For years, the worry of cancer was one of the UK’s biggest health concerns. Now, another devastating disease has taken its place at the top of the list of diagnoses we all dread – dementia. Over 800,000 people in the UK now live with dementia, and the indicators are that the number of patients with this life-shortening condition will grow.

A diagnosis of dementia doesn’t just affect the patient, but the entire family too. In its latter stages, the dementia patient will rely on family members and carers to look after their affairs, from everyday things like eating, getting up, and bathing, through to those long-term considerations such as wills, financial affairs and bill payment. It is at this point that a family member can be given power of attorney over a dementia sufferer’s affairs, so that everything is taken care of on behalf of the patient.

What is power of attorney?

Granting someone power of attorney over your affairs means that you hand over the power to make decisions on your behalf to someone else. This is often a family member or solicitor. There are two types of power of attorney – one to handle property and financial affairs, and another for health and welfare issues. The same person can act on your behalf for both types, or you can have two different people to take care of each area individually.

The Lasting Power of Attorney for your Property and Financial affairs is very powerful and means that a designated individual of your choosing can make decisions on your behalf, whether or not you have lost capacity,  so it must be someone trustworthy. They will deal with paying rent or mortgages, council tax and other utility bills, managing your bank account and savings accounts, and collecting benefits or pensions. They will also be responsible for ensuring that the money is used in such a way that it benefits the patient.

An attorney appointed under a Lasting Power of Attorney for Health and Welfare only has any influence over the donor’s life if the donor has lost the mental capacity to make their own decisions on things such as care, medical treatment, and moving into a care home.

Who can be an attorney?

It is crucial that the patient not only knows the person that they are handing power of attorney over to, but completely trusts them. In most instances, the person taking on the responsibility of attorney is a close family member, but professionals such as solicitors and accountants can also be given that responsibility. However, you need to bear in mind that if you do ask a professional to do it for you, they will charge for their time. As dementia progresses, they may be called upon more frequently to act in their client’s interest, which can increase the costs, but affords you a safe pair of hands.

Appointing a replacement attorney

You can also appoint someone to act as a replacement attorney, if your first choice is unable or unwilling to continue in the role.

How can I be sure they will carry out my wishes?

This is always a difficult question, as it can throw up some very subjective replies. This is why it is often best to appoint two attorneys on a joint and several basis so that each is responsible for the actions of the other. This will mean that there are always two signatures which can be used for documents, and for important financial pay-outs such as mortgage repayments, care home payments, and other financial decisions. It is possible to appoint attorneys to act jointly but this can be restrictive, and causes difficulties if one of them dies or loses capacity themselves.

The guidelines of the Mental Capacity Act

Once you have appointed your attorneys, they are bound by the Mental Capacity Act, which means they must always act in your best interest, consider your previous and current wishes, and must ensure that all your money is kept separately from their own. An attorney cannot put your money in their account to ‘look after it’ or make investments with your money that you haven’t authorised. No attorney can take advantage of a dementia patient to benefit themselves. Any evidence of this could lead to an investigation and criminal prosecution.

Do I need a solicitor?

A diagnosis of dementia is devastating. However, once the initial shock has passed, it is time to take action to ensure that your affairs are in order and that you are looked after properly. What you don’t want is the worry of financial issues and questions about your care causing you any more distress.

You don’t have to seek legal advice, but it is recommended that you ask a solicitor to make sure that any lasting power of attorney agreement is drawn up properly. It’s an important and very powerful legal document, so it pays to talk to an expert in family law to make sure all the forms have been filled in correctly to prevent any issues later.

The Thompson Smith and Puxon Wills and Estates team can advise on Wills, LPAs, Lifetime Planning and the Administration of Estates (Probate). The team can be contacted on 01206 574431 or by email at