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[2025] NSWCATAP 261
appellant. Leave to appeal refused; appeal dismissed; costs applications to be filed within 10 working days
A son applied for a financial management order for his mother, who has early-stage Alzheimer's disease. The Tribunal refused, relying on expert evidence that she could still manage her affairs with support. The son appealed, claiming the experts were wrong and that new evidence showed his mother had suffered a stroke and was being financially exploited. The Appeal Panel refused leave to appeal, finding the Tribunal's decision was supported by proper expert evidence, the claimed stroke had no evidential basis, and the 'new evidence' was either available earlier or irrelevant. The appeal had no reasonable prospects of success.
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3 cited instruments linked from this judgment.
Agripower Barraba Pty Ltd v Blomfield (2015) 317 ALR 202; [2015] NSWCA 30
Akins v National Australia Bank (1994) 34 NSWLR 155
Collins v Urban [2014] NSWCATAP 17
C v W [2015] NSWSC 1774
IA v TA [2016] NSWCA 179
Kudrynski v Orange City Council [2024] NSWCA 33
P v NSW Trustee and Guardian [2015] NSWSC 579
SAB v SEM & Ors [2013] NSWSC 253
ZXH v ZXI [2022] NSWCATAP 269
ZXO v Public Guardian [2022] NSWCATAP 260
Pursuant to s 65 of the Civil and Administrative Tribunal Act 2013 (NSW), a person must not without the consent of the Tribunal publish or broadcast the name of any person who appears as a witness in these proceedings, to whom these proceedings relate, or is mentioned or otherwise involved in the proceedings. The name of a person includes a reference to any information, picture or other material that identifies or is likely to lead to the identification of the person.
25G Grounds for making financial management order
The Tribunal may make a financial management order in respect of a person only if the Tribunal has considered the person's capability to manage his or her own affairs and is satisfied that:
(a) the person is not capable of managing those affairs, and
(b) there is a need for another person to manage those affairs on the person's behalf, and
(c) it is in the person's best interests that the order be made.
"[W]hether the person is able to deal with (making and implementing decisions about) his or her own affairs (person and property, capital and income) in a reasonable, rational and orderly way, with due regard to his or her present and prospective wants and needs, and those of family and friends, without undue risk of neglect, abuse or exploitation".
Appellant makes first application for a financial management order
(1) Dr Breen's opinion that the Mother retained capacity to manage her financial affairs;
(2) the Mother's ability to engage directly with the questions it asked during the hearing and to provide accurate information about her financial affairs and other matters;
(3) the Mother's ability to give evidence about her assets, income and expenses, and significant matters involving her financial affairs in 2023, including buying into aged care accommodation, making the 2023 EPoA, and the reasons for making that instrument;
(4) the evidence of the Mother "proactively tak[ing] steps to be able to manage the consequences of any future cognitive decline";
(5) the lay evidence about the Mother's capacity to manage her affairs. The Tribunal noted that of the seven people who gave evidence in the proceedings, the appellant was the only person who held the opinion that the Mother was incapable of managing her affairs.
Appellant makes second application for a financial management order
Appellant makes third application for a financial management order
"[I]mpairments in orientation, verbal memory, and verbal fluency. There was some fluctuation in [the Mother's] attention, but no impairment per se, and she demonstrated otherwise preserved cognition in the areas of working memory, language skills (apart from verbal fluency), visuospatial and constructional skills, visual memory, and executive function. [The Mother's] score of 75/100 on the ACE-III was in keeping with the comprehensive neuropsychology results.
The history, presentation, and neuropsychology results supported [the Mother's] diagnosis of early-stage Alzheimer's disease."
(Emphasis added)
"[The Mother] understood the role of Power of Attorney and Enduring Power of Attorney and gave a reasonable account of her current financial position and assets. [The Mother] provided a consistent and detailed account of the changes she recently made to her Power of Attorney, and her reasons for the changes, at both the start and the end of the assessment, with a three-hour interval between the accounts. Formal testing demonstrated that [the Mother's] reasoning and decision-making skills remained intact in the Average to High Average range, and she was able to appropriately adapt her responses when the information, or situation, changed. Based on these findings, it was my opinion that [the Mother] retained capacity to understand and weigh up information, options, and consequences required for financial decision-making capacity.
At this stage, [the Mother] does not have a level of cognitive impairment that would require her Enduring Power of Attorney to be enacted, but she does require some support and assistance with day-to-day financial matters due to her unreliable verbal memory. [The Mother] is currently supported by [the Sister] and [the Sister's] son-in-law with paying bills and managing her financial accounts. [The Mother] was insightful regarding her memory problems and aware that she needed assistance to keep track of her money and bill payments. [The Mother] was appreciative of the current supportive family arrangement in this regard."
"[The Mother] understood the role of a Power of Attorney/Enduring Power of Attorney and Guardian/Enduring Guardian. She gave a detailed and accurate account of her current appointments of family members in these positions, her reasons for choosing these people, and her reasons regarding her current decision to add [the Brother-in-law] as a third Guardian/Enduring Guardian. Her reasoning remained consistent and logical at the start of the assessment and at the end of the assessment, with a three-hour interval between these discussions. Formal testing demonstrated that [the Mother's] reasoning and decision-making skills remained entirely intact, and in the High Average to Superior range. Based on all these findings, it remained my opinion that [the Mother] retained capacity to understand and weigh up information, consider options and consequences, and make her own decisions. It was also my opinion that [the Mother] retained capacity to instruct a lawyer and make her own decisions regarding Power of Attorney/Enduring Power of Attorney and Guardianship/Enduring Guardianship (emphasis in original).
[The Mother's] cognitive impairment remained mild and specific to her verbal memory. She does not have a level of cognitive impairment that would require enactment of Enduring Power of Attorney or Enduring Guardian. [The Mother] has insight regarding her memory difficulties and appreciated the ongoing support provided by [the Sister] and [the Sister's] son-in-law...who assist her with day-to-day financial matters."
(1) "The medical evidence available to the Tribunal confirms that [the Mother] lives with diagnosis of Alzheimer's dementia with identified deficits in her cognitive functions.
(2) Notwithstanding the identified deficits, [the Mother's] executive functioning remains largely intact at the present time, though experiences ongoing difficulties with respect to memory recall.
(3) [The Mother] has a reasonable appreciation of her financial circumstances and is able, with appropriate formal and informal supports, to manage her financial affairs in a reasonably competent fashion.
(4) [The Mother] is able to demonstrate insight with respect to the impacts of her cognitive impairment and provide clear and unambiguous reasoning regarding her decision for [the appellant] to have no involvement in the management of her financial affairs."
(1) The conclusion reached by the Tribunal that the reports prepared by Drs Halpern and Breen were complimentary (sic) was based on "conjecture";
(2) Dr Breen's opinion about the Mother's decision-making capacity is unreliable because:
(a) Dr Breen failed to take into account:
(i) the Mother's medical history, including her stroke in 2023, which rendered her "totally and permanently disabled", and
(ii) Dr Halpern's report, which establishes that the Mother lacked decision-making capacity in 2021.
(b) Dr Breen based her opinion on the following unfounded factual assumptions:
(i) "material falsehoods about myself", and
(ii) "impossibly improved tests results".
(c) Dr Breen's opinion is inconsistent with that expressed by Dr Halpern.
(3) "The onus is on Dr Breen to defend the integrity of her work".
(4) The Tribunal was obliged but failed to take into account the evidence that the Mother was being financially exploited.
Ground 1: The conclusion reached by the Tribunal that the reports prepared by Drs Halpern and Breen were complimentary (sic) was based on "conjecture"
(1) the MRI scan of the Mother's brain, showed "mild age-related cortical cerebral atrophy and a mild degree of white matter ischaemic change" and no "disproportionate temporal lobe or hippocampal atrophy";
(2) a perfusion study [an imaging study which shows blood flow to various parts of the brain] showed "mild perfusion defects in the associated parietal cortices bilaterally extending into the precuneus bilaterally", which are "suggestive of mild Alzheimer's" (emphasis in the original);
(3) in addition, "there is a cerebral vascular component due to areas of mildly reduced cerebral perfusion disease" (emphasis in the original);
(4) the EEG was abnormal because of "occasional single sharp waves seen in the R>L frontotemporal regions at times phase reversing. There are no further instances of altered consciousness";
(5) on the ACE-III, the Mini-Mental State Examination and the Montreal Cognitive Examination, the Mother scored 82/100, 23/30 and 22/30, respectively. There was primarily ready forgetfulness and difficulties with tasks requiring abstraction and executive function;
(6) with her architecture background, the Mother's "visuospatial skills are well retained and excellent";
(7) the presence of cognitive impairment has exacerbated intense anxiety, "a feeling of depression" and "paralysed thought".
"[That the Mother] would benefit from seeing Joanne Wright, Old Age Psychiatrist, with a keen interest in circumstances, such as [the Mother] finds herself in. She could also advise regarding the introduction of a cognitive enhancer for which [the Mother] meets the PBS supported criteria. I did not wish to pre-empt an approach. ....
I have also recommended that [the Mother and the Sister] make contact with Dementia Australia. They offer practical helpful and supportive advice and run an excellent "Living with Memory Loss" course.
In the longer term, it would be helpful to engage with the Memory Clinic at HKH for ongoing advice regarding an approach to any emergent difficulties and with an excellent network of social workers, clinical neuropsychologist and other support staff available at need."
"Dr Halpern's report does not, in any way, contradict Dr Breen's reports. The reports are complimentary (sic) with different focuses attributable to their different disciplines".
"Yeah, so the reason why is because ... [the Mother] didn't go [to Dr Halpern] for a capacity test".
Transcript of proceedings, 7 April 2025 (Tcpt), p 9(20-21)
Mother's medical history, including her stroke in 2023, which rendered her "totally and permanently disabled"
Dr Halpern's report, which establishes that the Mother lacked decision-making capacity in 2021
Dr Breen based her opinion on "material falsehoods"
"Interview with [the Mother] and [the Sister]
[The Mother] initially could not recall why she was undergoing the current assessment, but when [the Sister] reminded her that she had a new solicitor then [the Mother] recalled that her previous solicitor was retiring and her new solicitor had requested an updated assessment of her capacity to make decisions regarding legal matters. [The Sister] added that [the Mother's] previous solicitor was no longer willing to represent [the Mother] as the solicitor had been threatened, intimidated and harassed by [the appellant] to the point that the solicitor took out an AVO against [the appellant]. [The Mother's] accountant had also taken out an AVO against [the appellant] for the same reasons."
(emphasis added)
"I remain concerned about the reported coercive tactics and intimidation that [the Mother's] son, [the appellant], has continued to exert over [the Mother], and the aggressive harassment he has displayed toward [the Sister]. [The Mother's] accountant and former lawyer took out AVO's against [the appellant] due to his threatening behaviour. I discussed my concerns with [the Mother] and reiterated the importance of informing trusted family members, her GP or other medical specialists, or staff at her residential care facility if she felt unsafe, threatened, intimidated, or at any risk of physical violence. [the Mother] stated that, at this stage, her priority was to retain her relationship with [the appellant], who is her only child."
Dr Breen based her opinion on "impossibly improved test results"
"Breaking! Alzheimers dementia can be reversed by Dr Nora Breen and Macquarie University Health!
Incredible news! The brilliant Dr Nora Breen and Macquarie University Health have achieved what was thought impossible, reverse the devastating regression of Alzheimer's dementia!"
"[The Mother's] responses on a self-report mood questionnaire indicated a moderate level of depression. She did not report elevated level of anxiety or stress. At the previous assessment [the Mother] had reported a moderate level of depression and anxiety and a mild level of stress".
"[The Mother's] **score of 84/100 on the ACE-III dementia screening tool remained below the dementia cut-off ( The history, presentation, and cognitive profile remained consistent with the diagnosis of early-stage Alzheimer's disease. It is possible that the mild improvements in some aspects of [the Mother's] cognition compared to the previous assessment are secondary to the improvement in her self-reported anxiety and stress compared to the previous assessment."
(Emphasis added)
Ground 3: The onus is on Dr Breen, not the Tribunal to defend the integrity of her work
Ground 4: The Tribunal was obliged but failed to take into account the evidence that the Mother was being financially exploited
● "My mother required attorneys after suffering a devastating stroke 2023 which sadly rendered my mother totally and permanently disabled
● Appointed attorney is breaching the POA they signed.
● My good faith efforts to mediate with my mother and her legal representation to AVOID having to attend a NCAT hearing.
● My mother's good faith efforts to mediate with myself and her legal representation to AVOID having to attend a NCAT hearing.
● The now Requirement under section 25G that my mother needs a financial manager to be appointed to her.
● Conduct from my mother's legal representation which is inconsistent with current professional standards."
"(a) issues of principle;
(b) questions of public importance or matters of administration or policy which might have general application; or
(c) an injustice which is reasonably clear, in the sense of going beyond merely what is arguable, or an error that is plain and readily apparent which is central to the Tribunal's decision and not merely peripheral, so that it would be unjust to allow the finding to stand;
(d) a factual error that was unreasonably arrived at and clearly mistaken; or
(e) the Tribunal having gone about the fact-finding process in such an unorthodox manner or in such a way that it was likely to produce an unfair result so that it would be in the interests of justice for it to be reviewed".
(Citations omitted)
(3) Any party seeking to make an application for costs of the appeal must file and serve that application (the cost application), together with evidence (if any) and written submissions within ten (10) working days after publication of these reasons for decision.
(4) Any party opposing or supporting the cost application must file and serve evidence (if any) and written submissions in response, within a further ten (10) working days.
(5) The parties are to include in their submissions their views as to whether the issues for determination in relation to the making of any order for costs on the appeal can be adequately determined on the basis of the written material lodged with the Tribunal, in the absence of the parties and without a hearing, under s 50 of the Civil and Administrative Tribunal Act 2013 (NSW).
I hereby certify that this is a true and accurate record of the reasons for decision of the Civil and Administrative Tribunal of New South Wales.
08 December 2025 - Formatting on coversheet corrected
YMV
YNI [2025] NSWCATAP 261;
(2015) 317 ALR 202
(1994) 34 NSWLR 155
Leave to appeal refused; appeal dismissed; costs applications to be filed within 10 working days