduringfinancialattorneysarefoundintheInstruments Act 1958(Vic)andthegenerallaw.Theresponsibilitiesofmedical‘agents’inrefusingmedicaltreatmentaredetailedintheMedical Treatment Act 1988 (Vic).
17.8 Weconsidereachappointmentinmoredetailbelow.
ObjECTS Of ThE GuaRdIaNShIp aNd admINISTRaTION aCT17.9 AlldecisionmakersundertheG&AAct—includingguardians,administratorsandthe
personresponsibleformedicaldecisions—mustexercisetheirpowerssothat:
• themeanswhichisleastrestrictiveofaperson’sfreedomofdecisionandactionasispossibleinthecircumstancesisadopted
• thebestinterestsofapersonwithadisabilityarepromoted
• thewishesofapersonwithadisabilityaregiveneffecttowhereverpossible.3
17.10 Thesemattersguidetheperformanceof‘everyfunction,power,authority,discretion,jurisdictionanddutyconferredorimposed’bytheG&AAct.
1 TerryCarney,‘Guardianship,CitizenshipandTheorisingSubstituteDecisionMakingLaw’inIDorenandASoden,Beyond Elder Law: New Directions in Law and Ageing(Springer,forthcoming2012).
2 Convention on the Rights of Persons with Disabilities,openedforsignature30March2007,999UNTS3(enteredintoforce3May2008)(‘Convention on the Rights of Persons with Disabilities’).
3 Guardianship and Administration Act 1986 (Vic)s4(2).SeealsoXYZ v State Trustees Ltd [2006]VSC444(22November2006).
377
17.11 TheG&AActalsoprovidesspecificguidanceabouthowparticularsubstitutedecisionmakers—guardians,administratorsandthepersonresponsibleformedicaldecisions—shouldexercisetheirpowers.
GuaRdIaNS aNd ENduRING GuaRdIaNS17.12 Theoverridingresponsibilityforguardiansinexercisingtheirpowersistoactinthe
‘bestinterests’oftherepresentedperson.4TheG&Astatesthiscanbeachievedby:
• actingasanadvocatefortherepresentedperson
• encouragingtherepresentedpersontoparticipateasmuchaspossibleinthelifeofthecommunity
• encouragingandassistingtherepresentedpersontobecomecapableofcaringforthemselvesandmakingreasonablejudgmentsinrelationtomattersaffectingthem
• protectingtherepresentedpersonfromneglect,abuseorexploitation
• actinginconsultationwiththerepresentedperson,takingintoaccounttheirwishesasfaraspossible.5
17.13 Theseprinciplesapplyequallyto‘privateguardians’,suchasafamilymemberorfriend,andthePublicAdvocatewhenappointedasaguardianbytheVictorianCivilandAdministrativeTribunal(VCAT).Theyalsoapplytopersonallyappointedenduringguardians.6
17.14 Inpractice,enduringguardianshavetheaddedresponsibilityofdeterminingifthepersonappointingthemhaslosttheabilitytomakeadecision.Thismeansthattheyareobligedtodecidewhenandtowhatextenttheirpowerscomeintooperation.7
Guardianship standards17.15 TheAustralianGuardianshipandAdministrationCouncil8hasdevelopedasetof
NationalGuardianshipStandardstoguideguardiansabouthowtoperformtheirrole.9ThePublicAdvocatehaslargelyadoptedthesestandardsinherownGuardianshipStandards.10
17.16 ThePublicAdvocate’sGuardianshipStandardsinclude:
• providinginformationtotherepresentedpersonabouttheguardian’srole,authorityandguardianshipservicestandards,andprovidinginformationtorelevanthealthcareprofessionalsaboutsubstitutedecisionmaking
• seekingviewsfromtherepresentedpersonthroughongoingpersonalcontact,followingtheseviewswhereverpossible,andconsideringanyobjectionstherepresentedpersonhastoaproposedcourseofaction
• seekingviewsoffamilyandothersintherepresentedperson’slifeforimportantdecisions
• takingintoconsiderationtherecommendationsofhealthprofessionalswhererelevant
4 Guardianship and Administration Act 1986 (Vic)s28(1).5 Ibids28(2).6 Ibids35B(5).7 Ibidss35B(1)–(3).8 TheAustralianGuardianshipandAdministrationCouncilcomprisesalltheguardianshiptribunals,publicadvocates,andtheprimarypublic
trusteebodiesineachAustralianstateandterritory.Forfurtherdetails,seetheAustralianGuardianshipandAdministrationCouncil’swebsite:<http://www.agac.org.au/>.
9 AustralianGuardianshipandAdministrationCouncil,National Standards of Public Guardianship(7October2009)<http://www.agac.org.au/images/stories/national_stands_public_guardianship.pdf>.
10 OfficeofthePublicAdvocate(Victoria),Guardianship Standards(11August2010)<http://www.publicadvocate.vic.gov.au/about-us/199/>.
Victorian Law Reform Commission – Guardianship: Final Report 24378
17Chapter 17Responsibilities of substitute decision makers
• advocatingfortheleastrestrictivealternativethatmeetstheneedsoftheperson
• makingdecisionsinaccordancewiththelegislativeprinciplesandthetermsoftheorder,andprovidingwrittenreasonsfordecisionsuponrequest
• recordinginformationrelevanttomakingdecisions,includingreasonsfordecisions
• participatinginguardianshipreassessments,includingbyrequestingareassessmentiftheguardianbelievesacancellationorchangeoftheorderisappropriate,andbyprovidingawrittenreporttoVCATdetailingdecisionsmadeandarecommendationabouttheorder
• ensuringtheprivacyandconfidentialityoftherepresentedpersonandkeypeopleintheirlife.11
17.17 ThesestandardsapplytopublicguardiansandcommunityguardiansappointedbythePublicAdvocate,andarealsorecommendedforprivateguardians.12
admINISTRaTORS17.18 Likeguardians,administratorsarerequiredtoactinthebestinterestsofthe
representedperson.TheG&AActstatesthatthisincludes:
• encouragingandassistingtherepresentedpersontobecomecapableofmanagingtheirestate
• actinginconsultationwiththerepresentedperson,takingintoaccounttheirwishesasfaraspossible.13
17.19 Administratorsarealsosubjecttoresponsibilitiesatgenerallaw,astheirrelationshipwitharepresentedpersonisonethatattractsfiduciaryduties.14
17.20 ThePublicAdvocatesummarisesthecoreresponsibilitiesofadministratorsas:
• alwaysactinginthebestinterestsoftherepresentedperson
• consultingwiththerepresentedpersonasmuchaspossible
• avoidingtransactionswherethereisarealorperceivedconflictofinterest
• ensuringtheongoingappropriatenessofanyinvestmentsmadeonbehalfoftherepresentedperson.15
General responsibilities17.21 TheG&AActalsocontainsdetailedinstructionsaboutthepowersanddutiesof
administrators.TheCommissionconsidersthepowersofadministratorsinmoredetailinChapter12,butsomeofthesepowersaredraftedinawaythatalsoencompassresponsibilities.
11 Ibid.12 OfficeofthePublicAdvocate(Victoria),Administration Guide: A Guide for People Appointed as Administrators under the Guardianship and
Administration Act 1986(2009)<http://www.publicadvocate.vic.gov.au/file/file/Administration/Administration%20Guidev2%20for%20web5.pdf>;OfficeofthePublicAdvocate(Victoria),Community Guardianship Manual(2008),23–5<http://www.publicadvocate.vic.gov.au/file/file/Volunteers/Community_Guardianship_Manual.pdf>.
13 Guardianship and Administration Act 1986 (Vic)s49(2).14 Forageneraldiscussionoffiduciaryrelationshipsandtheirobligations,seeHospital Products Ltd v United States Surgical Corporation (1984)
156CLR41.InrelationtothefiduciarynatureofadministrationinVictoria,seeState Trustees Limited v Hayden(2002)4VR229[49];HH (Guardianship)[2008]VCAT2344(12November2008)[103].
15 OfficeofthePublicAdvocate(Victoria),Administration Guide: A Guide for People Appointed as Administrators under the Guardianship and Administration Act 1986 (2009),7<http://www.publicadvocate.vic.gov.au/file/file/Administration/Administration%20Guidev2%20for%20web5.pdf>(‘Administration Guide’).
379
17.22 Administrators,totheextentthattheirauthorityundertheG&AActandtheadministrationorderallows,have‘thegeneralcareandmanagementoftheestateoftherepresentedperson’.16Itistheirdutyto:
takepossessionandcareof,recover,collect,preserveandadministerthepropertyandestateoftherepresentedpersonandgenerallytomanagetheaffairsoftherepresentedpersonandtoexerciseallrightsstatutoryorotherwisewhichtherepresentedpersonmightexerciseiftherepresentedpersonhadlegalcapacity.17
17.23 Theyalsohavethepowerto:
doallactsandexerciseallpowersconcerningtheestateaseffectuallyandinthesamemannerasthepersonwhoseestatetheyareadministeringcouldhavedoneiftheywerenotunderalegaldisability.18
Investment of funds17.24 Inexercisingtheirpowerstoinvestthefundsoftherepresentedperson,
administratorsmay:
• continueinvestingtherepresentedperson’smoneyinthesamewayithadbeenpreviouslyinvested
• inthecaseofmoneydepositedintheperson’sbankaccount,redepositthismoneyintotheaccountwhenitbecomespayable
• exercisethesamepowersasiftheadministratorwereatrusteeoftheestateundertheTrustee Act 1958 (Vic).19
17.25 TheTrusteeAct imposesadditionalresponsibilitiesinrelationtothepowerofinvestment.Inparticular,itcontainsthe‘prudentpersonprinciple’,whichguidestheexerciseofinvestmentresponsibilities.20
17.26 Underthisprinciple,professionalinvestorsarerequiredto‘exercisethecare,diligenceandskillthataprudentpersonengagedinthatprofession,businessoremploymentwouldexerciseinmanagingtheaffairsofotherpersons’.21Non-professionalinvestorsarerequiredto‘exercisethecare,diligenceandskillthataprudentpersonwouldexerciseinmanagingtheaffairsofotherpersons’.22
17.27 TheTrusteeAct alsoimposesmorespecificobligationsinrelationtoinvestmentdecisions,whichthePublicAdvocateadvisesshouldguideadministrators.23Thisrequiresadministratorstoconsider:
• thepurposesoftheadministrationorderandtheneedsandcircumstancesoftherepresentedperson
• thedesirabilityofdiversifyingtherepresentedperson’sinvestments
• thenatureofandriskassociatedwithexistinginvestmentsandotherproperty
• theneedtomaintaintherealvalueofthecapitalorincome
• theriskofcapitalorincomelossordepreciation
• thepotentialforcapitalappreciation
• thelikelyincomereturnandthetimingofincomereturn
16 Guardianship and Administration Act 1986 (Vic)s58B(1)(a).17 Ibids58B(1)(b).18 Ibids58B(1)(c).19 Ibids51.20 Trustee Act 1958(Vic)s6(1).21 Ibids6(1)(a).22 Ibids6(1)(b).23 Administration Guide,aboven15,7–8.
Victorian Law Reform Commission – Guardianship: Final Report 24380
17Chapter 17Responsibilities of substitute decision makers
• thelengthofthetermoftheproposedinvestment
• theprobabledurationoftheorder
• theliquidityandmarketabilityoftheproposedinvestment
• thetotalvalueoftheestate
• thetaxconsequencesoftheproposedinvestment
• thelikelyeffectofinflationontheproposedinvestment
• thecosts(includingcommissions,fees,chargesanddutiespayable)ofmakingtheproposedinvestment
• theresultsofareviewofexistingtrustinvestments.24
fees17.28 ProfessionaladministratorssuchasStateTrusteeschargefeestotherepresented
personfortheservicestheyprovide,butprivateadministratorsmayonlyclaimout-of-pocketexpensesforperformingtheirroleunlessVCATordersotherwise.25ThefeesaprofessionaladministratormaychargearesetoutintheVCATorder.
VCaT advice and approval17.29 VCATadministrationorderscommonlyrequireVCATapprovalofmajortransactions,
suchasthesaleofrealestate,beforetheycangoahead.AdministratorsmayalsoseekadvicefromVCATbeforeundertakingacourseofaction.26
National Standards for financial managers17.30 In2011,theAustralianGuardianshipandAdministrationCouncilprepared‘National
StandardsforFinancialManagers’.27Thesestandardsareintendedtoapplytofinancialmanagers(called‘administrators’inVictoria)appointedbyanAustraliantribunal.
17.31 Thestandardsrequirethatfinancialmanagers:
• keeptherepresentedpersoninformedaboutallaspectsoftheirfinancialaffairs
• advocatefortherepresentedpersonasnecessary,includingtoensurethatthepersonisnotunfairlytreatedorfinanciallyabused
• seekviewsandinvolvetherepresentedpersoninrelationtomajordecisions
• protecttheassetsoftherepresentedperson,andidentifyanyentitlementsthepersonmayhave
• makedecisionswiththerepresentedpersonthatareintheirbestinterests,includingbyconsultingwiththepersonandotherimportantpeopleintheirlife
• investmoneyforthebenefitoftherepresentedpersonanddevelopabudgettomeettheirneeds
• makepaymentstotherepresentedpersonfortheirbenefit
• keeprecordsoftherepresentedperson’sfinancialaffairsandofmajordecisions
• respecttheprivacyandconfidentialityoftherepresentedperson
• protectandrespectthelegalrightsoftherepresentedperson
24 Trustee Act 1958 (Vic)s8(1).25 Guardianship and Administration Act 1986 (Vic)s47A.26 Ibids55.27 AustralianGuardianshipandAdministrationCouncil,National Standards for Financial Managers (January2011)<http://www.agac.org.au/
images/stories/nat_stds_fin_mgrs.pdf>.
381
• beprofessional,bytreatingtherepresentedpersonwithdignityandrespect,communicatinginwaysthepersoncanunderstand,avoidingconflictsofinterestandnotimposingpersonalviewsontheperson
• contributetoreviewsofordersbypreparingreportstothetribunalandmakingrecommendationswhereappropriate.28
aTTORNEyS appOINTEd uNdER ThE INSTRumENTS aCT 1958 (VIC)17.32 Theresponsibilitiesofpersonallyappointedfinancialattorneysarederivedfromthe
Instruments Act 1958 (Vic)andthegenerallaw.Uponacceptingtheirappointment,anattorneymustundertaketo:
• exercisetheirpowerswithreasonablediligencetoprotecttheinterestsoftherepresentedperson
• avoidactingwherethereisanyconflictofinterestbetweentheinterestsoftherepresentedpersonandtheattorney’sinterests
• exercisetheirpowersinaccordancewiththerequirementsundertheInstrumentsAct.29
17.33 TheInstrumentsAct alsorequiresattorneystokeepandpreserveaccuraterecordsandaccountsofalldealingsandtransactionsmadeunderthepower.30
17.34 TheInstrumentsActdoesnotplaceacleardutyonattorneystoconsidertherepresentedperson’spreferenceswhenmakingadecision.
17.35 Aswithadministrators,therelationshipbetweentheattorneyandtherepresentedpersonisonethatattractsfiduciaryduties,includingadutyfortheattorneynottoactintheirowninterest.31
17.36 ThePublicAdvocatehassummarisedattorneys’otherlegalresponsibilitiesas:
• actingintherepresentedperson’sbestinterests
• recognisingtherepresentedperson’srighttoparticipateindecisionsasmuchaspossible
• respectingtherepresentedperson’sworth,dignityandhumanrights
• recognisingtherepresentedpersonasavaluedmemberofsocietyandencouragingtheirparticipationincommunitylife
• takingintoaccounttheimportanceoftherepresentedperson’sexistingsupportiverelationships,values,cultureandlanguage
• ensuringthatdecisionsareappropriatetotherepresentedperson’scharacteristicsandneeds
• ensuringconfidentiality
• keepingtherepresentedperson’spropertyseparate,exceptwhereitisjointlyowned
• notexceedingthepowerssetoutintheappointmentform.32
17.37 TheserequirementsarenotexplicitlysetoutintheInstrumentsAct.
28 Ibid.29 Instruments Act 1958 (Vic)s125B(5).Thisundertakingispartofthecompulsoryformforenduringpowerofattorney(financial)approved
bytheSecretaryoftheDepartmentofJustice.SeeInstruments Act 1958 (Vic)ss123(1),125ZLand‘TheInstruments (Enduring Powers of Attorney) Act 2003—ApprovedForms’inVictoria,Victorian Government Gazette,NoG9,2004,437–41.
30 Instruments Act 1958 (Vic)s125D.31 Foradiscussionoftheobligationsunderafiduciaryrelationship,seeRe OAC [2008]QGAAT72(14October2008)[13]–[20].32 OfficeofthePublicAdvocate(Victoria),Advice for Attorneys (Financial) (18January2011),3<http://www.publicadvocate.vic.gov.au/file/file/
Powerofattorney/OPA_Advice%20for%20Attorneys%20Financial_Web_08.pdf>.WediscussthepersonresponsibleroleinmoredetailinChapter13.
Victorian Law Reform Commission – Guardianship: Final Report 24382
17Chapter 17Responsibilities of substitute decision makers
pERSON RESpONSIbLE17.38 Theprimaryresponsibilityofthepersonresponsibleformedicalanddentaldecisionsis
tomakedecisionsthatareinthebestinterestsofthepatient.33Indoingso,thepersonresponsiblemusttakeintoaccount:
• thewishesofthepatient,asfarastheycanbeascertained
• thewishesofanynearestrelativeoranyotherfamilymembers
• theconsequencestothepatientifthetreatmentisnotcarriedout
• anyalternativetreatmentavailable
• thenatureanddegreeofanysignificantrisksassociatedwiththetreatmentoranyalternativetreatment
• whetherthetreatmentisonlytopromoteandmaintainthehealthandwellbeingofthepatient.34
17.39 Thepersonresponsiblemayonlyconsenttoamedicalresearchprocedureiftheybelieveitwouldnotbecontrarytothepatient’sbestinterests.35Thematterstoconsideraresimilartothosethatarerelevantwhenmakingmedicaltreatmentdecisions.36
aGENT appOINTEd by aN ENduRING pOwER Of aTTORNEy (mEdICaL)17.40 WhereanagentdecidestorefusetreatmentundertheMedical Treatment Act 1988
(Vic),theymustbeinformedaboutthepatient’scurrentcondition.Thisinformationmustbesufficienttoallowthepatient,iftheyhadcapacity,tomaketheirowndecisionaboutwhethertorefusethetreatment.37Ifthishashappened,andtheagentunderstandsthatinformation,they38maymakeadecisiontorefusetreatmentonbehalfofthepatient.39Anagentmayrefusemedicaltreatment(ratherthan‘withholdconsent’)onlywhere:
• themedicaltreatmentwouldcauseunreasonabledistresstothepatient,or
• therearereasonablegroundsforbelievingthatthepatient,ifcompetent,andaftergivingseriousconsiderationtotheirhealthandwellbeing,wouldconsiderthatthemedicaltreatmentisunwarranted.40
17.41 WeconsiderissuesaroundmedicalanddentalproceduresandtreatmentforpeoplewhocannotconsentinmoredetailinChapter13.
CONfIdENTIaLITy17.42 TheG&AActdoesnotspecificallyrequiresubstitutedecisionmakerstomaintainthe
confidentialityofanyinformationabouttherepresentedpersonthattheyobtainbyvirtueofthatrelationship.Victoria’slegislationisoutofstepwiththatofsomeotherAustralianjurisdictionsonthisissue.Forexample,theNewSouthWaleslegislationprohibitsdisclosureofinformationobtainedbyaguardianorfinancialmanager41otherthanincompliancewithoneoftheexceptionssetoutintheAct.42
33 Guardianship and Administration Act 1986 (Vic)s42H(2).34 Ibids38(1).35 Ibids42S(3).36 Ibids42U(1).Themajordifferencebetweenmedicalresearchproceduresandmedicaltreatmentisthatformedicalresearchprocedures
theavailabilityofalternativetreatment,andwhethertheprocedureisonlytopromotethehealthandwellbeingofthepatient,arenotmandatoryconsiderations.
37 Medical Treatment Act 1988(Vic)s5B(1)(a).38 Thispowertorefusetreatmentcanalsobegiventoandexercisedbyaguardian:Medical Treatment Act 1988(Vic)s5B(1)(a).39 Medical Treatment Act 1988(Vic)s5B(1).40 Ibids5B(2).41 ‘Financialmanager’isthetermusedinNewSouthWaleslawtodescribean‘administrator’.42 Guardianship Act 1987(NSW)s101.
383
17.43 Althoughtheequitabledutyofconfidenceprobablyobligessubstitutedecisionmakerstomaintaintheconfidentialityofanyinformationabouttherepresentedpersonthattheyobtainbyvirtueofthatrelationship,43theCommissionisunawareofanycircumstancesinwhichapersonhassoughttoinvokethisgenerallawduty.
COmmuNITy RESpONSES17.44 Theconsultationpaperproposedthatnewguardianshiplawsshouldprovidesubstitute
decisionmakerswithclearguidanceabouttheirresponsibilities.Itproposed:
• amoreconsistentapproachtodecisionmakingacrossdifferentsubstitutedecision-makingappointments
• moreguidanceabouthowthewishesoftherepresentedpersonshouldguidesubstitutedecisionmakers
• includingtheconceptof‘substitutedjudgment’asadecision-makingprinciple
• replacingthenotionof‘bestinterests’withthatof‘personalandsocialwellbeing’.
17.45 TheCommissionproposedthesereformsinresponsetoconcernsthatcurrentguidancewasinadequateandfragmented,andbecausethelawshouldbetterreflectcontemporaryviewsabouttherightsandinterestsofpeoplewithimpaireddecision-makingability.
17.46 Thesuggestionconcerningtheprincipleof‘substitutedjudgment’—whichinvolvesasubstitutedecisionmakerseekingtomakethejudgmentsanddecisionsthatthepersonthemselveswouldmakeinthecircumstances—wasthemostsignificantreformproposalandtheonethatgeneratedthemostresponses.
ExpRESSEd wIShES, bEST INTERESTS aNd SubSTITuTEd judGmENT17.47 Theconsultationpaperaskedanumberofquestionsaboutthedifferentprinciples
thatshouldguidesubstitutedecisionmakerswhentheyaremakingdecisions.Thesequestionsraisedchallengingissuessuchas:
• howtobalancewishesapersonexpressedinthepast,whentheyhadcapacity,withwishestheyareexpressingnowwhentheynolongerhavecapacitytomaketheirowndecisions
• howtobalancetheperson’swisheswithwhatthedecisionmakerthinksisbestforthem
• howtomakethedecisionthatthepersonthemselveswouldmakenowiftheyhadthecapacitytodoso(substitutedjudgment).
17.48 SeniorsRightsVictorialinkedtheseissuestotheUnitedNations’Convention:
Article12(4)oftheCRPD[theConventions]providesthatmeasuresrelatingtotheexerciseoflegalcapacityshouldrespecttherights,willandpreferencesoftheperson,beproportionateandtailoredtotheperson’scircumstances,applyfortheshortesttimepossibleandbesubjecttoregularreview.Webelievethattherights,willandpreferencesofthepersonshouldbethestartingpoint,andnotjustaconsideration,inthedecision-makingprocessofasubstitutedecisionmaker.44
43 Fordiscussionoftheequitabledutyofconfidence,seeGEDalPont,DRCChalmersandJKMaxton,Equity and Trusts: Commentary and Materials(Lawbook,4thed,2007)170–225.
44 SubmissionCP71(SeniorsRightsVictoria).
Victorian Law Reform Commission – Guardianship: Final Report 24384
17Chapter 17Responsibilities of substitute decision makers17.49 Manysubmissionsacknowledgedthecomplexityoftheseissuesandreferredto
thedifficultiesassociatedwithrelyingtooheavilyuponthestatedwishesoftherepresentedperson,eitherinthepastoratthetimeofthedecision.Difficultiescanarisebecause:
• Allpeoplewillchangetheirmindsovertime.45
• Pastwishesandcurrentwishescanconflictwitheachotherandthewaytobalancethetwohastobedeterminedaccordingtowhatbestpromotesthepersonalandsocialwellbeingoftheperson,ratherthanbyprescribingthatonestatementofwishesshouldhaveprecedenceovertheother.46
17.50 TheLawInstituteofVictoriaalsoarguedthatthelawshouldnotbetooprescriptiveaboutthisissue:
TheLIVcautionsagainstprescriptiveguidanceabouthowasubstitutedecisionmakershouldbalancethewishesapersonexpressesatthetimeadecisionismade,andanypastwishes,views,beliefsandvaluesthepersonhasexpressed.TheLIVconsidersthateachdecisionshouldbedealtwithonacasebycasebasisandwenotethattheapproachmayvarydependingontherelevantdecision,knowledgeofandnatureofwishesexpressedandtheextentthatdecision-makingcapacityisimpaired.Itmayalsodependonwhetherthepersonhaspreviouslyhadcapacityforthosedecisions.47
17.51 VictoriaLegalAidstressedtheimportanceofdialoguewiththerepresentedpersoninthesesituationsofconflictbetweenpastwishesandcurrentwishes.Ithighlightedthewaysinwhichacquiringadisabilitymightitselftriggerachangeintheperson’sviews:
Thedecisionmakershouldalsoberequiredtodiscusswiththerepresentedpersonanyevidenceoftheirpreviouslyexpressedwishes,viewsandbeliefsandseektounderstandthebasisonwhichtheyhavenowchangedthosewishes.Ifthereisareasonablebasisforthechange,thentheprincipleofsubstitutedjudgmentsuggeststhatthecurrentwishesshouldbefollowed.Itisquitehumanforpreferencesandwishestochangeovertime,anditisnotsurprisingthatsomeonewhohasacquiredadisabilityandconsequentincapacitymayhavechangedtheirviewsandwishesovertime.48
17.52 TheFederationofCommunityLegalCentressawsubstitutedjudgmentasameansofhelpingtoclarifyandresolvesomeofthetensionsthatcanariseinrelationtoconflictingstatedwishes.ItreferredtothewayinwhichthisissuehasbeendealtwithintheUnitedKingdom’sMental Capacity Act 2005 (UK):
InthatAct,thephrase‘factorsthatthepersonwouldhavebeenlikelytoconsideriftheywereableto’giveseffecttotheprincipleunderpinningsubstitutedjudgment.Itsuggeststhatifthepersonhadcapacitywhenpastwisheswereknown,thenthesewishesshouldbegivenmoreweightthanwishesexpressedinthepresentwhenthepersonisnowassessedasnothavingcapacitywithrespecttothoseparticulardecisions.49
45 SubmissionCP24(AutismVictoria).46 SubmissionCP19(OfficeofthePublicAdvocate).47 SubmissionCP77(LawInstituteofVictoria).48 SubmissionCP73(VictoriaLegalAid).49 SubmissionCP75(FederationofCommunityLegalCentres).
385
17.53 ButtheCouncilontheAgeingsoundedanoteofcaution:
Wewouldagreethatthis[substitutedjudgment]shouldbethestartingpointformakingdecisionsonbehalfofapersonwhocan’tmakedecisionsforthemselves.Itmaynotalwaysbepossibletoknowwhatapersonwouldhavedecided,insituationsthatareneworconflictingwiththeirusualpreferences.Promotionofthepersonalandsocialwellbeingofthepersonmayneedtobeconsideredaswell.50
17.54 Theriskofrelyingtooheavilyonsubstitutedjudgment,withits‘difficultandunclear…evidentiarybasis’,wasraisedbyStateTrustees,whichsawtheproposalastooopentoabuseandtoolikelytoleadtoindividualsbeingdeemedincapableofeverchangingapre-existingmindset.51
17.55 Someresponses,suchasthosegivenintheCommission’sconsultationswithNationalDisabilityServices,sawtheconceptasbeinginprincipleagoodone,butneverthelessonetowhichitwouldbedifficulttogivesubstanceandmeaning.52
OThER CONSIdERaTIONS
Treating the represented person with courtesy and respect17.56 Theconsultationpaperaskedifthelawshouldspecificallyrequiresubstitutedecision
makerstotreatrepresentedpersons,andpeoplewhoareimportanttothem,withcourtesyandrespect.
17.57 ManypeoplewithdisabilitieswhohavehadaguardianoranadministratorandwhospokewiththeCommission,orwhomadesubmissions,stressedtheimportanceofthisissue,aswellasthatofhavingdecisionsexplainedtothem.53
17.58 Theseviewswereechoedinothersubmissions,particularlyinthosebyVictoriaLegalAid54andtheMentalHealthLegalCentre.55
acting honestly and responding to conflicts of interest17.59 TheCommissionalsoaskedwhetherthelawshouldspecificallyrequiresubstitute
decisionmakerstoacthonestlyandtorespondappropriatelytoconflictsofinterest.
17.60 Thisproposalwasbroadlysupported,bothincommunityconsultationsandinsubmissions,56althoughStateTrusteesdrewattentiontowhattheysawasthehighlysubjectivenatureofsomeoftheseconcepts:
Dutiesofhonesty,courtesyandrespectcanhaveastrongsubjectiveelement,especiallyinacontextofdisabilitiesaffectingperception.Breachesofsuchdutiesmaythereforebedifficulttoobjectivelyassessandevenhardertoenforce.Theyshouldthereforebepartoftheguidingprinciples,ratherthanstandaloneduties.57
50 SubmissionCP65(CouncilontheAgeingVictoria).51 SubmissionCP70(StateTrusteesLimited).52 Roundtablewithserviceproviders(inpartnershipwithNationalDisabilityServices(Victoria))(28March2011).53 Foreg,consultationswithVALIDEasternRegionalClientNetwork(21February2011),VALIDWesternRegionalClientNetwork(1March
2011)andVALIDNorthernRegionalClientNetwork(2March2011);SubmissionCP3(AnnaKure).54 SubmissionCP73(VictoriaLegalAid).55 SubmissionCP78(MentalHealthLegalCentre).56 Foreg,SubmissionsCP21(ActionforMoreIndependence&DignityinAccommodation),CP27(CatholicArchdioceseofMelbourne),CP71
(SeniorsRightsVictoria),CP77(LawInstituteofVictoria)andCP78(MentalHealthLegalCentre).57 SubmissionCP70(StateTrusteesLimited).
Victorian Law Reform Commission – Guardianship: Final Report 24386
17Chapter 17Responsibilities of substitute decision makers
Separate principles for financial decisions17.61 Intheconsultationpaper,theCommissionaskedifnewguardianshiplawsshould
containthesamedecision-makingprinciplesforfinancialdecisionsandpersonaldecisions.Mostsubmissionsrespondingtothisquestionindicatedthatthesameprinciplesshouldapplytobothareasofdecisionmaking.58VictoriaLegalAid,however,providedaqualifiedresponse:
asageneralrule,theprincipleofsubstitutedjudgmentshouldprevailandthefinancialdecisionmakershouldmakethedecisionthattherepresentedpersonwouldhavewantedtobemadeinthecircumstances.However,iftherepresentedperson’swishesarefinanciallyunviableorwouldundulycompromisetheirfinancialsecurity,VLAsuggeststhatthefinancialdecisioncoulddepartfromtheprincipleofsubstitutedjudgment,butshouldberequiredtofileanoticeandstatementofreasonswiththerepresentedpersonandinvestigationsunit,perhapsattachedtotheVCATGuardianshipList,bothofwhichshouldbeabletoseekaVCAThearingtodeterminewhetherthefinancialdecisionmakershouldbepermittedtodepartfromtheprincipleofsubstitutedjudgment(andtherepresentedperson’swishes).59
17.62 StateTrusteesarguedthatguidingprinciplesshouldbetailoredforthedifferentsubstitutedecision-makingroles.60ThisviewwassupportedbytheTrusteeCorporationsAssociationofAustralia,whicharguedthattheprudentpersonprinciple,assetoutinsection6oftheTrusteeAct,shouldbeincludedinlegislationappointingfinancialsubstitutedecisionmakers.61
privacy and confidentiality17.63 Intheconsultationpaper,theCommissionproposedthatnewguardianshiplegislation
shouldcontainaprovisionsimilartosection101oftheGuardianship Act 1988(NSW),whichregulatesthecircumstancesunderwhichinformationobtainedinthecourseofthesubstitutedecision-makingarrangementcanbedisclosedtoothers.Therewaswidespreadcommunitysupportforthisproposal.62
17.64 SomeorganisationsthatsupportedtheCommission’sproposalalsoraisedadditionalissues.Forexample,StateTrusteesmadethefollowingpoints:
• The‘secrecyprovision’insection17oftheState Trustees (State Owned Companies) Act 1994(Vic)shouldberepealedandreplacedbyaprovisionthatimposesadutyofconfidentialityonalladministrators.
• Theexpression‘otherlawfulexcuse’,asusedintheNewSouthWalesAct,istoovagueandpotentiallytoorestrictive.63
17.65 StateTrusteesalsonotedthatundercurrentlegislation,wherearepresentedpersondiesorceasestobearepresentedperson,anumberofdisclosureobligationsontheadministratorapply.Theseincludetheobligationtoprovidetherepresentedpersonortheirrepresentativewithalldocumentsrelatingtotheestate,64andtoallowtherepresentedpersonortheirrepresentativetoinspectandcopyallbooks,accountsanddocumentsrelatingtotheestate.65StateTrusteeswasconcernedthatitwill
58 Foreg,SubmissionsCP19(OfficeofthePublicAdvocate),CP22(Alzheimer’sAustraliaVic),CP24(AutismVictoria),CP47(DrMichaelMurray),CP56(DisabilityDiscriminationLegalService)andCP66(VictorianEqualOpportunityandHumanRightsCommission).
59 SubmissionCP73(VictoriaLegalAid).60 SubmissionCP70(StateTrusteesLimited).61 RoundtablewithTrusteeCorporationsAssociationofAustralia;ANZTrusteesLtd;EquityTrusteesLtd;TrustCompanyLtd;PerpetualTrustees
(inpartnershipwithTrusteeCorporationsAssociationofAustralia)(4March2011).62 Foreg,SubmissionsCP24(AutismVictoria),CP33(EasternHealth),CP59(CarersVictoria),CP71(SeniorsRightsVictoria),CP73(Victoria
LegalAid),CP77(LawInstituteofVictoria)andCP78(MentalHealthLegalCentre).63 SubmissionCP70(StateTrusteesLimited).64 Guardianship and Administration Act 1986(Vic)s58D(1)(b).65 Guardianship and Administration Act 1986(Vic)s58E.
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rarelyifeverbeappropriateforacorporateadministratortobecompelledtohandoverits‘entirefile’,giventhelikelihooditwillcontainthirdpartyinformationofasensitiveandconfidentialnature.
OThER juRISdICTIONS17.66 The‘bestinterests’oftherepresentedpersonisthecoreguidingprinciplefordecisions
madebyguardiansandadministratorsinVictoriaandinmostotherAustralianjurisdictions.66However,SouthAustraliaandQueenslandhaveadoptedadifferentapproach.67TheSouthAustralianlegislationemphasisesanapproachof‘substitutedjudgment’,whileQueenslandseekstomaximisethepersonwithimpairedcapacity’sinvolvementindecisionmaking.TheAustralianCapitalTerritoryadoptsanapproachthatbalancesaperson’s‘wishes’withtheir‘interests’.68
SOuTh auSTRaLIa—SubSTITuTEd judGmENT aS ThE paRamOuNT CONSIdERaTION17.67 Substitutedjudgmentisanapproachthatrequiresthedecisionmakertoattempt,as
farpossible,tomakethedecisiontherepresentedpersonwouldhavemadeiftheydidnothaveimpairedcapacity.
17.68 InSouthAustralia’sGuardianship and Administration Act 1993 (SA),substitutedjudgmentisthe‘paramount’decision-makingprinciple:
consideration(andthiswillbetheparamountconsideration)mustbegiventowhatwould,intheopinionofthedecisionmaker,bethewishesofthepersoninthematterifheorshewerenotmentallyincapacitated,butonlysofarasthereisreasonablyascertainableevidenceonwhichtobasesuchanopinion.69
17.69 GuardiansandadministratorsinSouthAustraliaaredirectedtodeterminewhattheybelievethewishesofthepersonwouldhavebeeniftheyhadmentalcapacity.However,theapplicationofthisprincipleislimitedbytherequirementthatsuchanapproachcanonlybeadoptedtotheextentthatthereis‘reasonablyascertainableevidence’uponwhichtobasethedecision.70
17.70 Inadditiontoadoptinga‘substitutedjudgment’approach,guardiansandadministratorsinSouthAustraliaaredirectedtoconsiderthe‘presentwishes’oftheperson,‘unlessitisnotpossibleorreasonablypracticabletodoso’.71Theyarealsotodirectedtomakedecisionsthatare‘theleastrestrictiveoftheperson’srightsandpersonalautonomyasisconsistentwithhisorherpropercareandprotection’.72
17.71 TheSouthAustralianPublicAdvocate,JohnBrayley,hasarguedthatsubstitutedjudgmentisapreferableapproachtobestinterests’decisionmaking.73Similarly,JeremyMoore,PresidentoftheSouthAustralianGuardianshipBoard,hasarguedthatasubstitutedjudgmentapproach‘ensuresthegreatestrespectisgiventotheautonomyoftherepresentedperson’,andallowsthepersonto‘livethelifetheywouldhavelived,butfortheincapacity’.74
66 Foreg,Guardianship and Administration Act 1995(Tas)ss6(b),27(1),57(1);Guardianship and Administration Act 1990(WA)ss51(1),70(1);Adult Guardianship Act(NT)s4(b).NewSouthWalesguardianshiplawsrequirethatthe‘welfareandinterests’oftherepresentedpersonbegivenparamountconsideration:seeGuardianship Act 1987(NSW)s4(a).
67 InSouthAustralia,bestinterestsstillguidestheconductofagentsappointedunderamedicalpowerofattorney:seeConsent to Medical Treatment and Palliative Care Act 1995(SA)s8(8).InQueensland,thehealthcareprincipleincludesconsiderationofwhethertreatment‘isinallthecircumstances,intheadult’sbestinterests’:seeGuardianship and Administration Act 2000 (Qld)sch1pt2cl12(1)(b)(ii).
68 SeeGuardianship and Management of Property Act 1993(ACT)ss4(2),5A.69 Guardianship and Administration Act 1993 (SA)s5(a).70 Ibid.71 Ibids5(b).72 Ibids5(d).73 JohnBrayley,OfficeofthePublicAdvocate(SouthAustralia), Supported Decision Making in Australia: Presentation Notes(2009),4<http://
www.opa.sa.gov.au/documents/08_News_&_Articles/Supported%20Decision%20Making.pdf>.74 SubmissionIP60(GuardianshipBoardofSouthAustralia).
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17Chapter 17Responsibilities of substitute decision makers17.72 Incircumstanceswhereadoptingthisapproachprovesimpossible,however,South
AustralianPublicTrustee,MarkBodycoat,hassuggestedthattheprincipleofbestinterestsisthemostappropriatealternative.75Hesuggeststhatbothsubstitutedjudgmentandbestinterestsareprinciplesthatremainpronetodecisionmakersimposingtheirownvaluesontheperson.76MrBodycoathasalsohighlightedthatadministratorshavelegalresponsibilitiesastrusteeswhichcancomeintotensionwiththedecision-makingprinciplesintheGuardianship and Administration Act 1993(SA).77
QuEENSLaNd17.73 Queenslandhasacomprehensivesetofprinciplesunderpinningitsguardianship
laws.InChapter6,wediscussthese‘generalprinciples’astheyrelatetoQueenslandguardianshiplawsasawhole.
17.74 WhileguardiansandadministratorsarerequiredtoapplyalltheGeneralPrinciples,78clause7oftheGeneralPrinciples,entitled‘Maximumparticipation,minimallimitationsandsubstitutedjudgment’,outlinesthecoredecision-makingguidelinesforguardiansandadministrators:
(1) Anadult’srighttoparticipate,tothegreatestextentpracticable,indecisionsaffectingtheadult’slife,includingthedevelopmentofpolicies,programsandservicesforpeoplewithimpairedcapacityforamatter,mustberecognisedandtakenintoaccount.
(2) Also,theimportanceofpreserving,tothegreatestextentpracticable,anadult’srighttomakehisorherowndecisionsmustbetakenintoaccount.
(3) So,forexample—
(a) theadultmustbegivenanynecessarysupport,andaccesstoinformation,toenabletheadulttoparticipateindecisionsaffectingtheadult’slife;and
(b) tothegreatestextentpracticable,forexercisingpoweroramatterfortheadult,theadult’sviewsandwishesaretobesoughtandtakenintoaccount;and
(c) apersonorotherentityinperformingafunctionorexercisingapowerunderthisActmustdosointhewayleastrestrictiveoftheadult’srights.
(4) Also,theprincipleofsubstitutedjudgmentmustbeusedsothatif,fromtheadult’spreviousactions,itisreasonablypracticabletoworkoutwhattheadult’sviewsandwisheswouldbe,apersonorotherentityinperformingafunctionorexercisingapowerunderthisActmusttakeintoaccountwhatthepersonorotherentityconsiderswouldbetheadult’sviewsandwishes.
(5) However,apersonorotherentityinperformingafunctionorexercisingapowerunderthisActmustdosoinawayconsistentwiththeadult’spropercareandprotection.
(6) Viewsandwishesmaybeexpressedorally,inwritingorinanotherway,including,forexample,byconduct.
17.75 Theseprinciplesemphasisetheroleofguardiansandadministratorsinensuringthepersonissupportedtomaketheirowndecisionswherepossible,andparticipateinthedecision-makingprocesstothegreatestpossibleextent.Guardiansandadministratorsarealsodirectedtouse‘substitutedjudgment’whereappropriate.
75 MarkBodycoat,PublicTrustee(SouthAustralia),‘IWalktheLine:Someofthechallengesofgoodtrusteeship’(PaperpresentedatRightsResponsibilitiesandRhetoricconference,Adelaide,8–9October2009)<http://www.publictrustee.sa.gov.au/uploads/Mental_Health_Conference/BODYCOAT%20paper.pdf>.
76 Ibid.77 Ibid.Section39(1)(b)oftheGuardianship and Administration Act 1993 (SA)deemsadministratorstobetrustees.78 Guardianship and Administration Act 2000 (Qld)s34.
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17.76 LikeSouthAustralia,theQueenslandprinciplesdonotrelyonthenotionof‘bestinterests’(exceptinthecontextofmedicaldecisions),79butrequiredecisionsthatare‘consistentwiththeadult’spropercareandprotection’.80
Queensland Law Reform Commission reform proposals17.77 In2010,theQueenslandLawReformCommissionrecommendedamendmentsto
theprinciplesofQueensland’sguardianshiplaws,includingprinciplesabouthowdecisionmakersshouldexercisetheirpowers.81Thereportprovidedamajorityandminorityviewabouthowthelawshouldchange,andtheQueenslandGovernmenthasindicatedsupportfortheminorityview.82
Majority view17.78 Themajorityviewwasthatdecisionmakersshouldact:
• inawaythatpromotesandsafeguardstheperson’srights,interestsandopportunities,and
• inthewayleastrestrictiveoftheperson’srights,interestsandopportunities.83
17.79 Indoingso,decisionmakersshouldadopta‘structureddecision-making’approachwhichrequiresthemtoundertakethefollowingprocessbeforeexercisingtheirpowers:
• First,thedecisionmakershouldrecogniseandtakeintoaccounttheimportanceofpreservingtheperson’srighttomaketheirowndecisions.
• Secondly,theprincipleofsubstitutedjudgmentshouldbeappliedifpossible.
• Thirdly,otherviewsandwishesexpressedbythepersonshouldberecognisedandtakenintoaccount.
• Fourthly,otherconsiderationsoftheGeneralPrinciplesofQueensland’sguardianshiplawsshouldberecognisedandtakenintoaccount.84
Minority view17.80 Theminorityviewalsorequiresdecisionmakerstoactinawaythatpromotesand
safeguardstheperson’srights,interestsandopportunities,andisleastrestrictiveoftheperson’srights,interestsandopportunities.85
17.81 Indoingso,theminorityviewrequiresdecisionmakerstorecogniseaperson’srighttomaketheirowndecisionsiftheyareabletodosoorcanbesupportedtodoso.Ifthepersoncannotbesupportedtomaketheirowndecision,theprincipleof‘substitutedjudgment’shouldbethestartingpointfordecisionmaking,withanyotherviewsandwishesexpressedbythepersonalsorecognisedandtakenintoaccount.86
auSTRaLIaN CapITaL TERRITORy17.82 GuardianshiplawsintheAustralianCapitalTerritoryhavedecision-makingprinciples
thatfollowastructuredapproach.Theseprinciplesseektogiveeffecttotheperson’s‘wishes’,butbalancethiswiththeperson’s‘interests’wherenecessary.
79 Ibidsch1pt2cl12(b)(ii).80 Ibidsch1pt1cl7(5).81 QueenslandLawReformCommission,A Review of Queensland’s Guardianship Laws,ReportNo67(2010)vol1,74–106(‘ A Review of
Queensland’s Guardianship Laws’).82 QueenslandDepartmentofJusticeandAttorneyGeneral,Queensland Government Initial Response to the Queensland Law Reform
Commission’s Report: A Review of Queensland’s Guardianship Laws(2011)12–14.83 A Review of Queensland’s Guardianship Laws,aboven81,vol1,146.84 Ibidvol1,146–7.85 Ibidvol1,147.86 Ibidvol1,147–8.
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17Chapter 17Responsibilities of substitute decision makers17.83 DecisionmakersintheAustralianCapitalTerritorymustgiveeffecttotheperson’s
wishesunlessdoingsoislikelyto‘significantlyadverselyaffecttheperson’sinterests’.87Aperson’sinterestsareseparatelydefined,andinclude:
• protectionofthepersonfromphysicalormentalharmordeterioration
• theabilityofthepersonto:
– takecareofthemselves
– liveinandbeapartofthecommunity
– maintaintheirpreferredlifestyle
• promotionoftheperson’sfinancialsecurity
• preventionofthepersonbecomingdestitute.88
17.84 Thedecisionmakermustgiveeffecttotheperson’swishesasfaraspossiblewithoutsignificantlyadverselyaffectingtheperson’sinterests.89Ifthisisimpossible,theperson’sinterestsmustbepromoted.90Decisionmakersmustalsointerferewiththeperson’slifetothe‘smallestextentnecessary’,andencouragethepersontolookafterthemselvesandparticipateinthecommunitytothegreatestpossibleextent.91
ENGLaNd aNd waLES—bEST INTERESTS wITh CLEaRER GuIdaNCE17.85 LiketheG&AAct,actinginthebestinterestsofapersonlackingcapacityremainsa
coreprincipleoftheMental Capacity Act 2005(UK),whichappliesinEnglandandWales.92However,theMentalCapacityActprovidesmoreextensiveguidancethantheVictorianlegislationfordecidingwhatisinaperson’sbestinterests.93TheMentalCapacityAct’sbestinterestsguidanceincludes:
• notmakingsuperficialassumptionsbasedontheperson’sage,appearance,aconditiontheymayhaveoranaspectoftheirbehaviour
• considerationofthelikelihoodthepersonwillregaincapacity
• actingtoencouragethepersontoparticipateindecisionmaking
• consideringtheperson’spastandpresentlyexpressedwishes,beliefsandvalues,andfactorsthatthepersonwouldhavebeenlikelytoconsideriftheywereableto
• consultingwithrelevantpeopleintheperson’slife,includingthosenominatedbytheperson.94
CONfIdENTIaLITy RESpONSIbILITIES IN OThER juRISdICTIONS17.86 OtherAustralianjurisdictionsplaceobligationsonguardiansandadministratorsto
maintaintheconfidentialityofinformationtheyacquireinthecourseoftheirrole.Forexample,aswenotedearlier,section101oftheGuardianship Act 1987(NSW)provides:
ApersonshallnotdiscloseanyinformationobtainedinconnectionwiththeadministrationorexecutionofthisActunlessthedisclosureismade:
(a) withtheconsentofthepersonfromwhomtheinformationwasobtained,
87 Guardianship and Management of Property Act 1991(ACT)s4(2)(a).88 Ibids5A.89 Ibids4(2)(b).90 Ibids4(2)(c).91 Ibidss4(2)(d)–(f).92 Mental Capacity Act 2005(UK)c9.93 Ibids4.94 Ibidss4(1),(3)–(4),(6)–(7).
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(b) inconnectionwiththeadministrationorexecutionofthisAct,
(c) forthepurposesofanylegalproceedingsarisingoutofthisActorofanyreportofanysuchproceedings,
(d) inaccordancewitharequirementimposedundertheOmbudsman Act 1974,or
(e) withotherlawfulexcuse.
17.87 Itisanoffencepunishablebyafineof10penaltyunitsorimprisonmentfor12months,orboth,tocontravenethisprovision.95Similar,slightlyexpanded,provisionsareintheQueenslandlegislation.96
17.88 InAlberta,Canada,guardianswhoobtainrelevantpersonalinformationmayonlyuseit‘forthepurposeofexercisingtheauthorityandcarryingoutthedutiesandresponsibilitiesoftheguardian’.97Theguardianmust‘takereasonablecaretoensuretheinformationiskeptsecurefromunauthorisedaccess,useordisclosure’.98AguardianisobligednottogatherpersonalinformationabouttherepresentedpersonbeyondthatspecificallyauthorisedbytheAct.99
17.89 TherearesimilarprovisionsintheAlbertanlegislationconcerningthepowersofatrusteeandaspecificdecisionmaker—theequivalentsofanadministratorandapersonresponsible—togatherpersonalinformationaboutarepresentedpersonandtheauthorityoftheholderoftheinformationtodiscloseittothetrusteeorthespecificdecisionmaker.100
CONVENTION ON ThE RIGhTS Of pERSONS wITh dISabILITIES17.90 TheUnitedNations’Convention on the Rights of Persons with Disabilitiescontains
principlesthatarerelevantwhenconsideringtheresponsibilitiesofsubstitutedecisionmakers.Articles12(4)and12(5)arethemostimportantprovisions.
aRTICLE 12(4)17.91 Article12(4)requiresthatmeasuresrelatingtotheexerciseoflegalcapacity(suchas
guardianship,administrationandpowersofattorney):
• respecttherights,willandpreferencesoftheperson
• arefreeofconflictofinterestandundueinfluence
• areproportionalandtailoredtotheperson’scircumstances
• applyfortheshortesttimepossible
• aresubjecttoregularreviewbyacompetent,independentandimpartialauthority.101
17.92 Thefirsttworequirements—thatmeasuresrespecttherights,willandpreferencesofthepersonandarefreefromconflictofinterest—concerntheresponsibilitiesofsubstitutedecisionmakers,whiletheotherrequirementsrelatetohowthesearrangementsareestablishedandreviewed.
95 Guardianship Act 1987(NSW)s101.96 Guardianship and Administration Act 2000(Qld)ss249–249A.97 Adult Guardianship and Trusteeship ActSA2008,cA-4.2,s41(6)(a).98 Ibids41(6)(b).99 Ibids41(7).100 Ibidss72,99.101 Convention on the Rights of Persons with Disabilitiesart12(4).
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17Chapter 17Responsibilities of substitute decision makers
Respect for the rights, will and preferences of the person17.93 ‘Respectfortherights,will,andpreferencesoftheperson’istosomeextentreflected
inthewaytheG&AActdealswiththe‘wishes’oftheperson.102However,theserequirementsaremorequalifiedthanthewordingoftheConvention,whichprovidesthattherights,willandpreferencesofthepersonarethestartingpointfordecisionmaking.WhiletheConventionemphasisessupportingpeopletoexercisetheirrights,willandpreferences,theG&AActplacestheperson’swishesalongsideotherconsiderations.
freedom from conflict of interest and undue influence17.94 TheConvention’srequirementofsupportthatisfreefromconflictofinterestand
undueinfluenceisdealtwithinpartbytherequirementintheG&AActthatVCATnotappointaguardianoradministratorwhose‘interestsconflictormayconflict’withtheperson’s.103AvoidingconflictsofinterestisnotadutyexplicitlyimposeduponguardiansandadministratorsbytheG&AAct,butitdoesformpartoftheirfiduciaryresponsibilitiesunderthegenerallaw.104
aRTICLE 12(5)—EQuaL RECOGNITION bEfORE ThE Law17.95 Article12(5)oftheConventionrequiresmeasureswhichensurethatpeoplewith
disabilitiesarenotarbitrarilydeprivedoftheirproperty,andhavethesamerightsasothersto:
• ownorinheritproperty
• controltheirownfinancialaffairs
• accessbankloans,mortgagesandotherformsoffinancialcredit.
17.96 PeoplewithDisabilityAustraliahavearguedthatarticle12(5)protectsagainstbotharbitrarydeprivationofpropertyandthearbitrarydeprivationofthecapacitytomanageproperty,andrequiresthatpeoplewithdisabilitiesbeprovidedwiththesupporttheyneedtoexercisethesefinancialrightsthemselves.105
aRTICLE 22—RESpECT fOR pRIVaCy17.97 Article22,whichdealswithrespectforprivacy,isanotherpartoftheConvention
thatbearssignificantlyontheresponsibilitiesofsubstitutedecisionmakers.Article22states:
1. Nopersonwithdisabilities,regardlessofplaceofresidenceorlivingarrangements,shallbesubjectedtoarbitraryorunlawfulinterferencewithhisorherprivacy,family,homeorcorrespondenceorothertypesofcommunicationortounlawfulattacksonhisorherhonourandreputation.Personswithdisabilitieshavetherighttotheprotectionofthelawagainstsuchinterferenceorattacks.
2. StatesPartiesshallprotecttheprivacyofpersonal,healthandrehabilitationinformationofpersonswithdisabilitiesonanequalbasiswithothers.
17.98 ThisprotectionagainstarbitraryorunlawfulinterferencewithprivacyisalsoprovidedformoregenerallyinVictoria’sCharter of Human Rights and Responsibilities Act 2006(Vic)(theCharter).106
102 Guardianship and Administration Act 1986 (Vic)ss4(2)(c),28(2)(e),49(2)(b).103 Ibidss23(1)(b),47(1)(c)(ii).104 Forageneraldiscussionoffiduciaryrelationshipsandtheirobligations,seeHospital Products Ltd v United States Surgical Corporation (1984)
156CLR41.InrelationtothefiduciarynatureofadministrationinVictoria,seeState Trustees Limited v Hayden(2002)4VR229[49];HH (Guardianship)[2008]VCAT2344(12November2008)[103].
105 SubmissionIP28a(PeoplewithDisabilityAustralia).106 Charter of Human Rights and Responsibilities Act 2006(Vic)s13.
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ThE COmmISSION’S VIEwS aNd CONCLuSIONS17.99 TheCommissionbelievesthatnewguardianshiplawsshouldseektoprovide:
• clearguidanceabouttheresponsibilitiesofsubstitutedecisionmakersthatbetterreflectscontemporaryviewsaboutthisroleasillustratedbytherelevantprovisionsoftheConvention
• amoreconsistentapproachtotheresponsibilitiesofsubstitutedecisionmakersforpersonalappointmentsandtribunalappointments.
pRINCIpLES ThaT ShOuLd GuIdE SubSTITuTE dECISION makING
promotion of personal and social wellbeing17.100 TheCommissionbelievesthatsubstitutedecisionmakersshouldhaveanoverarching
responsibilitytoactinawaythatpromotesthepersonalandsocialwellbeingoftherepresentedperson.
17.101 Theprincipleofsubstitutedjudgment—whichinvolvesattemptingtomakethedecisionsthepersonwouldmakethemselvesifabletodoso—shouldbetheparamountguidingprincipleinnewVictorianguardianshiplaws,asitisnowinSouthAustralia.
17.102 Thisapproachwasbroadlysupportedinconsultationsandsubmissions.However,theCommissionalsoacknowledgesthattherearelimitstotheapplicationoftheprincipleofsubstitutedjudgment.Rigidapplicationoftheprinciplemaybeimpossibleinsomecases,whileinothersitmaynotbethebestwayofapproachingthedecisionbecauseitwouldleadtounacceptableoutcomesfortheperson.TheCommissionthereforebelievesthatsubstitutedecisionmakersmustretainadegreeofflexibilitywhendetermininghowtheyfulfiltheirresponsibilities.
17.103 TheCommission’sproposalthattheoverarchinggoalofsubstitutedecisionmakingshouldbe‘promotionofthepersonalandsocialwellbeing’oftherepresentedpersonisconsistentwiththerecommendationoftheVictorianParliamentLawReformCommitteeInquiryintoPowersofAttorney.107
Substituted judgment—the paramount principleA more structured approach to decision making17.104 Currently,Victoria’sguardianshiplawsrequiresubstitutedecisionmakerstoconsider
aperson’swisheswhenmakingdecisionsforthem,108butprovidenoguidanceaboutwhatthismeans.Inpractice,substituteddecisionmakersoftenprobablyseektomakedecisionsthatthepersonwouldmakethemselves.ThePublicAdvocateexplicitlyencouragestheuseofsubstitutedjudgmentbyitsguardianswhereappropriate.109
17.105 Substitutedjudgmentprovidesdecisionmakerswithamorestructuredapproachtocarryingouttheperson’swishes.Itisnotasimplematterofdoingwhatthepersondidpriortolosingcapacity.Makingthedecisionthepersonwouldmakethemselvesrequiressubstitutedecisionmakerstoconsidertheexpressedwishesoftheperson—bothpastandpresent—andtoplacethesewishesinthecontextoftheperson’scurrentcircumstancesandthedecisionthatneedstobemade.Itisarelativelysophisticatedapproachtosubstitutedecisionmaking,butalsoonethatacknowledgestheuniquenessoftherepresentedperson.
107 LawReformCommittee,ParliamentofVictoria,Inquiry into Powers of Attorney(2010)173–4(‘Inquiry into Powers of Attorney’).108 Guardianship and Administration Act 1986 (Vic)ss4(2)(c),28(2)(e),49(2)(b).109 OfficeofthePublicAdvocate(Victoria),Adult Guardianship in Victoria(2006),2<http://www.publicadvocate.vic.gov.au/file/file/
PracticeGuidelines/PG00_Adult_Guardianship_in_Victoria_09.pdf>.
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17Chapter 17Responsibilities of substitute decision makers
Enhances autonomy17.106 Substitutedjudgmentdecisionspreservetheautonomyofthepersonbyseekingto
placetheminthesamepositiontheywouldhavebeeniftheyhadthecapacitytomakethedecisionthemselves.Oneofthecoregoalsofguardianshiplawsshouldbetoenablethepersontocontinuetolivetheirownlifeasmuchaspossible.
Consistent with the Convention17.107 TogetherwiththeCommission’sproposalsforsupportedandco-decision-making
arrangementsoutlinedinChapters8and9,theCommissionbelievesthata‘substitutedjudgment’approachtodecisionmakingenhancesthecompatibilityofVictorianguardianshiplawswiththeConvention.Wheresupportedandco-decision-makingmechanismsareunabletoassisttheperson,substitutedjudgmentdecisionmakingprovidesameanstoassistthepersontoexercisecapacityinawaythatrespectstheirrights,willandpreferences.110
Some limitations of substituted judgment17.108 TheCommissionrecognisesthatthereanumberoflimitationstotheuseofa
‘substitutedjudgment’approachtodecisionmaking.
Application may be difficult or impossible in some circumstances17.109 Therearesomesituationswhereitmaybeimpossibletoapplytheprincipleorwhere
anattempttodosowouldbemisleading.Examplesofthismightincludesituationswhere:
• apersonhasneverbeenabletoexpressmeaningfulpreferencesformorecomplicateddecisions
• aprofessionalguardianhasbeenappointed,andthereisverylimitedevidenceavailablefortheguardiantoaccuratelydeterminewhatthepersonwouldhavewanted
• apersonhaslostcapacity,andasituationarisesforwhichthepersonhasgenuinelyneverexpressedanyclearwishes
• aperson’scircumstancesandprioritieshavechangedsomuchsincetheylostcapacitythattheirpreviouslyheldwishesandvaluesareapoorindicationofwhattheymightwantinthefuture.
17.110 Adoptingapurely‘substitutedjudgment’approachtodecisionsincircumstanceswherethereisalackofclearevidenceuponwhichtobasethatdecisionisfraughtwithdifficulties.Tryingtomakeorrationalisedecisionsonthisbasiswillnotnecessarilyenhancetheperson’sautonomy.
17.111 Differentpeopleinaperson’slifemightalsohaveverydifferentinterpretationsofwhatthatpersonwouldhavedonethemselves,whichcouldprovechallengingforthesubstitutedecisionmaker.111
Values of the decision maker can still be imposed17.112 A‘substitutedjudgment’approachdoesnotremoveallconcernsaboutsubjective,
value-ladendecisionmaking.‘Bestinterests’decisionmakingisoftencriticisedforinvitingadecisionmakertodowhattheythinkwouldbebest,therebyimposingtheirownvaluesontheperson.Itisalsopossibleforsubstitutedjudgmenttobeappliedin
110 SeeConvention on the Rights of Persons with Disabilitiesart12(4).111 ThisissuewashighlightedintheCommission’sconsultationwithAlzheimer’sAustraliaVicandroundtablewithpeoplecaringforparents
withdementia(8March2011).
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thiswaybecauseadecisionmakercouldjustifyimposingtheirownvaluesonapersononthebasisthat‘thisisreallywhatthepersonwouldhavewanted’.112
Substituted judgment is a relatively sophisticated concept17.113 Makingdecisionsonbehalfofanotherpersonisasignificantresponsibilitythat
requiresthedecisionmakertoconsidertheiractionscarefully.Substitutedjudgmentisarelativelysophisticatedconceptthatmayprovechallengingforsomepeopleappointedtotheseroles—particularlythosewhohavealifelongcaringrelationshipwiththerepresentedpersonandmaybeunaccustomedtothinkingaboutdecisionmakinginthisway.
Other approaches to decision making may be preferable in some cases17.114 Theremaybecircumstanceswherethesubstitutedjudgmentapproachdoeslittleto
advanceaperson’swellbeing.Thisissuecanbeparticularlyapparentinrelationtothemanagementofaperson’sfinances.
17.115 Forexample,apersonmayhavemanagedtheirmoneypoorlythroughouttheirlifebecauseitwasnotamatterofgreatinteresttothem.However,theadministratormayhavetheskillsandknowledgetoinvestfundsinamuchmoreadvantageouswaythanthepersonthemselvescould,andtherebyprovidethepersonwithaccesstofundstoimprovetheirqualityoflife.
Unacceptable harm to the person17.116 Theremaybecircumstanceswhereastrictapplicationofthesubstitutedjudgment
principleleadstounacceptableharmtotheperson.
17.117 Anexamplemightbeasituationwhereapersonhasalwaysbeenadamantthat,nomatterwhatthecircumstances,theywishtoremainintheirownhomefortherestoftheirlife.Evenincircumstancesofadvanceddementia,itmightbeclearthatthepersonwouldhavewantedtoremainathomedespitetheriskstotheirsafetyandwellbeing,butasubstitutedecisionmakermightdeterminethatthiswouldinvolveunacceptableriskofharmtotheperson.
17.118 TheCommissionbelievesthattheremustbeapoint—oftendifficulttodetermineinpractice—atwhichitispermissibleforasubstituteddecisionmakertomoveawayfromasubstitutedjudgmentapproachinordertoprotectarepresentedpersonfromharm.
17.119 Forthesereasons,theCommissionbelievesthatsubstitutedjudgmentshouldbetheparamount,butnotthesole,considerationintheexerciseofdecision-makingpower.Newguardianshiplegislationshouldprovidesufficientflexibilitytoallowsubstitutedecisionmakerstoconsiderwhatwouldbethemostdesirableoutcomeforthepersoninthecircumstancesbearinginmind,wheneverpossible,whattherepresentedpersonwoulddointhecircumstances.
17.120 Atpresent,thelawseekstoachievethisbalancethroughapplicationofthe‘bestinterests’principle.Whilewellintentioned,thislegalstandardisoftencriticised.113ThePublicAdvocatehasarguedthatovertime,bestinterests‘hascometoconstitutesomewhatofaeuphemismforoverridingfreewill’.114‘Bestinterests’isalsoatermstronglyassociatedwithdecisionmakingforchildren,115whichtendstoreinforcepaternalisticattitudestoadultswithimpaireddecision-makingcapacity.
112 Thepotentialforsubstitutedjudgmenttohideothermotivesfordecisionmakinghasbeenhighlightedinotherjurisdictions:seeLouiseHarmon,‘FallingofftheVine:LegalFictionsandtheDoctrineofSubstitutedJudgment’(1990)100Yale Law Review1.
113 See,eg,BruceJennings,‘AgencyandMoralRelationshipinDementia’(2009)40(3–4)Metaphilosophy425.114 SubmissionIP8(OfficeofthePublicAdvocate)17.SeealsoBarbaraCarter,Principles and Values in Victorian Guardianship Legislation(Office
ofthePublicAdvocate(Victoria),2009)14.115 See,eg,Family Law Act 1975(Cth)ptVII;Children, Youth and Families Act 2005(Vic)s10;Convention on the Rights of the Child,opened
forsignature20November1989,1577UNTS3(enteredintoforce2September1990)arts3(1),9,18,20–21,37(c).
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17Chapter 17Responsibilities of substitute decision makers17.121 Thewayinwhich‘bestinterests’iscurrentlyframedinVictorianguardianshiplaws—
whichincludesarequirementtoconsidertheperson’swishesandencouragethemtobecomecapableofmakingtheirdecisions116—couldnotbedescribedascompletelypaternalistic.However,theCommissionbelievesthecontinueduseof‘bestinterests’astheprimaryconsiderationforsubstitutedecisionmakersisunhelpfulbecauseitwouldimpedeevolutionofthepracticeofactinginamannerthatrespectstherights,willandpreferencesofrepresentedpersonstothemaximumpossibleextent.
17.122 TheCommissionbelievesthattheoverarchinggoalofsubstitutedecisionmakersshouldbeto‘promotethepersonalandsocialwellbeing’oftherepresentedperson.ThisterminologywasinitiallyproposedbythePublicAdvocate,whoarguedthattheconceptof‘wellbeing’avoidedthenegativeconnotationsthathavebecomeassociatedwithbestinterests,andplacedmoreemphasisonthepersonandtheoutcomessoughtforthatperson.117TheVictorianParliamentLawReformCommittee’s2010Inquiry into Powers of Attorneyendorsedthismore‘modern’terminologyasanalternativetobestinterests,andrecommendedthatpromotingthepersonalandsocialwellbeingofthepersonshouldformpartofthedecision-makingprinciplesforpowersofattorney.118
Guidance around the promotion of personal and social wellbeing17.123 Substitutedecisionmakersshouldbegivenadditionalguidanceaboutwhatitmeans
topromotethepersonalandsocialwellbeingoftheperson.Thereareanumberofconsiderationstobalancewhenprovidingthatguidance,including:
• protectionoftherightsofpeoplewithimpairedcapacity
• clearandcomprehensibleguidanceforsubstitutedecisionmakers
• guidancethatispracticallyworkableandcancaterforthemanydifferentdecisionsasubstitutedecisionmakermaybeaskedtomake.
17.124 TheCommissionhassoughttobalancetheseconsiderationswhendevisingrecommendationsabouttheresponsibilitiesofsubstitutedecisionmakers.
17.125 Newguardianshiplegislationshoulddirectsubstitutedecisionmakerstoexercisetheirpowersinawaythatpromotesthepersonalandsocialwellbeingoftherepresentedperson.Thelegislationshouldalsoguidesubstitutedecisionmakersbyinformingthemthattheypromotethepersonalandsocialwellbeingoftherepresentedpersoniftheyapplytheprinciplesthatarediscussedinthefollowingparagraphs.
Substituted judgment—the paramount consideration17.126 Asdiscussed,theCommissionbelievesthatsubstitutedjudgmentshouldbethe
startingpointandtheparamountconsiderationforsubstitutedecisions.Newlegislationshouldalsoprovideadditionalguidanceabouthowtoputthisprincipleintopracticewheneverpossible.
Consult with the person, and give effect to their wishes17.127 Adirectiontoconsultwiththepersonandgiveeffecttotheirwisheswhenever
possiblealsofallswithintheprincipleofsubstitutedjudgment.However,incircumstanceswheresubstitutedjudgmentcannotbeapplied,thepersonwillstillhavewishesandpreferencesthatshouldbeconsidered.
116 Guardianship and Administration Act 1986(Vic)ss28(c)–(d),49(2).117 BarbaraCarter,Principles and Values in Victorian Guardianship Legislation(OfficeofthePublicAdvocate(Victoria),2009)9,14.118 Inquiry into Powers of Attorney,aboven107,173–4.
397
Support the person to make decisions17.128 TheCommissionbelievesthatsupporteddecisionmakingcananddoesoccurinthe
contextofsubstitutedecision-makingarrangements.Guidancetosubstitutedecisionmakersshouldemphasisetheirroleinsupportingthepersontomaketheirowndecisionswherepossible.
Advocate for the person, and protect and promote their rights and dignity17.129 Theroleofsubstitutedecisionmakerofteninvolvesrepresentingaperson’sinterests.
Thisinevitablyinvolvesadegreeofadvocacyinpursuitoftheirrightsandinterests.Itisimportantthatsubstitutedecisionmakersnotonlyseektomakegooddecisions,butalsoacttoensurethosedecisionsareimplementedandrespectedbyothers.
Encourage the person to be independent and self-reliant17.130 Guardiansandadministratorsarecurrentlyrequiredtoencouragetherepresented
persontobecomecapableofmanagingtheirownaffairs.119Thisrequirementshouldcontinue,althoughtheoutcomemaybeimpossibleinsomecircumstances.
Encourage the person to participate in community life17.131 Encouragingthepersontoparticipateincommunitylifeisalsopartoftheexistingrole
ofguardians.120TheCommissionbelievesthatthisisanimportantroleforallsubstitutedecisionmakers,andreflectsoneofthebroadgoalsoftheConvention—theinclusionofpeoplewithdisabilitiesinsociety.121
Respect the person’s supportive relationships, friendships and connections with others17.132 Theimportantroleofsupportiverelationshipsinthelivesofpeoplewithimpaired
capacity—includingfamily,friends,advocates,andotherrelationshipsofimportancetotheperson—wasconsistentlyemphasisedinconsultationsandsubmissions.Asexercisingsubstitutedecision-makingpowerscanaffecttheserelationships,itisimportantthatsubstitutedecisionmakersconsiderthosepotentialimpactsandrespecttheserelationships.
Recognise and take into account the person’s cultural and linguistic circumstances17.133 Theimportanceofsubstitutedecisionmakersrecognisingandtakingintoaccountthe
diverseculturalandreligiousvaluesandpracticesofpeoplewithimpairedcapacitywasemphasisedinconsultationsandsubmissions.122RespectforculturalandlinguisticidentityandvaluesalsoformsanimportantprotectionintheCharter123andtheConvention,124andisrecognisedinguardianshiplawsinotherjurisdictions.125
17.134 TheCommissionbelievesitisappropriateforsubstitutedecisionmakerstobespecificallymindfuloftherepresentedperson’sculturalandlinguisticcircumstanceswhenexercisingtheirpowers.
119 Guardianship and Administration Act 1986(Vic)ss28(2)(c),49(2)(a).120 Ibids28(2)(b).121 Convention on the Rights of Persons with Disabilitiesart3(c).122 Foreg,roundtableswithmembersofmigrantcommunities(inpartnershipwithSpectrumMigrantResourceCentre)(19May2011)
andTurkishandVietnamese(inpartnershipwithAdvocacyDisabilityEthnicityCommunity)(10May2011);SubmissionCP32(EthnicCommunities’CouncilofVictoria).
123 Charter of Human Rights and Responsibilities Act 2006(Vic)s19.124 Convention on the Rights of Persons with Disabilitiesart30.125 Guardianship Act 1987(NSW)s4(e);Guardianship and Administration Act 1990(WA)ss51(2)(h),70(2)(h);Guardianship and Administration
Act 2000(Qld)sch1pt1cl9.
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17Chapter 17Responsibilities of substitute decision makers
Protect the person from abuse, neglect and exploitation17.135 TheG&AActrequiresguardianstoprotectthepersonfromabuse,neglectand
exploitation.126TheCommissionbelievesthisprotectionisalsorelevanttotheexerciseofpowersbyfinancialdecisionmakerswhentheabuse,neglectandexploitationisofafinancialnature.
17.136 Protectionfromabuse,neglectandexploitationisaprinciplethatmayattimesconflictwithotherprinciples,mostnotablytheparamountprincipleofsubstitutedjudgment.Achievinganappropriatebalanceofteninvolvescarefulconsiderationoftheperson’sindividualcircumstances.
financial decisions—prudent person principle17.137 Whilemostofthedecision-makingprinciplesshouldapplytoallsubstitutedecision
makers,therearesomeimportantprinciplesthatareonlyrelevantwhenmakingfinancialdecisions.TheCommissionbelievesthatfinancialsubstitutedecisionmakersshouldbeguidedbythe‘prudentpersonprinciple’.Thisprinciple,whichregulatestheconductoftrusteesininvestmentdecisions,providestwousefulandacceptedstandardsdeterminedbyaperson’slevelofexpertise:
(a) ifthetrustee’sprofession,businessoremploymentisorincludesactingasatrusteeorinvestingmoneyonbehalfofotherpersons,[thetrusteemust]exercisethecare,diligenceandskillthataprudentpersonengagedinthatprofession,businessoremploymentwouldexerciseinmanagingtheaffairsofotherpersons;or
(b) ifthetrusteeisnotengagedinsuchaprofession,businessoremployment,[thetrusteemust]exercisethecare,diligenceandskillthataprudentpersonwouldexerciseinmanagingtheaffairsofotherpersons.127
17.138 TheCommissionacknowledgesthattheobjectivestandardof‘prudence’isaprinciplethatmayconflictwithothermoresubjectiveprinciples,suchastheproposedparamountprincipleofsubstitutedjudgment.128
17.139 TheCommissionbelievesthatfinancialdecisionmakersshouldberequiredtoapplytheprudentpersonprincipleinmanagingaperson’sfinances to the extent this promotes their personal and social wellbeing. Inpractice,theprudentpersonprinciplemightnotbeappliedifitwouldunreasonablydeprivethepersonofaccesstofundsforsomethingthatisofgreatimportancetothem,orwouldrequireinvestmentinamannercompletelyatoddswiththeperson’sconscience.Forexample,ifethicalinvestmentisofgreatimportancetotherepresentedperson,asubstitutedecisionmakershouldproceedonthisbasis,ratherthanseekthehigherreturnsthataprudentpersoncouldachievethroughotherinvestments.
medical decisions17.140 InChapter13,theCommissionrecommendsadditionalconsiderationsthatshould
guidesubstitutedecisionmakerswhenmakingmedicaldecisions.TheselargelyreflectthecurrentguidancefoundintheG&AAct.
126 Guardianship and Administration Act 1986(Vic)s28(2)(d).127 Trustee Act 1958(Vic)s6(1).128 ThistensionhasalreadybeenhighlightedbytheSouthAustralianPublicTrustee:seeBodycoat,aboven75.InSouthAustralia,substituted
judgmentistheparamountconsiderationforadministrators,andadministratorsarealsodeemedtobetrustees:seeGuardianship and Administration Act 1993 (SA)ss5(a),39(1)(b)andTrustee Act 1936(SA)s7(1).
399
RECOmmENdaTIONSDecision-making principles
284.Newguardianshiplegislationshouldrequiresubstitutedecisionmakerstoexercisetheirpowersinamannerthatpromotesthepersonalandsocialwellbeingoftherepresentedperson.
285.Substitutedecisionmakerspromotethepersonalandsocialwellbeingofthepersonwhen,asfaraspossible,they:
(a) haveparamountregardtomakingthejudgmentsanddecisionsthatthepersonwouldmakethemselvesafterdueconsiderationifabletodoso
(b) actinconsultationwiththeperson,givingeffecttotheirwishes
(c) supportthepersontomakeorparticipateindecisions
(d) actasanadvocatefortheperson,andpromoteandprotecttheirrightsanddignity
(e) encouragethepersontobeindependentandself-reliant
(f) encouragethepersontoparticipateinthelifeofthecommunity
(g) respecttheperson’ssupportiverelationships,friendshipsandconnectionswithothers
(h) recogniseandtakeintoaccounttheperson’sculturalandlinguisticcircumstances
(i) protectthepersonfromabuse,neglectandexploitation.
Additional guidance for substitute decision makers
286.Indeterminingthejudgmentsanddecisionsarepresentedpersonwouldmakeafterdueconsideration,substitutedecisionmakersshouldbeguidedby:
(a) thewishesandpreferencesthepersonexpressesatthetimeadecisionneedstobemade,inwhateverformthepersonexpressesthem
(b) anywishesthepersonhaspreviouslyexpressed,inwhateverformthepersonhasexpressedthem
(c) anyconsiderationsthepersonwasunawareofwhenexpressingtheirwisheswhicharelikelytohavesignificantlyaffectedthosewishes
(d) anycircumstancesthathavechangedsincethepersonexpressedtheirwisheswhichwouldbelikelytosignificantlyaffectthosewishes
(e) thehistoryoftheperson,includingtheirviews,beliefs,valuesandgoalsinlife.
Additional financial decision-making principles: prudent person principle
287.Whereexercisingthepowerofinvestment,financialadministratorsmust,totheextentthatitpromotesthepersonalandsocialwellbeingoftherepresentedperson:
(a) exercisethecare,skillanddiligencethatareasonablyprudentpersonwouldexerciseinmanagingfinancialmatters
(b) inthecaseofapersonwhoisaprofessionalfinancialadministrator,exercisetheskillanddiligencethatareasonablyprudentprofessionalfinancialmanagerwouldexerciseinasimilarsituation.
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17Chapter 17Responsibilities of substitute decision makers
OThER RESpONSIbILITIES17.141 TheCommissionbelievesthatsubstitutedecisionmakerswouldalsobenefitfrom
additionalguidanceaboutthemannerinwhichtheyshouldconductthemselveswhencarryingouttheirrole.
17.142 Whilesubstitutedecisionmakersarecurrentlyobligedtofollowmostofthefollowingrequirements,thesemattersarenotspecificallyreferredtointheG&AAct.Itisunrealistictoexpectmostsubstitutedecisionmakerstobeawareoftheextentoftheirdutiesasfiduciaries.Itisalsoimportantthatsubstitutedecisionmakersareawareofthelimitsoftheauthoritygrantedtothembytheappointmentororder,andtheirresponsibilitynottoactbeyondthescopeofthosepowers.TheCommissionbelievesthattheselegalmattersshouldbesetoutclearlyinnewguardianshiplegislation,asshouldthemoregeneralexpectationsabouttreatingtherepresentedpersonwithrespect.
Not exceed powers17.143 Whiletherequirementnottoexceedthepowersgrantedisimpliedfromthetermsof
appointmentororder,theCommissionbelievesthatsubstitutedecisionmakersshouldbemindfulofthelimitsoftheirauthorityandnotexerciseorpurporttoexercisesubstitutedecision-makingpowerstheyhavenotbeengranted.
act honestly, diligently and in good faith17.144 Theintroductionofaspecificrequirementtoacthonestly,diligentlyandingoodfaith
wasbroadlysupportedinconsultations.Whilethesedutiesprobablyformpartofthefiduciaryobligations129ofallsubstitutedecisionmakers,theCommissionseesmeritinincludingtheminnewguardianshiplegislation.
Respond to situations of conflict and place the represented person’s interest first17.145 Thedutyofsubstitutedecisionmakerstoavoidconflictsofinterestmaybeinferred
fromtherequirementthatguardiansandadministratorsshouldactinthebestinterestsoftherepresentedperson.Italsoclearlyformspartoftheirgenerallawdutiesasfiduciaries,andisspecificallyrequiredofattorneys.130Tounderlinetheimportanceofthisduty,andpromoteawareness,theCommissionbelievesthatguardianshiplawsshouldspecificallyrequiresubstitutedecisionmakerstoidentifyandrespondappropriatelytoconflictsofinterests.
17.146 ThisrequirementcomplementstheCommission’srecommendationsinChapters9,10and12thatthepowerofco-decisionmakersandsubstitutedecisionmakerstoenterinto‘conflicttransactions’bespecificallylimited.
Communicate with the represented person17.147 AconsistentconcernraisedthroughouttheCommission’sconsultationshasbeen
thatsomesubstitutedecisionmakers—particularlyprofessionalsubstitutedecisionmakers—donotalwaysadequatelyinvolvethepersoninthedecision-makingprocess,anddonotalwayseffectivelycommunicatedecisionstheyhavemadeonbehalfoftheperson.TheCommissionrecognisesthattheremaybepracticalbarrierstothisoccurringinsomecases,includingsituationswherethepersonhasaverylimited
129 Forageneraldiscussionoffiduciaryrelationshipsandtheirobligations,seeHospital Products Ltd v United States Surgical Corporation (1984)156CLR41,andmorespecificallyinrelationtothefiduciarynatureoftherelationshipofguardianshipseeClay v Clay(2001)202CLR410,428–430,wherethefiduciarynatureofguardianshipofchildrenisconsidered.InrelationtothefiduciarynatureofadministrationinVictoria,seeState Trustees Limited v Hayden(2002)4VR229(10April2002)[49];HH (Guardianship)[2008]VCAT2344(12November2008)[103].
130 Instruments Act 1958(Vic)s125B(5)(b).
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capacitytounderstandtheimplicationsofthedecisionevenwithsupport.However,itisappropriatethatsubstitutedecisionmakersbeunderageneralobligationtoinvolvethepersonindecisionswhereverpossible,andkeepthepersoninformedaboutdecisionsthataffecttheirlife.
Treat the person and important people in their life with dignity and respect17.148 Theroleofasubstitutedecisionmakerisachallengingonethatmayinvolvemaking
difficultdecisionswithwhichtherepresentedpersonorothersdisagree.
17.149 TheCommissionheardconcernsfromsomerepresentedpersonsandcarersabouttheirdealingswithpublicguardiansandadministrators,withsomepeoplereportingthattheydidnotfeeladministratorshadtreatedthemwithrespect.131
17.150 TheCommissionbelievesthereisvalueinincludingarequirementthatsubstitutedecisionmakersmusttreattherepresentedpersonandimportantpeopleintheirlifewithdignityandrespect.
Respect for privacy and confidentiality17.151 TheCommissionbelievesthatnewlegislationshouldclearlysetouttheresponsibilities
ofsubstitutedecisionmakers,andotherpeoplewhoprovidedecision-makingsupport,tomaintaintheconfidentialityofinformationconcerningthepersontheyarerepresentingorassisting.
17.152 InChapter12,theCommissionrecommendsthatallsubstitutedecisionmakersshouldhaveaspecificpowertoaccessrelevantconfidentialinformationaboutarepresentedperson.TheCommissionalsomakesrecommendationsaboutthirdparties’authorisationofthedisclosureofthatinformation.
17.153 Substitutedecisionmakersshouldalsoberequiredtomaintaintheconfidentialityofinformationtheyobtainaboutarepresentedpersonotherthaninlimitedcircumstances.Thosecircumstancesarewhen:
• itisreasonablynecessarytodisclosethatinformationtoathirdpersoninordertoperformtheirfunctionsasasubstitutedecisionmaker
• disclosureisotherwiserequiredorpermittedbylaw.
17.154 TheCommissionbelievesthatitshouldbeanoffenceforasubstitutedecisionmakertomakeanunauthoriseddisclosureofpersonalinformationaboutarepresentedperson.Thisviewhasalsobeenexpressedinconsultationsandsubmissions.132
17.155 Aprovisionofthisnaturewouldovercometheneedforthe‘secrecyprovision’insection17oftheState Trustees (State Owned Company) Act 1994(Vic),whichunfairlytreatsStateTrusteesdifferentlytootheradministrators.Allsubstitutedecisionmakersshouldhavethesameobligationstomaintaintheconfidentialityofinformationtheyobtaininthecourseoffulfillingtheirduties.Section17shouldberepealedifnewguardianshiplegislationimposesaclearstatutorydutyofconfidentialityonallsubstitutedecisionmakers.
131 Roundtableswithpeoplewithdisabilities,carersandadvocatesinMorwell(inpartnershipwithGippslandDisabilityResourceCouncil)(29March2010),mentalhealthconsumers(inpartnershipwithMentalHealthLegalCentreandVictorianMentalIllnessAwarenessCouncil)(7April2010),carersinHastings(inpartnershipwithCarersVictoria)(8April2010)andStateTrusteesclient(7May2010).
132 Foreg,SubmissionsCP77(LawInstituteofVictoria)andCP78(MentalHealthLegalCentre),whospecificallyrecommendedcriminalsanctions;andSubmissionsCP24(AutismVictoria),CP33(EasternHealth),CP59(CarersVictoria),CP71(SeniorsRightsVictoria)andCP73(VictoriaLegalAid),whogenerallyagreedthatVictorianguardianshiplegislationshouldcontainaprovisionsimilartosection101oftheGuardianship Act 1988(NSW),whichattractsacriminalsanctionifbreached.
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17Chapter 17Responsibilities of substitute decision makers
addITIONaL RESpONSIbILITIES fOR fINaNCIaL admINISTRaTORS17.156 Financialsubstitutedecisionmakingcanbeanoneroustask,particularlyforpeople
whohavenotreceivedanytrainingabouttheroleandwhohavebeenusedtointerminglingtheirownfinancialaffairswiththoseoftherepresentedperson.TheCommissionbelievesthatitisdesirabletogivefinancialadministratorsadditionalstatutoryguidanceabouttheirroleinordertoencourageproperpracticesfromtheoutset.
maintain appropriate records17.157 Althoughfinancialsubstitutedecisionmakersarecurrentlyrequired,eitherdirectly133
orindirectly,134tomaintainappropriaterecordsoftheirtransactions,theCommissionbelievesthisresponsibilitycouldbemoreclearlyarticulatedinnewguardianshiplegislation.
17.158 Therequirementtokeepappropriaterecordsisanimportantpracticewhenmanagingthefinancialaffairsofanotherpersonbecauseitnotonlyassistswiththemanagementofaffairs,butalsoenablesexternalscrutinytooccurwherenecessary.
17.159 TheCommissionsuggestsuseoftheterm‘appropriate’inrecognitionofthefactthattherecord-keepingrequirementsmightdependuponthenatureandsizeoftheestate,andthenatureoftherelationshipbetweenthesubstitutedecisionmakerandtherepresentedperson.
17.160 InChapter18,theCommissionconsiderstherequirementsoffinancialsubstitutedecisionmakerstoprovideaccountsforexternalscrutiny,andthelevelofdetailwhichshouldberequired.
keep property separate except where jointly owned17.161 Adutytokeeptherepresentedperson’spropertyseparate,exceptwherejointly
owned,alsoformspartofadministrators’andattorneys’responsibilities.135TheCommissionbelievesthatnewlegislationshouldclarifythisresponsibilityoffinancialdecisionmakers,asisthecaseinQueensland.136
CONSEQuENCES fOR faILuRE TO adhERE TO RESpONSIbILITIES17.162 Thelegislativeresponsibilitiesofsubstitutedecisionsmakersareintendedtoprovide
guidanceintheperformanceofsubstitutedecision-makingroles.Theyalsoprovideastandardagainstwhichtheactionsofsubstitutedecisionmakerscanbemeasuredwherenecessary—inparticularbyVCATduringregularandunscheduledreviewsofsubstitutedecision-makingarrangements.FailuretoadheretoresponsibilitiesmightcauseVCATtovaryorrevokeasubstitutedecision-makingarrangement.Seriousbreachesofresponsibilitiesmightalsoleadtosanctionsagainstthesubstitutedecisionmakers.
17.163 Wediscusstheconsequencesofbreachesofasubstitutedecisionmaker’sresponsibilitiesinmoredetailinChapter18.
133 Section125DoftheInstruments Act 1958(Vic)requiresanenduringattorneytokeepaccuraterecordsofalldealingsandtransactions.134 AdministratorsareordinarilyrequiredtoprovideaccountstoVCATforexamination:Guardianship and Administration Act 1986 (Vic)s58.135 See,eg,Administration Guide,aboven15,6.136 Guardianship and Administration Act 2000(Qld)s50;Powers of Attorney Act 1998(Qld)s86.
403
RECOmmENdaTIONSOther responsibilities of substitute decision makers
288.Newguardianshiplegislationshouldprovidethatsubstitutedecisionmakersmust:
(a) notexceedthepowersgrantedundertheappointmentorunderthestatute
(b) acthonestly,diligentlyandingoodfaith
(c) identifyandrespondtosituationswherethesubstitutedecisionmaker’sinterestsconflictwiththoseoftherepresentedperson,ensuretherepresentedperson’sinterestsarealwaystheparamountconsideration,andseekexternaladvicewherenecessary
(d) communicatewiththerepresentedpersonthroughoutthedecision-makingprocessandexplain,asfaraspossible,decisionsbeingmadeontheirbehalf
(e) treatthepersonandimportantpeopleintheirlifewithdignityandrespect.
Responsibilities of substitute decision makers to keep personal information confidential
289.NewguardianshiplegislationshouldprovidethatasubstitutedecisionmakershouldonlycollectpersonalinformationthatisrelevanttoandnecessaryforcarryingouttheirroleundertheAct.
290.AsubstitutedecisionmakershouldhaveanobligationnottodiscloseanypersonalinformationobtainedinconnectionwiththeadministrationorexecutionoftheActunlessthedisclosureismade:
(a) forapurposethatisrelevanttoandnecessaryforcarryingouttheirroleundertheAct
(b) forthepurposesoflegalproceedingsarisingoutoftheActorofanyreportofsuchproceedings,or
(c) withotherlawfulexcuse.
Itshouldbeanoffencetobreachthisobligation.
291.Section17oftheState Trustees (State Owned Company) Act 1994(Vic)shouldberepealedifnewguardianshiplegislationcontainsaprovisionthatimplementsrecommendation290.
Additional financial responsibilities
292.Financialadministratorsshouldalsoberequiredto:
(a) keepappropriaterecordsoraccountsofdealings,transactionsandinvestments
(b) keeptheperson’spropertyseparatefromthatofthefinancialguardian,exceptwherejointlyowned.