What is a power of attorney and a lasting power of attorney?

A power of attorney (in Scotland), and a lasting power of attorney (in England and Wales), are written legal documents. They let you choose (appoint) someone you trust to make decisions for you, if you become unable to make decisions yourself. The person you appoint is called your attorney.

Who can be an attorney?

Your attorney must be over the age of 18 in England and Wales and over the age of 16 in Scotland. It is important to appoint someone you trust to make these decisions for you. They must also agree to be your attorney. They could be:

  • a family member
  • your husband, wife, civil partner or partner
  • a friend
  • a professional, such as a solicitor or accountant.

It is usually a good idea to have more than 1 attorney. Or you could have a substitute attorney to step in if your attorney can no longer act on your behalf. You can give them long-term or short-term power of attorney.

What are the types of power of attorney and lasting power of attorney (LPA)?

England and Wales

In England and Wales, there are 2 types of LPA. You can make 1 of them, or both:

  • An LPA for financial decisions

    This includes things like paying bills or selling your home. It can be used when you are still able to make your own decisions. Or you can set it up to start once you become unable to make decisions for yourself. The LPA cannot be used to manage your property or finances after you have died. These will be looked after according to the instructions in your will.

  • An LPA for health and welfare decisions.

    This includes things like giving consent for treatment, care, medication and where you live. This LPA can only be used if you become unable to make decisions for yourself. Some people also make an advance decision to refuse treatment. Whenever possible try to make sure your wishes match in both documents. The document you made most recently takes priority over the other.

How an LPA for health and welfare can help

Having a health and welfare LPA can reassure you that someone you trust will make decisions about your health and welfare for you, if you cannot.

This should be someone who will:

  • understand and respect your wishes
  • act in your best interest.

Talk to the person you want to choose about what being an attorney involves, and your wishes for any future care. You may want to make notes about what you discuss, and share them with your attorney. Make sure they understand what is important to you. The law says that your attorney must make decisions that will benefit you and are in line with your wishes.

Making an LPA can also help to avoid conflict if there is likely to be any disagreement among family members. It means your healthcare team has a legal duty to consult your attorney if you are no longer able to make a decision for yourself.

Having an attorney means family or friends will not have to go to court to apply for similar powers to power of attorney at a later stage.

Scotland

In Scotland, there are 3 types of power of attorney:

  • Continuing power of attorney is for financial and legal decisions, including paying bills and selling your home. They cannot manage your property or finances after you have died.
  • Welfare power of attorney is for health and care decisions, including treatment, care, medication and where you live or are cared for.
  • Combined power of attorney combines the first 2. It gives your attorney financial and welfare powers.

Many people choose to make a combined power of attorney. If you appoint more than 1 attorney, you must decide if they will make decisions separately or together.

The power of attorney document includes a certificate that must be signed by a solicitor or medical doctor. This is to confirm that you can make and understand your own decisions. This is called having mental capacity.

How a welfare power of attorney can help

Having a welfare power of attorney can reassure you that someone you trust will make decisions about your health and welfare for you, if you cannot. This should be someone who will:

  • understand and respect your wishes
  • act in your best interest.

Talk to the person you want to choose about what being an attorney involves, and your wishes for any future care. You may want to make notes about what you discuss, and share them with your attorney. Make sure they understand what is important to you. The law says your attorney must make decisions that will benefit you and are in line with your wishes.

Having an attorney also helps to avoid possible disagreement among family members. It means your healthcare team has a legal duty to consult your attorney if you are no longer able to make a decision for yourself.

If you make an advance directive (living will) your welfare attorney must follow your decisions in the directive. But your advance directive has to be up to date, relevant to your situation and known to still reflect your views.

Without a power of attorney, nobody has an automatic right to make decisions on your behalf if you can no longer do so. To act on your behalf, someone would have to apply for a guardianship order through the local Sheriff Court.

Making a lasting power of attorney (England and Wales)

You need to be aged over 18 to set up a lasting power of attorney (LPA). You must also be able to make your own decisions. This is called having mental capacity.

You can make an LPA online at gov.uk.

Or you can get a form from the Office of the Public Guardian (OPG).

Although you can make your own LPA, it is a legal document and must be prepared properly. Getting help from a solicitor means your wishes are clear and are carried out exactly as you want. If you do not have a solicitor, you can find one by contacting the Law Society of England and Wales.

If you have made an advance decision to refuse treatment (ADRT) and a health and welfare LPA, one may make the other invalid.

Registering your LPA

An LPA must be registered with the OPG before it can be used. It can take up to 20 weeks to process.

A registered LPA can only be used if the person who made it does not have mental capacity anymore.

If the person who made it still has mental capacity, they can contact the OPG and ask for the LPA to be ended, or for a particular attorney to be removed.

There is a fee to register an LPA. You may not have to pay the fee, or the fee may be reduced, if you:

  • have a low income
  • get certain benefits.

If you become unable to make your own decisions and have no lasting power of attorney in place, someone else can apply for similar legal powers as an attorney.

To find out more, visit gov.uk.

Making a power of attorney (Scotland)

You need to be aged over 16 to set up a power of attorney. You must also be able to make your own decisions. This is called having mental capacity.

You can make your own power of attorney document. Some stationery shops sell a specific form. It is a legal document and must be prepared properly, so you might want help from a solicitor. They make sure your wishes are clear and are carried out exactly as you want.

If you do not have a solicitor, you can find one by contacting the Law Society of Scotland.

Registering your power of attorney

A power of attorney can only be used when it has been registered with the Office of the Public Guardian. This can take several weeks. 

There is usually a fee to register a power of attorney. If you are on certain benefits, you may not have to pay the fee, or it may be reduced.

To find out more visit publicguardian-scotland.gov.uk

If you have made a power of attorney, tell your GP. They can add this to your Key Information Summary.

About our information


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    This information has been written, revised and edited by Macmillan Cancer Support’s Cancer Information Development team. It has been reviewed by expert medical and health professionals and people living with cancer. It has been approved by Senior Medical Editor, Dr Viv Lucas, Consultant in Palliative Medicine.

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Date reviewed

Reviewed: 01 June 2023
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Next review: 01 June 2026
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