Capacity and Self-Determination
(Jersey) Law 2016
A LAW to make provision relating to
individuals who lack capacity, and in particular to provide for the
circumstances in which, and the procedures by which, certain decisions may be
taken in relation to or on behalf of such individuals; to establish a new
regime of assessments and authorizations for the proper care and management of
such individuals; to make provision relating to anticipatory instructions refusing
treatment; and for connected purposes
Adopted by the
States 14th September 2016
Sanctioned by
Order of Her Majesty in Council 14th December 2016
Registered by the
Royal Court 23rd
December 2016
THE STATES, subject to the sanction of Her Most Excellent Majesty in Council, have
adopted the following Law –
PART 1
INTERPRETATION AND GENERAL PRINCIPLES
1 Interpretation
(1) In
this Law –
“best interests”
shall be interpreted in accordance with Article 6;
“child” means a
person under 18 years of age;
“Court” means the
Royal Court;
“delegate” means a
person appointed as such under Article 24;
“lack of capacity”
shall be interpreted in accordance with Article 4;
“life-sustaining treatment”
means any treatment necessary, in the view of a person providing health care
for a person lacking capacity, to sustain the latter person’s life;
“lasting power of attorney”
or “LPA” has the meaning given
by Article 11(1);
“Mental Health Law”
means the Mental Health (Jersey) Law 2016[1];
“permitted act” has
the meaning given by Article 8(2);
“prescribed” means
prescribed by an Order made by the Minister under Article 70.
(2) A
word or expression used in this Law and defined in the Mental Health Law shall,
unless otherwise indicated or required by the context, be taken to have the
same meaning for the purposes of this Law as that word or expression is given in
the Mental Health Law.
2 Persons
in respect of whom this Law applies
(1) The
powers exercisable under this Law in respect of a person who lacks capacity
shall not (subject to paragraph (2)) be exercisable in respect of a person
under 16 years of age.
(2) The
Court, or a delegate appointed to do so under Part 4, may make decisions
in relation to a person’s property and affairs even though the person has
not reached the age of 16, if the Court considers it is likely that the person
will lack capacity to make such decisions when he or she reaches that age.
3 Principles
to be applied
(1) In
the application of this Law –
(a) a
person must be assumed to have capacity, unless it is shown that the person
lacks capacity in the sense given to that expression by Article 4;
(b) a
person is not to be treated (under Article 5 or otherwise) as unable to
make a decision –
(i) unless all
practicable steps to enable that person to make the decision have been taken
without success, nor
(ii) merely because
the person makes an unwise decision;
and
(c) an
act done, or a decision made, on behalf of a person lacking capacity must be
done or made in the person’s best interests.
(2) Without
derogation from the generality of the principle stated in paragraph (1)(c),
before an act is done or a decision is made which is restrictive of the
person’s rights and freedom of action, regard must be had to whether the
purpose for which the act or decision is needed can be achieved as effectively
in a less restrictive way.
(3) In paragraph (1)(b)
and Articles 2, 4, 5 and 6, “decision” means a decision which
is not excluded by the operation of Article 7.
4 Lack
of capacity
(1) For
the purposes of this Law, a person lacks capacity in relation to a matter if, at
the material time –
(a) the
person is unable to make his or her own decision in relation to the matter (as
further provided by Article 5); because
(b) he
or she suffers from an impairment or a disturbance in the functioning of his or
her mind or brain.
(2) For
the purpose of the application of paragraph (1)(b) it does not matter –
(a) whether
the impairment or disturbance is permanent or temporary; nor
(b) what
the cause of the impairment or disturbance may be.
(3) Lack
of capacity cannot be established merely by reference to –
(a) a
person’s age or appearance; or
(b) a
person’s condition, or an aspect of a person’s behaviour, which
might lead others to make unjustified assumptions about the person’s
capacity.
(4) In
proceedings under this Law or any other enactment, the question as to whether a
person lacks capacity for the purposes of this Law must be decided on the
balance of probabilities.
5 Inability
to make a decision
(1) For
the purpose of the application of Article 4(1)(a), a person is unable to
make his or her own decision if he or she cannot –
(a) understand
information relevant to that decision;
(b) retain
the information for a period, however short, which is sufficient to make the
decision;
(c) use
or weigh the information in making the decision; or
(d) communicate
the decision (whether by speech, sign language, or any other means).
(2) Information
relevant to a decision includes information about the reasonably foreseeable
consequences of deciding one way or another, or of failing to make the
decision.
6 Best
interests
(1) For
the purposes of this Law, a determination as to what is in the best interests
of a person lacking capacity –
(a) must
not be made merely on the basis of –
(i) the person’s
age or appearance, or
(ii) any other aspect
of his or her condition or behaviour;
(b) must
not be made unless, so far as reasonably practicable, the person lacking capacity
has been permitted, encouraged and supported to participate as fully as
possible in any act done for or any decision affecting that person; and
(c) must
consider all relevant circumstances, including in particular the matters set
out in paragraphs (2) to (4).
(2) Such
a determination must include consideration of whether it is likely that the
person lacking capacity will at some time have capacity in relation to the
matter in question, and if so, when that is likely to be.
(3) Such
a determination must include consideration, so far as the following matters are
reasonably ascertainable, of –
(a) the
past and present wishes and feelings of the person lacking capacity as to the
matter in question (including in particular any advance decision to refuse
treatment or other written statement made by that person at a time when that
person did not lack capacity);
(b) the
beliefs and values of that person which would be likely to influence that
person’s decision if that person did not lack capacity;
(c) any
other factors which that person would be likely to consider if that person did
not lack capacity.
(4) Such
a determination must take into account, if it is practicable and appropriate to
consult the following persons, the views of –
(a) anyone
named by the person lacking capacity as someone to be consulted on the matter
in question or matters of that kind;
(b) anyone
engaged in caring for that person or interested in that person’s welfare;
(c) any
person on whom authority is conferred under a lasting power of attorney granted
by that person and applicable to the matter in question; and
(d) any
delegate appointed by the Court under Part 4.
(5) A determination
relating to life-sustaining treatment shall be not regarded as being in the
best interests of a person lacking capacity if the determination is motivated
by a desire to bring about that person’s death.
(6) In
the case of an act done or decision made under this Law by a person other than
the Court, it is sufficient if (having complied with the requirements of paragraphs (1)
to (5)) the person reasonably believes that the act or decision is in the best
interests of the person lacking capacity on whose behalf the act is done or the
decision is made.
7 Excluded
decisions
(1) Nothing
in this Law shall be taken to permit –
(a) consent
to be given, on behalf of another person, to –
(i) marriage or a
civil partnership,
(ii) sexual relations,
(iii) a decree of divorce, or
(in relation to a civil partnership) a dissolution order being made,
(iv) a child’s being
placed for adoption by the Adoption Service,
(v) the making of an
adoption order,
(vi) organ donation, or
(vii) fertility treatment; or
(b) a
decision to be made, on behalf of another person, on the discharge of parental
responsibilities in matters other than those relating to a child’s
property.
(2) The
States may by Regulations amend paragraph (1) for the purpose of adding or
removing any matter listed in that paragraph.
(3) Nothing
in this Law authorizes anyone –
(a) to
give a patient treatment for mental disorder; or
(b) to consent
to such treatment being given to a patient,
if, at the time when it is proposed to give the treatment, the
patient’s treatment is regulated by Part 6 of the Mental Health Law.
(4) In paragraph (3)
“treatment” has the meaning given by Article 1(1) of the
Mental Health Law, and paragraph (3) may be disapplied, by Regulations
made under Article 46 of that Law, in relation to a child who is capable
of understanding the nature, purpose and likely effects of the treatment.
(5) Nothing
in this Law permits a decision on voting at an election for any public office,
or in a referendum, to be made on behalf of another person.
8 Permitted
acts in connection with care and treatment of persons lacking capacity
(1) Paragraph (2)
applies, subject to Article 9, to an act done by one person (“C”
in this Part) in connection with the care and treatment of another person
(“P” in this Part), but only if –
(a) before
doing the act, C has taken reasonable steps to establish whether P lacks
capacity in relation to the matter in question; and
(b) when
doing the act, C reasonably believes –
(i) that P lacks
capacity in relation to the matter in question, and
(ii) it will be in P’s
best interests for the act to be done.
(2) C
does not incur any liability for an act to which this paragraph applies (a
“permitted act”) which C would not have incurred if P –
(a) had
had capacity to give consent in relation to the matter in question; and
(b) had
consented to C’s doing the act.
(3) Nothing
in this Article –
(a) excludes
any civil or criminal liability of C resulting from C’s negligence in
doing a permitted act; or
(b) affects
the operation of Part 3.
9 Certain
acts of restraint etc. which are not permitted
(1) An
act by C which is intended to restrain P is not a permitted act, unless –
(a) C
reasonably believes that it is necessary to do the act in order to prevent harm
to P; and
(b) the
act is a proportionate response to –
(i) the likelihood of
P’s suffering harm, and
(ii) the seriousness
of that harm.
(2) For
the purposes of paragraph (1), C restrains P if C –
(a) uses,
or threatens to use, force to secure the doing of an act which P resists; and
(b) restricts
P’s liberty of movement, whether or not P resists or objects to the
restriction.
(3) Article 8(2)
and this Article do not generally authorize C to do any act which conflicts
with a valid decision made by –
(a) any
other person appointed under a LPA granted by P; or
(b) a
delegate appointed for P by the Court.
(4) But
an act described in paragraph (3) may be a permitted act, where the act
involves –
(a) providing
life-sustaining treatment; or
(b) doing
anything which C reasonably believes to be necessary to prevent a serious
deterioration in P’s condition,
while awaiting a decision of the Court in respect of any relevant
issue.
10 Payments
by, and on behalf of, person lacking capacity
(1) If
necessary goods or services are supplied to a person who lacks capacity to
contract for the supply, that person must pay a reasonable price for the goods
or services.
(2) In paragraph (1),
“necessary” means suitable, at the time of supply, to the
person’s condition in life and to his or her actual requirements.
(3) If
a permitted act involves payment, C may –
(a) use
money in P’s possession –
(i) to meet the
payment, or
(ii) as reimbursement
for payment made on P’s behalf by C;
(b) be
otherwise indemnified by P; and
(c) pledge
P’s credit for the purpose of the payment.
(4) Paragraph (3)
does not affect any other power under which C or any person –
(a) has
lawful control of P’s money or other property; or
(b) has
power to spend money for P’s benefit.
part 2
lasting powers of attorney
11 “Lasting
power of attorney”: nature and definition
(1) In
this Law, “lasting power of attorney” or “LPA” refers
to a power of attorney –
(a) by which
one person, who is aged 18 years or older and has capacity to do so
(“P” in this Part), confers –
(i) on another person,
who is a person fulfilling the requirements of Article 12(1) (“A”
in this Part),
(ii) authority to make
decisions about all or any of the matters specified in paragraph (2); and
(b) which
includes authority to make such decisions in circumstances where P lacks
capacity to do so.
(2) The
matters mentioned in paragraph (1)(a)ii) are –
(a) P’s
health and welfare, or specified matters concerning P’s health and
welfare (and an instrument, or the part of an instrument, which deals with such
matters is referred to in this Part as a “health and welfare LPA”);
or
(b) P’s
property and affairs, or specified matters concerning P’s property and
affairs (and an instrument, or the part of an instrument, which deals with such
matters is referred to in this Part as a “property and affairs LPA”).
(3) Authority
conferred by any LPA may be made subject to such conditions or restrictions as
may be specified in the LPA.
(4) In
particular, and without derogation from paragraphs (1) to (3), a property
and affairs LPA may include provision permitting the exercise (whether
generally or in specified circumstances) of A’s powers under the LPA
where P does not lack capacity.
(5) In
this Part, reference to an instrument is to a form or other instrument by which
a lasting power of attorney is conferred or purports to be conferred.
12 Persons
appointed by LPA
(1) A
lasting power of attorney may confer authority on one or more persons, but –
(a) an
individual person must for this purpose be aged 18 years or over; and
(b) a
property and affairs LPA may not confer authority on a person who is subject to
a declaration of bankruptcy in Jersey or any insolvency or proceedings of a
similar nature to bankruptcy in any place outside Jersey.
(2) Where
authority is conferred on more than one person, the instrument may provide that
such persons are to act –
(a) in
respect of all matters either jointly, or jointly and severally; or
(b) in
respect of some specified matters, jointly and in respect of others, jointly
and severally.
(3) To
the extent that any instrument does not make express provision as envisaged by paragraph (2),
it is to be assumed that all persons on whom it confers authority are to act
jointly.
(4) If an
instrument provides that persons are to act jointly and severally, and any one
of those persons does not fulfil a requirement in paragraph (1)(a) or (b) –
(a) the
instrument shall not take effect in the case of that person; but
(b) this
shall not prevent a lasting power of attorney being conferred on the other
persons.
(5) An instrument
used to create a lasting power of attorney –
(a) cannot
give a person power to appoint a substitute or successor; but
(b) may
itself appoint persons to act as substitutes on the occurrence of an event
mentioned in Article 17(3) to (5).
(6) Where
authority is conferred by a lasting power of attorney upon 2 or more persons,
“A” in this Part refers to all or any of those persons.
13 Formalities
for creation and registration of LPA
(1) A
lasting power of attorney is not validly created in Jersey unless –
(a) the
instrument purporting to create it complies with the requirements of this Part,
and with the requirements as to execution in, and prescribed under, Part 1
of the Schedule; and
(b) it
is registered by the Judicial Greffe in accordance with the requirements as to
registration in Part 2 of the Schedule.
(2) Where
a power of attorney is first registered (by “original
registration”) in a jurisdiction of the British Islands other than Jersey,
it may have effect in Jersey –
(a) if
such evidence as to the original registration as the States may by Regulations
require is provided to the Judicial Greffe; and
(b) for
so long as the original registration validly subsists,
as though it were a lasting power of attorney created and registered
in Jersey under paragraph (1), and for this purpose the Judicial Greffe
shall register and deal with such a power of attorney in accordance with
Part 2 of the Schedule subject to such modifications as the States may by
Regulations make to the Schedule for this purpose.
14 Scope
of LPA: health and welfare
(1) Authority
conferred by a health and welfare LPA –
(a) does
not extend to making decisions about P’s personal welfare in
circumstances other than those where P lacks capacity or A reasonably believes
that P lacks capacity to make such decisions;
(b) is
subject to the provisions of Part 3 (as to advance decisions to refuse
treatment); and
(c) extends,
subject to paragraph (2), to giving or refusing consent to the carrying
out or continuation of treatment by a person providing health care for P.
(2) Paragraph (1)(c) –
(a) does
not authorize the giving or refusing of consent to the carrying out or
continuation of life-sustaining treatment, unless the instrument contains
express provision to that effect; and
(b) is
subject to any conditions or restrictions in the instrument.
15 Scope
of LPA: property and affairs
(1) The
authority conferred by a property and affairs LPA may include –
(a) to
the extent provided by paragraph (2) and not otherwise, a right to dispose
of P’s property by making gifts; and
(b) power
to do, or secure the doing of, anything necessary or expedient –
(i) for the
maintenance or other benefit of P, P’s family or dependents, and
(ii) for the payment
of P’s debts, whether legally enforceable or not.
(2) Subject
to any conditions or restrictions in the instrument, A may make gifts of
P’s property –
(a) on
customary occasions to persons (including A) who are related to or connected
with P; and
(b) to
any charity to which P made gifts or might have been expected to make gifts,
if the value of each such gift is not unreasonable having regard to
all the circumstances and in particular to the size of P’s estate.
(3) For
the purposes of paragraph (2), a “customary occasion” means –
(a) the
occasion or anniversary of a birth or marriage or formation of a civil
partnership; and
(b) any
other occasion on which presents are customarily given within families or among
friends and associates.
16 Scope
of LPA: general
(1) A
person on whom authority is conferred by lasting power of attorney is to be
treated as P’s agent in relation to anything done in accordance with the
instrument and in the exercise of that authority.
(2) In
the absence of any condition or provision to the contrary in the instrument, a
person on whom authority is conferred by lasting power of attorney –
(a) may,
in the exercise of that power, do, or secure the doing of, anything which
appears to the person to be necessary or expedient to be done to be in P’s
best interests;
(b) may
be reimbursed (subject to such limit as may be prescribed, whether by reference
to a proportion of P’s property or to an amount or otherwise) out of
P’s property for reasonable expenses in the discharge of functions when
acting in the exercise of that power.
17 Revocation
etc. of LPA
(1) This
Article applies where –
(a) P
has executed an instrument with a view to conferring a lasting power of
attorney; or
(b) a
lasting power of attorney is registered as having been conferred by P.
(2) At
any time when P has capacity to do so, P may revoke the lasting power of
attorney (and in this Article, a reference to revocation includes revocation of
the instrument by which the power is created).
(3) A
declaration of bankruptcy in relation to P has effect to revoke a property and
affairs LPA conferred by P.
(4) Subject
to paragraph (6), an event occurring in relation to A which is listed in paragraph (5)
has effect to revoke the lasting power of attorney and to terminate A’s
appointment under it.
(5) The
events mentioned in paragraph (4) are –
(a) disclaimer
of the appointment by A, in accordance with such requirements as may be
prescribed for that purpose;
(b) A’s
death;
(c) subject
to paragraph (7) and Article 12(4), a declaration of bankruptcy in
relation to A;
(d) subject
to paragraph (8), dissolution or annulment of a marriage or civil
partnership between P and A; and
(e) A’s
own lack of capacity.
(6) An
event occurring in relation to A which is listed in paragraph (5) has
effect to terminate A’s appointment but does not revoke the lasting power
of attorney, if –
(a) A
is replaced by a substitute, under the terms of the instrument; or
(b) A
is one of 2 or more persons appointed to act jointly and severally in respect
of any matter and, after the event, at least one such person (other than A)
remains.
(7) A
declaration of bankruptcy in relation to A does not terminate A’s
appointment or revoke authority conferred on A to the extent that the authority
relates to P’s health and welfare.
(8) Dissolution
or annulment of a marriage or civil partnership does not terminate A’s
appointment nor revoke a lasting power of attorney if the instrument provided
that such an event was not to do so.
(9) In
this Article, “bankruptcy” includes any insolvency or proceedings
of a similar nature to bankruptcy in any place outside Jersey.
18 Protection
where LPA not valid
(1) Paragraphs (2)
and (3) apply where –
(a) an
instrument has been registered as a lasting power of attorney; but
(b) a
lasting power of attorney was not created (whether or not the registration is
cancelled at the time of an act or transaction mentioned in paragraphs (2)
to (4)).
(2) When
acting in purported exercise of a lasting power of attorney, A does not incur
any liability (to P or any other person) unless at the time of so acting –
(a) A
knows that no lasting power of attorney has been created; or
(b) A
is aware of circumstances which, if a lasting power of attorney had been
created, would have terminated A’s appointment.
(3) Any
transaction between A and another person is, in favour of that person, as valid
as if a lasting power of attorney had been in existence unless at the time of
the transaction that other person –
(a) knows
that no lasting power of attorney has been created; or
(b) is
aware of circumstances which, if a lasting power of attorney had been created,
would have terminated A’s appointment.
(4) If the
interest of a purchaser depends on whether a transaction between A and another
person was valid by virtue of paragraph (3), it shall be conclusively
presumed in favour of the purchaser that the transaction was valid if the other
person makes an affidavit –
(a) either
before, or within 3 months following, the completion of the purchase; and
(b) stating
that the person did not at the material time know of the termination of A’s
appointment.
19 Powers
of Court in relation to creation and validity of LPA
(1) The
Court may determine any question arising as to whether –
(a) one
or more of the requirements for the creation of a lasting power of attorney
have been met; or
(b) a
lasting power of attorney has been revoked or otherwise come to an end.
(2) The
powers conferred by paragraph (3) may be exercised if the Court is
satisfied –
(a) that
fraud or undue pressure was used to induce P –
(i) to execute an
instrument for the purpose of creating a lasting power of attorney, or
(ii) to create a
lasting power of attorney;
or
(b) that
any person on whom authority is conferred by a lasting power of attorney has
behaved, is behaving, or proposes to behave in a way which contravenes that
authority or is otherwise not in P’s interests.
(3) Where
the Court is satisfied as mentioned in paragraph (2), the Court may –
(a) direct
that an instrument purporting to create a lasting power of attorney is not to
be registered; and
(b) if
P lacks capacity to do so, revoke the purported instrument or the lasting power
of attorney.
(4) In
exercising the power conferred by paragraph (3)(b), the Court may revoke a
lasting power of attorney in part only, including only to the extent that it
confers authority on any particular person or is intended to do so.
20 Powers
of Court in relation to operation of LPA
(1) The
Court may determine any question as to the meaning or effect of a lasting power
of attorney or of any instrument purporting to confer authority by a lasting
power of attorney.
(2) The
Court may give directions –
(a) with
respect to a decision which is within the authority conferred on A by a lasting
power of attorney, if P lacks capacity to make the decision; and
(b) as
to –
(i) the rendering of
reports or accounts by A and the production of records kept by A for the
purpose of such reports or accounts, and
(ii) A’s
remuneration or expenses,
if P lacks capacity to do so.
(3) The
Court may give any consent or authorization to act which A would otherwise have
had to obtain from P if P had capacity to give it, and in particular may
authorize the making of gifts which are not permitted by Article 16.
(4) The
Court may require A to supply information, or to produce documents or any other
things, which are within A’s possession as a result of the authority
conferred on A by a lasting power of attorney.
(5) The
Court may relieve A wholly or partly from any liability which A has or may have
incurred as a result of breach of duties imposed on A by a lasting power of
attorney.
part 3
advance decisions to refuse treatment
21 Decisions
to which this Part applies
(1) In
this Part, “advance decision” means a decision made by a person
aged 16 years or over who has capacity to make the decision
(“P” in this Part), that specified treatment is not to be carried
out or continued by a person providing health care for P, if –
(a) at
a later time and in such circumstances as P may specify, the treatment is
proposed to be carried out or continued; and
(b) at
that time P lacks capacity to consent to the treatment.
(2) For
the purposes of paragraph (1) –
(a) a
decision made before the coming into force of this Part may, if it otherwise
fulfils the requirements as to validity and applicability in Article 22,
be treated as an advance decision; and
(b) a
decision may be regarded as specifying a treatment or circumstances even though
the decision is expressed in non-medical terms.
(3) P
may alter or withdraw an advance decision at any time when P has capacity to do
so, and –
(a) a
withdrawal need not be in writing; and
(b) an
alteration need not be in writing, except as required by Article 22(5)
where the advance decision relates to life-sustaining treatment.
22 Validity
and applicability of advance decisions
(1) An
advance decision does not have effect in accordance with Article 23,
unless at the material time the decision is –
(a) valid;
and
(b) applicable
to the treatment.
(2) An
advance decision is not valid if P does anything (including withdrawing the
decision) which is inconsistent with the advance decision remaining P’s
fixed decision.
(3) An
advance decision is not applicable to any treatment if at the material time P
has capacity to give or refuse consent to that treatment.
(4) An
advance decision is not applicable to the treatment in question if –
(a) the
treatment is not treatment specified in the advance decision;
(b) any
circumstances specified in the advance decision are absent; or
(c) there
are reasonable grounds for believing that circumstances exist at the material
time which P did not anticipate at the time of making the decision, but which
would have affected P’s decision if P had done so.
(5) An
advance decision is not applicable to life-sustaining treatment unless –
(a) it
is verified by a statement by P that it is to apply to that treatment even if
P’s life is at risk;
(b) it
is in writing signed by P or by another person in P’s presence and at
P’s direction;
(c) the
signature is made or acknowledged by P in the presence of a witness; and
(d) the
witness signs the decision in P’s presence.
23 Effect
of advance decisions
(1) An
advance decision which is –
(a) valid;
and
(b) applicable
to a treatment,
in accordance with Article 22 (an “effective advance
decision”) has effect as if P made it, and had capacity to make it, at
the time when a question arises as to whether the treatment should be carried
out or continued.
(2) A
person does not incur liability for carrying out or continuing the treatment
unless, at the time when that question arises, the person –
(a) knows
that an effective advance decision exists; and
(b) despite
that knowledge, carries out or continues the treatment.
(3) A
person does not incur liability for the consequences of withholding or
withdrawing a treatment from P if, at the time, the person reasonably believes
that an effective advance decision exists.
(4) The
Court may make declarations as to whether an advance decision –
(a) exists;
(b) is
valid;
(c) is
applicable to a treatment.
(5) While
a declaration of the Court is awaited, nothing in this Article or any apparent
or apparently effective advance decision prevents a person –
(a) providing
life-sustaining treatment; or
(b) doing
any act which the person reasonably believes to be necessary to prevent a
serious deterioration in P’s condition.
part 4
appointment of delegates and related
powers of the court
24 General
power of the Court to make declarations and decisions, and to appoint delegates
(1) The
Court may make declarations as to –
(a) whether
a person (“P” in this Part) has or lacks capacity to make a
decision specified in the declaration;
(b) whether
P has or lacks capacity to make decisions on such matters as are described in
the declaration;
(c) the
lawfulness of any act done, or proposed to be done, in relation to P,
and for the purpose of sub-paragraph (c), “act”
includes a course of conduct.
(2) If
P lacks capacity in relation to a matter concerning P’s health or welfare
or P’s property and affairs, the Court may, on an application made to it
under Article 25 –
(a) by
order make a decision on P’s behalf as to the matter; or
(b) appoint
a delegate to make a decision on P’s behalf as to such matters,
in accordance with this Part, and having regard in particular to Articles 3
to 6.
(3) In appointing
a delegate the Court must ensure that the scope and duration of the appointment
are no greater than reasonably necessary having regard to all relevant
circumstances.
(4) Without
derogation from Article 25, the Court may make an order, give directions
or appoint a delegate on such terms as it considers are in P’s best
interests even though no application is before it for an order, directions or
appointment in those terms.
(5) Having
regard to the provisions of this Part and to Article 34 in particular, the
Court may –
(a) make
such further orders;
(b) give
such directions; and
(c) confer
such powers, or impose such duties,
as the Court thinks necessary or expedient for giving effect to, or
otherwise in connection with, an order or appointment under paragraph (2),
including (where the Court is satisfied that it is in P’s best interests
to do so) varying or discharging any previous order.
(6) In
particular, in the exercise of its powers under paragraph (5), the Court
may –
(a) revoke
the appointment of a delegate; or
(b) vary
the powers conferred on a delegate,
if the Court is satisfied that the delegate has behaved, is behaving
or proposes to behave in a way that contravenes the authority conferred by the
Court or is not in P’s best interests.
(7) Paragraph (8)
applies where –
(a) an
application has been made to the Court under Article 25; and
(b) the
Court intends to exercise its powers under paragraph (2).
(8) Where
this paragraph applies, the Court may, pending determination of the
application, make an order or give directions in respect of any matter, if
there is reason to believe that –
(a) P
lacks capacity as to the matter; and
(b) it
is in P’s best interests that the order is made, or the directions are
given, without delay.
(9) The
specific powers conferred by this Article are without prejudice to or
derogation from the general jurisdiction of the Court and the Court shall have,
in relation to any proceedings under this Part, all such power to act of its
own motion as it has in relation to any other proceedings.
25 Applications
to Court for exercise of powers under Article 24
(1) An
application for the exercise of the Court’s power under Article 24(2)
may be made by an applicant who is –
(a) P,
notwithstanding P is alleged to lack capacity;
(b) P’s
spouse or civil partner;
(c) where
P and another person (whether of the same or the opposite sex) are not married
to each other but are living together as spouses or civil partners, that other
person;
(d) P’s
child or step-child;
(e) P’s
parent or step-parent, or (if P is aged under 18 years) any other person
with parental responsibility for P;
(f) P’s
brother, sister, half-brother, half-sister, step-brother or step-sister;
(g) P’s
grandparent;
(h) a
delegate appointed for P by the Court (in relation only to the exercise of
power under Article 24(2)(a));
(i) a
person (“D” for the purposes of Part 2) appointed by P under a
lasting power of attorney;
(j) a
person named in an existing order of the Court made in relation to P, if the
application relates to that order;
(k) an
independent capacity advocate appointed to represent P under Article 51;
or
(l) the
Attorney General.
(2) An
application for such an exercise of the Court’s power may be made by a
person not mentioned in paragraph (1) with the Court’s permission, and
in deciding whether to admit such an application the Court must have regard to –
(a) the
applicant’s connection with P;
(b) the
reasons for the application;
(c) the
potential benefit to P of the proposed order or directions; and
(d) whether
that benefit can be achieved in any other way.
26 Application
in case of person admitted to approved establishment
(1) This
Article applies where P is a person who –
(a) has
been admitted to an approved establishment under Part 3 of the Mental
Health Law; or
(b) has
been received into guardianship under Part 4 of that Law.
(2) Where
this Article applies, and –
(a) no
person has been appointed (whether under the Mental Health Law or under this
Law) either to take decisions as to P’s health and welfare or to manage
or administer P’s property and affairs; and
(b) in
the opinion of the responsible medical officer or registered medical
practitioner in charge of P’s treatment, P lacks capacity to make
decisions as to P’s health and welfare or P’s property and affairs,
the Minister shall report the matter to the Attorney General.
(3) Where
the Attorney General –
(a) receives
a report under paragraph (2) in respect of P; or
(b) otherwise
has reason to believe that P lacks capacity to make decisions as to P’s health
and welfare or P’s property and affairs,
the Attorney General may apply to the Court for a delegate to be
appointed under this Part (or for such other order as the Attorney General or
the Court may think fit).
27 Specific
provision which may be made under this Part as to P’s health and welfare
(1) Subject
to paragraph (2), the power which may be exercised by the Court or by a
delegate in relation to P’s health and welfare includes in particular the
power of –
(a) deciding
where P is to live;
(b) deciding
what contact, if any, P is to have with specified persons; and
(c) giving
or refusing consent to the carrying out or continuation of treatment by a person
providing health care for P.
(2) Only
the Court (and not a delegate) may –
(a) prohibit
a named person from having contact with P;
(b) direct
a person providing health care for P to allow a different person to take over
that responsibility; or
(c) refuse
consent to the continuation of life-sustaining treatment.
28 Specific
provision which may be made under this Part as to P’s property and
affairs
(1) Subject
to paragraphs (2) and (3), the power which may be exercised by the Court
or by a delegate in relation to P’s property and affairs includes in
particular all such powers as P might, on his or her own behalf and in
accordance with the law of Jersey, exercise in relation to –
(a) the
control and management of P’s property;
(b) the
sale, exchange, charging, gift or other disposition of P’s property;
(c) the
acquisition of property in P’s name or on P’s behalf;
(d) the
carrying on, on P’s behalf, of any profession, trade or business;
(e) decisions
having the effect of dissolving a partnership of which P is a member;
(f) the
carrying out of any contract entered into by P;
(g) the
discharge of P’s debts and of any of P’s obligations whether
legally enforceable or not;
(h) the
conduct of legal proceedings in P’s name or on P’s behalf.
(2) The
sale, exchange, charging, gift or other disposition of P’s property may
not be carried out except in compliance with any conditions or restrictions
imposed by the Court on such sale, exchange etc.
(3) Only
the Court (and not a delegate) may exercise, in accordance with the further
requirements of Articles 30 and 31, power in relation to –
(a) the
settlement of P’s property, whether for P’s own benefit or the
benefit of others;
(b) the
execution for P of a will;
(c) the
exercise of any power (including a power to consent) vested in P whether
beneficially or as trustee or otherwise.
29 Power
of Court to order medical etc. reports
(1) Without
derogation from the general power conferred by Article 24, the Court may,
in accordance with paragraph (2) and where the Court considers it necessary
or expedient to do so for the purpose of the exercise of its powers under this
Part, order the preparation of a report as to P’s condition or
circumstances (including, but not limited to, P’s medical or
psychological condition, P’s social circumstances or social factors
affecting P).
(2) The
Court’s order under paragraph (1) may be addressed to –
(a) any
party to the proceedings under Article 24; and
(b) where
the Court is satisfied that it is reasonable to do so, any other person.
(3) Where
the Court makes an order under paragraph (1), the person preparing the
report must be permitted by any other person having responsibility for
P’s care or treatment –
(a) to
interview P in private;
(b) at
all reasonable times to examine and take copies of any health records or
records maintained by a person having responsibility for P’s care or
treatment; and
(c) to
carry out such medical, psychiatric or psychological assessment of P as the
person may be qualified to perform.
30 Powers
of Court in relation to wills
(1) The
power of the Court under Article 28(3)(b) extends to making any provision
(including, but not limited to, the disposal of property or the exercise of a
power) which could be made under a will executed by P if P had capacity to do
so, and subject to paragraph (2), such provision shall have effect for all
purposes as if it were provision made by a will validly executed under Jersey
law by a person with capacity.
(2) Paragraph (1)
does not apply to the extent that –
(a) a
will disposes of immovable property outside Jersey; or
(b) at
the time when the will is to be executed, P is domiciled outside Jersey and any
question of P’s testamentary capacity would fall to be determined in
accordance with the law of P’s domicile.
(3) For
the purpose of the exercise of the Court’s power under Article 28(3)(b)
and this Article, the Court may make an order or give directions authorizing
any person (whether appointed as a delegate under this Part or not) to execute
a will on behalf of P.
(4) Such
an order or directions as mentioned in paragraph (3) shall include the
requirements that the will executed on behalf of P must –
(a) state
that it is signed by P acting by the authorized person;
(b) be
signed by the authorized person with the name of P and that person’s own
name, in the presence of no less than 2 witnesses;
(c) be
attested and subscribed by those witnesses in the presence of the authorized
person; and
(d) be
sealed with the official seal of the Court.
31 Powers
of Court in relation to trusts
(1) The
Court may, in the exercise of its power under Article 28(3), make such
vesting or other orders as the case may require, including (for the avoidance
of doubt) any order which the Court may otherwise make under the Trusts
(Jersey) Law 1984.
(2) In
particular and without derogation from the generality of the Court’s
powers, the Court may make orders and give directions as provided by paragraphs (3)
to (5).
(3) The
Court may by order vary or revoke a settlement of P’s property on trust,
if –
(a) the
settlement makes provision for variation or revocation; or
(b) the
Court is satisfied that –
(i) a mistake was
made in relation to the exercise of power over, or in relation to, a trust or
trust property,
(ii) the power would
not have been so exercised, but for that mistake, and
(iii) the mistake is of so
serious a character as to render it just for the Court to make an order under
this paragraph,
and the Court may for this purpose give all such incidental or
consequential directions as the Court considers necessary.
(4) The
Court may make orders and give directions in relation to the vesting of property
in, or management of property by, a person other than P (whether that person is
appointed as a delegate under this Part or not) if the Court is satisfied that –
(a) under
the law prevailing in a place outside Jersey, that other person has been appointed
to exercise powers of management of P’s property and affairs on the
ground (however formulated or expressed) that P lacks capacity in this respect;
and
(b) having
regard to the nature of the appointment and the circumstances of the case, it
is expedient for the Court so to order or direct.
(5) The
Court may make such order or give such directions as it considers appropriate
to preserve any person’s interest in P’s property where –
(a) that
property is to be disposed of by order of the Court or by a delegate or person ordered
or directed to do so under paragraph (4); and
(b) but
for the disposal, the person would have benefited from an interest in P’s
property (whether under P’s will or intestacy or any other legal
interest, or by way of a gift perfected, or nomination taking effect on,
P’s death).
32 Powers
of Court in relation to P’s property
(1) The
Court may make such orders or give such directions as it may consider
appropriate for the purpose of maintaining or improving P’s property or
otherwise for the permanent benefit of P’s property.
(2) For
the avoidance of doubt the power conferred by paragraph (1) includes power
to make orders or give directions as to the expenditure of P’s property
for the purpose mentioned in that paragraph and as to securing such expenditure.
33 Regulations
as to powers of Court under this Part
The States may by Regulations make further provision as to the
powers of the Court for the purposes of this Part, including, but not limited
to, provision as to the circumstances in which the Court may appoint a person
to exercise any of P’s functions as patron of a benefice.
34 Qualifications
of and general provisions concerning delegates
(1) Any
person may be appointed by the Court as a delegate under this Part, but an
individual person must for this purpose be aged 18 years or over.
(2) A
delegate must give consent to being appointed as such.
(3) The
Court may appoint an individual by appointing the holder for the time being of
a specified office or position (including, for the avoidance of doubt, the
Viscount, in his or her capacity as such).
(4) The
Court may appoint 2 or more delegates to act –
(a) jointly;
(b) jointly
and severally; or
(c) jointly
in respect of some matters and jointly and severally in respect of other
matters.
(5) The
Court may, at the same time as appointing any delegate, appoint one or more
other persons to succeed a delegate in such circumstances, or on the happening
of such events, and for such period, as the Court may specify.
(6) A
delegate is to be treated as P’s agent in relation to anything done
within the scope of the delegate’s appointment and in accordance with
this Part, but the powers and duties imposed by the Court on the appointment of
a delegate may include (without derogation from the generality of the
Court’s powers in this respect) the imposition of a financial limit on
the delegate’s authority.
(7) A
delegate is entitled to be reimbursed out of P’s property for reasonable
expenses in the discharge of functions when acting as delegate, and the Court
may direct, when appointing a delegate, that the delegate should be entitled to
remuneration out of P’s property for so acting (subject to such limit as may
be prescribed, whether by reference to a proportion of P’s property or to
an amount or otherwise).
(8) The
Court may require a delegate –
(a) to
give to the Attorney General or (as the Court may specify) the Judicial
Greffier such security as the Court thinks fit for the due discharge of the
delegate’s functions; and
(b) to provide
to the Court, or to such other persons as the Court may specify, such reports
at such times or intervals as the Court may direct.
(9) In
the exercise of its powers under paragraph (8)(b), the Court shall have
regard to any further provision which may be made by the States by Regulations with
respect to the supervision of delegates, under Article 36.
(10) The appointment
of a delegate shall cease upon the death of the delegate or of P, or upon the
delegate’s resignation, but P’s death shall not affect the legality
of anything done by the delegate in good faith and without knowing of P’s
death.
35 Powers
of delegates
(1) Subject
to paragraphs (2) to (4) and to any restriction or condition imposed by
the Court on the appointment of a delegate, a delegate may do, or secure the
doing of, anything which appears to the delegate to be necessary or expedient
to be done in P’s best interests.
(2) In
a case where a delegate is appointed to deal with P’s property and
affairs, the power conferred by paragraph (1) includes power to do or
secure the doing of anything necessary or expedient –
(a) for
the maintenance or other benefit of P, P’s family or dependents; and
(b) for
the payment of P’s debts, whether legally enforceable or not.
(3) A
delegate may not make a decision on behalf of P which is inconsistent with a
decision made –
(a) within
the scope of authority conferred by a lasting power of attorney granted by P and
in accordance with this Law;
(b) by the
person (“A” for the purposes of Part 2) on whom such authority
is conferred.
(4) A
delegate must make all decisions on behalf of P in P’s best interests and
without undue delay.
36 Supervision of persons acting on P’s behalf under Parts 2 and
4
(1) The
States may by Regulations designate a person or office as having responsibility
for –
(a) supervision
of the conduct of delegates and of persons exercising authority under lasting
powers of attorney;
(b) monitoring
compliance of delegates with the provisions of this Law and with any specific
authority conferred upon particular delegates by the Court or upon particular
persons by any lasting power of attorney; and
(c) investigating
complaints against delegates and persons exercising authority under lasting
powers of attorney, and, where necessary, drawing such complaints to the
attention of the Court.
(2) Such
provision may, further and in particular, make provision as to the payment of
fees, including the amount of such fees, when a report is provided to the Court
under Article 34(8)(b).
(3) The
States may further by such Regulations make provision –
(a) as
to the investigatory and reporting powers of any person or office designated
under paragraph (1);
(b) for –
(i) the creation of
criminal offences, punishable by a fine of level 3 on the standard scale,
and
(ii) the imposition of
liability towards P or P’s estate,
where a delegate or a person exercising authority under a lasting
power of attorney fails to comply with relevant provisions of the Regulations
or of this Law; and
(c) concerning
disclosure of, and access to, information held by –
(i) a delegate,
(ii) a person
exercising authority under a lasting power of attorney, or
(iii) a person or office
designated by Regulations under paragraph (1),
including provision for the inspection of such information at such
times and places and by such persons as may be specified.
part 5
capacity and liberty
37 Interpretation
and application of Part 5
(1) In
this Part –
“affirmative”, in relation to a report, has the meaning
given by Article 46(3);
“approved care home” means an establishment to which Article 6
of the Long-Term Care (Jersey) Law 2012[2] applies;
“assessor” means a person designated under Article 40;
“capacity and liberty matters” has the meaning given by Article 44(6);
“Commission” means the Health and Social Care Commission
established under Article 35 of the Regulation of Care (Jersey) Law 2014[3];
“independent capacity advocate” means a person appointed
as such under Part 6;
“M” means the manager of a relevant place;
“negative”, in relation to a report or assessment, has
the meaning given by Article 46(2);
“P” means a person in respect of whom this Part applies
as further provided by paragraph (2);
“registered person” has the same meaning as is given to
that expression by Article 1 of the Long-Term Care (Jersey) Law 2012[4];
“relevant place” has the meaning given by paragraph (3);
“significant restriction on liberty” has the meaning
given by Article 39;
“standard authorization” has the meaning given by Article 48;
“Tribunal” means the Mental Health Review Tribunal
established under Part 7 of the Mental Health Law; and
“urgent authorization” has the meaning given by Article 42.
(2) This
Part –
(a) does
not apply where P is a person liable to be detained under Part 3 of the
Mental Health Law; and
(b) except
for Article 59, does not apply where P is a person undergoing
life-sustaining treatment in any place (and for this purpose
“place” includes an ambulance or other vehicle used by the
emergency services).
(3) For
the purposes of this Part a “relevant place” means a hospital
(except any accident or emergency department of a hospital), an approved care
home or any establishment regulated under the Regulation of Care (Jersey) Law 2014[5], or designated by the
Minister, for the purpose of providing health or social care.
38 Circumstances
permitting significant restriction on liberty
(1) If,
and only if, one of the criteria in paragraph (2) is fulfilled in respect
of P, the manager (“M”) of a relevant place in which P is residing may
lawfully impose on P a significant restriction which would otherwise amount to
a deprivation of P’s liberty.
(2) The
criteria mentioned in paragraph (1) are that, in respect of P –
(a) an
urgent authorization has been granted by the Minister under Article 42;
(b) a
standard authorization has been granted by the Minister under Article 48;
(c) an
order of the Court has been made under Article 57; or
(d) the
restriction is necessary to enable life-sustaining treatment to be given, as
further provided by Article 59.
(3) Where
one of the criteria in paragraph (2) is fulfilled, a person doing any act for
the purpose of maintaining a significant restriction on P’s liberty does
not incur any liability, in relation to the act, which would not have been
incurred if P had capacity to consent, and had consented, to the act being
done.
(4) Paragraphs (1)
and (3) –
(a) do
not exclude the civil liability of any person for loss or damage, or the
criminal liability of any person, resulting from negligence in doing an act;
and
(b) do
not authorize a person to do anything except for the purpose of, and in
accordance with any conditions of, the authorization or order of the Court (as
the case may be) applying in respect of P.
39 Significant
restrictions on liberty
(1) A measure
listed in paragraph (2) amounts to a significant restriction on P’s
liberty if it applies to P on a regular basis.
(2) The
measures mentioned in paragraph (1) are that –
(a) P
is not allowed, unaccompanied, to leave the relevant place;
(b) P
is unable to leave the relevant place unassisted, by reason of P’s
physical impairment or mental disorder, and such assistance as it may be
reasonably practicable to provide to P for this purpose is not provided;
(c) P’s
actions are so controlled in the relevant place as to limit P’s access to
part only of that place;
(d) P’s
actions are controlled, whether or not in the relevant place, by the
application of physical force or of restraint as defined in Article 9(2);
(e) P
is subject, whether or not in the relevant place, to continuous supervision;
(f) P’s
social contact, whether or not in the relevant place, with persons other than
those caring for him or her in the relevant place, is restricted.
(3) A
measure applicable to all residents at a relevant place (other than staff
employed at the place) which –
(a) is
intended to facilitate the proper management of that place; and
(b) does
not excessively or unreasonably disadvantage P in particular,
shall not be regarded as a significant restriction on P’s liberty.
(4) For
the purposes of paragraph (2)(b), and for the avoidance of doubt –
(a) P
is not to be regarded as subject to a significant restriction on liberty where
P is wholly incapable of leaving the relevant place because of physical
impairment; and
(b) any
limit as to the time or duration of any assistance provided to P, which does
not excessively or unreasonably disadvantage P, shall not be taken to mean that
assistance is not provided.
(5) The
States may by Regulations amend this Article.
40 Arrangements
to be made by Minister: designation of assessors
(1) For
the purposes of assessments to be carried out in accordance with this Part and in
fulfilment of the duty imposed by Article 41(2), the Minister must –
(a) designate
registered persons to act as assessors under this Part, and maintain a register
of persons so designated; and
(b) determine
the appropriate level of training or professional qualification to be required
of persons who may be so designated.
(2) The
Minister may for the purposes stated in paragraph (1) –
(a) make
all such provision by Order as is necessary to enable fees to be charged by,
and payments to be made to, assessors, including provision in relation to the
amount or level of such fees; and
(b) do
all other things which may be reasonably necessary for those purposes.
(3) The
States may by Regulations make further provision as to arrangements to be made
for the purposes stated in paragraph (1), and such provision may include
amendment of this Article and the time limit in Article 45(1)(b).
41 Arrangements to be made by Minister: requirement for authorization
(1) The
Minister must not authorize the imposition of a significant deprivation of
liberty unless –
(a) the
authorization is urgent within the meaning of Article 42; or
(b) the
necessity for such a deprivation has been confirmed by the report of an
assessor, following an assessment carried out in accordance with Articles 43
to 46.
(2) Where –
(a) the
Minister receives a request from M under Article 43; or
(b) the
Minister otherwise becomes aware that Article 43(1)(a) applies and the
conditions in Article 43(2) are fulfilled in respect of P,
the Minister must as soon as practicable and without undue delay appoint
a person to carry out an assessment as mentioned in paragraph (1).
42 Urgent
authorizations
(1) An
application may be made to the Minister for an urgent authorization by an assessor
or by M, if the applicant reasonably believes that –
(a) the
duty imposed by Article 43(3) applies to M;
(b) it
is necessary, in the interests of P’s health or safety, that M should have
authority to impose a significant restriction on P’s liberty before a
standard authorization could reasonably be expected to be granted; and
(c) it
is in P’s best interests to be provided with care or treatment in
circumstances which would amount to a significant restriction on P’s
liberty.
(2) An
application under paragraph (1) must be in writing and in such form as may
be required under a code of practice under Article 68, but in any event
must contain the following matters –
(a) P’s
name;
(b) M’s
name and the name of any other registered person concerned;
(c) the
name and address of the relevant place;
(d) the
grounds for the application; and
(e) the
nature and extent of the proposed restriction on P’s liberty.
(3) Upon
receipt of an application duly made under this Article, the Minister must
immediately –
(a) give
notice in writing to M that an urgent authorization is granted; and
(b) record
in writing the grant of the authorization, the terms and conditions (if any)
upon which it is granted, and the reasons for the grant and for any terms and
conditions.
(4) An
urgent authorization shall continue in effect until M receives notification –
(a) of
the grant of a standard authorization in respect of P; or
(b) that
an assessment of P under this Part is negative,
whichever first occurs, but in no case for longer than 28 days
following the date of the authorization.
(5) An
urgent authorization may not be renewed, but a further urgent authorization may
be granted where, following notification to M of a negative assessment, M
considers that –
(a) a
material change in P’s circumstances; or
(b) a
material mistake in the initial assessment of P,
justifies a fresh application, and M applies to the Minister under paragraph (1)
stating, as a ground for the application, a matter described in this paragraph.
(6) Nothing
in this Article shall be taken to permit the imposition of a significant
restriction on P’s liberty which conflicts with a valid advance decision
to refuse treatment –
(a) made
by P under Part 3; and
(b) of
which M is aware.
43 Request
for assessment
(1) This
Article applies where –
(a) P
is resident, or is likely in the next 28 days to be resident, in a
relevant place for the purpose of receiving care or treatment; and
(b) it
appears to M that the conditions in paragraph (2) are fulfilled in respect
of P.
(2) The
conditions mentioned in paragraph (1) are that it is likely –
(a) that
P lacks capacity in relation to giving consent to the arrangements for his or
her care or treatment in the relevant place; and
(b) that
for the purposes of such care or treatment, P is or will be subject to a
significant restriction on his or her liberty.
(3) Where
this Article applies, M must –
(a) unless
paragraph (4) applies, notify the Minister of the matters in paragraphs (1)
and (2); and
(b) in
any event, make a request (in such form and manner, if any, as may be
prescribed) for an assessment to be carried out in accordance with Article 44.
(4) M
is not obliged to notify the Minister of the matters in paragraph (1) and
(2) if M reasonably believes that the Minister is already aware of those
matters, but for the avoidance of doubt the admission of a person into
guardianship does not prevent this Article applying.
44 Manner
of assessment
(1) The
assessor appointed by the Minister under Article 41(2) must carry out an
assessment in accordance with this Article and in a timely manner so as to
enable a report to be provided within the time limit in Article 45(1)(b).
(2) The
assessment must be carried out by means of one or more interviews –
(a) with
P; and
(b) in
any case where –
(i) the assessor is
not a registered medical practitioner, or
(ii) there is no
medical evidence of P’s lack of capacity at the date of the assessment,
with a registered medical practitioner, in accordance with paragraph (3),
who has seen P immediately before the assessment.
(3) For
the purposes of paragraph (2)(b), the registered medical practitioner must
be –
(a) the
registered medical practitioner who is responsible for P’s care and
treatment; or
(b) if
there is no such practitioner as described in sub-paragraph (a), a
registered medical practitioner designated by the Minister for the purpose.
(4) The
assessment may include interviews with or representations from such other
persons, if any, as are listed in paragraph (5) and as may in the assessor’s
view be appropriate.
(5) The
other persons mentioned in paragraph (4) are –
(a) P’s
guardian, if any;
(b) any
person on whom authority has been conferred by a health and welfare LPA;
(c) any
delegate appointed by the Court with responsibility for matters relating to
P’s health and welfare;
(d) any
person otherwise nominated by P, if P has capacity to make such a nomination;
and
(e) any
other person who is P’s nearest relative.
(6) The
assessment must be such as will enable the assessor to form a view in respect
of each of the following matters (the “capacity and liberty
matters”), namely –
(a) whether
P lacks capacity in relation to giving consent to the arrangements for his or
her care or treatment in the relevant place;
(b) whether
it is necessary to impose, as a component of that care or treatment, a significant
restriction on P’s liberty in the interests of P’s health or
safety;
(c) if
so, whether it is in P’s best interests to be provided with care or
treatment in circumstances where such a restriction will be imposed.
(7) For
the purpose of carrying out an assessment, the assessor –
(a) shall
be permitted at all reasonable times –
(i) to visit P in the
relevant place,
(ii) to interview P
either privately or, where there is in relation to P a person listed in paragraph (5),
in the presence of that person, and
(iii) to inspect and take
copies of all medical or other records relating to P and kept by the Minister,
the Commission, M, or any other provider of care or treatment to P; and
(b) may
interview or otherwise receive representations from M or any person listed in paragraph (5).
(8) The
States may by Regulations make further provision as to the conduct of
assessments under this Part, including (without derogation from the generality
of this power) provision as to –
(a) the
information which may be sought by assessors or to which they must have regard
in carrying out assessments;
(b) persons
who may be consulted by assessors for the purpose of carrying out assessments;
and
(c) the
content to be included by assessors in their reports.
45 Report
of assessment
(1) A report
of an assessment must be provided to the Minister –
(a) in
accordance with paragraphs (2) to (6); and
(b) no
later than 21 days from the date of the appointment of an assessor under Article 41(2).
(2) The
report must be in writing and must –
(a) set
out the assessor’s view as to the capacity and liberty matters;
(b) state
whether to the assessor’s knowledge –
(i) a lasting power
of attorney has been conferred on any person by P under Part 2, or
(ii) the Court has
appointed any delegate to act for P under Part 4,
in relation to decisions as to P’s health and welfare, and if so
identify the person or delegate concerned;
(c) state
whether to the assessor’s knowledge P has made an advance decision to
refuse treatment under Part 3, and if so set out the terms of that
decision;
(d) identify
any persons such as are listed in Article 44(5) who have been consulted or
interviewed by the assessor, and summarize the views of such persons as to the
capacity and liberty matters; and
(e) subject
to paragraphs (3) and (4), set out recommendations as to the nature and
extent of any significant restrictions on P’s liberty which, in all the
circumstances, the assessor considers should be imposed.
(3) In
forming a view as to the capacity and liberty matters and in making
recommendations under paragraph (2)(e), the assessor must consider whether
any proposed restrictions on P’s liberty are a proportionate response to –
(a) the
likelihood of P’s suffering any harm; and
(b) the
seriousness of that harm, should it occur.
(4) In
addition to the matters to be included in the report under paragraph (2),
a report may make such other recommendations in relation to P’s care as
appear to the assessor to be appropriate.
(5) Where
P has made an advance decision to refuse treatment, an assessor may not
recommend the imposition of any significant restriction on P’s liberty
which would be incompatible with the terms of that decision.
(6) Where –
(a) P
is subject to guardianship under the Mental Health Law; and
(b) the
assessor forms the view, in considering the matter under Article 44(6)(b),
that it is necessary to impose a significant restriction on P’s liberty,
the report must also state whether it is considered that the
restriction is one which may lawfully be imposed by P’s guardian.
(7) Where
to the assessor’s knowledge there are, in relation to P, no such persons
as are listed in Article 44(5), the report must contain a statement to
this effect.
(8) Where
the assessor has consulted or interviewed, in relation to P, any person listed
in Article 44(5) –
(a) the
assessor must inform that person of any recommendations made in relation to P;
and
(b) if
the assessor recommends that a significant restriction be imposed on P’s
liberty which is incompatible with a view expressed by that person, the
assessor must explain in the report the specific reasons for that
recommendation.
(9) A
copy of the report must be provided to M, and may be provided to P, at the
same time as any authorization based on the report, or, if no authorization is
given, as soon as reasonably practicable.
46 Effect
of report
(1) If
the report of an assessment is negative, no standard authorization may be granted
under this Part, and no further assessment may be carried out unless –
(a) M
considers that a material change in P’s circumstances justifies a fresh
application for assessment, and M makes a request to the Minister accordingly;
(b) M
considers that an assessment of P was mistaken in a material respect and M informs
the Minister of the mistake; or
(c) in
the absence of a request under paragraph (a), the Minister otherwise
becomes aware of a material change in P’s circumstances and considers
that the change justifies a further assessment.
(2) A
report which is not affirmative as to each of the capacity and liberty matters is
described in this Part as negative, and a report is also negative if –
(a) the
assessment to which it relates did not enable the assessor to form a view as to
the capacity and liberty matters; or
(b) where
P is a person subject to guardianship under the Mental Health Law, all of the
significant restrictions on P’s liberty which are recommended by the
report may, in the assessor’s view, lawfully be imposed by P’s
guardian.
(3) For
the purposes of this Part a report is affirmative if in the assessor’s
view –
(a) P
lacks capacity in relation to giving consent to the arrangements for his or her
care or treatment in the relevant place;
(b) it
is necessary to impose, as a component of that care or treatment, a significant
restriction on P’s liberty in the interests of P’s health or safety;
and
(c) it
is in P’s best interests to be provided with care or treatment in
circumstances where such a restriction will be imposed.
47 Record
of assessments etc.
The Minister must keep, in such manner and for such period as may
appear to the Minister to be necessary, a record of –
(a) all
assessments carried out; and
(b) all
authorizations granted,
under this Part, together with copies of reports of all such
assessments.
48 Standard
authorizations
(1) This
Article applies where the Minister is satisfied that –
(a) an assessment
of P has been duly completed in accordance with Articles 44 and 45; and
(b) the
report of the assessment is affirmative.
(2) Where
this Article applies, the Minister may authorize the imposition of significant restrictions
on P’s liberty for a period of no longer than 12 months beginning with
the authorization.
(3) As
soon as practicable following an authorization under paragraph (2) (a
“standard authorization”), the Minister must give notice in writing
of the authorization to the assessor and to M, and a code of practice under Article 68
may make further provision as to the form and content of the authorization to
be given under paragraph (2), but such authorization must at least specify –
(a) P’s
name;
(b) M’s
name and the name of any other registered person concerned;
(c) the
date (or if applicable, the occurrence of such event) on which, and the period
during which, the authorization is to take effect;
(d) having
regard to Article 45(2)(e), the nature and extent of the significant
restrictions on P’s liberty which are permitted to be imposed by the
authorization; and
(e) any
conditions or directions relating to the imposition of such restrictions.
(4) Despite
paragraph (3)(d) the Minister may authorize significant restrictions to be
imposed on P’s liberty which are different (whether in specific respects
or by their nature) to any such restrictions as may have been recommended by the
assessor.
(5) Where
the Minister considers it is in P’s best interests to do so, the Minister
may authorize a significant restriction which conflicts with a decision of –
(a) a
person on whom P has conferred a lasting power of attorney under Part 2;
or
(b) a
delegate appointed by the Court under Part 4,
but nothing in this Article shall be taken to permit the Minister to
authorize a significant restriction on P’s liberty which conflicts or
would conflict with a valid advance decision made by P under Part 3.
49 Rectification
etc. of reports and recommendations
(1) Where
it appears to the Minister or to M that the report of an assessment is
incorrect or defective –
(a) the
error or defect in question may be rectified –
(i) by the Minister,
or
(ii) with the consent
of the Minister, by the assessor who made the report; and
(b) the
report shall have effect (and be deemed to have had effect) as though made
originally without the error or defect.
(2) Without
prejudice to paragraph (1), if it appears to the Minister that a
recommendation in any report of an assessment is insufficient to warrant the
imposition of a significant restriction on P’s liberty, the Minister must
as soon as reasonably practicable give notice in writing –
(a) to
the assessor, of the insufficiency; and
(b) to
M, of the fact that the recommendation is to be disregarded.
(3) Where
notice is given under paragraph (2), the report which contained the
recommendation shall nevertheless be deemed to be (and always to have been)
sufficient if –
(a) a
fresh recommendation made in accordance with Article 45(2)(e) and which is
not defective in any respect is provided to the Minister within the period of
14 days beginning with the date on which the notice was given; and
(b) that
recommendation, taken together with any other recommendation relating to the
same assessment, is sufficient to warrant the imposition of the significant
restriction.
50 P
to be notified of authorization etc.
(1) As
soon as practicable following the grant of any authorization, M must take all
such steps as are reasonable to ensure that P understands –
(a) the
effect of the authorization in relation to P, and in particular the nature and
extent of the significant restriction on P’s liberty which is authorized
by it; and
(b) the
rights of advocacy, support, representation and review which are available to P
under this Law in respect of the authorization.
(2) As
soon as practicable following a negative assessment or the termination of any
authorization, M must take all such steps as are reasonable to ensure that P
understands the effect of that assessment or (as the case may be) termination
in relation to P.
(3) The
steps to be taken under paragraphs (1) and (2) include giving the
information required by that paragraph both in writing (and where appropriate,
this may include giving to P a copy of the report of the relevant assessment) and
orally, having regard to P’s ability to understand that information,
however given.
(4) Subject
to paragraph (5), at the same time as or within a reasonable time of
giving information to P under paragraph (1) or (2), M must also take all
such steps as are reasonable to provide the same information to any person known
to M who is, in relation to P, a person such as listed in Article 44(5).
(5) Where,
at the time information is given to P under paragraph (1) or (2), no independent
capacity advocate has been appointed in respect of P by the Minister under Article 51,
the information must be given to any advocate so appointed as soon as
practicable following his or her appointment.
51 Advocates
to be appointed
(1) This
Article applies where, in respect of P –
(a) the
report on an assessment contains a statement such as mentioned in Article 45(7);
and
(b) a
standard authorization has been granted.
(2) Where
this Article applies the Minister must, as soon as practicable after granting
the authorization, nominate an independent capacity advocate to represent P.
(3) The
Minister must satisfy him or herself that any person to be nominated as an
independent capacity advocate under this Article is a fit and proper person to
be so nominated, in accordance with Part 6 and with any further provision
made by Regulations under that Part as to such nominations.
(4) The
nomination of an independent capacity advocate under this Article –
(a) shall
be without prejudice to the continuing authority of any person on whom such authority
has been conferred by P under a lasting power of attorney or of any delegate
appointed by the Court; and
(b) shall
continue for the duration of the authorization, and if any vacancy arises the Minister
must immediately appoint another person in accordance with this Article and any
Regulations such as mentioned in paragraph (3).
52 Renewal
of standard authorization
(1) A
standard authorization may not be renewed except in accordance with this
Article.
(2) This
Article applies where, within the period of 28 days ending with the date
on which, unless it were renewed, a standard authorization would expire, M
considers that it is necessary to continue to impose a significant restriction
on liberty authorized by the standard authorization.
(3) Where
this Article applies M must give notice requesting a renewal –
(a) to
the Minister, in such form as may be prescribed for the purpose; and
(b) no
later than the end of the period mentioned in paragraph (2).
(4) Where
the Minister receives a request duly made under paragraph (3), the
Minister must as soon as practicable appoint an assessor to carry out a further
assessment of P (a “renewal assessment”).
(5) Articles 44
to 51 shall apply to a renewal assessment as though references in those
Articles to an assessment were to a renewal assessment, except that Article 44(6)(a)
shall apply as though for the words “whether P lacks capacity” in
that sub-paragraph there were substituted the words “whether P continues
to lack capacity”.
(6) If
the report of a renewal assessment is affirmative, the Minister –
(a) may,
if satisfied that it is appropriate to continue the significant restriction on
liberty, renew the standard authorization; and
(b) may
do so with or without variation, in accordance with any fresh recommendation
made by the assessor under Article 45(2)(e).
53 Standard authorization: review by manager
(1) Where
a standard authorization is in effect, M must keep under review the necessity
for the significant restriction on P’s liberty which it authorizes.
(2) Paragraph (3)
applies if, at any time during the period for which a standard authorization is
in effect, it appears to M that –
(a) P
has regained capacity in relation to the question of how his or her care should
be provided, and does not consent to a restriction authorized by the standard
authorization; or
(b) it
is no longer –
(i) necessary in the
interests of P’s health or safety, or
(ii) in P’s best
interests,
to continue to impose a restriction so authorized.
(3) Where
this paragraph applies, M must cease to impose the significant restriction, and
shall inform the Minister of that fact and of the date on which the restriction
ceased to be imposed.
54 Continuity
of authorization: changes of place and in management
(1) Where
P is to be moved from the relevant place to which an authorization (including
an order of the Court) under this Part relates (the “first relevant
place”), to another relevant place (the “new place”), the
manager of the first relevant place must notify the Minister of the proposed
change.
(2) Following
notification under paragraph (1), unless the Minister otherwise directs
the authorization in question shall continue in effect as though for the first
relevant place there were substituted the new place.
(3) Where
one person ceases to be the manager (the “original manager”) of a
relevant place in relation to which an authorization has effect, and a
different person (the “new manager”) has that function, the change
shall take effect as described in paragraph (4).
(4) For
the purposes of the authorization and of this Part –
(a) anything
done by or in relation to the original manager in connection with the
authorization has effect as if done by or in relation to the new manager;
(b) anything
which is in the process of being done by or in relation to the original manager
may be continued by or in relation to the new manager.
(5) But
solely by virtue of this Article the original manager does not cease to be, and
the new manager does not become, liable for anything done in relation to the
authorization by the original manager prior to the substitution.
55 Review
of authorizations by Tribunal
(1) A
request for a review of an authorization may be made to the Tribunal –
(a) in
accordance with paragraph (2);
(b) by
an application for the purpose made by –
(i) P, or a person who
is listed in Article 44(5) on behalf of P,
(ii) an independent
capacity advocate nominated to represent P under Article 51,
(iii) the Minister, or
(iv) the Attorney General.
(2) During
the period for which an authorization is in effect, no more than one
application may be made under paragraph (1), whether by or on behalf of P.
(3) The
Minister may by Order –
(a) make
further provision as to the form and manner of application to be made under paragraph (1);
(b) make
provision as to the conduct of proceedings before the Tribunal following
receipt by the Tribunal of such an application; and
(c) without
prejudice to paragraph (4) or(5), make further provision as to the powers
of the Tribunal in dealing with the application and carrying out its review.
(4) Following
receipt of a request under paragraph (1) the Tribunal must review –
(a) the
standard authorization;
(b) the
reports of relevant assessments; and
(c) such
other information as the Tribunal may consider relevant (including but not
limited to, any matters as to which the Minister may make provision under paragraph (3)).
(5) Following
its review of the matters specified in paragraph (4) the Tribunal must –
(a) make
a fresh determination as to the capacity and liberty matters; and
(b) determine –
(i) whether the
significant restrictions on P’s liberty authorized by the standard
authorization should remain in effect, and
(ii) if so, for what
period.
(6) For
the purposes of this Article the Tribunal may make orders –
(a) amending
or revoking an authorization; and
(b) whether
or not it considers that an authorization should continue to have effect,
directing the Minister to carry out such further assessments as the Tribunal
considers necessary.
56 Monitoring
of authorizations
(1) The
Minister may do all such things as are reasonably necessary for the purposes of
monitoring –
(a) the
application and use of authorizations; and
(b) the
operation of significant restrictions on liberty authorized by them.
(2) In
particular for the purpose mentioned in paragraph (1), and without
derogation from the generality of that purpose, the Minister may by Order make
provision requiring the Commission, M, or any registered person concerned to
disclose to the Minister such information as may be prescribed.
(3) The
Minister may also make further provision by way of a code of practice under Article 68,
as to the operation of the provisions of this Part and as to records which must
be kept in relation to such operation.
57 Powers
of Court in relation to grant etc. of authorizations
(1) Without
derogation from any other power conferred on the Court by this Law or any other
enactment, or by its inherent jurisdiction, the Court may, if the conditions
stated in paragraph (2) are fulfilled, make an order authorizing the
imposition of a significant restriction on P’s liberty.
(2) The
conditions mentioned in paragraph (1) are –
(a) that
P lacks capacity in relation to giving consent to the arrangements for his or
her care or treatment; and
(b) that
it is both necessary in the interests of P’s health or safety, and in
P’s best interests, to impose significant restrictions on P’s
liberty.
(3) An
order of the Court under paragraph (1) must state –
(a) P’s
name;
(b) M’s
name, and the name of any registered person concerned;
(c) the
name of any registered provider within the meaning of the Registration of Care
(Jersey) Law 2014[6];
(d) the
period (of no more than 12 months) during which the order is to have
effect;
(e) the
nature, extent and duration of the significant restrictions on P’s
liberty which are permitted to be imposed by the order, and by whom they may be
imposed;
(f) any
conditions or directions in relation to the imposition of any such significant
restriction (in particular, but not limited to, directions as to the frequency
of review); and
(g) the
full grounds for the Court’s decision, with regard in particular to paragraph (2)
and sub-paragraphs (d) to (f) of this paragraph.
(4) In
its determinations as to the matters described in paragraph (3)(d) to (f),
the Court must have particular regard to the medical evidence available before
it.
(5) The
Court may authorize significant restrictions on P’s liberty which differ
from any such restrictions as may have been recommended under any other
provision of this Part.
(6) Nothing
in this Article shall be taken to permit the Court to authorize a significant
restriction on P’s liberty which conflicts or would conflict with a valid
advance decision made by P under Part 3.
(7) Where
the Court considers it is in P’s best interests to do so, the Court may
authorize a significant restriction which conflicts with a decision of –
(a) a
person on whom P has conferred a lasting power of attorney under Part 2;
or
(b) a
delegate appointed by the Court under Part 4.
(8) Articles 50,
51, 54, 56 and 60 shall apply with all necessary modifications to an order of
the Court under this Article as they apply in relation to a standard authorization.
58 Appeals
(1) A
person aggrieved by a decision of the Tribunal may appeal to the Court against
that decision on a point of law.
(2) The
power to make rules of Court under the Royal Court (Jersey) Law 1948[7] shall extend to making rules
for the purpose of the conduct of, and proceedings in, appeals under paragraph (1).
(3) On
an appeal under paragraph (1) the Court may –
(a) quash
the decision against which the appeal is made;
(b) affirm
the decision;
(c) give
any direction which the Tribunal has power to give; or
(d) refer
the matter back to the Tribunal for reconsideration.
(4) No
decision of the Tribunal shall be invalidated solely by reason of procedural
irregularity, unless that irregularity was such as to prevent a party to the proceedings
from presenting his or her case fairly before the Tribunal.
59 Temporary
restriction of liberty for purpose of life-sustaining treatment
(1) Notwithstanding
the preceding provisions of this Part, a person (“D”) may impose a
significant restriction on P’s liberty where the restriction is necessary
in the interests of P’s health or safety as described in paragraph (2),
for the duration of any treatment or act mentioned in that paragraph.
(2) For
the purposes of paragraph (1), a restriction shall be considered to be necessary
in the interests of P’s health and safety if –
(a) the
restriction is wholly or partly for the purpose of, and consists wholly or
partly of –
(i) giving P
life-sustaining treatment, or
(ii) doing any act
which D reasonably believes to be necessary to prevent a serious deterioration
in P’s condition;
and
(b) the
restriction is necessary in order to give that treatment or do that act.
60 Authorization
as authority to take and convey P
An authorization (including an order of the Court) under this Part
shall be sufficient authority, at any time within the period of 72 hours
beginning with the time at which the authorization is given –
(a) for
M or any other person authorized by M for the purpose to take P and convey him
or her to the relevant place; and
(b) for
M to admit P and detain him in the relevant place for such period as may be
specified in the authorization.
part 6
INDEPENDENT CAPACITY ADVOCATES
61 Application
of this Part, and interpretation
(1) This
Part applies to make provision for the appointment of independent capacity advocates –
(a) to
represent and support any person lacking capacity in respect of certain
decisions (“P”), as further provided by Articles 64 and 65;
(b) to
carry out such other functions as are described in Article 63 and as
provided by Regulations made under that Article; and
(c) for
the purposes of Part 5 as provided by Article 51.
(2) In
this Part –
“advocate” means an independent capacity advocate
appointed under Article 62; and
“M” means the Minister and any other person having
responsibility for P’s care or treatment.
62 Appointment
of independent capacity advocates
(1) The
States may by Regulations require the Minister to make such arrangements for
the appointment of advocates –
(a) as are
in accordance with provision made by the Regulations and further described in paragraphs (2)
and (3); and
(b) as
the Minister, having regard to paragraph (4), may consider reasonable.
(2) Regulations
under paragraph (1) may in particular make provision including (but not
limited to) provision –
(a) as
to the qualifications to be required of persons who may be appointed;
(b) as to
the procedure for appointment and terms and conditions of appointment;
(c) requiring
M to report to the Commission on any concerns arising from the dealings between
P and P’s independent capacity advocate;
(d) as
to the circumstances in which the appointment may end or be terminated and the
formalities for doing so; and
(e) as
to the nature and level of payments (whether by way of fees, or reimbursement
of expenses) which may be made to advocates.
(3) For
the purpose of enabling advocates to carry out their functions, Regulations may
further make provision as to the powers of advocates –
(a) to
interview P and any other of P’s representatives; and
(b) to
examine and take copies of any documents, records or other information kept by
the Minister, the Commission or the manager of a relevant place, which may be
relevant to the exercise of a function by an advocate.
(4) In
making arrangements under paragraph (1), the Minister must have regard to
the principle that P should, so far as practicable, be represented and
supported by a person who is independent of any person who is responsible for a
proposed act or decision relating to P.
63 Functions
of independent capacity advocates
(1) The
functions to be carried out by advocates include (but are not limited to) –
(a) providing
support to P so that P may participate as fully as possible in any decision
concerning P or P’s best interests;
(b) obtaining
and evaluating information in relation to representing and supporting P and
P’s best interests;
(c) ascertaining
what, if P had capacity, would be P’s wishes and feelings in relation to
particular matters, or would be the beliefs and values likely to influence P;
(d) obtaining
further medical opinion about proposed medical treatment of P; and
(e) ascertaining
what courses of action may be available in relation to P, in addition or in the
alternative to any such proposed treatment.
(2) The
States may by Regulations –
(a) further
make provision as to circumstances in which advocates may challenge, or provide
assistance for the purpose of challenging, any decision under this Law affecting
P or P’s best interests; and
(b) amend
paragraph (1).
64 Support
where serious medical treatment is proposed
(1) This
Article applies where –
(a) M proposes
to provide, or secure the provision of, serious medical treatment for P;
(b) P
lacks capacity to consent to the proposed treatment; and
(c) M
is satisfied that there is no person, other than one engaged in a professional
capacity or for remuneration in providing care or treatment for P, whom it
would be appropriate to consult in determining whether the proposed treatment
would be in P’s best interests.
(2) Where
this Article applies, M must, subject to paragraph (3), instruct an advocate
to represent P before the proposed treatment may be provided.
(3) If,
in the opinion of M, the proposed treatment needs to be provided as a matter of
urgency, it may be provided even though the requirement in paragraph (2)
has not been fulfilled.
(4) In
providing or securing the provision of treatment for P, M must take into
account any information given or submissions made on behalf of P by the advocate
instructed under paragraph (2).
(5) For
the purposes of this Article “serious medical treatment” means
treatment of a kind which involves providing, withholding or withdrawing
treatment in circumstances where –
(a) in
a case where a single treatment is proposed, there is a fine balance between
the potential benefit to P of such treatment and the burdens and risks it is
likely to entail;
(b) in
a case where there is a choice of treatments, a decision as to which treatment
to use is finely balanced; or
(c) the
proposed treatment would be likely to involve serious consequences for P.
(6) The
States may by Regulations amend the definition in paragraph (5).
65 Support
where provision of or change in accommodation is proposed
(1) This
Article applies where M proposes to make arrangements –
(a) for
the provision of accommodation for P in a hospital, or in an approved care home
as defined by Article 1 of the Long-Term Care (Jersey) Law 2012[8] (including a change to any
existing provision of accommodation for P);
(b) P
lacks capacity to consent to such arrangements; and
(c) M is
satisfied that there is no person, other than one engaged in a professional capacity
or for remuneration in providing care or treatment for P, whom it would be
appropriate to consult in determining whether the proposed arrangements would
be in P’s best interests.
(2) This
Article does not apply –
(a) where
P is accommodated as a result of an obligation imposed under the Mental Health
Law; or
(b) where
P is a person in respect of whom Article 51 applies.
(3) Where
this Article applies, M must instruct an advocate to represent P before making
the proposed arrangements, unless –
(a) the
accommodation is likely to be provided for a continuous period which is less
than the applicable period; or
(b) the
proposed arrangements need to be made as a matter of urgency.
(4) If
either of the grounds in paragraph (3)(a) or (b) apply, but M subsequently
has reason to believe that the accommodation is likely to be provided for a
continuous period –
(a) beginning
with the day on which accommodation is first provided in accordance with the
proposed arrangements; and
(b) ending
on or after the expiry of the applicable period,
M must instruct an advocate to represent P.
(5) In
making arrangements for P’s accommodation or a change in P’s
accommodation, M must take into account any information given or submissions
made on behalf of P by the advocate instructed under paragraph (3) or (4).
(6) For
the purposes of this Article the “applicable period” means –
(a) in
relation to accommodation in a hospital, 28 days; and
(b) in
relation to accommodation in an approved care home, 8 weeks.
part 7
miscellaneous and general provisions
66 Research involving persons lacking capacity
(1) The
States may by Regulations make provision as to the extent to which, and the
circumstances in which, it may be lawful to conduct intrusive research
involving, or in relation to, a person (“P”) who lacks capacity to
consent to such research.
(2) Except
as provided by Regulations under paragraph (1), it shall not be lawful to
conduct such research.
(3) In
making Regulations under paragraph (1) the States must have regard to the principles
that no research shall be lawful unless –
(a) it
is safe and produces or may produce a benefit to P which outweighs any risk to,
or burden upon, P; or
(b) where
the purpose of the research is to improve medical or scientific knowledge, it
is of minimal risk to P and can be carried out with minimal intrusion to
P’s physical and mental well-being and legal rights.
(4) Regulations
under paragraph (1) must in particular (but without limitation) make
provision as to –
(a) the
establishment or appointment of a body for the purpose of approving and
monitoring intrusive research;
(b) the
nature or types of research which are considered intrusive for the purposes of
this Article;
(c) the
circumstances which may make any research intrusive within the meaning given by
Regulations or for the purposes of this Article;
(d) the
requirements which must be met for approval of any intrusive research;
(e) the
consultation of carers for, or representatives of, persons who may be subject
to intrusive or potentially intrusive research, including the circumstances in
which such consultation must take place and the matters or information which
must be disclosed or to which such consultation must relate;
(f) the
termination of any approved research, including (but not limited to) the
circumstances in which, and steps which must be taken where, a person is to be
withdrawn from that research;
(g) the
safeguards which must apply to, and in the course of, any intrusive research;
(h) the
circumstances, if any, in which research to which a person has consented may
continue to be conducted where that person subsequently loses capacity so to
consent.
67 Offence
of wilful neglect
(1) It
is an offence for any person who –
(a) has
the care of another person (“P”); or
(b) is
appointed –
(i) by P, under a
lasting power of attorney under Part 3, or
(ii) as P’s
delegate under Part 4,
to ill-treat or wilfully neglect P.
(2) For
the purposes of paragraph (1)(a), a person has the care of P if the person
is responsible for giving P any health or social care as part of an activity
which is a regulated activity under Article 2 of the Regulation of Care
(Jersey) Law 2014[9].
(3) A
person guilty of an offence under this Article shall be liable to imprisonment
for a term of 5 years and a fine.
68 Codes
of practice
(1) The
Minister must issue a code of practice for the purposes of this Law and in
particular (but without limitation) –
(a) for
the guidance of –
(i) assessors under Part 5
or any other persons having a similar duty under this Law or the Mental Health
Law to assess whether or not a person has, or (as the case may be) lacks capacity
in relation to any matter,
(ii) any person acting
under this Law in connection with the care or treatment of any other person,
(iii) any person on whom
authority is conferred by lasting power of attorney under Part 2,
(iv) delegates appointed by
the Court under Part 4,
(v) independent capacity advocates
in the exercise of functions conferred on them under Part 6,
(vi) any person carrying out
research authorized by any provision made under Article 66;
(b) with
respect to such other matters, arising out of this Law, as the Minister may
think fit.
(2) A
person must have regard to any relevant code of practice under paragraph (1)
where that person is acting, in relation to another person who lacks capacity –
(a) under
authority conferred by a lasting power of attorney;
(b) as
a delegate appointed by the Court;
(c) in
reliance on any provision made under Article 66;
(d) as
an independent capacity advocate;
(e) in the
exercise of functions under Part 5 relating to significant restrictions on
liberty;
(f) in
a professional capacity; or
(g) for
remuneration.
(3) Paragraph (4)
applies where it appears to the Court or to the Tribunal, when conducting any
civil or criminal proceedings, that –
(a) a
provision of a code issued under this Article; or
(b) a
failure to comply with a requirement of any such code,
is relevant to a question arising in those proceedings.
(4) Where
this paragraph applies, the relevant provision or failure must be taken into
account in determining the question, but a failure to comply with a code shall
not of itself make a person liable to any civil or criminal proceedings.
(5) The
Minister may amend a code from time to time as the Minister may see fit, and a
code may make, as respects any matter in relation to which it makes provision –
(a) the
same provision for all cases, or different provision for different cases or
classes of case, or different provision for the same case or class of case for
different purposes; and
(b) any
such provision either unconditionally or subject to any specified conditions.
(6) Before
issuing or amending a code, the Minister must consult such bodies as appear to
the Minister to be concerned.
(7) The
Minister must publish any code which is for the time being in force in such
manner as may appear to the Minister to be appropriate for bringing it to the
attention of persons likely to be concerned with or affected by its provisions.
69 Regulations
(1) The
States may by Regulations make provision for the purpose of giving full effect
to this Law and, in particular but without derogation from the generality of
this power, such Regulations –
(a) may
make provision for or in respect of any matter that by this Law is required or permitted
to be done by Regulations;
(b) may
consequentially amend any enactment; and
(c) may
make provision for the purpose of giving full effect in Jersey to any
international agreement concerning the protection of adults.
(2) Regulations
made under this Law may make all such transitional, saving, incidental,
consequential or supplementary provision as may appear to the States to be
necessary or expedient for the purposes of the Regulations.
70 Orders
(1) The
Minister may make Orders –
(a) for
prescribing anything which is required or authorized to be prescribed under
this Law; and
(b) making
transitional provision in relation to the commencement of this Law.
(2) Orders
made by the Minister under paragraph (1) may, in particular but without
derogation from the generality of that power –
(a) prescribe
the form of any application, recommendation, report, notice or other document
to be made, given or provided under this Law;
(b) prescribe
the manner in which any such document as mentioned in paragraph (a) may be
served, and proved in evidence;
(c) make
provision for the amount of any fees or the level of any charges required to be
paid under this Law; and
(d) make
all such transitional, saving, supplementary and consequential provision as may
appear to the Minister to be necessary or appropriate.
(3) The
Subordinate Legislation (Jersey) Law 1960[10] shall apply to Orders made
under paragraph (1)(a).
71 Rules
of Court
The power to make rules of court under the Royal Court (Jersey) Law 1948[11] includes power to make rules
regulating practice and procedure in or in connection with proceedings before
the Court under this Law, and in particular (but without derogation from the
generality of this power) to make rules as to –
(a) applications
under Parts 2, 3, 4 or 5 (including as to the hearing and determination of
applications otherwise than in open court);
(b) the
admission of any matters in evidence, and evidential presumptions; and
(c) the
joinder of any persons as parties.
72 Repeal
Any customary law of Jersey concerning curatelles
shall cease to have effect.
73 Citation
and commencement
This Law may be cited as the Capacity and Self-Determination
(Jersey) Law 2016 and shall come into force on such day or days as the
States may by Act appoint.
l.-m. hart
Deputy Greffier of the States