Birth Litigation UK

The Complex Issue of Deputies

This blog post is to discuss the complex issue of Deputies and their role in your child’s life.  For a general idea on what a Deputy does, have a look at my ‘Legal Agencies’ and ‘interim’ section on the website.  I have looked carefully at the legal side and asked for help and advice from people with more experience of deputies around birth injury awards. 

A Court of Protection Deputy will have control of your child’s money and how it is used to support your child. You have no control unless you are a joint deputy and even then you cannot make unilateral decisions on how the money is used.

This is one of the hardest concepts to grasp. Someone unrelated to you or your child is making major decisions affecting their life, so you have to learn to work with the Deputy, trust them, but remain vigilant that you are getting the best value for money from them. You must have transparency and be encouraged to ask questions to get full disclosure.

This blog is for information only and does not constitute legal advice. Sources used are NHS Website, Gov UK Websites, legal websites and personal testimonies.

What is a Deputy in relation to Birth Injury Cases?

A Deputy is required in most cases following admission by the Defendant in order to access interim funds and to manage the award post settlement. A court appointed Deputy is someone who manages the finances of the injured person under the stewardship of the Court of Protection.  Deputies (professional or lay) can also have control of the persons Health and Welfare, but in the case of BI (birth injured) children, parents will almost always have control of this aspect.

Appointing a Deputy

Under most circumstances where a deputy is appointed to care for someone who previously had capacity it will be a family member or a trusted person or an independent advocate.  However, in the case of Birth Injured (BI) children the sums awarded are usually too high for family members to be given control of their child’s financial interests.  If the award made to the child is over £2 million it is unlikely the COP will allow the parent to become sole deputy (aka ‘lay deputy’). In the past there were rare instances of parents misusing the child’s award, hence the preference now for court appointed deputies.   Deputies are needed if the child is under 18 or if they lack ‘capacity’.

Parents often feel excluded with this system as they have to apply to the Deputy for specific high cost items, via their case manager if one is engaged, or direct.  Following admissions in the claim and going into ‘Interim’, your solicitor will probably invite you to use their in house Deputy.  It’s up to you to decide whether you want to take their offer as you can go elsewhere.  However at the conclusion of such a difficult process years in the making, you may find it easier to do this in the short term and review following settlement.  During Interim when the claim is being ‘quantified’, your litigation solicitor will still work with you and the new Deputy and their fees will be costed and claimed from the defence.

Does the child have capacity?

So how is capacity measured?  In the case of a BI child who is verbal and able, who shows normal intelligence, be doing well at school and reason in an age appropriate way, capacity will be assumed.  Sometimes the child has more significant disabilities, but is capable of making their own decisions on certain issues, such as what to eat, but there may be doubt over whether they have the capacity to manage money appropriately.  They may need a formal testing procedure to assess their capacity.   However, if the BI child is severely affected and, importantly, non verbal or have significant loss of their hearing/vision/speech, it is often assumed they have an intellectual disability and testing is not suggested or sought.  

Parents however, know their child better than anyone.  If they feel their child is being assumed not capable regardless of their level of disability, but they feel differently, they can commission an independent test.    There are agencies that will test for capacity, such a Nellie Supports, https://www.nelliesupports.com/ which uses qualified social workers trained in these assessments.   As parents we seem to have our hands tied when it comes to mental capacity and it can be a fight to have the child assessed, particularly if the child uses AAC (Augmentative and Alternative Communication) such as eye gaze or switch adapted communication. 

If a child has capacity, when they reach the age of 18 they can manage, with input from a financial advisor, their own finances.  This usually involves a Trust fund. The parents will assist a more disabled child and they can seek the advice of a financial advisor and be a trustee.

Mental Capacity Act Code of practice https://assets.publishing.service.gov.uk/media/5f6cc6138fa8f541f6763295/Mental-capacity-act-code-of-practice.pdf

How is Mental Capacity Assessed

So how is Mental Capacity Assessed if the child has significant communication difficulties? I would suggest Nellie Supports https://www.nelliesupports.com/ and an independant assessment on whether your child is able, in the future as an adult (18), to manage their own lives including their financial affairs.  The Mental Capacity Act is a law that sets out how a person’s mental state impacts on their decision making, and what can be done to best protect and promote the interests of the individual.  Clearly a child cannot make important decisions until they reach legal adulthood. 

For more details on Mental Capacity, click here

Assume a person has the capacity to make a decision themselves, unless it’s proved otherwise

  • wherever possible, help people to make their own decisions
  • do not treat a person as lacking the capacity to make a decision just because they make an unwise decision
  • if you make a decision for someone who does not have capacity, it must be in their best interests
  • treatment and care provided to someone who lacks capacity should be the least restrictive of their basic rights and freedoms.

How is mental capacity assessed?

The MCA sets out a 2-stage test of capacity:

1) Does the person have an impairment of their mind or brain, whether as a result of an illness, or external factors such as alcohol or drug use?

2) Does the impairment mean the person is unable to make a specific decision when they need to? People can lack capacity to make some decisions, but have capacity to make others. Mental capacity can also fluctuate with time – someone may lack capacity at one point in time, but may be able to make the same decision at a later point in time.

Where appropriate, people should be allowed the time to make a decision themselves.

The MCA says a person is unable to make a decision if they cannot:

  • understand the information relevant to the decision
  • retain that information
  • use or weigh up that information as part of the process of making the decision

Helping people make their own decisions

Before deciding a person lacks capacity, it’s important to take steps to enable them to try to make the decision themselves.

For example:

  • does the person have all the relevant information they need?
  • have they been given information on any alternatives?
  • could information be explained or presented in a way that’s easier for them to understand (for example, by using simple language or visual aids)?
  • have different methods of communication been explored, such as non-verbal communication?
  • could anyone else help with communication, such as a family member, carer or advocate?
  • are there particular times of day when the person’s understanding is better?
  • are there particular locations where the person may feel more at ease?
  • could the decision be delayed until they might be better able to make the decision?

Is the decision in their best interests?

If someone lacks the capacity to make a decision and the decision needs to be made for them, the MCA states the decision must be made in their best interests.

The MCA sets out a checklist to consider when deciding what’s in a person’s best interests.

It says you should:

  • encourage participation – do whatever’s possible to permit or encourage the person to take part
  • identify all relevant circumstances – try to identify the things the individual lacking capacity would take into account if they were making the decision themselves
  • find out the person’s views – including their past and present wishes and feelings, and any beliefs or values
  • avoid discrimination – do not make assumptions on the basis of age, appearance, condition or behaviour
  • assess whether the person might regain capacity – if they might, could the decision be postponed?

It’s vital to consult with others for their views about the person’s best interests.

In particular, try to consult:

  • anyone previously named by the individual
  • anyone engaged in caring for them
  • close relatives and friends
  • any deputy appointed by the Court of Protection to make decisions for the person

Court of Protection

The Court of Protection has jurisdiction over the property, financial affairs and personal welfare of people who lack capacity to make decisions for themselves.

For more information on COP click here
  • The Court of Protection oversees the operation of the Mental Capacity Act and deals with all issues, including financial and serious healthcare matters, concerning people who lack the mental capacity to make their own decisions.
  • The court also tries to resolve all disputes when the person’s carer, healthcare worker or social worker disagree about what’s in the person’s best interests, or when the views of the attorneys conflict in relation to property and welfare.
  • The court hears important cases, such as whether the NHS should withdraw treatment, whether a serious medical treatment decision is in a person’s best interests, or whether it’s in a person’s best interests to be deprived of their liberty.
  • Cases can be brought to the court by family members, as well as advocates and professionals involved in decisions.

The need for a Deputy

It may be that an assessment flags up limited capacity, that is the ability to make certain decisions but not have overall control of their finances, because the issues are too complicated.  The decisions the child can make must always be taken into account and their consent for certain things be accepted, such as their wish to get married.

Parents may feel it is for the best that someone competent and whose power has restraints on it, manages the considerable sums that are often awarded, as they will need to be managed well enough to last the child’s lifetime.  I would have no issue with someone who will provide sound financial investments for the child and ensure the child’s security for life.  What I personally would find difficult is losing complete control of my own child and his security.

Who oversees the Deputy

In BI children who are deemed not to have capacity and who have been awarded substantial damages, The COP will appoint a Deputy no matter what age they are.  BI awards are usually very large and the COP takes the view that finances need managing by a suitable person.  The Deputy does pay a security bond to the Office of the Public Guardian which oversees them and which acts as insurance, although how much this would cover were any wrongdoing to occur, I would definitely check. 

Deputy Standards PDF https://assets.publishing.service.gov.uk/media/63fe02dce90e0740d715a261/opg-deputy-standards.pdf

Choosing a Deputy

Some legal firms who have run the legal case for you will offer the services of a Deputy.  This may not be an ideal system, especially if they do not allow joint deputyship.  There is the possibility that the Deputy will have a conflict of interest and the situation may arise.  (See parent comment below).  This has been said so I would ask for very clear costs from the Deputy and ask this question directly.  I would also look at other firms to see what their costs would be for the same work.  Your litigation team and your Deputy at the same firm work as separate entities, the Deputy being part of their COP team. During Interim it may just be easier to go with this and reassess following Settlement as often our emotional reserves are low and we just want to relax a little.

Some insights from a fellow parent (anonymised)

Deputy should always act in the person’s best interests, but when the litigation solicitor and deputy belong to the same law firm, the deputy is potentially under pressure to act in the best interests of the law firm, not of the client. I know some cases where deputy has funded extra litigation costs and unrecoverable purchases from interim payment which should not have been authorised.  Also you have no choice on deputyship fees and you don’t see what goes on behind the scenes. You want to get the best deal on deputyship fees, for other ‘purchases’ you would expect to shop around to get the best deal, but you don’t get this option by staying with the same law firm and are liable to being charged a higher rate, especially as litigation solicitor will want to inflate costs for the schedule of loss. After settlement, you no longer have dealings with the litigation solicitor but the relationship with the deputy will continue, at the same (high) rate of fees which get reviewed regularly. As it takes over a year these days to change deputy, it’s worthwhile finding the right one from the start, and having a deputy who is independent of the litigation is a good safety net in terms of making sure decisions are made in the claimant’s best interests and are not biased by the wants of the other law firm.

Link to a blog on removing a court appointed Deputy https://www.jmw.co.uk/blog/removal-of-attorney-or-deputy/how-to-remove-court-appointed-deputy

What can I expect from a professional deputy?

A professional deputy will take full responsibility for managing the individual’s finances, involving the family in any decisions that are made. Practical support might involve some or all of the following

  • Ensuring funds are available to meet day-to-day needs
  • Setting and monitoring budgets with family members and other professionals
  • Dealing with the employment of carers and administering the payroll, contracts, PAYE,
    National Insurance, pension auto-enrolment and employment disputes
  • Liaising with case managers and other professionals in respect of care teams, therapists
    and other needs
  • Paying regular household bills
  • Arranging the investment of any settlement or damages awarded
  • Buying and / or adapting a property to meet the person’s needs
  • Dealing with benefits applications
  • Looking into the availability of statutory funding to meet care needs
  • Making applications to the Court of Protection
  • Preparing an annual report and accounts for the Office of the Public Guardian and
    submitting tax returns
    (This is not an exhaustive list.)

What does it cost to use a professional deputy?

Costs depend on who you use and how much you want them to do, although costs related to the court are decided by the Court on a fixed cost basis. Your Deputy will give you a list of their fees, those of their paralegal, email costs and so on. It’s a good idea to check with other parents to see if these fees are comparible.

Joint Deputyship

Some legal firms do not allow joint deputyship.  If you want joint deputyship there is no other option than to apply to the COP for joint deputyship with another deputy.  This can be with another legal firm that allows this.  Applying for joint deputyship can be expensive and time consuming but ultimately gives you the best of both worlds, some control over your child’s money but also someone you can collaborate with.    Most importantly you can see where the money is going, and transparency is something families put as a priority. 

General Advice

  • Meet with the proposed Deputy to see if you feel comfortable with them.  You are quite at liberty to say no, and either ask for someone else, ask to think about it or choose someone from another law firm. 
  • Check all financial communications sent by the deputy to ensure they are correct and reasonable.  Ask on the facebook group what other people are paying, and contact other legal firms who have joint deputyship.
  • Communicate with the Deputy’s paralegal wherever possible as this reduces fees.  Avoid multiple emails if the information can be given in one go.  They’re charged each time.

Questions to Ask

  • Does the Deputy’s insurance bond cover any financial wrongdoing?
  • Can I become a joint deputy and how?
  • If not, can you assist me in making the process of choosing another Deputy who accepts joint deputyship?
  • Will I be copied in to all communication regarding my child
  • Will all finances regarding my child be shared with me.
  • Will I be updated on the fees paid to the deputy from the child’s claim
  • How often will I be contacted
  • Who else will be copied into the deputies emails, and what are those costs
  • Will I need to meet with the deputy or will emails be sufficient
  • What things will change when the child reaches 18 if they have capacity?
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