MP Estate Planning UK

Can a Family Member Make Decisions for Me Without an LPA in the UK?

can a family member make decisions for me without an LPA UK

Many people assume that their family members can automatically step in and make decisions on their behalf if they lose mental capacity. In England and Wales, this simply is not the case without a Lasting Power of Attorney (LPA).

It’s one of the most common — and dangerous — misunderstandings in estate planning. Without an LPA, your spouse, children, or siblings have no automatic legal authority to manage your bank accounts, instruct your doctors, or sell your property. The decision-making process without an LPA is complex, slow, and expensive, and it may not result in the outcome you or your family would want. For more information on the importance of having an LPA, you can visit our page on who can witness a Lasting Power of Attorney in the UK.

Key Takeaways

  • Having an LPA is crucial for ensuring that your wishes are respected if you lose mental capacity.
  • Without an LPA, the decision-making process requires a Court of Protection application, which can take months and cost thousands of pounds.
  • A family member has no automatic legal right to make decisions on your behalf — not even your spouse or adult children.
  • The Court of Protection must appoint a deputy, and the person they choose may not be the person you would have picked.
  • An LPA allows you to choose exactly who makes decisions for you, and on what terms, while you still have the capacity to do so.

Understanding Lasting Power of Attorney (LPA)

A Lasting Power of Attorney (LPA) is a vital legal document that allows you to appoint someone you trust to make decisions on your behalf if you lose mental capacity. It is one of the most important documents anyone over the age of 18 can put in place — and it’s something you can only create while you still have the capacity to do so. Once capacity is lost, the option is gone forever.

What is Lasting Power of Attorney?

A Lasting Power of Attorney is a legal instrument, governed by the Mental Capacity Act 2005, that enables you to appoint one or more individuals — known as attorneys — to make decisions for you. These decisions can cover financial matters, health and welfare issues, or both, depending on which type of LPA you put in place. A Property and Financial Affairs LPA can be used while you still have capacity (with your consent), whereas a Health and Welfare LPA only comes into effect when you are no longer capable of making decisions for yourself. An LPA must be registered with the Office of the Public Guardian (OPG) before it can be used.

Lasting Power of Attorney UK

Types of LPA: Health and Welfare vs. Property and Financial Affairs

There are two distinct types of LPA in England and Wales, and they serve very different purposes. The Health and Welfare LPA allows your appointed attorney to make decisions regarding your medical treatment, where you live, your daily care routine, and — if you specifically authorise it — whether to consent to or refuse life-sustaining treatment. The Property and Financial Affairs LPA grants your attorney the authority to manage your financial affairs, including operating your bank accounts, paying bills, managing investments, collecting your state pension or benefits, and selling property on your behalf.

Most people need both types. You can appoint the same person as attorney for both, or choose different people depending on their skills and your relationship with them. Understanding the distinction is essential to ensure that all aspects of your life are properly covered.

Type of LPAResponsibilitiesExamples of Decisions
Health and WelfareMaking decisions about your health, care, and personal welfareMedical treatment, where you live, daily care, life-sustaining treatment (if authorised)
Property and Financial AffairsManaging your financial matters and propertyBank accounts, paying bills, selling property, managing pensions and investments

Importance of Having an LPA

Having a Lasting Power of Attorney in place is vital for several reasons. Firstly, it ensures that your wishes are respected and carried out by someone you trust — not a stranger appointed by the court. Secondly, it gives your loved ones the immediate legal authority to act on your behalf, eliminating the delays, stress, and expense of a Court of Protection application. Thirdly, it provides clear guidance on your preferences, helping to prevent family disputes about what you “would have wanted.”

In the absence of an LPA, your family faces a genuinely difficult situation. Banks will freeze your sole-name accounts. No one can sell your property. Medical professionals will make treatment decisions based on what they consider to be in your best interests — not necessarily what you would have chosen. Your family may be forced to apply to the Court of Protection for a deputyship order, a process that can take several months and cost thousands of pounds — including the application fee, a capacity assessment, potential solicitor’s fees, and ongoing annual supervision fees charged by the Office of the Public Guardian. By putting an LPA in place now — while you have capacity — you can avoid all of this and keep control in the hands of someone you trust.

An LPA also sits alongside other key estate planning tools. If you have a lifetime trust protecting your family home, for example, having an LPA ensures your appointed attorney can work effectively with the trustees if you lose capacity. The two documents complement each other — the trust protects your assets, and the LPA protects your ability to have decisions made by the right people.

Legal Authority Without an LPA

If you become incapacitated without an LPA in place, the decision-making process becomes complicated, expensive, and potentially contentious. Many families are shocked to discover that being someone’s spouse, parent, or child gives them no automatic legal authority over that person’s finances or care.

UK decision making rights without LPA

Who Can Make Decisions for You?

Without an LPA, the authority to make decisions on your behalf does not automatically fall to your family members — regardless of how close they are to you. Your spouse cannot access your sole-name bank accounts. Your children cannot instruct your doctors on your medical care. Your siblings cannot sell your home to fund your care. Instead, your family must apply to the Court of Protection to have a deputy appointed to manage your affairs.

This process typically takes several months, involves significant legal costs, and requires ongoing supervision by the Office of the Public Guardian — including annual reporting and supervision fees. Critically, the Court decides who becomes your deputy. While it’s usually a family member, the Court is not obligated to appoint the person you would have chosen. In cases of family disagreement, the Court may even appoint a professional deputy — a solicitor or local authority official — at considerable ongoing expense charged to your estate.

The Role of Family Members in Decision Making

Family members naturally play an important role in supporting loved ones who lack mental capacity. However, their ability to make legally binding decisions is severely limited without the appropriate authority. Under the Mental Capacity Act 2005, certain day-to-day decisions can be made by carers and family members in the person’s best interests — for example, what they eat, what they wear, or routine personal care. But significant decisions — such as where the person should live, whether to consent to major medical treatment, or how to manage their finances — require either an LPA or a deputyship order.

In practice, this means families often find themselves in a distressing limbo. They can see their loved one needs help, but they are legally powerless to provide it in the ways that matter most. Complex family dynamics can make this worse — siblings may disagree about what’s best, or a second spouse may find themselves in conflict with adult stepchildren. All of this can be avoided with proper planning through an LPA. As Mike Pugh at MP Estate Planning often puts it: “The law — like medicine — is broad. You wouldn’t want your GP doing surgery.” Getting the right specialist documents in place makes all the difference.

Situations Where Decisions May Be Required

Unforeseen circumstances can arise at any moment, making it essential to have a clear plan for who can make decisions on your behalf. In England and Wales, the decision-making process without an LPA varies significantly depending on the situation and the urgency of the decisions required.

decision making process without LPA UK

Illness or Incapacity

When a family member becomes seriously ill or loses mental capacity — whether through a stroke, dementia, a brain injury, or another condition — quick and effective decision-making is crucial. Bills still need paying. Mortgage payments don’t stop. Medical professionals need someone with authority to discuss treatment options and consent to procedures. Without an LPA, there is no one with the immediate legal right to do any of this. Having a trusted person already appointed under an LPA means decisions can be made without delay, rather than waiting months for a Court of Protection order.

This is particularly relevant when care fees enter the picture. With average residential care costs currently running at £1,100 to £1,300 per week — and nursing care at £1,400 to £1,500 per week or more — every week of delay while waiting for a deputyship order is a week where no one can manage finances to pay for care, or sell property to fund it. The financial consequences of not having an LPA can be severe.

As Mike Pugh at MP Estate Planning often says: “Plan, don’t panic.” The time to put an LPA in place is when you’re healthy and have full mental capacity — not when a crisis has already struck.

Unexpected Life Events

Life is unpredictable. Accidents, sudden illnesses, or rapid-onset conditions like meningitis or sepsis can leave someone without capacity in a matter of hours. In these situations, having a legal framework already in place for decision-making is invaluable. Consider the types of decisions that may be needed urgently:

  • Financial decisions — managing bank accounts, paying the mortgage, dealing with utility bills, accessing savings to fund care
  • Healthcare decisions — consenting to surgery, choosing between treatment options, agreeing to palliative care
  • Personal welfare decisions — deciding where the person should live, arranging appropriate daily care, managing their personal affairs

By understanding the decision-making process without an LPA in the UK, families can appreciate why advance planning is so important. The alternative — an emergency application to the Court of Protection while a loved one lies in hospital — is something no family should have to face.

Consequences of Not Having an LPA

Not having a Lasting Power of Attorney in place can result in significant stress, financial hardship, and potential legal complications for the very people you would want to protect — your family. When a loved one loses mental capacity without an LPA, it creates a legal vacuum that can take months to resolve.

Increased Stress for Family Members

Without an LPA, family members find themselves unable to act, even when the need is urgent and obvious. They cannot access their loved one’s bank accounts to pay bills or fund care. They cannot make decisions about medical treatment beyond basic day-to-day matters. They may not even be able to cancel direct debits or redirect post. During what is already one of the most difficult periods of their lives, family members are forced to navigate a complex legal process before they can help. This waiting period — often several months for a deputyship application — adds enormous emotional and practical strain at exactly the wrong time.

consequences of not having LPA UK

Potential Legal Challenges

The absence of an LPA typically means applying to the Court of Protection for a deputyship order. This involves completing detailed application forms, providing medical evidence of the person’s incapacity, paying court fees and potentially solicitor’s fees, and then waiting for the Court to process the application. The total cost — including the application fee, assessment fees, solicitor’s costs, and the ongoing annual supervision fee charged by the Office of the Public Guardian — can run into thousands of pounds. As we explain on our page about the costs involved in setting up an LPA, the cost of establishing an LPA in advance is a fraction of the cost of a deputyship application. Furthermore, the Court may not appoint the person you would have chosen, and the deputy’s authority may be more restricted than an LPA attorney’s would have been.

It’s also worth noting that a deputyship order comes with ongoing obligations. Deputies must submit annual reports to the Office of the Public Guardian detailing how they have managed the person’s affairs, and there are annual supervision fees that come directly out of the person’s estate. An LPA, by contrast, has none of these ongoing costs once registered.

By establishing LPAs while you have capacity, you ensure that your wishes are respected, your chosen person has immediate authority to act, and your family is protected from the expense and delay of Court of Protection proceedings.

The Mental Capacity Act 2005

In England and Wales, the Mental Capacity Act 2005 is the foundational piece of legislation governing how decisions are made for individuals who lack the mental capacity to make specific decisions for themselves. Understanding this Act is essential for anyone thinking about LPAs, deputyships, or the rights of family members in decision-making situations.

Overview of the Act

The Mental Capacity Act 2005 is designed to protect and empower individuals who lack mental capacity. It provides a comprehensive legal framework covering decisions about finances, healthcare, welfare, and daily care. The Act is built on five statutory principles that underpin every decision made under its authority:

  • Presumption of capacity: Every person is assumed to have capacity unless it is established otherwise. You cannot simply assume someone lacks capacity because of their age, appearance, condition, or behaviour.
  • Support to make decisions: A person must be given all practicable help to make their own decision before anyone concludes that they cannot make it.
  • Right to make unwise decisions: Making a decision that others consider unwise does not mean a person lacks capacity. People are entitled to make their own choices, even poor ones.
  • Best interests: Any decision made on behalf of someone who lacks capacity must be made in their best interests — not in the interests of the decision-maker.
  • Least restrictive option: Any intervention must be the least restrictive of the person’s rights and freedoms.

These five principles form the backbone of every decision made under the Act, ensuring that individual autonomy is respected as much as possible.

Assessing Mental Capacity

Assessing mental capacity is a critical part of the Mental Capacity Act 2005. Importantly, the assessment is decision-specific and time-specific — it focuses on whether the individual can make a particular decision at the time it needs to be made. A person may have capacity to decide what to eat for lunch but lack capacity to make complex financial decisions. Capacity can also fluctuate, so repeated assessments may be necessary.

The Act sets out a two-stage test for assessing capacity. First, does the person have an impairment of, or disturbance in, the functioning of their mind or brain? Second, if so, does that impairment or disturbance mean they are unable to make the specific decision? A person is unable to make a decision if they cannot meet any one of the following four criteria:

CriteriaDescription
UnderstandingCan the person understand the relevant information when it is explained to them in an appropriate way?
RetentionCan they retain that information long enough to use it to make the decision? (It doesn’t need to be retained indefinitely.)
Using or weighingCan they use or weigh up that information as part of the decision-making process?
CommunicatingCan they communicate their decision by any means — including talking, sign language, or other methods?

If a person is assessed as lacking mental capacity for a specific decision, a substitute decision-maker — either an LPA attorney, a Court-appointed deputy, or in some cases a healthcare professional acting in the person’s best interests — will make the decision. Without an LPA, the family has no automatic right to be that decision-maker.

Mental Capacity Act 2005 decision making process

Understanding the Mental Capacity Act 2005 is essential for anyone navigating the decision-making process in England and Wales. It provides a structured, principled approach to assessing capacity and making decisions on behalf of those who cannot decide for themselves — but it also makes clear that without an LPA, there is no quick or easy route for families to gain legal authority.

How Family Members Can Support You

Family members can be a significant source of support when you’re facing decisions about your future. While they can provide invaluable practical and emotional help, it’s essential to understand the clear boundaries between informal support and legal authority.

Informal Support vs. Legal Authority

Family members naturally provide informal support in many ways — helping with daily tasks, accompanying you to medical appointments, keeping track of bills, or simply being there to talk things through. Under the Mental Capacity Act 2005, carers and family members can make certain routine, day-to-day decisions for someone who lacks capacity — such as choosing their meals or helping them get dressed — provided they are acting in the person’s best interests.

However, this informal authority has strict limits. Without a Lasting Power of Attorney (LPA) or a Court of Protection deputyship order, family members cannot access someone’s bank accounts, sign legal documents on their behalf, consent to or refuse significant medical treatment, sell their property, or make decisions about where they should live. Banks, solicitors, and medical professionals are legally required to refuse such requests from anyone without the proper authority — no matter how well-intentioned the family member may be.

familial decision making authority

Communicating Your Wishes

One of the most effective ways to support your family — and to protect yourself — is to have open, honest conversations about your wishes while you still have capacity. This isn’t just about putting legal documents in place; it’s about ensuring the people closest to you understand what matters to you.

To ensure your family members are well-equipped to support you, consider the following steps:

  • Discuss your wishes with them openly, including your preferences for medical treatment, where you would want to live if you needed care, and how you would want your finances managed.
  • Put your wishes in writing — an LPA is the gold standard, but a letter of wishes alongside your LPA can provide valuable additional guidance to your attorneys.
  • Consider making an advance decision to refuse treatment (ADRT) for any specific medical treatments you would not want to receive in certain circumstances.
  • Review and update your plans regularly to reflect any changes in your circumstances, health, or wishes.

Effective communication can significantly reduce the stress and uncertainty that family members face when making decisions on your behalf. When your family knows what you want, they can act with confidence rather than second-guessing every decision.

Benefits of Clear Communication

BenefitDescription
Reduced StressFamily members feel more confident in their decision-making because they know what you would have wanted.
Better Decision-MakingDecisions align more closely with your actual wishes and values, rather than guesswork.
Improved Family DynamicsOpen discussion reduces the potential for family disputes and disagreements about your care and finances.

By understanding the clear difference between informal support and legal authority, and by communicating your wishes while you still can, you ensure that your family is well-equipped to support you effectively — and that they have the legal tools to actually do so.

Alternatives to LPA

In the absence of a Lasting Power of Attorney, there are alternative legal pathways — but they are generally slower, more expensive, and less flexible than an LPA. Understanding these alternatives can help families navigate a difficult situation, but it’s important to recognise that an LPA created in advance is almost always the better option.

Court of Protection Deputyship

A Court of Protection deputyship is the primary alternative when someone has already lost mental capacity without having an LPA in place. The Court of Protection appoints a deputy — usually a family member, but sometimes a professional — to make decisions on behalf of the person who lacks capacity. A deputyship can cover property and financial affairs, personal welfare, or both.

Key aspects of Court of Protection deputyship include:

  • The application must be made to the Court of Protection with supporting medical evidence of incapacity
  • The process typically takes several months and involves court fees, potential solicitor’s fees, and a capacity assessment fee
  • Once appointed, the deputy is subject to ongoing supervision by the Office of the Public Guardian, including annual reporting requirements and annual supervision fees
  • The deputy’s authority may be more limited than an LPA attorney’s — the Court can impose specific restrictions on what the deputy can and cannot do
  • In cases where family members disagree about who should be deputy, the Court may appoint a professional deputy (such as a solicitor or local authority officer) at significant ongoing cost to the person’s estate
AspectCourt of Protection DeputyshipLPA
When Can It Be Created?Only after the person has lost capacityMust be created while the person still has capacity
Who Chooses the Decision-Maker?The Court of Protection decidesYou choose your own attorney(s)
CostSignificantly higher — court fees, solicitor’s fees, ongoing annual supervision feesRegistration fee per LPA, plus any professional drafting costs
TimeframeSeveral months for the application to be processedRegistration typically takes a few weeks
Ongoing SupervisionAnnual reporting and supervision fees to the Office of the Public GuardianRegistered, but no ongoing annual supervision fees or reporting

Advance Decisions

An advance decision to refuse treatment (ADRT) allows you to specify in advance which medical treatments you would refuse in particular circumstances, should you later lose mental capacity. An ADRT is legally binding in England and Wales, provided it is valid and applicable to the treatment in question.

It’s important to understand that an ADRT only applies to the refusal of specific medical treatments. It does not cover financial decisions, property decisions, or general care and welfare matters — for those, you need an LPA.

Key considerations for advance decisions:

  • Must be made by an individual who has mental capacity at the time of making it, and who is aged 18 or over
  • Must be specific about the treatment being refused and the circumstances in which the refusal applies
  • If the ADRT relates to refusing life-sustaining treatment, it must be in writing, signed, witnessed, and include a specific statement that the decision applies even if life is at risk
  • An ADRT can be overridden by a later Health and Welfare LPA if the LPA gives the attorney authority over the same treatment decisions

Understanding these alternatives to an LPA can help individuals and their families make informed decisions about future planning. However, both options have significant limitations compared to a properly drafted LPA. The clear message is this: if you still have mental capacity, put your LPAs in place now rather than relying on these fallback options.

Steps to Set Up an LPA

Setting up a Lasting Power of Attorney (LPA) is one of the most important steps you can take in estate planning. The process is straightforward, but it must be done correctly — an improperly completed LPA can be rejected by the Office of the Public Guardian, causing unnecessary delays.

How to Apply for an LPA

To set up an LPA in England and Wales, you need to follow these steps:

  • Decide on the type of LPA you need: Health and Welfare, Property and Financial Affairs, or (ideally) both. Each type is a separate document with its own registration.
  • Choose your attorney(s): This should be someone you trust completely — a family member, close friend, or a professional such as a solicitor. You can appoint more than one attorney and decide whether they act jointly (must all agree), jointly and severally (can act together or independently), or a combination of both.
  • Choose a certificate provider: Every LPA requires a certificate provider — someone who confirms that you understand the LPA and that no one is pressuring you into making it. This must be someone who has known you well for at least two years, or a professional such as a solicitor, doctor, or other qualified person.
  • Complete the LPA forms: This can be done online through the gov.uk service or using paper forms. The forms must be signed in the correct order — you first, then the certificate provider, then your attorneys.
  • Register the LPA with the Office of the Public Guardian (OPG): An LPA is not valid until it has been registered. Registration currently takes a few weeks, and there is a fee per LPA.

Given the importance of getting this right, many people choose to use a solicitor or specialist estate planning firm to draft and register their LPAs. A professional can ensure the documents are correctly completed, properly witnessed, and tailored to your specific circumstances — including adding appropriate preferences and instructions to guide your attorneys.

Costs Involved in Setting Up an LPA

The costs associated with setting up an LPA include:

  • The OPG registration fee for each LPA (Health and Welfare and Property and Financial Affairs are registered separately, so you pay the fee for each one).
  • Professional drafting fees if you use a solicitor or estate planning specialist to prepare the documents — costs vary depending on the provider and complexity.
  • Those on low incomes or receiving certain means-tested benefits may qualify for a fee exemption or remission on the registration fee.

When you compare the cost of setting up LPAs with the cost of a Court of Protection deputyship application — which can be several times more expensive, plus ongoing annual supervision fees — the value of putting LPAs in place proactively becomes clear.

The total cost is modest relative to the protection it provides. As Mike Pugh at MP Estate Planning often says: “Not losing the family money provides the greatest peace of mind above all else.” An LPA is a small, one-off investment that can save your family enormous stress, expense, and delay — and it should sit alongside your will and any trusts as a core part of your estate planning.

Real-Life Examples of LPA Scenarios

The importance of an LPA becomes starkly evident when we look at real-life situations where it makes the difference between smooth, immediate decision-making and months of legal limbo. Having a trusted person appointed under an LPA — or understanding the consequences of not having one — can significantly affect the wellbeing of individuals and their families.

Case Study 1: The Importance of Immediate Decisions

Consider the case of a 75-year-old man who suffered a severe stroke. His wife, acting as his attorney under a previously registered Health and Welfare LPA, was able to make immediate decisions regarding his medical treatment. She could consent to emergency surgery, discuss treatment options with the medical team, and make decisions about his ongoing care plan — all without delay. Without the LPA, she would have had to apply to the Court of Protection for a deputyship order. That process would have taken months, during which time critical medical decisions would have been made by healthcare professionals alone, without any family input on his known wishes and preferences.

Key Takeaways:

  • Having a registered Health and Welfare LPA allows your attorney to act immediately in a medical emergency.
  • Without an LPA, the Court of Protection process creates a dangerous gap during which no family member has legal authority to make healthcare decisions.

Case Study 2: Long-Term Care Planning

An 80-year-old widow was diagnosed with Alzheimer’s disease. She had previously put a Property and Financial Affairs LPA in place, appointing her daughter as her attorney. As her condition progressed, her daughter was able to manage her mother’s finances — paying care home bills, managing her savings, dealing with her pension provider, and eventually selling her mother’s home to fund residential care. All of this happened without any court involvement, saving thousands of pounds in legal costs and months of delay. Had there been no LPA, the daughter would have needed a deputyship order before she could access a single bank account or put the house on the market — and with average residential care costs currently at £1,100 to £1,300 per week, every week of delay has a real financial impact. Over a six-month deputyship application process, that delay could represent £25,000 to £35,000 in care costs accruing with no one authorised to manage the finances to pay for them.

ScenarioWith LPAWithout LPA
Immediate Medical DecisionsAttorney can make timely decisions based on the person’s known wishesDelays of months while family applies to the Court of Protection
Long-Term Financial ManagementAttorney manages financial affairs efficiently and immediatelyAccounts frozen, bills unpaid, property cannot be sold until deputyship is granted

For more information on setting up an LPA, visit our page on what is LPA.

Common Misconceptions about LPA

Understanding the realities of Lasting Power of Attorney is crucial for anyone living in England and Wales. Misconceptions about LPAs are widespread, and they can lead to dangerous inaction — leaving families without the legal tools they need at the worst possible time.

Myths Surrounding Family Authority

The most common myth is that family members — particularly spouses and adult children — automatically have the legal authority to make decisions on behalf of a loved one who has lost capacity. This is simply not true under English and Welsh law. Marriage does not give you the right to manage your spouse’s sole-name bank accounts. Being someone’s child does not give you authority to sell their house or consent to their medical treatment. Without an LPA, the only route to legal authority is through the Court of Protection, which involves a formal application, medical evidence, significant costs, and a wait of several months.

  • Family members have no automatic legal authority to act, regardless of their relationship.
  • Without an LPA, even basic financial tasks — like paying a care home bill from the person’s account — can be impossible.
  • An LPA is the only way to ensure that the person you choose has the authority to act, rather than leaving that decision to a judge.

Another common misconception is that “it won’t happen to me” or “I’m too young to need one.” Incapacity doesn’t just affect elderly people — a serious road accident, a stroke in your 40s, or a sudden illness can strike at any age. With over 900,000 people living with dementia in the UK and that number rising, plus the countless other conditions and events that can cause incapacity, the risk is real for everyone.

Clarifying Legal Responsibilities

It’s equally important to understand the legal responsibilities that come with being an attorney under an LPA. An attorney has a legal duty to act in the donor’s best interests at all times, to follow any instructions or preferences set out in the LPA, and to keep their own finances completely separate from the donor’s. The process of signing an LPA must be completed in the correct order and properly witnessed to ensure its validity — errors at this stage are one of the most common reasons LPAs are rejected by the OPG.

Being an attorney is a position of significant trust and legal responsibility. It is not something to take lightly, and it’s worth having a frank conversation with your chosen attorney about what the role involves before they agree to take it on. Attorneys who abuse their position can be investigated by the OPG and removed by the Court of Protection — the system has safeguards in place, but choosing the right person from the start is always the best protection. By understanding the facts about LPAs and dispelling common myths, individuals can take control of their future planning and ensure that their wishes are protected.

The Future of Decision-Making and LPAs in the UK

As the UK’s population continues to age — with over 900,000 people currently living with dementia in the UK and that number projected to rise significantly — the importance of Lasting Power of Attorney will only continue to grow. Planning ahead is no longer optional; it’s essential.

Emerging Trends

There is a growing awareness of LPAs among the UK public, partly driven by the experiences of families who have been caught without one during the COVID-19 pandemic and beyond. The government has modernised the LPA process, making it possible to apply online, which has made the system more accessible. There is also increasing recognition that LPAs should be treated as a standard part of estate planning — alongside wills and lifetime trusts — rather than something to think about “later.” More people under 50 are now putting LPAs in place, recognising that incapacity through accident or illness can happen at any age.

At MP Estate Planning, we see LPAs as an essential part of a comprehensive planning approach that also includes wills, trusts for asset protection, and clear documentation of your wishes. Trusts are not just for the rich — they’re for the smart. And the same applies to LPAs. Anyone with assets to protect, family to care for, or wishes to be respected needs these documents in place.

Potential Reforms

The decision-making process without an LPA in the UK remains complex and challenging, and there have been ongoing discussions about reforming the system. The government has consulted on modernising the LPA framework, including proposals around digital witnessing, enhanced identity verification to reduce fraud, and streamlining the registration process. Any reforms are likely to make LPAs easier to create and more secure, but the fundamental principle will remain: without an LPA, your family has no automatic right to act on your behalf.

Understanding the future direction of LPA law is important, but the most important step you can take is to act now. Don’t wait for reforms — put your LPAs in place today while you have the capacity to do so. As the saying goes at MP Estate Planning: “Plan, don’t panic.”

FAQ

Can a family member make decisions for me without an LPA in the UK?

No. Without a Lasting Power of Attorney (LPA), family members — including your spouse and adult children — have no automatic legal right to make decisions on your behalf in England and Wales. If you lose mental capacity without an LPA, your family would need to apply to the Court of Protection for a deputyship order, which can take several months and cost thousands of pounds.

What is the difference between Health and Welfare LPA and Property and Financial Affairs LPA?

A Health and Welfare LPA allows your appointed attorney to make decisions about your medical treatment, daily care, and where you live. It can only be used once you have lost mental capacity. A Property and Financial Affairs LPA enables your attorney to manage your financial affairs — paying bills, managing bank accounts, selling property, and handling investments. This type can be used while you still have capacity (with your permission) as well as after you lose it.

What happens if I don’t have an LPA and become incapacitated?

If you become incapacitated without an LPA, your sole-name bank accounts will be frozen, no one will have authority to manage your finances or property, and medical decisions will be made by healthcare professionals in your best interests — without family input. Your family will need to apply to the Court of Protection for a deputyship order, which involves court fees, potential solicitor’s fees, medical evidence, and a waiting period of several months. The ongoing annual supervision costs add further expense to your estate.

Can I set up an LPA if I already have a mental health condition or cognitive impairment?

You can set up an LPA as long as you have the mental capacity to understand what an LPA is, who you are appointing, and the powers you are giving them at the time you make it. Having a mental health condition or cognitive impairment does not automatically mean you lack capacity — capacity is assessed on a decision-specific basis under the Mental Capacity Act 2005. However, if you have any concerns, it is advisable to have a capacity assessment carried out by a medical professional at the time you create the LPA, as this can protect the document from being challenged later.

How do I choose the right person to be my attorney?

Choose someone you trust completely, who is willing and able to act in your best interests, and who understands your values and wishes. Consider their practical ability to take on the role — managing finances requires different skills than making healthcare decisions, which is why you can appoint different people for each type of LPA. Always discuss the role with your chosen attorney in advance to ensure they understand the responsibilities and are willing to accept them.

Can I have multiple attorneys, and how do they make decisions?

Yes, you can appoint multiple attorneys. You must specify how they should act: jointly (they must all agree on every decision), jointly and severally (they can act together or independently), or a combination of both (jointly for some decisions, jointly and severally for others). Jointly and severally is the most common and practical choice, as it allows decisions to be made even if one attorney is unavailable. However, if you appoint attorneys to act jointly and one of them dies or loses capacity, the entire LPA may fail unless you have named replacement attorneys.

How much does it cost to set up an LPA?

Each LPA has a registration fee payable to the Office of the Public Guardian. Since you typically need two LPAs — one for Health and Welfare and one for Property and Financial Affairs — you’ll pay this fee twice. If you use a solicitor or specialist estate planning firm to draft and register your LPAs, there will be additional professional fees. Those on low incomes or receiving certain means-tested benefits may qualify for a fee exemption or reduction. Compared to the cost of a Court of Protection deputyship application — which can run into thousands of pounds plus ongoing annual supervision fees — setting up LPAs in advance represents excellent value.

Are there any alternatives to LPA that I should consider?

The main alternatives are an advance decision to refuse treatment (ADRT), which allows you to specify medical treatments you would refuse in certain circumstances, and a Court of Protection deputyship, which can be applied for after someone has lost capacity. However, an ADRT only covers medical treatment refusals — not finances, property, or general welfare. And a deputyship is the fallback option when no LPA exists — it is significantly more expensive, slower, and less flexible than an LPA. For most people, putting LPAs in place while they have capacity is by far the best option.

Can I change or cancel an LPA once it’s been registered?

Yes, provided you still have mental capacity. You can revoke (cancel) a registered LPA at any time by completing a deed of revocation and notifying the Office of the Public Guardian and your attorney(s). You can also create a new LPA to replace the old one. However, if you have lost mental capacity, you cannot revoke or change your LPA — which is why it is so important to choose your attorneys carefully in the first place and to review your LPAs periodically.

How can I ensure that my family understands my wishes regarding my care and financial affairs?

The most important step is to have open, honest conversations with your family and your appointed attorneys about your wishes, values, and preferences. Put your LPAs in place while you have capacity, and consider writing a letter of wishes alongside them to provide additional guidance on how you would like your attorneys to act. You might also consider making an advance decision to refuse treatment (ADRT) for specific medical situations. Review these documents and conversations regularly, particularly after any significant life changes such as marriage, divorce, diagnosis of a health condition, or changes in your financial circumstances.

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Important Notice

The content on this website is provided for general information and educational purposes only.

It does not constitute legal, tax, or financial advice and should not be relied upon as such.

Every family’s circumstances are different.

Before making any decisions about your estate planning, you should seek professional advice tailored to your specific situation.

MP Estate Planning UK is not a law firm. Trusts are not regulated by the Financial Conduct Authority.

MP Estate Planning UK does not provide regulated financial advice.

We work in conjunction with regulated providers. When required we will introduce Chartered Tax Advisors, Financial Advisors or Solicitors.

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