Abstract
Since 2000, several jurisdictions have codified a considerable amount of case law relating to capacity, but interpretation of the statutory law is informed by the earlier case law and with which you should be familiar. In short, ‘it is a general rule of English law, whatever the context that the test for capacity is the ability to understand the nature and quality of the transaction’ (Sheffield City Council v. E [2004] EWHC 2808 (Fam)). Common law, as to such matters as testamentary and capacity to marry, has not been affected. In James v. James [2018] EWHC 43 (Ch), it was held that the test for judging capacity retrospectively in relation to a will already made did not fall within the scope of the MCA.
Autonomy entails the freedom and the capacity to make a choice.
Since 2000, several jurisdictions have codified a considerable amount of case law relating to capacity, but interpretation of the statutory law is informed by the earlier case law and with which you should be familiar. In short, ‘it is a general rule of English law, whatever the context that the test for capacity is the ability to understand the nature and quality of the transaction’ (Sheffield City Council v E [2004] EWHC 2808 (Fam)). Common law, as to such matters as testamentary and capacity to marry, has not been affected. In James v James [2018] EWHC 43 (Ch), it was held that the test for judging capacity retrospectively in relation to a will already made did not fall within the scope of the MCA.
Capacity is issue-specific and time-specific. It ‘depends on time and context … inevitably a decision as to capacity in one context does not bind a court which has to consider the same issue in a different context’ (Masterman-Lister v Brutton & Co. [2002] EWCA Civ 1889) and ‘the Court must focus on the matters which arise for decision now, and on the Claimant’s capacity to deal with them now’ (Saulle v Nouvet [2007] EWHC 2902 (QB)). A person may lack the capacity to make a gift at one time and have the capacity to do so at a later date. A person may have the capacity to marry at 11.30 a.m. (In the Estate of Park deceased, Park v Park [1954] P 89), but not have the capacity to make a will early in the afternoon of the same day (Re Park, Culross v Park, Times, 2 December 1950). The test is not monolithic, but tailored to the task in hand (Perrins v Holland [2009] EWHC 1945 (Ch)). It is also tailored to the gravity of the decision: a person need only have such capacity as is ‘commensurate with the gravity of the decision’ (Re T (Adult: Refusal of Medical Treatment) [1993] Fam 95).
The Statute Law
Legislation began with the Adults with Incapacity (Scotland) Act 2000 (AI(S)A), followed by the MCA and then, more recently, the Capacity and Self-Determination (Jersey) Law 2016 (CSD(J)L) and, yet to be commenced, Northern Ireland’s MCA(NI) and Ireland’s ADM(C)A. The MCA, the MCA(NI), the CSD(J)L and the ADM(C)A have much in common, but there are subtle differences. Readers preparing reports to which such legislation applies should consult the online version of the appropriate act. There is a common principle that someone is not to be treated as unable to make a decision unless all practicable steps have been made to help and support them to do so without success, such as ensuring that they receive appropriate explanation and ensuring that this happens at a time or times, or in an environment, likely to help. Another common principle is that a person is not to be treated as unable to make a decision merely because they make an unwise decision.
The MCA, the CSD(J)L and the MCA(NI) define lack of capacity in terms of impairment or disturbance in the functioning of the mind or brain, but the AI(S)A and the ADM(C)A do not. The MCA, the CSD(J)L, the MCA(NI) and the ADM(C)A have a four-part ‘test’, so a person lacks capacity to make a decision for himself if he is unable:
to understand the information relevant to the decision;
to retain that information;
to use or weigh that information as part of the process of making the decision; or
to communicate their decision (whether by talking, using sign language or any other means).
Information relevant to a decision may include information about the reasonably foreseeable consequences of deciding one way or another or failing to make the decision.
In Scotland, under the AI(S)A, ‘incapable’ means incapable of: (1) acting; (2) making decisions; (3) communicating decisions; (4) understanding decisions; or (5) retaining the memory of decisions.
In Ireland, in the meantime, there is a wardship jurisdiction regulated, subject only to the Constitution, by the Lunacy Regulation (Ireland) Act 1871. The test, in relation to adults, is simple: is the person an idiot, a lunatic or of unsound mind and incapable of managing his person or property? FD v Registrar of Wards of Court [2004] IEHC 126 established that the term ‘person of unsound mind’, in the context of the case, ‘means no more than that the person is incapable of managing his affairs’, albeit a statutory tautology.
In most jurisdictions, the standard of proof is the balance of probabilities and although the ADMCA is silent on this, in Fitzpatrick v FK [2009] 2 IR 7, the court stated:
In assessing capacity … the assessment must have regard to the gravity of the decision, in terms of the consequences which are likely to ensue from the acceptance or rejection of the proffered treatment. In the private law context this means that, in applying the civil law standard of proof, the weight to be attached to the evidence should have regard to the gravity of the decision, whether that is characterised as the necessity for ‘clear and convincing proof’ or an enjoinder that the court ‘should not draw its conclusions lightly’.
Irresponsibility and Vulnerability
Issues that have probably troubled experts the most are ‘irresponsibility’, in the sense of making rash or irresponsible decisions, and ‘vulnerability’ in the sense of risk of exploitation. This is because, in Masterman-Lister, the trial judge rejected the submission that a finding of incapacity was required ‘if the effect of the injury to his brain renders [the plaintiff] vulnerable to exploitation or at the risk of the making of rash or irresponsible decisions’ and in the Court of Appeal Chadwick LJ confirmed this: ‘It is not the task of the courts to prevent those who have the mental capacity to make rational decisions from making decisions which others may regard as rash and irresponsible.’ In Lindsay v Wood [2006] EWHC 2895 (QB), the court acknowledged that ‘[m]any people of full capacity make rash decisions, or cannot be trusted to use their money sensibly’ and concluded that ‘these qualities or deficiencies do not necessarily lead to a finding of incapacity’. It was acknowledged that medical practitioners understood Chadwick LJ to mean that vulnerability to exploitation is irrelevant to questions of capacity and must be ignored when deciding on the issue of capacity. However, the court did not regard this as correct:
When considering the question of capacity, psychiatrists and psychologists will normally wish to take into account all aspects of the personality and behaviour of the person in question, including vulnerability to exploitation. However, vulnerability to exploitation does not of itself lead to the conclusion that there is lack of capacity … The issue is … whether the person has the mental capacity to make a rational decision.
Furthermore, other cases confirm the relevance of vulnerability and irrationality. In Mitchell v Alasia [2005] EWHC 11 (QB), reliance was placed on qualities such as impulsiveness and volatility when deciding whether the claimant was, by reason of mental disorder, incapable of managing and administering his property and affairs. Irresponsibility and vulnerability are relevant, but not determinative. In MB (An Adult: Medical Treatment) [1997] 2 WLUK 313, the court held that ‘[a]lthough it might be thought that irrationality sits uneasily with competence to decide, panic, indecisiveness and irrationality in themselves do not as such amount to incompetence, but they may be symptoms or evidence of incompetence’. The test is about comprehension and decision-making and not about wisdom, but where someone repeatedly makes unwise decisions that put them at significant risk of harm or exploitation or makes a particularly unwise decision that is obviously irrational or out of character, this may be evidence of lack of capacity.
Capacity Issues
It is impossible to list and consider here all the decisions about which a capacity issue might arise. This chapter includes only some of them. Over the years, I have learned a lot from instructing solicitors and counsel about what is required for different decisions. The chapter reflects this.
Appointment of an Appointee to Act in respect of Department for Work and Pensions Proceedings
Whether someone requires an appointee in DWP proceedings calls for consideration of their ability to:
understand the basis of probable entitlement to benefits;
understand and complete the claim form;
respond to correspondence relating to social security benefits;
collect or receive benefits;
know what the money is for;
choose whether to use it for its intended purpose.
Making a Will
Testamentary Capacity
The leading case on testamentary capacity is Banks v Goodfellow (1869–70) LR 5 QB 549. John Banks lived with his teenage niece, Margaret Goodfellow. He had paranoid schizophrenia; he believed that a grocer, long since dead, was pursuing and persecuting him and that he was being chased by evil spirits. He left his entire estate of fifteen properties to his niece. On his death, his testamentary capacity was challenged. The court recognised that where a testator is deluded ‘a will should be regarded with great distrust, and every presumption should in the first instance be made against it’, a presumption which ‘becomes additionally strong when the will is … one in which the natural affection and the claims of near relationship have been disregarded’. However, it was held that, as there was no connection between his delusions and the disposition of his property, he was not incapable of validly disposing of his property by will:
It is essential … that a testator shall understand the nature of the act and its effects; shall understand the extent of the property of which he is disposing; shall be able to comprehend and appreciate the claims to which he ought to give effect; and, with a view to the latter object, that no disorder of mind shall poison his affections, pervert his sense of right, or prevent the exercise of his natural faculties – that no insane delusion shall influence his will in disposing of his property and bring about a disposal of it which, if the mind had been sound, would not have been made.
By contrast, in Smee v Smee [1879] LR 5 PD 84, where the testator wrongly believed that he was the son of George IV, who had built Brighton Pavilion, and therefore left a reversionary interest in his estate to fund a free library for the people of Brighton, it was held that his delusion had drastically affected his testamentary wishes and his will was pronounced invalid.
The threshold for testamentary capacity has been and remains low (James). In Sharp v Adam [2006] EWCA Civ 449, the court quoted with approval Den v Vancleve (1819) 2 Southard, and upon which Banks had relied: ‘By the terms “a sound and disposing memory” it has not been understood that a testator must possess these qualities of mind in highest degree.’ In Banks, the court recognised that ‘want of intelligence occasioned by defective organisation, or by a supervening physical infirmity or the decay of advancing age’ resulting in ‘the mental power [being] reduced below the ordinary standard’ might not be sufficient to prevent the understanding and appreciation of ‘the testamentary act in all its different bearings’. Furthermore, ‘[t]he simpler the estate and the fewer the claimants, the less difficult it is to dispose of, and accordingly the less acute the faculties required to do so successfully’ (James).
Assessment should address the ability of the testator to understand the nature of a will – that is, that they will die, that the will will come into operation on their death, but not before, and that they can change or revoke it at any time subject to having the capacity to do so. They must understand the effects of making a will and making choices with regard to: who the executors should be and, perhaps also, why they should be appointed; who gets what; whether a beneficiary’s gift is outright or conditional, such as the right to occupy a property only during their lifetime; that if they spend their money or dispose of their properties, the beneficiaries might lose out; a beneficiary might die before them; and whether they have already made a will, in which case they need to understand how the new one differs from the old one.
The testator must comprehend broadly the extent of their property (that is, what the will will ‘bite’ on) and so must the expert. Actual knowledge of a value is unnecessary (Blackman v Man [2007] EWCA 3162 (Ch)); the value of property can change – rapidly in unstable economic times and in the lifetime of the testator. It is not ‘a requirement that a person actually understand the extent of his property, only that he have the capacity to do so’ (Simon v Byford [2014] EWCA Civ 280).
There may be property that is jointly owned and will pass to the joint owner irrespective of anything that is said in the will. There may be benefits payable, such as pension rights, that the will cannot determine. There may be debts and the testator should understand how these are to be paid.
In order to understand the claims to which the testator ought to give effect, you need to know who the testator’s family members are, along with others who might have a claim on the estate. ‘A testator with a complex estate and many potential beneficiaries may need a greater degree of cognitive ability than one with a simple estate and few claimants’ (Parker v Felgate and Tilly (1883) 8 PD 171). The testator should be able to take into account the extent to which possible beneficiaries may already have received adequate provision, be better off financially than others, have been more attentive and caring or may be in greater need of assistance according to their particular circumstances. You need to be informed about such matters by the instructing solicitors.
Sometimes, incapacity supervenes after a will has been made and before it is executed. Then, three questions have to be answered (Parker):
1. When the will was executed, did she remember and understand the instructions she had given to her solicitor?
2. If it had been thought advisable to stimulate her, could she have understood each clause of the will when it was explained to her?
3. Was she capable of understanding, and did she understand, that she was executing a will for which she had previously given instructions to her solicitor?
As these questions have to be answered in order and a positive response to any of them indicates that the will is valid, the bottom line is that the testator should understand that she is executing a will for which she had previously given her solicitors instructions. This is important where there has clearly been a deterioration in the testator’s condition between giving their instructions and signing the will. Perrins v Holland has established that no more is required than that the testator believes that it gives effect to their instructions and that they continue to represent their wishes.
Bear in mind that a testator can still act in an unorthodox way: ‘But the law does not say that a man is incapacitated from making a will if he proposes to make a disposition of his property moved by capricious, frivolous or even bad motives’ (Boughton v Knight [1873] LR 3 PD 64). The testator does not have to behave ‘in such a manner as to deserve approbation from the prudent, the wise or the good’ (Bird v Luckie (1850) 8 Hare 301).
In Ireland, however, where a spouse or civil partner has statutory rights to a share of the estate, there is a limit to the extent to which an otherwise ‘perverse’ will can be made. Where a court considers that the testator failed in his moral duty to make proper provision for a child in accordance with his means, whether by his will or otherwise, it may order that such provision be made out of the estate. The court considers the application from the point of view of a prudent and just parent, taking into account, inter alia, the position of each of the children of the testator and any other circumstances in arriving at a decision that will be as fair as possible to the child in question and to the other children (Succession Act 1965, s 117).
In Kostic v Chaplin [2007] EWHC 2909 (Ch), Zoran Kostic’s father left most of his £8.2 million estate to the Conservative Party. Zoran Kostic’s challenge to the two wills made by his father was on the basis that he suffered from an undiagnosed and untreated mental illness which had resulted in a delusional belief that there was a worldwide conspiracy of dark forces and he was included in the conspiracy. In pronouncing against the wills, the court held that, as a result of his mental illness, Kostic was unable to appreciate his son’s claims on the estate. In Ritchie v National Osteoporosis Society [2009] EWHC 709, the testator left nothing to her children on the basis of their maltreatment of her. The court found that these allegations were untrue and as the medical evidence suggested that she may have omitted her children from her will on account of ‘paranoid delusions’, her will was declared invalid. In Walters v Smee [2008] EWHC 2029 (Ch), the court found that the dispositions of the testatrix in her 2004 will, made a month before she died, were motivated largely, if not wholly, by ‘misapprehensions’ that were the result of her dementia and its effect on her cognitive faculties.
Undue Influence
Related to testamentary capacity is ‘undue influence’. Wingrove v Wingrove (1885) 11 PD 81 established that in law ‘under influence’ could be summed up in one word – ‘coercion’ and: ‘The coercion may … be of different kinds … (a) person in the last days of life may have become so weak and feeble, that a very little pressure will be sufficient to bring about the desired result.’ It is for the court, not the expert, to decide if undue influence was brought, but expertise may be needed to identify the nature and cause of a state rendering the testator vulnerable or susceptible to coercion and as to the likelihood of the undue influence alleged being sufficient coercion in the circumstances revealed in the lay witness evidence. In Gill v Woodall [2009] EWHC 3778 (Ch), where the issue was the undue influence of the deceased’s husband, the court had regard to the fact that the testator was a shy and timid person who suffered from agoraphobia and was very, and unusually, dependent on her husband and concerned not to lose his support. The diagnosis of agoraphobia, of which there was no evidence in medical records, was based on the evidence of the lay witnesses. It is dementia which is more often identified as increasing vulnerability to the influence of others.
Burden of Proof
Although there is a rebuttable presumption in favour of the testamentary capacity of a testator whose will is duly executed, where a claimant raises a real doubt as to testamentary capacity, the burden of proof shifts to the propounder of the will to prove, on a balance of probabilities, that the testator did in fact have testamentary capacity (Key (Deceased) [2010] EWHC 408 (Ch)), but with a degree of flexibility appropriate to the seriousness of the case (Borman v Lel [2001] 6 WLUK 189). So, the psychiatrist instructed by those acting for the party challenging the will needs to analyse the evidence to see if it casts real doubt on the testator’s testamentary capacity; the psychiatrist instructed by those acting for the party propounding the will needs to carry out the analysis to see if, on a balance of probability, the testator possessed testamentary capacity.
Investigation of the Case
You should be provided with the disputed will and any relevant earlier wills. If it has not been provided, you should ask if there is a Larke v Nugus letter and its response. This is a letter to the solicitors responsible for drafting the will and sent in response to enquiries about the circumstances surrounding its drafting and execution pursuant to the principles set out in the case of Larke v Nugus (1979) 123 SJ 327. It may reveal whether a testamentary capacity assessment was undertaken and, if so, by whom; if there were concerns on the part of the will drafter, how they dealt with them; and whether ‘the golden rule’ was followed, that is, did a medical professional act as a witness to the testator’s signature. The information provided should extend to the preparation of the will and the circumstances in which it was executed. It may be accompanied by copies of the will drafter’s notes, including a copy of any telephone notes or attendance notes made by the will writer. These should reveal the instructions that were given, the advice that was provided and how the final will came to be as drafted. You will also need a family dramatis personae so that you can understand the potential claims on the testator’s estate.
The starting point in a retrospective assessment of capacity is a chronology. It may include entries in medical or care home records that refer to the mental state of the testator, medication prescribed, side effects, illnesses that cause pain, distress or agitation that may affect cognitive functioning, results of cognitive tests, observations of family and friends and references to other decisions that have been made. Evidence as to mental state before and after the drafting and execution of the will can be used to form an opinion as to the mental state at the time it was drafted and/or executed. In Bishop v Bishop [2009] 4 WLUK 329, the issue was whether the testator lacked testamentary capacity as a result of alcoholic dementia when he executed his will on 3 November 1995. On 9 and 22 November 2005, the testator was assessed by a consultant physician who assessed his cognition on a 10-point scale, finding that it increased from 2–3 out of 10 to 8–9 out of 10. The court found that these results and the physician’s evidence were ‘“fatal” to the dementia view’ as ‘it would not have been possible for [the testator] to obtain the test score of 9/10 on 22nd November 2005 if he had dementia’.
Revoking a Will
Re Sabatini (1970) 114 SJ 35 established that capacity to revoke a will requires:
understanding the nature of the act of revoking a will;
understanding the effect of revoking a will (including perhaps a greater understanding of the operation of the intestacy rules than is necessary for the purpose of making a will);
understanding the extent of their property; and
comprehending and appreciating the claims to which they ought to give effect.
Capacity to Make a Lasting Power of Attorney
In England and Wales, under the MCA, s 9(1), a lasting power of attorney (LPA) allows the donor to confer on the donee/s authority to make decisions about all or any of the following: the donor’s personal welfare or specified matters concerning their personal welfare and the donor’s property and affairs or specified matters concerning their property and affairs, including the authority to make such decisions in circumstances where the donor lacks capacity.
For this particular decision, the person has to be able to answer the following questions:
What is a lasting power of attorney?
Why do they want to make a lasting power of attorney?
Who are they appointing as attorney(s)?
Why have they chosen that/those person(s) as attorney(s)?
What are the nature and scope of the powers being given to the attorney (the attorney will be able to assume complete authority over the donor’s property and finances and will be able to do anything with them that the donor could have done)?
The donor will also need to appreciate that their attorney’s authority to make decisions will apply as soon as the LPA is registered, unless they specify that it should only apply when they lack capacity to make a relevant decision, and will continue should they lose mental capacity, but they can revoke the LPA at any time if they have the capacity to do so. This contrasts with a power of attorney as to welfare, rather than property, where the attorney can only make decisions on welfare if the donor lacks capacity. Also, the donor will need to understand the reasonably foreseeable consequences of making or not making the LPA or of making one on different terms or appointing different attorneys.
In Ireland, the ADM(C)A, Pt 7 will introduce a new enduring power of attorney scheme which, unlike the old regime, may also extend to healthcare decisions other than relating to refusal of life-sustaining treatment. This will require a report from a doctor and another healthcare professional that the donor had the capacity to understand the implications of creating, varying or revoking the power at the relevant time (ADM(C)A, ss 60 and 73). Currently, only a single medical opinion is required that the donor had the mental capacity, with the assistance of such explanations as may have been given, to understand the effect of creating the power (Powers of Attorney Act, 1996, s 5).
Capacity to Make a Personal Injury Trust
Personal injury trusts are important in the settlement and resolution of personal injury claims. They ensure that the funds or property are used for the claimant’s benefit. They are important where the claimant has no experience of handling a large sum of money. They can protect the claimant from exploitative relatives. They relieve the claimant of the responsibility of financial administration. They allow the claimant to retain, or if eligible for them in the future, to qualify for, means-tested benefits. The income earned from capital held on trust is tax-free.
To create a personal injury trust, the person needs to be able to answer the following questions:
What is a personal injury trust?
Why do they want to create a personal injury trust?
Who are they appointing as trustee(s)?
Why have they chosen that/those person(s) to act as trustee(s)?

Stay updated, free articles. Join our Telegram channel

Full access? Get Clinical Tree


