8 MCA and the Office of the Public Guardian role Introduction 8a The role of the OPG Lasting Power of Attorney for Health & Welfare LPAs vs EPAs Conditions and Restrictions Supervision of deputies Valid deputyship court orders LPAs, EPAs and Deputyship Court Orders Attorneys and Deputies Court of Protection Key points References Reflective Exercise Quiz Reflective Exercise Topic: OPG Eight years ago, when he was 40, Ambrose was diagnosed with a life-limiting condition which was likely to progressively affect his ability to manage his own affairs. Soon after his diagnosis, and in preparation for the time when he would no longer be able to make his own decisions, he decided to appoint his sister and her husband as his attorneys for both finance and health and wellbeing. However, in the last few months he and his brother-in-law have fallen out over the extent to which Ambrose needs help with managing his finances. His brother-in-law wants to take over complete control and Ambrose now wishes to cancel his financial LPA and retain only the health and wellbeing LPA. Neither Ambrose’s sister or his brother-in-law think that he has the capacity to do this and Ambrose has asked his community nurse to report them to the OPG. What do you need to know more about with regards to this situation? What specific elements of the MCA might apply? How might your preconceptions/assumptions about this person influence you? How would you ensure your approach is ethical and unbiased? How do you ensure you are communicating in a way to involve the individual in the decisions made about them? Email me a copy of my answers Next:Quiz 0 Introduction 1 Reflecting on values and bias within mental capacity decision-making 2 The history and current context of mental capacity legislation and policy 3 The concept of mental capacity 4 Best interests 5 Supported decision making 6 Deprivation of liberty: human rights 7 MCA in clinical decisions for care and treatment 8 MCA and the Office of the Public Guardian (OPG) role 9 Conclusion