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Practice areas

Mental capacity and Court of Protection expert witness reports

Decision-specific capacity assessments under the Mental Capacity Act 2005 for the Court of Protection, including welfare, property and affairs, residence, care, and serious medical treatment matters.

These reports are most often prepared as part of our capacity assessments, neuropsychiatry, and adult psychiatry work.

Conditions and presentations

  • Acquired brain injury

    Where executive dysfunction underlies impaired decision-making.

  • Advance decisions and living wills

    Validity and applicability.

  • Alcohol-related brain damage

    Including Korsakoff syndrome.

  • Alzheimer's, vascular, and mixed dementia

    Diagnostic clarification and capacity for specific decisions.

  • Autism spectrum

    Where information processing and communication affect capacity.

  • Best interests opinions

    Where capacity is lacking.

  • Capacity for sexual relations

    Following the framework set out in recent case law.

  • Capacity for social media use

    Internet and contact arrangements.

  • Capacity to enter contracts

    Including tenancy and commercial agreements.

  • Capacity to gift property

    Including risk of undue influence.

  • Capacity to marry

    Wedlock-specific information and understanding.

  • Delirium

    Including reversibility and best timing of assessment.

  • DoLS and LPS

    Deprivation of liberty in hospital and community settings.

  • Financial capacity and lasting power of attorney

    Property and affairs decisions and the donor's understanding.

  • Frontotemporal dementia

    Including behavioural variant and language presentations.

  • Healthcare consent

    Including serious medical treatment and end-of-life decisions.

  • Learning and intellectual disability

    Across the spectrum of severity.

  • Lewy body dementia

    Including fluctuating cognition and capacity.

  • Litigation capacity

    Capacity to conduct proceedings and instruct solicitors.

  • Residence and care

    Where placement is in dispute.

  • Severe and enduring mental illness

    Where capacity for specific decisions fluctuates.

  • Statutory will applications

    Capacity context and best interests reasoning.

  • Testamentary capacity

    Banks v Goodfellow and the Mental Capacity Act 2005.

  • Undue influence

    Including in testamentary and lifetime gift contexts.

Typical questions for the expert

  • Does P have capacity to make the specific decision in question?
  • Where capacity is lacking, what is in P's best interests?
  • Is capacity likely to fluctuate or to be regained?

Reports provided

COP3 supporting evidence and CPR Part 35 reports for substantive hearings.

Experts owe their primary duty to the court under CPR Part 35 and equivalent procedural rules.

Related practice areas

Cases in this area often overlap with our work on clinical negligence, inquests and inquiries, and family and child proceedings. You may also want to read our full list of practice areas.

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