{"id":7914,"date":"2026-10-09T22:55:47","date_gmt":"2026-10-09T22:55:47","guid":{"rendered":"https:\/\/www.visiting-angels.co.uk\/cheshire-east\/?p=7914"},"modified":"2026-10-09T23:11:05","modified_gmt":"2026-10-09T23:11:05","slug":"health-and-welfare-power-of-attorney","status":"publish","type":"post","link":"https:\/\/www.visiting-angels.co.uk\/cheshire-east\/health-and-welfare-power-of-attorney\/","title":{"rendered":"The power of attorney most families forget"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-post\" data-elementor-id=\"7914\" class=\"elementor elementor-7914\" data-elementor-post-type=\"post\">\n\t\t\t\t<div class=\"elementor-element elementor-element-2607b910 e-flex e-con-boxed e-con e-parent\" data-id=\"2607b910\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-d2e8bff elementor-widget elementor-widget-text-editor\" data-id=\"d2e8bff\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<h3><b>Quick summary<\/b><\/h3><p><span style=\"font-weight: 400;\">There are two lasting powers of attorney, not one. Most people set up the property and financial affairs LPA through a bank or solicitor and never do health and welfare, which is the one that matters when decisions about care get made. Each costs \u00a392 to register and takes 8 to 10 weeks.<\/span><\/p><p>\u00a0<\/p><h3><b>The two types<\/b><\/h3><p>\u00a0<\/p><table><thead><tr><th>\u00a0<\/th><th><p><b>Property and financial affairs<\/b><\/p><\/th><th><p><b>Health and welfare<\/b><\/p><\/th><\/tr><\/thead><tbody><tr><td><p><b>Covers<\/b><\/p><\/td><td><p><span style=\"font-weight: 400;\">Bank accounts, bills, pensions, benefits, investments, selling the house<\/span><\/p><\/td><td><p><span style=\"font-weight: 400;\">Daily routine, medical treatment, where the person lives, and the type of care they receive<\/span><\/p><\/td><\/tr><tr><td><p><b>Can be used<\/b><\/p><\/td><td><p><span style=\"font-weight: 400;\">As soon as it is registered, with the person&#8217;s permission<\/span><\/p><\/td><td><p><span style=\"font-weight: 400;\">Only when the person is unable to make that decision themselves<\/span><\/p><\/td><\/tr><tr><td><p><b>How often it gets made<\/b><\/p><\/td><td><p><span style=\"font-weight: 400;\">Very commonly<\/span><\/p><\/td><td><p><span style=\"font-weight: 400;\">Far less often<\/span><\/p><\/td><\/tr><tr><td><p><b>When it matters most<\/b><\/p><\/td><td><p><span style=\"font-weight: 400;\">Managing money as capacity declines<\/span><\/p><\/td><td><p><span style=\"font-weight: 400;\">Every conversation about care, hospital discharge and where someone lives<\/span><\/p><\/td><\/tr><\/tbody><\/table><p><span style=\"font-weight: 400;\">Source: <\/span><a href=\"https:\/\/www.gov.uk\/power-of-attorney\"><span style=\"font-weight: 400;\">GOV.UK, Make, register or end a lasting power of attorney<\/span><\/a><span style=\"font-weight: 400;\">.<\/span><\/p><p>\u00a0<\/p><h3><b>Why the second one gets skipped<\/b><\/h3><p><span style=\"font-weight: 400;\">Usually because of how people come to it. Someone sets up an LPA while making a will, or after a bank suggests it, and the conversation is about money. The health and welfare one sounds like something for later, and later is the exact point at which it can no longer be made.<\/span><\/p><p><span style=\"font-weight: 400;\">There is also a reasonable assumption underneath it: that as next of kin you will be consulted about care anyway. You will be listened to. You will not have the legal authority to decide.<\/span><\/p><p>\u00a0<\/p><h3><b>What difference it actually makes<\/b><\/h3><p><span style=\"font-weight: 400;\">Three situations where families discover the gap, usually at the worst moment.<\/span><\/p><p><b>Hospital discharge.<\/b><span style=\"font-weight: 400;\"> A ward is planning a discharge you think is unsafe, or is proposing a care home place. Without a health and welfare LPA, your view is a relative&#8217;s opinion to be taken into account. With one, and where the person lacks capacity for that decision, you are the decision maker.<\/span><\/p><p><span style=\"font-weight: 400;\">Our <\/span><a href=\"https:\/\/www.visiting-angels.co.uk\/cheshire-east\/care-after-hospital-discharge-macclesfield\/\"><span style=\"font-weight: 400;\">guide to hospital discharge<\/span><\/a><span style=\"font-weight: 400;\"> covers how fast those 48 hours move.<\/span><\/p><p><b>Choosing care.<\/b><span style=\"font-weight: 400;\"> Whether someone stays at home with support or moves into a care home is a health and welfare decision, and it is the biggest one most families face.<\/span><\/p><p><b>Medical treatment.<\/b><span style=\"font-weight: 400;\"> If the LPA is drafted to include it, an attorney can give or refuse consent to treatment on the person&#8217;s behalf when they cannot decide. There is a specific section about life-sustaining treatment which has to be completed deliberately.<\/span><\/p><p>\u00a0<\/p><h3><b>What an attorney cannot do<\/b><\/h3><p>\u00a0<\/p><ul><li style=\"font-weight: 400;\" aria-level=\"1\"><b>You cannot override someone who has capacity.<\/b><span style=\"font-weight: 400;\"> A health and welfare LPA only becomes usable when the person cannot make that particular decision. An adult with capacity can make choices you think are unwise, and our <\/span><a href=\"https:\/\/www.visiting-angels.co.uk\/cheshire-east\/parent-refuses-care\/\"><span style=\"font-weight: 400;\">piece on refusing care<\/span><\/a><span style=\"font-weight: 400;\"> goes into that.<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><b>You must act in their best interests<\/b><span style=\"font-weight: 400;\">, and in the least restrictive way, under the Mental Capacity Act 2005.<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><b>You cannot demand a particular NHS treatment.<\/b><span style=\"font-weight: 400;\"> You can consent or refuse, within the terms of the LPA.<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><b>You cannot ignore what they wanted.<\/b><span style=\"font-weight: 400;\"> Their past wishes and values are part of the best interests test.<\/span><\/li><\/ul><p>\u00a0<\/p><h3><b>What it costs and how long it takes<\/b><\/h3><p>\u00a0<\/p><ul><li style=\"font-weight: 400;\" aria-level=\"1\"><b>\u00a392 to register each LPA<\/b><span style=\"font-weight: 400;\"> with the Office of the Public Guardian, so \u00a3184 for both. Reductions and exemptions are available on a low income or on certain benefits.<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><b>8 to 10 weeks to register<\/b><span style=\"font-weight: 400;\">, if there are no mistakes. Mistakes are common and restart the clock.<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><b>You can do it yourself<\/b><span style=\"font-weight: 400;\"> on GOV.UK, or use a solicitor, which costs more and reduces the chance of an error.<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><b>Office of the Public Guardian:<\/b><span style=\"font-weight: 400;\"> 0300 456 0300.<\/span><\/li><\/ul><p><span style=\"font-weight: 400;\">An LPA cannot be used until it is registered, so making one in an emergency does not work.<\/span><\/p><p>\u00a0<\/p><h3><b>The deadline nobody tells you about<\/b><\/h3><p><span style=\"font-weight: 400;\">An LPA can only be made while the person has capacity to make it. They must understand what they are doing and choose their attorneys themselves.<\/span><\/p><p><span style=\"font-weight: 400;\">A dementia diagnosis does not automatically remove that capacity, and early after diagnosis is usually still fine. What it does is put a clock on it. Our <\/span><a href=\"https:\/\/www.visiting-angels.co.uk\/cheshire-east\/dementia-diagnosis-first-steps\/\"><span style=\"font-weight: 400;\">first month after a diagnosis guide<\/span><\/a><span style=\"font-weight: 400;\"> puts LPAs at the top of the list for exactly this reason.<\/span><\/p><p><b>If the moment passes, the alternative is deputyship through the Court of Protection.<\/b><span style=\"font-weight: 400;\"> That is slower, considerably more expensive, involves ongoing supervision and reporting, and the court does not often grant health and welfare deputyships at all. Families discover this at the point they most need a quick decision.<\/span><\/p><p>\u00a0<\/p><h3><b>Practical points people get wrong<\/b><\/h3><p>\u00a0<\/p><ul><li style=\"font-weight: 400;\" aria-level=\"1\"><b>Appoint more than one attorney if you can<\/b><span style=\"font-weight: 400;\">, and think hard about &#8220;jointly&#8221; versus &#8220;jointly and severally&#8221;. Jointly means every decision needs all of you, which sounds safer and is impractical in a crisis.<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><b>Name replacements<\/b><span style=\"font-weight: 400;\">, in case an attorney dies or cannot act.<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><b>Complete the life-sustaining treatment section deliberately<\/b><span style=\"font-weight: 400;\">, after a conversation, not as an afterthought.<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><b>Use the preferences and instructions sections sparingly.<\/b><span style=\"font-weight: 400;\"> Over-specific instructions can make an LPA unworkable, or invalid.<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><b>Tell people it exists.<\/b><span style=\"font-weight: 400;\"> An LPA in a drawer that the GP, the hospital and the care provider know nothing about does no work. Give copies to the surgery and keep one accessible.<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><b>Both partners should make them.<\/b><span style=\"font-weight: 400;\"> Couples often do one and not the other.<\/span><\/li><\/ul><p>\u00a0<\/p><h3><b>Also worth doing at the same time<\/b><\/h3><p>\u00a0<\/p><ul><li style=\"font-weight: 400;\" aria-level=\"1\"><b>An advance statement<\/b><span style=\"font-weight: 400;\">, setting out preferences about care, routine and where someone wants to live. Not legally binding, and genuinely useful.<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><b>An advance decision to refuse treatment<\/b><span style=\"font-weight: 400;\">, which is legally binding if properly made. Take advice, since it interacts with the LPA depending on which was made later.<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><b>A will<\/b><span style=\"font-weight: 400;\">, and a conversation about funeral wishes.<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><b>Practical access<\/b><span style=\"font-weight: 400;\">: knowing where documents, keys and account details are.<\/span><\/li><\/ul><p>\u00a0<\/p><h3><b>Frequently asked questions<\/b><\/h3><p><b>Do I need both types of LPA?<\/b><\/p><p><span style=\"font-weight: 400;\">Most people should have both. They cover completely different decisions, and the health and welfare one is the one that governs care.<\/span><\/p><p><b>Can my mum still make one if she has dementia?<\/b><\/p><p><span style=\"font-weight: 400;\">Often yes, particularly early on. What matters is whether she understands the decision at the time she makes it. A solicitor can assess and record that, which also makes the LPA harder to challenge later.<\/span><\/p><p><b>What does it cost?<\/b><\/p><p><span style=\"font-weight: 400;\">\u00a392 to register each one with the Office of the Public Guardian, with reductions and exemptions available. Solicitors charge on top for drafting.<\/span><\/p><p><b>Can I use it straight away?<\/b><\/p><p><span style=\"font-weight: 400;\">The property and financial affairs LPA can be used once registered, with the person&#8217;s permission. The health and welfare one only when they cannot make the decision themselves.<\/span><\/p><p><b>Is next of kin not enough?<\/b><\/p><p><span style=\"font-weight: 400;\">No. &#8220;Next of kin&#8221; has no formal legal standing for decision making in England and Wales. You will be consulted, and you will not have authority.<\/span><\/p><p><b>What if we have left it too late?<\/b><\/p><p><span style=\"font-weight: 400;\">You would need to apply to the Court of Protection for deputyship, which is slower and more expensive, and health and welfare deputyships are granted relatively rarely. Take legal advice.<\/span><\/p><p>\u00a0<\/p><h3><b>About Visiting Angels Cheshire East<\/b><\/h3><p><span style=\"font-weight: 400;\">Visiting Angels Cheshire East provides care at home across Macclesfield, Wilmslow, Knutsford, Congleton, Alsager and the surrounding villages of East Cheshire, along with Buxton, Whaley Bridge and the Staffordshire Moorlands towns.<\/span><\/p><ul><li style=\"font-weight: 400;\" aria-level=\"1\"><b>You choose your caregiver<\/b><span style=\"font-weight: 400;\">, and meet them before care starts.<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><b>No visit is ever shorter than an hour.<\/b><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><b>You see the same faces.<\/b><span style=\"font-weight: 400;\"> Our carer turnover is 12 per cent, against a sector figure of 23.7 per cent (<\/span><a href=\"https:\/\/www.skillsforcare.org.uk\/\"><span style=\"font-weight: 400;\">Skills for Care, 2025<\/span><\/a><span style=\"font-weight: 400;\">).<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><b>Carers trained<\/b><span style=\"font-weight: 400;\"> in dementia, Parkinson&#8217;s, stroke recovery and complex care.<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><b>Live-in care available<\/b><span style=\"font-weight: 400;\">, up to full time.<\/span><\/li><\/ul><p><span style=\"font-weight: 400;\">Sharon&#8217;s mother had been having visits for a fortnight when she wrote this:<\/span><\/p><p><i><span style=\"font-weight: 400;\">&#8220;It is not something we ever thought we would need but Visiting Angels have been wonderful. They came to see us to find out exactly what we needed, even though we weren&#8217;t completely sure ourselves, but through our conversation we were able to put a package of support in place. They offered advice on other things that were available to us as well particularly financially. They put our minds at ease during what was quite a stressful time in our lives.&#8221;<\/span><\/i><\/p><p><span style=\"font-weight: 400;\">Sharon Thornton, Google review<\/span><\/p><p>\u00a0<\/p><h3><b>Not sure what you need yet? Start with a free assessment<\/b><\/h3><p><span style=\"font-weight: 400;\">Our free home care assessment is a visit at a time that suits you, with no obligation afterwards. In it we will:<\/span><\/p><ul><li style=\"font-weight: 400;\" aria-level=\"1\"><b>Work out what is actually difficult<\/b><span style=\"font-weight: 400;\">, and which times of day.<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><b>Talk through a realistic package<\/b><span style=\"font-weight: 400;\">, and what it would cost.<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><b>Look at the money with you<\/b><span style=\"font-weight: 400;\">, and point you towards the funding, benefits and grants you may be entitled to.<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><b>Tell you honestly if the paperwork should come first<\/b><span style=\"font-weight: 400;\">, because if an LPA is not in place, that is often the more urgent job.<\/span><\/li><\/ul><p><span style=\"font-weight: 400;\">If you are getting the arrangements in order, call us on 01625 720157. You can also <\/span><a href=\"https:\/\/www.visiting-angels.co.uk\/cheshire-east\/enquire-now\/\"><span style=\"font-weight: 400;\">send an enquiry<\/span><\/a><span style=\"font-weight: 400;\">, and you can see <\/span><a href=\"https:\/\/www.visiting-angels.co.uk\/cheshire-east\/services\/home-care-services\/\"><span style=\"font-weight: 400;\">what our services cover<\/span><\/a><span style=\"font-weight: 400;\">.<\/span><\/p><p><span style=\"font-weight: 400;\">Authored by Dr Niall Jawad, Managing Director, Visiting Angels Cheshire East.<\/span><\/p><p><span style=\"font-weight: 400;\">Published 27 September 2026. Last updated 27 September 2026.<\/span><\/p><p><i><span style=\"font-weight: 400;\">This article is general information about lasting powers of attorney, not legal advice, and no substitute for advice from a solicitor about your circumstances. LPAs are legal documents with lasting consequences and errors can invalidate them. Fees, forms and processing times change; check GOV.UK or contact the Office of the Public Guardian on 0300 456 0300. To the fullest extent permitted by law, GB Care at Home Ltd accepts no liability for any loss arising from reliance on this article.<\/span><\/i><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Quick summary There are two lasting powers of attorney, not one. Most people set up the property and financial affairs [&hellip;]<\/p>\n","protected":false},"author":81,"featured_media":7948,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"inline_featured_image":false,"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"default","adv-header-id-meta":"","stick-header-meta":"default","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"set","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[35,36],"tags":[],"class_list":["post-7914","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-funding","category-blog"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.8 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>The power of attorney most families forget | Cheshire East<\/title>\n<meta name=\"description\" content=\"There are two lasting powers of attorney. 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