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Annex C: Glossary of terms used in the Report

Advance Statement

An expression of views and preferences concerning medical treatment if the patient became incapacitated. An alternative term in common usage is 'living will'.
 

Advance Directive

Used by the Law Commission to refer to an advance decision about medical treatment the person wants to receive if they become incapacitated.
 

Advance Refusal

The individual's refusal of some or all types of medical treatment which might be administered if they become incapacitated.
 
NB: Advance statements, advance directives, and advance refusals must be made when the patient has the capacity to form the relevant views or take the relevant decisions.
 

Amicus curiae [Latin: friend of the court]

Counsel who assists the court by putting arguments in support of an interest that might not be adequately represented by the parties to the proceedings (such as the public interest) or by arguing on behalf of a party who is otherwise unrepresented.
 

Attorney

See power of attorney.
 

Continuing Power of Attorney

The Law Commission have proposed the creation of a Continuing Power of Attorney, which would integrate a reformed scheme of enduring powers of attorney into a unified scheme which provides for other substitute decision-making procedures. See Chapter 6 of this Green Paper.
 

Court of Protection

The Court is an office of the Supreme Court. It exists to protect the property and affairs of persons who, through mental disorder, are incapable of managing their own financial affairs. The Court's powers are wide ranging but are limited to dealing with the financial and legal affairs of the person concerned. Proposals for reform of the role of the Court of Protection are considered in Chapter 9 of this paper.
 

Enduring Power of Attorney

An Enduring Power of Attorney is a power of attorney which, subject to conditions and safeguards, continues in force even after the maker of the Enduring Power (the 'Donor') becomes mentally incapable of handling his or her affairs, provided that it is registered. It can be used by the Attorney from the date of its execution and prior to the onset of Mental incapacity, provided that there are no restrictions placed within the document and if this is what the Donor wishes. The purpose of an Enduring Power of Attorney is to enable people, while they are still mentally capable, to decide who they would like to deal with their financial affairs for them after they become mentally incapable. The Enduring Power of Attorney was introduced by the Enduring Powers of Attorney Act 1985.
 

Euthanasia

A deliberate intervention undertaken with the express intention of ending a life, albeit at the person's own request or for a merciful motive.
 

Guardian ad litem

In the context of Mental incapacity, a person appointed by the court to protect the interests of a person under disability, who may not otherwise acknowledge service, defend, make a counterclaim or intervene in any proceedings, or appear in any proceedings under a judgement or order notice of which has been served on him.
 

Health Care Team

The doctors, nurses and other professionals involved in the care and medical treatment of the individual patient.
 

Living Will

See advance statement.
 

Lord Chancellor's Visitors

There are three types of visitor: medical visitors, legal visitors and general visitors. Medical visitors, whose role is of relevance to Mental incapacity, are "registered medical practitioners who appear to the Lord Chancellor to have special knowledge and experience of cases of mental disorder" (Section 102 (3) (a) of the Mental Health Act 1983). The are currently six such visitors, each of whom deals with visits in a specified area of the country.
 

Official Solicitor

The Official Solicitor is an officer of the Supreme Court, whose duties have as their purpose: (a) the prevention of a possible denial of justice to any individual or party to proceedings; (b) safeguarding the welfare, property and status of persons under legal disability or at disadvantage before the law; and (c) the facilitation of the administration of justice (as investigator, confidential adviser to judges and others, or by the instruction of counsel as amicus curiae).
 

Palliative Care

For a patient who is terminally ill, palliative care may be the most appropriate course which the health-care team can offer. The World Health Organisation has described palliative care as "a form of care that recognises that cure or long-term control is not possible; is concerned with the quality rather than quantity of life; and cloaks troublesome and distressing symptoms with treatments whose primary or sole aim is the highest possible measure of patient comfort". The Department of Health said "palliative care is active total care provided to a patient when it is recognised that the illness is no longer curable. Palliative care concentrates on the quality of life and on alleviating pain and other distressing symptoms, and is intended neither to hasten nor postpone death".
 

Power of Attorney

A power of attorney is a means whereby one person (the donor) gives legal authority to another person (the attorney or donee) to manage the donor's affairs. See also Enduring Power of Attorney and Continuing Power of Attorney.
 

Public Trust Office

An Executive Agency within the Lord Chancellor's Department. Among other duties, responsible for the day to day administration of cases under the jurisdiction of the Court of Protection. Also responsible for the registration of Enduring Powers of Attorney.

 

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