Written answers
Wednesday, 21 April 2021
Department of Children, Equality, Disability, Integration and Youth
Assisted Decision-Making
David Stanton (Cork East, Fine Gael)
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1217. To ask the Minister for Children, Equality, Disability, Integration and Youth the sections of the Assisted Decision-Making (Capacity) Act 2015 that have commenced to date; his plans and associated timescales for the commencement of the remaining sections of the Act; and if he will make a statement on the matter. [18248/21]
Roderic O'Gorman (Dublin West, Green Party)
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The commenced sections of the Assisted Decision-Making (Capacity) Act 2015 (the 2015 Act) are:
- Part 1 other than sections 3, 4, and 7 and Part 9 other than section 96, section 102 and Chapter 3 were commenced by the Minister for Justice and Equality on 12 October 2016 (S.I. No. 515 of 2016). The Order appointed 17 October 2016 as the date on which specified provisions of Parts 1 and 9 of the Act came into operation.
- The definition of “Minister” in section 82; the definitions of “code of practice” and “working group” in section 91(1); and section 91(2) were commenced by the Minister for Health on 13 October 2016 (S.I. No. 517 of 2016). The Order provided for the commencement, on 17 October 2016, of section 91(2) and relevant definitions, for the establishment, by the Minister for Health, of a multidisciplinary working group of suitable persons willing and able to make recommendations to the Director of the DSS in relation to codes of practice pertaining to the advance healthcare directive provisions of the Act.
- Section 91 was commenced by the Minister for Health on 13 December 2018 (S.I. No. 527 of 2018). The Order provided for the commencement, on 17 December 2018, of the remainder of section 91 which outlines the formal process to be undertaken by the Director of the DSS regarding the preparation and publication of the code of practice pertaining to the advance healthcare directive provisions, including the requirement for the Director to obtain the consent of the Minister for Health in order to publish the code of practice.
- Section 7(1) commenced by the Minister for Children, Equality, Disability, Integration and Youth on 27 January 2021 (S.I. No. 24 of 2021). The Order provided for the repeal of the Marriage of Lunatics Act, 1811, on 1 February 2021
My aim is to commence the remaining sections of the 2015 Act in June 2022. The 2015 Act provides a modern statutory framework to support decision-making by adults with capacity difficulties. The 2015 Act is primarily the policy responsibility of my Department except for Part 8 of the 2015 Act which deals with advance healthcare planning and is the responsibility of the Department of Health. My Department chairs the Inter-Departmental Steering Group (IDSG), previously under the remit of the Department of Justice and Equality, which includes the Decision Support Service, the Mental Health Commission, the Courts Service, the HSE, the Department of Health and the Department of Justice. Its remit is to ensure that IDSG members are taking the actions necessary to ensure that the 2015 Act is commenced by June 2022. To this end I secured a budget of €5.8m for 2021 for the DSS to enable it to develop the necessary systems, including IT systems, to become operational. My officials are also working on the Assisted Decision-Making (Capacity) (Amendment) Bill, which will provide necessary amendments to the 2015 Act, with the aim of enactment by year-end. In the meantime, I will commence any sections of the 2015 Act that I can, bearing in mind the interconnectedness of the Act.
David Stanton (Cork East, Fine Gael)
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1218. To ask the Minister for Children, Equality, Disability, Integration and Youth the changes he plans to make to the way in which a person with limited or no decision-making capacity can be represented by a person with power of attorney; and if he will make a statement on the matter. [18249/21]
Roderic O'Gorman (Dublin West, Green Party)
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The Assisted Decision-Making (Capacity) Act 2015 (the 2015 Act) provides a modern statutory framework to support decision-making by adults with capacity difficulties.
The 2015 Act includes a new part, Part 7, which relates to Enduring Powers of Attorney (EPA). This part has not been commenced yet. The timeline for commencement is June 2022. The following is a summary of provisions with regard to EPAs in the 2015 Act but should not be considered a legal interpretation.
- The relevant person (here called the donor) can appoint a person (here called an attorney) to have general authority to act on their behalf in relation to specified areas confirmed in writing (known as the EPA);
- The areas can include either property and affairs, personal welfare or both areas;
- EPAs under the Powers of Attorney Act 1996 cannot be made after commencement of the 2015 Act;
- The EPA does not enter into force until the donor lacks capacity in one or more areas in the EPA and the instrument has been registered by the attorney;
- The Director of the Decision Support Service (DSS), the agency charged with supervising EPAs, will maintain a register of EPAs and make it available for inspection to specified people. The Director can issue an authenticated copy to a specified person and will keep a record of who inspects the register and receives authenticated copies;
- Statements from the donor and his/her legal representative, medical practitioner, and healthcare professional must accompany the EPA confirming that the donor has the capacity to make the EPA and confirming that the donor has lost such capacity at point of registration of the EPA;
- The EPA cannot include a refusal of life-sustaining treatment or any decision in an Advance Healthcare Directive;
- The donor must give notice to the following people that an EPA has been executed: a spouse/civil partner, cohabitant, any of the donor's children over 18, a decision-making assistant, co-decision-maker, decision-making representative, a designated healthcare representative, any other attorney, any other person specified by the donor.
- There can be more than one attorney and they can act jointly, jointly and severally or jointly for some matters and severally for others.
The 2015 Act also includes provisions in relation to when a person cannot be an attorney; when an attorney can be disqualified; the annual reports the attorney must submit to the DSS; how complaints and objections can be raised with the DSS; and the offences related to EPAs.
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