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Mental Capacity Act 2005
Explains how the Mental Capacity Act affects you and how you can plan ahead for when you no longer have the mental capacity to make decisions for yourself. Applies to England and Wales.
What's the Court of Protection?
The Court of Protection is a court that deals with decisions or actions taken under the Mental Capacity Act.
You, or someone helping you, would need to apply to the Court if someone needs permission from the Court to make decisions about you. This could be decisions about your health, welfare, financial affairs or property.
The Court can make decisions about:
- Whether an action that someone is taking on your behalf is appropriate, when you lack capacity to take it for yourself. The Court can decide whether they think you have capacity to make a particular decision, or whether something is in your best interests.
- Disagreements that cannot be settled in any other way. For example, by using an independent mental capacity advocate (IMCA).
- Situations where a series of decisions, rather than a single decision, need to be made for you.
- Removing an attorney under your lasting power of attorney.
- Removing a deputy.
- Your healthcare or personal care, where there's no attorney or deputy to make decisions about this.
- Whether an advance decision or lasting power of attorney is valid. Or about their meaning, if there's a disagreement.
- Whether a deprivation of liberty safeguards (DoLS) authorisation has been granted lawfully. Or settling a dispute about the use of the safeguards against you. This may include authorising a deprivation of liberty where DoLs haven’t been used.
The Court must always act in your best interests when it makes these decisions for you.
How much does it cost to apply?
You normally have to pay a fee to apply to the Court. In some circumstances, you can be excused from paying fees and get a fee exemption. This will depend on how much money you have.
Legal aid
Legal aid may be available for you to pay for a solicitor to act for you in the Court of Protection:
- If you’re challenging a decision about deprivation of liberty safeguards, you have the right to get legal aid without having a means test.
- Otherwise, whether or not you can get legal aid depends on your income and what property you own. A solicitor specialising in Court of Protection work will be able to advise you.
Who can apply to the Court of Protection?
Anyone can apply to the Court of Protection, including:
- You. You can apply if you have a question that the Court has the authority to decide. You don’t need permission to do this if you're the person the Court is making a decision about, and you're aged 18 or older.
- Your legal guardian. They would apply if you’re aged under 18. They can apply without permission.
- Your attorney, deputy or anyone named in a court order. They wouldn’t need permission.
- Family members, healthcare trusts, Clinical Commissioning Groups and local authorities. They would need permission from the Court.
If someone brings a legal action to the Court of Protection on your behalf because you lack capacity, you should still be included in this. The Court must consider the best way to involve you in the court case.
This might include giving you the opportunity to tell the court what you want. For example, you could speak in court yourself or tell someone else what you want the court to know. You could also appoint a representative or litigation friend to act for you.
What if I disagree with the Court’s decision?
You may be able to challenge a decision from the Court of Protection by applying to the Court of Appeal. But you may need permission for this.
If you want to challenge a decision, you should get legal advice from a solicitor specialising in Court of Protection matters. They can help you work out:
- Whether you're likely to get legal aid for your challenge
- How likely you are to win your case
Going to court can be a stressful and expensive experience. It may help to ask for advice about legal aid for your challenge. You may be entitled to this if your challenge is about you being deprived of your liberty.
Advance decision
An advance decision is a statement of instructions about what medical treatment you want to refuse in case you lose the capacity to make these decisions in the future. It is legally binding.
See our pages on the Mental Capacity Act for more information.
Visit our full listing of Legal TermsAttorney
An attorney is a person over the age of 18 whom you have appointed to make decisions on your behalf about your welfare and/or your property and financial affairs. You need an attorney if you are unable to make such decisions yourself. If you do not have the capacity to appoint an attorney, the Court of Protection will appoint a deputy to perform this role.
- A health and welfare attorney makes decisions about things like your daily routine, your medical care, where you live and, if you specially request this, whether you should have life-sustaining treatment.
- A property and financial affairs attorney makes decisions about things like paying bills, collecting benefits and selling your home.
See our pages on the Mental Capacity Act for more information.
Visit our full listing of Legal TermsBest interests
Health professionals must act in your best interests before taking certain steps that affect your care and treatment.
The Mental Capacity Act has a best interests checklist, which outlines what health professionals need to consider before taking an action or decision for you while you lack capacity.
See our pages on the Mental Capacity Act for more information.
Visit our full listing of Legal TermsCapacity
'Capacity' means the ability to understand information and make decisions about your life. Sometimes it can also mean the ability to communicate decisions about your life.
For example, if you do not understand the information and are unable to make a decision about your treatment, you are said to 'lack capacity' to make decisions about your treatment.
See our pages on the Mental Capacity Act for more information.
Visit our full listing of Legal TermsCourt of Protection
The Court of Protection makes decisions and appoints deputies to act on your behalf if you are unable to make decisions about your personal health, finance or welfare.
See our pages on the Mental Capacity Act for more information.
Visit our full listing of Legal TermsDeprivation of liberty
A deprivation of liberty is where your liberty is taken away from you - that is, you are not free to leave and you are under continuous supervision and control. The Mental Capacity Act says that the law allows this only in very specific situations.
This may happen to you if you need to go into a care home or hospital to get care or treatment, but you don't have the capacity to make decisions about this yourself.
Visit our full listing of Legal TermsDeprivation of liberty safeguards (DOLS)
If you are in a hospital or care home, your liberty can normally only be taken away if health professionals use the procedures called the Deprivation of Liberty Safeguards. This protects you from having your liberty taken away without good reason.
See our pages on the Mental Capacity Act for more information.
Visit our full listing of Legal TermsDeputy
A deputy is a person the Court of Protection appoints to make decisions for you once you have lost capacity to make them yourself. A deputy usually makes decisions about finances and property. The court can appoint a deputy to take healthcare and personal care decisions, though this is relatively rare.
Visit our full listing of Legal TermsIndependent mental capacity advocate (IMCA)
An IMCA is a specially trained advocate who can help you if you do not have the capacity to make particular decisions. NHS bodies or local authorities must take an IMCA's views into account when making decisions that affect you if you have lost capacity. They are normally appointed by the local authority in England, and by local health boards or other NHS bodies in Wales. They must be independent people of integrity and good character with appropriate experience and training.
See our page on IMCAs for more information.
Visit our full listing of Legal TermsLitigation friend
A litigation friend is someone who can take your place in legal proceedings, if you lack capacity to take part yourself. For example, the litigation friend could instruct solicitors on behalf of you, or speak to the judge directly on your behalf.
A litigation friend could be a family member, a friend, or the Official Solicitor.
Visit our full listing of Legal TermsLasting power of attorney
A lasting power of attorney is a legal document that lets you appoint someone, called an attorney, to make decisions for you.
See our pages on the Mental Capacity Act for more information.
Visit our full listing of Legal TermsMental Capacity Act 2005 (MCA)
The Mental Capacity Act 2005 is the law that tells you what you can do to plan ahead in case you can't make decisions for yourself, how you can ask someone else to make decisions for you and who can make decisions for you if you haven't planned ahead.
See our pages on the Mental Capacity Act for more information.
Visit our full listing of Legal TermsThis information was published in April 2023. We'll revise it in 2026.
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