Should the Tribunal make a guardianship order?
29In deciding whether to make a guardianship order, the Tribunal needed to take account of all relevant factors, including those listed in Section 14(2) of the Act. These relate to the views of Mr MCQ and his spouse, preserving family relationships, preserving cultural and linguistic environments and the practicability of services being provided without a guardianship order. The Tribunal could be guided by the principles in Section 4 of the Act, in particular regarding Mr MCQ's interests as its paramount consideration. The Tribunal ultimately has a broad discretion whether to make a guardianship order (IF v IG & Others [2004] NSWADTAP 3).
30In his lawyer's submissions, Mr MCQ expressed contentment with his appointment of Mrs MSQ as enduring guardian and strongly opposed the appointment of any other guardian. In the hearing, Mr MCQ spoke very positively about Mrs MSQ and his trust in her as a decision maker if he needed one.
31Mrs MSQ wanted to continue as enduring guardian or person responsible. If family members did not accept Mr MCQ's wish not to see them, she requested that the Public Guardian be appointed in relation to this issue.
32There is no dispute about Mr MCQ continuing to live at the aged care facility which is an extra care facility with high fees.
33Mr PMN was keen to have a high level of access to information in relation to his father's health and care. However, while this may be Mr PMN's wish as a son who cares about his father, there was no significant evidence to suggest that this was needed in Mr MCQ's interests.
34If there is medical treatment that Mr MCQ does not understand, then the law says that his wife Mrs MSQ is the person to decide about this as "person responsible" under the Guardianship Act. Mrs MSQ would be person responsible as enduring guardian. There is some uncertainty about the validity of the appointment of enduring guardian in view of Mr MCQ's cognitive impairment. However, even if it is not valid, Mrs MSQ would be person responsible as the closely involved spouse.
35Mr MCQ has a long-standing general practitioner Dr X who visits the aged care facility very regularly and sees Mr MCQ as needed. In his report of January 2014, Dr X said that, at the aged care facility, Mr MCQ is receiving the highest quality care available. Mrs MSQ spends many hours each day with him ensuring that his occupational care is maintained. Dr X has witnessed Mrs MSQ's total dedication to Mr MCQ's well-being. She has always been his advocate to ensure that he has the best care and attention. Mr MCQ wanted Mrs MSQ as his guardian and carer. He could not have anyone better than Mrs MSQ to look after his welfare.
36In the hearing, Ms WFD, care manager at the aged care facility, said that Mr MCQ has been generally well over the last year. He receives physiotherapy, attends exercise classes and does exercises with Mrs MSQ. Mrs MSQ raises issues with Ms WFD directly and there are case conferences. Mrs MSQ raises sensible issues. The facility's relationship with Mrs MSQ works well. Mr MCQ did have an aged care assessment. The facility does not have him diagnosed with a cognitive impairment.
37Mrs MSQ spoke positively about the facility and said that she spends a lot of time with Mr MCQ. She speaks up about Mr MCQ's needs to staff. Dr X is a caring doctor.
38Mrs MSQ had written to the Tribunal that she was willing to notify Mr PMN of any major changes in Mr MCQ's care and treatment.
39Whilst the Tribunal was surprised that Ms WFD was not aware that Mr MCQ has a cognitive impairment, overall, it was clear that Mr MCQ's health and care needs are being met very conscientiously by the combination of the facility, Mrs MSQ and Dr X.
40The other issue that might have called for a guardianship order was the issue of access to Mr MCQ by Mr PMN and other family members. Related to the financial conflict, there have been issues about Mr PMN having access to his father. In June 2013, Mr MCQ signed a letter to Mr PMN asking him not to make further contact while financial issues were outstanding and threatening legal action if Mr PMN telephoned or visited. Mr PMN questioned that this letter could have been written by Mr MCQ. In the hearing, he said that there had been visits where Mr MCQ welcomed him after he had been told he was not welcome.
41In the hearing, Mrs MSQ said that she had not stopped Mr PMN's contact with Mr MCQ. She had written the June 2013 letter for Mr MCQ on the basis of Mr MCQ's thoughts and wishes, following an unpleasant visit by Mr PMN where Mr MCQ's will had been discussed. There had been some nice visits by Mr PMN to Mr MCQ at the facility but then some stressful visits.
42Mr MCQ said that Mr PMN very seldom visits him and he would not like Mr PMN to come more because Mr PMN aggravates him. He did not want to see him. Mr MCQ also spoke negatively about contact with his other children Mr NUH and Ms DVB.
43Ms WFD said that, from the facility's perspective, there was no impediment to Mr PMN visiting his father other than whether Mr MCQ wished to see Mr PMN.
44Mr PMN expressed concern about influence on Mr MCQ by others and suggested visits would be workable if there was a concerted effort by others. He also acknowledged that time is a healer and that the core issue was whether his father welcomed him when he walked in the door.
45As discussed in the hearing, the Tribunal did not see how a guardianship order in relation to access would be workable. It would be unrealistic to impose access on Mr MCQ. Whatever the impact of Mr MCQ's cognitive impairment and whether or not he is influenced by others, the core issue is whether Mr MCQ is willing to have contact with Mr PMN.
46Likewise with other family members, the core issue is whether Mr MCQ is willing to see them.
47Clearly, the current financial conflict is central to the access issues with Mr PMN. The Tribunal's hope is that the financial management order will allow these conflicts to be resolved. This is the most likely way to remove impediments to access by Mr PMN. Historically, Mr PMN and Mr MCQ clearly had a very close relationship living and working together and so it would be in Mr MCQ's interests if a positive relationship can resume in the future. However, the Tribunal could not see how appointing a guardian with an access function would facilitate this purpose.
48Overall then, while Mrs MSQ was open to the idea of the Public Guardian addressing access issues, the Tribunal would have seen this as an intrusion that Mr MCQ did not want and which would not have achieved any useful purpose. Mr MCQ's health and care needs are being well met and Mrs MSQ was willing to inform Mr PMN of any major changes in Mr MCQ's care and treatment. Even if the Tribunal could make a guardianship order, it was not satisfied that it should.