NSW Public Guardian 24 July 2019 Genetic Alliance Australia - - PowerPoint PPT Presentation

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NSW Public Guardian 24 July 2019 Genetic Alliance Australia - - PowerPoint PPT Presentation

NSW Public Guardian 24 July 2019 Genetic Alliance Australia Jessica Butz Outline of session Decision making The three separate agencies Who is the Public Guardian? Need for a guardian How a guardian is appointed in NSW Role and functions


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NSW Public Guardian

24 July 2019 Genetic Alliance Australia Jessica Butz

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Department of Justice Office of the Public Guardian 2 Department of Justice

Outline of session

Decision making The three separate agencies Who is the Public Guardian? Need for a guardian How a guardian is appointed in NSW Role and functions of the PG Alternatives to guardianship Contact us

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Department of Justice Office of the Public Guardian 3

Decision making spectrum

INDEPENDENT SUPPORTED SUBSTITUTE

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Department of Justice

The three agencies

Office of the Public Guardian 4

Guardianship Division of NCAT Makes and reviews guardianship

  • rders

Office of the Public Guardian Guardian of last resort for health and lifestyle decisions NSW Trustee and Guardian Personal Trustee and financial management services

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Department of Justice

Who is the Public Guardian?

Office of the Public Guardian 5

Represents

  • ver 2,600

people across NSW

Provides support to private guardians

Provides information to the community about guardianship

Health and lifestyle decision making Guardian of last resort 12% dementia 16% mental illness 29% intellectual disability

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Department of Justice

Information and Support

Community Education Information/Private Guardian support Complaints and reviews of decision

  • conduct of Public Guardian
  • Internal reviews of decisions

Office of the Public Guardian 6

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Department of Justice

When is a guardian needed?

Public Guardian 7

 A decision needs to be made and the person does not have capacity  The person objects to the decision and is at risk  Supporting the person to make their own decision has not worked  There is a legal requirement for a decision  Conflict with others  There are no other options for making the decision

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Department of Justice

How is a guardian appointed in NSW?

Office of the Public Guardian 8

EnduringGuardian EnduringPower of Attorney

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Department of Justice

How is a guardian appointed in NSW?

NCAT appointed Guardian

  • No longer has capacity
  • Application to Guardianship

Division of NCAT

  • Can appoint a private

guardian or the Public Guardian as last resort

NCAT appointed Financial Manager

  • No longer has capacity
  • Application to Guardianship

Division of NCAT

  • Can appoint the NSW

Trustee and Guardian or a private FM who is overseen by NSW TG

Office of the Public Guardian 9

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Department of Justice

What does NCAT consider when appointing a guardian?

Is there a need? Who should be appointed and for how long? Can they make their own decision with or without support?

Office of the Public Guardian 10

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Department of Justice

Who should be appointed by Tribunal?

Private Guardian

  • Personality compatible
  • No undue conflict of interests
  • Demonstrates a close and continuing

relationship

  • Proposed Guardian is willing and able (must

be at Hearing)

Public Guardian is appointed as a last resort

Presentation Template 11

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Department of Justice

“…the guardian of a person… has the power, … to make the decisions, take the actions and give the consents (in relation to the functions specified in the order) that could be made, taken or given by the person under guardianship if he or she had the requisite legal capacity.”

Section 21 (2A) the Guardianship Act 1987

Office of the Public Guardian 12

Role and functions of the Public Guardian

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Department of Justice

Role and Function of the PG

Office of the Public Guardian 13

Decision

Principles

  • f the

Guardian ship Act

Views

  • f
  • thers

Views

  • f the

person

Proposal

Guardianship Principles

  • Welfare and interests – paramount consideration
  • Freedom of decision & action are restricted as

little as possible

  • Normal life in the community
  • Views taken into account
  • Preserve family relationships, cultural & linguistic

environments

  • Encourage self-reliance
  • Protection from neglect, abuse and exploitation
  • Community encouraged to apply & promote

principles

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Department of Justice

Major decisions made by the PG

Office of the Public Guardian 11

Decision type 2017-18 2016-17 2015-16 2014-15 Accommodation 418 704 685 492 Authorise others 243 352 361 288 Services 1,975* 1,729 959 456 Health care 276 335 241 198 Restrictive Practices 64 105 79 64 Total Major Decisions 3,094 3,318 2,434 1,561

*the increase of ‘service’ decisions since 15/16 reflects the roll out of the NDIS

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Department of Justice 16 Office of the Public Guardian

Public Guardian and the NDIS

Decisions We Will We Won’t NDIS Access Planning meetings Manage plans Release of Info Provide info to NDIS Access portal Support Coordination Advocate as required Deal with $$ matters Other services Seek plan reviews Evaluate services Complaints about service providers Speak to the NDIS Q&S Commission & advocate

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Department of Justice

Need a guardian for NDIS?

Clare is a young woman with an intellectual disability. Her sister has been involved in her life since their mum passed away. She is an NDIS participant and new accommodation has been found for her, can she make the decision to move?

Office of the Public Guardian 17

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Department of Justice 18 Office of the Public Guardian

Need a guardian for NDIS?

Have you considered:

  • Can the person be

supported to make their

  • wn decision?
  • Is there any conflict around

the decision?

  • Is individual advocacy an
  • ption?
  • Can the person be

supported to sign their own service agreement?

  • Exploring a nominee
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Department of Justice

Alternatives to Guardianship

Office of the Public Guardian 13

  • Supported Decision making
  • Mitigate Risks
  • Build Networks
  • Build Ability
  • Resolve Conflict
  • Identify Person Responsible
  • Nominee arrangements
  • Plan Ahead
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Department of Justice

Medical treatment and ‘Person Responsible:

Part 5 of the Guardianship Act

Office of the Public Guardian 22

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Department of Justice

Who can consent to medical and dental treatment?

Before giving treatment medical practitioners must seek valid consent from patients by discussing:

  • the general nature & effects of treatment
  • the risks
  • alternative treatments or no treatment

If the person does not understand the treatment or able to give consent, the practitioner must seek consent from the ‘person responsible’

Office of the Public Guardian 23

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Department of Justice

Person Responsible Hierarchy

The medical practitioner identifies who the Person Responsible is: 1.Guardian with medical/dental function 2.Spouse or de facto partner 3.Unpaid carer 4.Close relative or friend

Office of the Public Guardian 24

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Department of Justice Office of the Public Guardian 27

Planning ahead for future decisions

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Department of Justice

SDM & Risk Enablement workshops

Office of the Public Guardian 15

The NSW Public Guardian is offering free SDM and Risk Enablement workshops for disability services staff to promote the decision making rights of People with Disabilities.

Supported Decision Making workshop Cover building the ability of people with disability to make their own decisions Focus on effective steps and strategies for providing support for decision making Discuss dilemmas and tensions, as well as strategies to address these Risk Enablement workshop Focus on Risk Enablement within the context of supported decision making Focus on enabling risk to apply to daily practice Focus on interaction, building on knowledge and experience

For info and to express your interest: Information Support Team 02 8688 6070 or informationsupport@opg.nsw.gov.au. Sessions are catered &free.

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Department of Justice

Contact Public Guardian

Office of the Public Guardian…………………………1800 451 510 Information & Support Branch…………….8688 6070 Private Guardian Support Unit…………....8688 6060 Email: informationsupport@opg.nsw.gov.au www.publicguardian.justice.nsw.gov.au Guardianship Teams: Southern Team………..9692 1533 or pgsouthern@opg.nsw.gov.au Northern Team……….. 4320 4888 or pgnorthern@opg.nsw.gov.au Western Team…………8688 2650 or pgwestern@opg.nsw.gov.au

Office of the Public Guardian 16