Nearest relative
Explains what a nearest relative is, including what powers and rights they have and how you can change your nearest relative.
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Can my nearest relative give their powers to someone else?
Yes. If your nearest relative doesn't want to be your nearest relative, they can give their powers to someone else, as long as that person agrees.
To do this, the nearest relative can write a letter to tell the hospital that they are choosing someone else to act in that role.
If, at any time, your original nearest relative changes their mind, they can take back their powers in writing.
Can I change my nearest relative?
Yes. You can apply for someone else to be your nearest relative if you are a patient – this is called 'displacement'.
If you are detained under the Mental Health Act, you will need a litigation friend to do this. How this works can be quite complicated or expensive so it is important to get specialist legal advice.
- You can suggest one or more people who might be suitable as your nearest relative. Alternatively, it may be an approved mental health professional or someone from the local social services who is appointed as your nearest relative.
- You can change your nearest relative on a number of different grounds. These are set out in section 29 of the Mental Health Act which says that:
- How long the displacement lasts depends on the reason the court order was made. Often the court order will give a date that the court order ends or it ends automatically when you are discharged from your section. It is important to get specialist legal advice for your situation.
- You could be made to pay the other parties' costs if your case is unsuccessful. So if you want to change your nearest relative, it is very important to speak to your approved mental health professional and get specialist legal advice.
Fill in the N208 form
- You must use the N208 claim form to make an application to the county court. You might also find this guidance on completing the form useful.
- If you make the application, you will be called the 'claimant' and your nearest relative will be called the 'defendant' on the application form.
Give details about your situation
- There are strict rules about what information you need to give. These are called the Part 8 Civil Procedure Rules. They are very specialised and it is always important to get legal advice to make sure that they are followed.
- You will need to include information like: the details of your nearest relative, why you want to displace them, who you would like to replace your current nearest relative, the law that lets you make this claim and what role your representative has (if, for example, you have a solicitor or litigation friend).
- It is always useful to have evidence to support your case. Depending on the facts, this could include reports from your family members, medical practitioner, probation officer, and/or approved mental health professional.
Pay the application fee
- You will need to pay a fee when you submit the application.
- You may be able to get a discount depending on your income. Find out more about how much you will have to pay on the Gov.uk website.
Apply to your nearest county court
- You should apply to the county court which you live in if you want to make an application. If you want to change a court order though, you need to apply to the same court that issued it, which might be different to the one you live in.
- Find your nearest county court by using the Gov.uk court tribunal finder and putting in your postcode. If you select all areas of law, the courts nearby will be listed with the closest first and you can find the county court.
What happens once I have submitted the application?
- Your nearest relative will be informed. In most cases your nearest relative will be told if an application has been made to displace them. However, there are some occasions where it is not appropriate. This is called an 'ex parte' hearing.
- If your nearest relative disagrees with the displacement, they can challenge the application and submit their own evidence. If your nearest relative is not capable of acting because they have a mental disorder, they may have a litigation friend acting for them.
- Your hearing may take place in a court, or somewhere else. It is important that the judge has all of the information that they need to make a decision. This may mean that the judge would like to speak to you. This could be in court or somewhere else. It could be on your own or with other people depending on the situation. If you are detained, the hospital should help you go to court if you want to go.
- Your case will be heard by a circuit judge. The circuit judge will be referred to as "His/Her Honour Judge [surname]". The hearing will take place in private so that the public cannot attend.
- Your nearest relative will continue to be your nearest relative while the hearing is ongoing, in most cases. However, the court can make an 'interim' order which means that someone else will act as your nearest relative until a final decision can be made.
Can I get legal aid?
In some circumstances you may be able to get legal aid to help you pay for your legal costs. You should contact a solicitor specialising in mental health to discuss your case. See our useful contacts page for details of how to find a solicitor.
Some insurance policies have legal expenses insurance which could cover your particular case. Check your home or car insurance to see if it does.
Can the displacement be changed once I have been to court?
Yes. You can go back to the court to change or end the court order. You will need to make an application to the court that made the original court order.
You should get specialist legal advice in relation to your case.
Circuit judge
Circuit judges are senior judges in England and Wales who sit in the Crown Court, county courts and certain specialised sub-divisions of the High Court of Justice. Circuit judges sit below High Court judges but above district judges. They will be a barrister or solicitor having been qualified at least 7 years.
Visit our full listing of Legal TermsDetained
A person is detained if they are being kept in hospital under section and are not free to leave.
Visit our full listing of Legal TermsMental disorder
When the Mental Health Act talks about someone with mental health problems and whether or not they should be sectioned, it often uses the term 'mental disorder'. The Act says that this can include "any disorder or disability of mind".
Mental disorder can include:
- any mental health problem normally diagnosed in psychiatry
- certain learning disabilities.
Litigation 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 TermsDisplacement
Displacement is where you change your nearest relative. The process of changing the nearest relative is often known as ‘displacement proceedings’.
Your nearest relative can be displaced if you or the local authority have concerns about the way that they are behaving.
See our pages on the nearest relative for more information.
Visit our full listing of Legal TermsNearest relative
The nearest relative is a family member who has certain responsibilities and powers if you are detained in hospital under the Mental Health Act. These include the right to information and to discharge in some situations.
The law sets out a list to decide who will be your nearest relative. This can sometimes be changed.
See our pages on the nearest relative for more information.
Visit our full listing of Legal TermsApproved mental health professional (AMHP)
AMHPs are mental health professionals who have been approved by a local social services authority to carry out duties under the Mental Health Act. They are responsible for coordinating your assessment and admission to hospital if you are sectioned.
They may be:
- social workers
- nurses
- occupational therapists
- psychologists.
Section
Being 'sectioned' means that you are kept in hospital under the Mental Health Act. There are different types of sections, each with different rules to keep you in hospital. The length of time that you can be kept in hospital depends on which section you are detained under.
See our pages on sectioning for more information.
Visit our full listing of Legal TermsGuardianship
This is where someone called a 'guardian' is appointed instead of being sectioned and kept in hospital. Your guardian could be a person or a local authority.
You can only be placed under guardianship if it's necessary for your welfare or to protect other people. Your guardian has the power to make certain decisions about you and to make conditions that you will be asked to keep to, such as where you live.
Guardianship lasts for up to six months and can be renewed: initially for a further six months, and then for a year at a time. You can appeal to the Mental Health Tribunal once in each of these periods.
Visit our full listing of Legal TermsPatient
The Mental Health Act says that a patient is someone suffering or appearing to be suffering from mental disorder.
Visit our full listing of Legal TermsThis information was published in November 2020. We will revise it in 2023.
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