Step 2.3

What are the types of substitute decision makers?

Substitute decision makers

 

In this section we look at the following common substitute decision making positions:

  • Enduring power of attorney – finance, property and legal decisions 
  • Enduring guardian – general health and lifestyle decisions
  • Administrator – finance and legal decisions where there is no enduring power of attorney
  • Guardian – lifestyle and health related decisions where there is no enduring guardian

and:

  • Nominee – dealings with the Commonwealth government eg. Medicare, Centrelink
Enduring Power of Attorney

An Enduring Power of Attorney is a legal document that appoints a trusted person (referred to as ‘the attorney’) to make financial, legal and property decisions on your behalf in the event that you lose the capacity to do so yourself.  You can appoint more than one enduring power of attorney.

An Enduring Power of Attorney does:

  • allows the appointed person(s) to operate bank accounts
  • can enable the appointed person(s) to sell your property
  • can enable the appointed person(s) to vote at meetings on your behalf
  • is like a general power of attorney but it remains valid (endures) after you lose legal capacity to make decisions for yourself

and:

  • can be anyone over the age of 18 years who can assist an individual with money or property. It can be a relative, friend or professional adviser.  It does not have to be a lawyer or solicitor.

An Enduring Power of Attorney does not allow the appointed person(s) to:

 

DONT DO
  • make a personal or medical decisions on your behalf
  • make a will
  • swear or affirm your affidavit

Plus:

  • do anything that cannot be delegated by law 
Enduring guardian

An enduring guardian is a person you appoint to make decisions about your healthcare and lifestyle on your behalf, in the event that you lose capacity to make those decisions yourself. 

An enduring guardian can make decisions about:

  • lifestyle considerations – accommodation,  domestic duties, social and recreational activities
  • health care and medical treatments including medical and dental procedures

An enduring guardian cannot make decisions about:

 

DONT DO
  • financial affairs – including the writing or changing of wills 
  • voting in an election on your behalf

Plus:

  • consenting to special medical treatments (e.g. new or experimental treatments) or override objections to medical treatments.

An enduring guardian must act within the principles of the Guardianship Act in the relevant state or territory – in your best interests and within the law.  The legal document that authorises a person of your choice to make important personal, lifestyle and treatment decisions on your behalf is called an Enduring Power of Guardianship.

Choosing your enduring guardian

It’s good to discuss the appointment of your enduring guardian or guardians with family and other significant people.

Your enduring guardian must be:

  • someone who understands your values and wishes
  • someone you trust to understand the issues that they may have to consider and make good decisions on your behalf
  • willing to accept the responsibility

Plus:

  • at least 18 years of age

Your enduring guardian cannot be:

 

DONT DO
  • a person who provides accommodation or support services to you for daily living on a professional basis. 

Plus:

  • a person (or a relative of a person) who provides medical services or any other services to support your daily living activities.  
Appointing your enduring guardian

While you need to check details and definitions for your own State or Territory, the following rules apply in general to all appointments of an enduring guardian:

  • You can appoint more than one person as your enduring guardian.  You can choose how you want them to act on your behalf - jointly or separately
  • You and your enduring guardian will both need to sign a form of appointment in front of an ‘eligible witness’. 
  • An eligible witness is usually an Australian legal practitioner, a Registrar of the Local Court, an overseas legal practitioner, or an approved officer from the State or Territory Public Trustee or Public Guardian. 
  • You can revoke or change any appointment you have made by completing a Revocation of Appointment of Enduring Guardian form.

Plus:

  • You can nominate an alternative enduring guardian in the event that an enduring guardian dies or loses capacity to make decisions. 
Administrator

If you have already lost the ability to make reasonable judgements about managing your estate and you don’t have an enduring power of attorney in place, the state government (the relevant Office of the Public Guardian or Public Advocate) can appoint an administrator to make financial and legal decisions on your behalf.

An administrator cannot make personal and lifestyle decisions, such as where you live or what health care you may need. 

Guardian

If you have already lost the capacity to make your own decisions and you have not previously appointed an enduring guardian, the state government can appoint a Guardian to make personal, lifestyle and treatment decisions in your best interests.

Your enduring guardian can be:

  • A Guardian can be a family member or close friend who is able to make personal, lifestyle and medical/dental decisions on your behalf. In this case it is a Private Guardian.
  • If the appointment of a Private Guardian is not possible (for example if there is a dispute within the family or suspected abuse) a Public Guardian can be appointed, who is usually a Statutory Official.
DONT DO
  • Make financial and legal decisions on your behalf.
Nominee

A nominee is a person you appoint to act on your behalf in conducting business with the Department of Human Services for services like Centrelink and Medicare.  

Before a nominee can start acting on your behalf, you need to give them your permission.  This can be done online or you can complete a paper form saying that you agree to authorise them.  You can phone free call: 132 300 or drop into a Government service centre. 

Top Tips

Anyone who calls Centrelink or Medicare on behalf of someone else will need to be authorised as a NOMINEE before they can make any specific enquiries.  This can be done online.

There are different ways to appoint your nominee(s).  You can have:

  • a ‘correspondence nominee’ or a ‘payment nominee’ 
  • both a ‘correspondence nominee’ and a ‘payment nominee’
  • a different person for each role

Plus:

  • the same person for both roles

Appointing a nominee does not stop you from conducting your own business with the Department of Human Services. You can contact the Department of Human Services at any time to cancel this appointment.

State based laws for substitute decision makers

Each state and territory in Australia has its own laws covering substitute decision makers – with some minor variations.

All states offer advisory services as well as easy-to-read information, downloadable forms and useful tips and tools.

Here is a list of links to each of the main state and territory contacts:

Australian Capital Territory http://www.publictrustee.act.gov.au/ and http://www.publicadvocate.act.gov.au/ 

New South Wales http://planningaheadtools.com.au/ and http://www.tag.nsw.gov.au/

Northern Territory http://www.nt.gov.au/justice/pubtrust/ 

Queensland http://www.publicguardian.qld.gov.au/adult-guardian and http://www.pt.qld.gov.au/

South Australia http://www.opa.sa.gov.au/ and http://publictrustee.sa.gov.au/

Tasmania http://www.guardianship.tas.gov.au/ and http://www.publicguardian.tas.gov.au/home and http://www.publictrustee.tas.gov.au/

Victoria http://www.publicadvocate.vic.gov.au/ and https://www.statetrustees.com.au/

Western Australia http://www.publicadvocate.wa.gov.au and http://www.publictrustee.wa.gov.au/

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Caroline Egan

DCM Media, agedcare101

Caroline has a wealth of experience writing within the retirement and aged care sector and is a contributing journalist for the Villages.com.au and agedcare101 blog and accompanying newsletters.

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Ian Horswill

Journalist

Ian is a journalist, writer and sub-editor for the aged care sector, working at The DCM Group. He writes for The Weekly Source, agedcare101, villages.com.au and the DCM Institute fortnightly newsletter Friday. Ian is in daily contact with CEOs of retirement living, land lease and the aged care operations and makes a new contact every week. He investigates media releases, LinkedIn and Facebook for a good source for ideas for stories.

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Lauren Broomham

Retirement and Aged Care Journalist

Lauren is a journalist for villages.com.au, agedcare101 and The Donaldson Sisters. Growing up in a big family in small town communities, she has always had a love for the written word, joining her local library at the age of six months. With over eight years' experience in writing and editing, she is a keen follower of news and current affairs with a nose for a good story.

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Jill Donaldson

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Jill has been practicing as a clinical physiotherapist for 30 years. For the last 13 years she has worked solely in the Aged Care sector in more than 50 metropolitan and regional facilities. Jill has also toured care facilities in the US and Africa and is a passionate advocate for both the residents in aged care and the staff who care for them. She researches and writes for DCM Media.

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Chris Baynes

DCM Media, agedcare101

Chris has been a journalist and publisher in the retirement village and aged care sectors for 11 years. He has visited over 250 retirement villages and 50 aged care facilities both within Australia and internationally. Chris is a regular speaker at industry conferences plus is a frequent radio commentator.

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Annie Donaldson

Nurse and Carer

Annie has a long career in both nursing and the media. She has planned and co-ordinated the medical support from both international TV productions and major stadium events. In recent years she has been a primary family carer plus involved in structured carer support.