Legislative framework and Tribunal's decision
4Section 25 of the Guardianship Act 1987 gives the Guardianship Tribunal power to review a guardianship order on its own motion, on the application of any eligible person before the order has expired and at the expiration of the order. It may decline to review an order if the request does not disclose grounds that warrant a review, or the Tribunal has previously reviewed the order: s 25A. When reviewing a guardianship order before it has expired, the Guardianship Tribunal has powers to vary, suspend, revoke or confirm the order: s 25C(1). When reviewing an order on the expiration of the period for which the order had effect, the Guardianship Tribunal has the power to renew, renew and vary or allow the order to lapse (and revoke the order in respect of any unexpired period for which the order is specified to have effect).
5The Guardianship Act does not set out the test to be applied to determine whether, following a review, the guardianship order should be changed, that is varied, suspended, revoked, confirmed, renewed, renewed and varied or allowed to lapse: IF v IG & Ors [2004] NSWADTAP 3 (13 February 2004). When determining what order, if any, to make, the Tribunal is exercising a discretion and should take into account all relevant considerations. Those considerations include:
1)whether the subject person is still a "person in need of a guardian" (as that term is defined in s 3);
2)the considerations in s 14 namely:
(a) the views (if any) of:
(i) the person, and
(ii) the person's spouse, if any, if the relationship between the person and the spouse is close and continuing, and
(iii) the person, if any, who has care of the person,
(b) the importance of preserving the person's existing family relationships,
(c) the importance of preserving the person's particular cultural and linguistic environments, and
(d) the practicability of services being provided to the person without the need for the making of such an order.
3)whether there are any restrictions on the Tribunal's power to make an order: s 15;
4)in relation to the identity of the existing or proposed guardian, whether that person fulfils the requirements in s 17; and
5)any other relevant matters.
6Using the revocation of a financial management order as an analogy, it will normally be necessary for the person seeking the change to show some reason why the change should be made: Holt and Anor v Protective Commissioner (1993) 31 NSWLR 227 at 241.
7The Tribunal found that XB remained a "person in need of a guardian." No ground of appeal challenged that finding. On the question of whether the order should continue or be allowed to lapse, the Guardianship Tribunal exercised its discretion to allow it to lapse. In coming to that view, the Tribunal found that the functions which had been given to the Public Guardian were no longer needed because XB's living arrangements were stable and there was no conflict in relation to who should be able to visit him. It also found, contrary to XA's assertion, that there was no need for a guardian to make decisions about matters relating to medical treatment and health care.
8Despite the fact that the existing guardianship order did not give the NSW Trustee and Guardian the function of making substitute decisions about health care and treatment, the Tribunal noted that XA expressed concern that the medication his brother was taking to treat schizophrenia had not recently been reviewed. XA told the Tribunal that he would like to act as his brother's guardian, be given the function of making substitute decisions about health care and treatment, and arrange for a review of his medical treatment to be undertaken.
9The Tribunal reviewed the evidence, especially the evidence relating to the question of whether XB could give informed consent to the taking of Clozapine, an antipsychotic medication that is regarded as a 'major treatment' under the Guardianship Act . The Tribunal concluded that health professionals administering that drug must have formed a view that XA is able to give informed consent to that treatment. If that view changed, then the Tribunal noted that an application could be made for consent to be provided for the administration of that medication. The Tribunal concluded that:
Given the evidence of the close monitoring of XB's mental and physical health by staff of New Horizons and medical practitioners, the Tribunal was not satisfied that there is currently a need for a guardian to be appointed about these issues.
10When referring to "a need" for a guardian to be appointed, the Tribunal was referring, not to the statutory definition of "a person in need of a guardian" but to the discretion in s 14 to make or not make a guardianship order or, in this case, whether to allow a guardianship order to lapse.
11The Tribunal decided that the guardianship order should lapse and revoked the unexpired period of the order.