Relevant evidence
23In each of her applications Ms BBM expresses concern about the interactions between her brother Mr QBJ and Mrs FFJ and specifically his apparent disregard for her health needs, his lack of awareness and acknowledgement of her increasing dementia, his intentions towards her financially, and his lack of co-operation with her when making plans for Mrs FFJ. She asserts that her mother lacked the ability to understand what she was doing when Mr QBJ arranged for her to revoke the enduring power of attorney when she was visiting him in Queensland. These concerns prompted her applications.
24In response, Mr QBJ submitted that Mrs FFJ was able to make decisions for herself in every regard, that other people overstated the impact of her dementia, that she enjoyed her times with him and that Ms BBM was overly controlling of Mrs FFJ, particularly in regard to money. He asserted that Mrs FFJ was upset that Ms BBM had limited her access to money whilst she was with him in Queensland and this was why she chose to revoke the enduring power of attorney. He disputed that she was not capable of making this revocation and did not consider that she required a guardian or financial manager.
25Prior to the hearing the Tribunal was provided with copies of the enduring power of attorney and Enduring Guardianship instruments executed by Mrs FFJ in September 2011, appointing Ms BBM. The Tribunal was also provided with copies of the Revocation of the enduring power of attorney signed by Mrs FFJ and dated 31 December 2013 and the enduring power of attorney signed by Mrs FFJ and dated 2 January 2014, purporting to appoint Mr QBJ, Ms BBM, and Mr BDD.
26Prior to the hearing the Tribunal was provided with the following medical reports regarding Mrs FFJ's health and cognitive capacity:
(1)From Dr X, Senior Staff Specialist, Neurology, of a public hospital:
(2)Letter to NCAT, dated 27 March 2014
(3)Health Professional Report Form, dated 14 January 2014;
(4)Letter to Dr W dated 3 September 2013;
(5)Letter To Whom it May Concern dated 21 June 2013;
(6)From Dr W, GP:
(7)Health Professional Report dated 14 January 2014;
(8)Letter to Mrs FFJ's family members dated 16 May 2013;
(9)Letter To Whom It May Concern from Ms V, Registered Psychologist, dated 10 January 2014.
(10)Aged Care Service Provider Consumer Care Plan for Mrs FFJ, dated 4 April 2014, prepared by Ms Z, Program Coordinator.
27Dr X's letters which span a period of around nine months, provide a useful picture regarding Mrs FFJ's cognitive capacity at the times relevant to these applications. In her letter of 21 June 2013 Dr X states "This is to certify that [Mrs FFJ] has dementia of Alzheimer-type. Her dementia is at a level where she needs significant assistance with decision making and financial management. The enduring Power of Attorney held by her daughter, [Ms BBM] and guardianship should be activated."
28In her letter of 3 September 2013 Dr X reports that there has been a degree of deterioration in Mrs FFJ's performance and that she scored 24/30 on the mini mental state examination on that day. Dr X states that given her dementia, Mrs FFJ may not be able to live alone much longer, and may need hostel care within the year.
29In the Health Professional form from February 2014, Dr X confirms that Mrs FFJ has moderate, progressive, mixed dementia which has been present for three years. She reported a Montreal cognitive assessment score of 16/30 on 2 September 2012. She confirms that Mrs FFJ's dementia affects her capacity to make decisions across all areas, because of lack of insight into her care needs. Dr X states that this makes Mrs FFJ a vulnerable person in relation to her financial affairs. She also observes that there is family conflict and that Mrs FFJ may not be able to understand whether people are acting in her best interests.
30In her letter of 27 March 2014, Dr X states that she first saw Mrs FFJ in 2012, and at that time she had reported increasing difficulties with memory over the previous 12 months. The condition is progressing. Dr X reported that when she saw Mrs FFJ in February 2014, she scored just 12/30 on the Montreal Cognitive Assessment. The cut off score for "normal" in this test is 26/30. Her memory was substantially impaired. She states again that the degree of Mrs FFJ's cognitive impairment due to her mixed dementia now affect her to the extent that she "would not be able to manage her life decisions or financial affairs in a reliable manner and judge what would be in her own best interests."
31The information in Dr W's reports is consistent with the above. He has been Mrs FFJ's GP since mid-2012 and has seen her on around 18 occasions. In his letter of 16 May 2013, to Mrs FFJ's family members, he states that she has dementia and that for this reason her memory and insight are not intact and that it would be "deleterious" for her to travel by herself, or not take her medications. He states that she has a history of transient ischemic attack. This letter was apparently written because Dr W became aware that Mrs FFJ had recently gone on a cruise (with Mr QBJ), and that she did not take any of her medications with her, as she does not recall that she takes any medications. Dr W reports that her medications at that time were Actonel 150mg, once a month, Aricept 10mg daily, Asasantin SR 200mg once daily, Azopt 1% eye drops twice daily, Pariet 20mg daily, and Xalatan eye drops once daily.
32In her letter of 10 January 2014, Ms V states that she saw Mrs FFJ once, and that she reported feeling "quite low and demotivated." Ms V asks that a mental health treatment plan be prepared so Mrs FFJ can continue to have psychological treatment, and also asks that various tests be conducted to check Mrs FFJ's general heath. Mrs FFJ had reportedly told her that she had not had a medical examination "for many years." The Tribunal understands that the appointment to see Ms V was organised by Mr QBJ without reference to Ms BBM.
33The Care plan indicates that Mrs FFJ requires a considerable degree of assistance in care, including administering medications.
34At the hearing the Tribunal spoke briefly to Mrs FFJ without the other participants present, and asked her what she recalled about the events giving rise to these applications. Mrs FFJ said that she did not recall what happened over Christmas/New Year in Queensland and had no recollection of signing any documents. She repeated a number of times that she has a "shocking memory," and that she just "goes with the flow" rather than worrying about what has happened. In response to a question, she said that she takes no medications. She loves and trusts all of her children.
35The Tribunal provided the other hearing participants with a summary of this evidence when they returned to the hearing.
36Ms BBM and Mr KAJ were in agreement with Dr X's assessment that for some time Mrs FFJ has been impaired by her dementia and is not able to understand her situation well enough to make decisions on her own behalf. On this basis they expressed that she did not have the capacity to understand what she was doing when signing the document to revoke the enduring power of attorney in December 2013.
37Ms BBM said that she has been looking after Mrs FFJ's money for some time because Mrs FFJ is not able to manage it herself, and because there have been problems in the past "protecting" her assets from Mr QBJ. She said that her mother has always done whatever Mr QBJ has asked her to do, and no doubt she always will.
38In relation to the circumstances around the revocation of the enduring power of attorney in December 2013, she said that Mr QBJ arranged directly with Mrs FFJ for her to spend Christmas in Queensland with him. He did not discuss this with her or Mr KAJ. She said that Mr QBJ has accessed Mrs FFJ's money for his own use in the past, and she did not want this to happen again. Her mother does not recall the problems that have arisen in the past. Ms BBM said that her mother had some spending money with her when she travelled to Queensland and should not have needed much more than this. There were also small balances in the accounts she could access. Somehow Mr QBJ was able to access an internet bank account from Bank A that she had set up with Mrs FFJ on the advice that it was secure.
39Mr QBJ agreed that his mother has short term memory problems, but disputed that this means that she does not have the capacity to understand what she wants to do or that she did not understand what she was doing when she revoked the enduring power of attorney. He does not accept Dr X's assessment of his mother's capacity, but presented no alternative assessment from a qualified health professional. Prior to the hearing he provided a statement from himself and statements from other people who spent time with Mrs FFJ whilst she was in Queensland over Christmas. This included a letter dated 28 January 2014 from the Justice of the Peace, Mr U, who witnessed the revocation of the enduring power of attorney and the new enduring power of attorney.
40Mr QBJ denied that he has ever "taken" money from his mother, but agreed that she has "freely assisted" him in the past when his business has not been going so well. This assistance may have been in the form of loans or gifts.
41Mr QBJ explained the circumstances which led to his mother's decision to revoke the enduring power of attorney in December 2013. In summary he said that whilst she was with him in Queensland, she tried on a number of occasions to access money from her accounts, only to find that the money had been transferred from the accounts, leaving her without spending money for her holiday. She was angry and embarrassed about this and did not understand why it had happened. She was also upset when she found out that she had a bank account from Bank A opened by Ms BBM that she was not aware of. Mr QBJ identified that Ms BBM had moved the money from Mrs FFJ's accounts under her authority from the enduring power of attorney, and asked Mrs FFJ if she wanted to revoke this, which she said she did. Mr QBJ arranged for this to happen. He agreed that he didn't talk with Ms BBM about the problem because she would not have listened to him anyway.
42Ms BBM said the only way she could contact her mother whilst she was in Queensland was via Mr QBJ's phone, and when she did this, no one said anything to her about her mother revoking the enduring power of attorney. She was not aware of this until after the bank stopped her access to her mother's accounts. She said that her mother was aware of the internet bank account from Bank A as she was with her when they opened it, but she has forgotten this.