Medical Power of Attorney Makeover
As of 12 March 2018, the Victorian Government has brought into effect a Medical Power of Attorney makeover, under the Medical Treatment Planning and Decisions Act 2016 (Vic). The key purpose of this Act is to provide for the making of medical treatment decisions on behalf of people who do not have decision-making capacity, through the provision of two key documents:
- A Legally Binding Advance Care Directive
- An Appointment of Medical Treatment Decision Maker
These documents have replaced the previous Enduring Medical Power of Attorney, which only provided for the appointment of an attorney and alternate attorney. See below for more information on how these two documents differ to the previous Enduring Medical Power of Attorney.
Advance Care Directives
Advance Care Directives set out your binding instructions, or alternatively your general preferences and values, in relation to your medical treatment in the event that you are incapable or otherwise unable to make your own decisions for that particular medical treatment or procedure in the future. Advance Care Directives can include directions in relation to the following (among many others):
- Operations or procedures, both invasive or non-invasive
- Treatment for mental illness
- Prescription or non-prescription pharmaceuticals
- Life support
- Dental treatment
- Palliative care.
Advance Care Directives may contain either an instructional directive, a values directive, or both. An instructional directive is an express statement which takes effect as if you have consented to or refused consent to a particular medical treatment yourself. A values directive is a statement of your preferences and values as a basis on which you would like any medical treatment decision to be made on your behalf.
Appointment of Medical Treatment Decision Maker
In circumstances where there is no instructional directive in relation to a particular medical treatment, the decision will be referred to your Medical Treatment Decision Maker, who is appointed in this separate document. You may appoint more than one person as your Medical Treatment Decision Maker. The person making the decision will be the first person listed in the Appointment who is reasonably available and willing to act at the particular time. The person or people entrusted with this appointment have very significant responsibilities including:
- Authorising an operation
- Authorising the switching off of a life support machine
- Authorising medication (in consultation with a medical professional).
Your Medical Treatment Decision Maker must make the decision that they believe is the decision that you would have made if you had decision-making capacity. In doing so, they will have regard to:
- Your values directive (if any) in your Advance Care Directive
- Any preferences that you expressed during your life or could be inferred from the way you lived your life
- The likely effects and consequences of the particular medical treatment
Your Medical Treatment Decision Maker can also refuse medical treatments. Any refusal of treatment must take into consideration the points listed above, as well as any available medical advice.
Is my prior Medical Power of Attorney still valid?
Yes. The Medical Treatment Planning and Decisions Act 2016 (Vic) provides that anybody appointed prior to 12 March 2018 as an Attorney for medical treatment matters is deemed to transition into the role of Medical Treatment Decision Maker, avoiding the need for new appointments to be made.
For more information refer to our page on Powers of Attorney or The Australian Government's page on Powers of Attorney, which includes information for different States.
Medical Power of Attorney: How can Sharrock Pitman Legal help?
At Sharrock Pitman Legal, we offer a range of services in Wills and Estate Planning. If you have any further queries regarding these changes to the Medical Powers of Attorney, or require assistance with Wills or Estate Planning, please feel free to contact our Accredited Specialist Wills and Estates Law team on 1300 205 506, or alternatively fill in the form below.
The information contained in this article is intended to be of a general nature only and should not be relied upon as legal advice. Any legal matters should be discussed specifically with one of our lawyers.
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For further information contact
Mitchell Zadow
Mitchell is the Managing Principal of our law practice.
He is an Accredited Specialist in Commercial Law (accredited by the Law Institute of Victoria). He also deals with areas of Employment Law, Wills & Estate Planning and Probate. For further information, contact Mitchell on his direct line (03) 8561 3318.