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The importance of a Lasting Power of Attorney (LPA)

Do you want to ensure that someone you trust can make important decisions for you if you lose capacity? This video explains the different types of attorneys, the legal process involved, and how LPAs help prevent family conflict during difficult times.

 

If you a caring for someone who has lost capacity you may want to apply to be a Deputy.

If you know someone who has lost capacity and has no one to support them, an IMCA can be appointed to make decisions in their best interests.

Key points

 

  • A lasting power of attorney (LPA) is the preferred option for supporting someone who may lose the ability to make decisions in the future.
  • An LPA can only be set up while a person still has capacity and can choose a trusted individual to act as their attorney.
  • A person can appoint an attorney for property and finances and another for health and welfare, or choose the same person for both.
  • Property and finance attorneys can manage bank accounts, pay bills, look after a home, and even sell a house if needed.
  • Health and welfare attorneys can make decisions about medical treatment, care arrangements, where the person lives, and day‑to‑day health matters if capacity is lost.
  • Setting up an LPA is a legal process that involves completing a detailed document, paying a fee, and registering it with the Office of the Public Guardian.
  • The process usually takes around 10 weeks to complete.
  • Regulations and processes may vary in other parts of the UK, so people should check local guidance if they don’t live in England or Wales.
  • If someone does not have an LPA in place and loses capacity, decisions must be made under the best interests process, as set out in the Mental Capacity Act. This can take time.
  • Best interest decisions can involve family members and professionals, but disagreements often arise about issues like care homes, hospital admission, or medical treatment.
  • Having an LPA helps avoid these conflicts by giving one trusted person the authority to make decisions clearly and consistently.
  • It is always encouraged to set up an LPA early, while you are well and able to think clearly about who you trust.
  • More guidance can be found on the UK Government’s Office of the Public Guardian website.
Printable information sheet

Meet our experts

Dr Ros Taylor MBE

Dr Ros Taylor has over 30 years of experience in palliative care and was awarded an MBE for Services to Hospice Care following a nomination by a patient. She was Clinical Director at Hospice UK, a national umbrella organisation for the hospice/ palliative movement, advocating for improved access to palliative care in all settings including care homes. In January 2020, she took on the medical leadership role to re-open Michael Sobell Hospice in West London. She has contributed to the Lancet Commission on the Value of Death on topics such as the ‘will to live’, power and gender issues. She is a Senior Advisor to the Montreal International Congress on Palliative Care, and has most recently developed a new resource, HPAL, which curates essential palliative information for both family and professional caregivers.

 

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The resources available are not, and are not intended to be, medical advice, which should be tailored to your individual circumstances.  The resources are for your information only, and we advise that you exercise your own judgment before deciding to use the information provided. Professional medical advice should be obtained before taking action. Full terms and conditions