Who Cares Now? The Overlooked Impact of the Assisted Decision-Making (Capacity) Act 2015

Are we, as a society, overlooking the needs of the most vulnerable among us? The amendment of the Assisted Decision-Making (Capacity) Act 2015, which abolished the role of the care representative, certainly seems to suggest so. This legislative change, enacted by the Oireachtas, may have been well-intentioned, but it has inadvertently created significant challenges for vulnerable individuals and their families.

Understanding the Assisted Decision-Making (Capacity) Act 2015

The Assisted Decision-Making (Capacity) Act 2015 was designed to support those with diminished capacity in making decisions. It introduces a framework to facilitate decision-making, aiming to replace the antiquated wardship system with more modern practices. However, as pieces of the Act were gradually implemented, the removal of the care representative role has become a contentious issue.

Previously, family members could apply to be care representatives through a straightforward process overseen by county registrars. This role allowed them to assist vulnerable relatives in accessing necessary support under the Nursing Home Support Scheme, also known as the ‘Fair Deal’ Scheme. Now, family members must apply to the Circuit Court to have a decision-making representative appointed, adding layers of complexity, cost, and intimidation to an already challenging time.

Industry Challenges Exacerbated by Legislative Changes

One of the most pressing challenges posed by the amendment is the financial burden placed on families. Navigating the Circuit Court system is prohibitive in terms of both time and money. Vulnerable individuals and their families, often already facing financial strain, now have to bear additional legal costs to secure essential support for long-term care.

Furthermore, the requirement for vulnerable persons to attend court hearings adds unnecessary stress. Many courthouses remain unsuitable for elderly individuals who may find the experience bewildering and distressing. This is especially perplexing given the advancements in digital technology, allowing for remote participation—a necessity embraced during the pandemic.

A Missed Opportunity for Improvement

The elimination of the care representative role disregards the efficiency and accessibility that these representatives brought to the process. By excluding county registrars from the decision-making procedure, the system has become convoluted and less transparent. The absence of uniformity in how the Act is implemented across different counties further complicates matters, leaving families uncertain about the timelines and processes involved.

The lack of consultation with legal professionals, particularly those experienced in advocacy for vulnerable adults, is a glaring oversight. It’s critical that legislative changes engage with those on the front lines to ensure that reforms serve the intended beneficiaries without unintended negative consequences.

Supporting Vulnerable Individuals with Urgency

Immediate consideration should be given to expanding the category of individuals who can apply for decision-making representation without a Circuit Court judge’s leave. Simplifying this process would alleviate some of the financial and emotional burdens currently faced by families.

Additionally, there must be a concerted effort to modernise court facilities to accommodate remote hearings, ensuring that no elderly or vulnerable person is forced to endure a potentially traumatic court appearance.

The Way Forward

To better support vulnerable individuals and their families, a comprehensive review of the Act’s implementation is essential. This should involve meaningful consultations with legal experts, healthcare providers, and advocacy groups to address the gaps and inefficiencies introduced by the recent amendments.

Call to Action

At HOMS Assist, we are committed to advocating for the rights and dignity of vulnerable individuals. We encourage family members of vulnerable adults to contact us for guidance and support as they navigate this complex legal landscape. Together, we can push for reforms that genuinely reflect the needs and realities of those most affected by these legislative changes.

It’s time to refocus on who truly matters—the people who depend on us for care and support. Let us work collectively to ensure that our systems honour their dignity and uphold their rights.

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