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17 Chapter 17 375 CONTENTS Introduction 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

0 Victorian Law Reform Commission – Guardianship: Final Report 24 Chapter 17 0 Responsibilities of substitute decision makers INTROduCTION 17.1 This chapter addresses the responsibilities

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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/>.

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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.

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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.

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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).

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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).

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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.

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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.