Legal Authority for Health and Finance Decisions
/ What is this form?
A Lasting Power of Attorney (LPA) is a legal document that lets you (the 'donor') appoint one or more trusted people (your 'attorneys') to make decisions on your behalf. LPAs were introduced by the Mental Capacity Act 2005 and replaced the older Enduring Power of Attorney. They are registered with the Office of the Public Guardian (OPG) in England and Wales, which maintains a searchable register.
There are two distinct types of LPA. A Property and Financial Affairs LPA covers all financial decisions — bank accounts, investments, bills, property, and tax matters. This type can be used immediately upon registration (while you still have capacity) or restricted to use only when you lose capacity. A Health and Welfare LPA covers personal care decisions including medical treatment, where you live, and your daily routine. This type can only ever be used when you genuinely lack capacity to make the specific decision yourself.
Approximately 900,000 LPAs are registered annually in England and Wales, reflecting growing public awareness that planning for incapacity is as important as making a will. Without an LPA, a family member has no automatic right to manage a loved one's finances or make healthcare decisions — they must apply to the Court of Protection, an expensive and slow process.
/ Who needs this form?
/ What you need before you start
/ Step-by-step guide
/ Key fields explained
| Field | What to enter | Common mistake |
|---|---|---|
| Attorney Instructions (Continuation Sheet) | Any specific guidance for your attorneys, e.g. 'Consult my children before selling my house' or 'I prefer to remain at home rather than enter a care home if at all possible.' These are preferences, not binding restrictions unless placed in the 'Restrictions' section. | Placing absolute restrictions in the instructions section instead of the restrictions section — instructions are advisory; legal restrictions must be in the correct section or they are unenforceable. |
| Life-Sustaining Treatment (Health LPA only) | Decide whether to give your attorney authority to consent to or refuse life-sustaining treatment on your behalf. You must explicitly tick one option — Option A (give authority) or Option B (not give authority). There is no default. | Leaving the life-sustaining treatment option blank — a Health and Welfare LPA with this section incomplete will be rejected by the OPG. |
| When Can the Financial LPA Be Used? | Option A: attorneys can act as soon as it is registered (while you have capacity). Option B: attorneys can only act when you lack capacity. Most people choose Option A for flexibility. | Choosing Option B and then becoming temporarily incapacitated through illness — under Option B, your attorney cannot step in during temporary incapacity unless you formally lack capacity. |
| Certificate Provider | Name, address, and capacity of the certificate provider (professional or personal acquaintance who has known you 2+ years). They must state they know you personally and understand you are not being pressured. | Asking a family member to be the certificate provider — family members are explicitly excluded from acting as certificate providers under LPA regulations. |
/ Common mistakes to avoid
/ Frequently asked questions
EPAs were replaced by LPAs in 2007. No new EPAs can be created. Existing EPAs registered before 2007 remain valid. LPAs have stronger safeguards (certificate provider, OPG oversight) and cover health decisions in addition to financial matters.
Yes, as long as you currently have mental capacity to understand and make the LPA. A GP or solicitor can provide a capacity assessment. It is vital to act quickly after a dementia diagnosis — once capacity is lost, an LPA cannot be created.
£82 per LPA to register with the OPG (£164 for both types). If you use a solicitor to draft the LPA, add £300-£600+ in professional fees. People on certain means-tested benefits may be eligible for a fee remission (free registration).
Yes. You can revoke an LPA at any time while you have mental capacity by sending a signed 'deed of revocation' to the OPG. The OPG will cancel the registration. You should also notify your attorney(s) and any organisations that had a copy of the LPA.