Victorian Bills

[Index] [Search] [Download] [Related Items] [Help]


This is a Bill, not an Act. For current law, see the Acts databases.


GUARDIANSHIP AND ADMINISTRATION (FURTHER AMENDMENT) BILL 2005

                 PARLIAMENT OF VICTORIA

        Guardianship and Administration (Further
                 Amendment) Act 2005
                                  Act No.


                        TABLE OF PROVISIONS
Clause                                                                     Page

PART 1--PRELIMINARY                                                           1
  1.     Purpose                                                              1
  2.     Commencement                                                         2
  3.     Principal Act                                                        2

PART 2--MEDICAL RESEARCH PROCEDURES                                           3
  4.     Definitions and objects                                              3
  5.     Functions of Public Advocate                                         5
  6.     Consent to medical research procedures                               6
  7.     New section 42E substituted                                          8
         42E.     Consent of Tribunal to special procedure                    8
  8.     Further amendments to Part 4A                                        8
  9.     New Division 6 inserted in Part 4A                                   9
         Division 6--Medical Research Procedures                              9
         42P.   Introduction and outline of Division                          9
         42Q.   Step 1--Approval of relevant research project                10
         42R.   Step 2--Is patient likely to recover within a reasonable
                time?                                                        11
         42S.   Step 3--Consent of person responsible                        12
         42T.   Step 4--Procedural authorisation                             13
         42U. Best interests                                                 18
         42V. Applications to Tribunal                                       19
         42W. Person responsible may seek advice                             21
         42X. Guidelines for medical research procedures                     22
         42Y. Offences                                                       22
         42Z.   Protection of registered practitioner                        23
  10.    Consequential amendments                                            24
  11.    New section 88 inserted                                             25
         88.    Medical research procedures                                  25
  12.    Consequential amendment of Mental Health Act 1986                   26




                                      i
551347B.I1-15/11/2005                        BILL LA INTRODUCTION 15/11/2005

 


 

Clause Page PART 3--MISCELLANEOUS AMENDMENTS 27 13. Definition 27 14. Delegation by Public Advocate 27 15. Guardianship orders--wishes of proposed represented person 27 16. Appointment of enduring guardian 27 17. Appointment of administrator--wishes of proposed represented person 28 18. New section 47B inserted 29 47B. Payment of costs and expenses to administrator or former administrator from estate 29 19. Application for rehearing 30 20. New section 60B substituted 30 60B. Parties and notice 30 21. New section 67 inserted 31 67. Effect of setting aside administration order on previous actions of administrator 31 22. New section 86A inserted 31 86A. Enduring guardians 31 23. Acting Public Advocate 32 24. Form for appointment of enduring guardian 32 ENDNOTES 36 ii 551347B.I1-15/11/2005 BILL LA INTRODUCTION 15/11/2005

 


 

PARLIAMENT OF VICTORIA A BILL to amend the Guardianship and Administration Act 1986 regarding consent to medical research procedures and for other purposes, to make consequential amendments to the Mental Health Act 1986 and for other purposes. Guardianship and Administration (Further Amendment) Act 2005 The Parliament of Victoria enacts as follows: PART 1--PRELIMINARY 1. Purpose The purpose of this Bill is-- (a) to amend the Guardianship and Administration Act 1986 to-- 5 1 551347B.I1-15/11/2005 BILL LA INTRODUCTION 15/11/2005

 


 

Guardianship and Administration (Further Amendment) Act 2005 Act No. Part 1--Preliminary s. 2 (i) establish a new process for obtaining consent to medical research procedures for patients; (ii) make miscellaneous amendments to improve the operation of the Act; 5 (b) to make consequential amendments to the Mental Health Act 1986. 2. Commencement (1) Subject to sub-section (2), this Act comes into operation on a day or days to be proclaimed. 10 (2) If a provision of this Act does not come into operation before 1 November 2006, it comes into operation on that day. 3. Principal Act See: In this Act, the Guardianship and 15 Act No. Administration Act 1986 is called the Principal 58/1986. Reprint No. 6 Act. as at 1 January 2003 and amending Act Nos 75/2003 and 108/2004. LawToday: www.dms. dpc.vic. gov.au __________________ 2 551347B.I1-15/11/2005 BILL LA INTRODUCTION 15/11/2005

 


 

Guardianship and Administration (Further Amendment) Act 2005 Act No. Part 2--Medical Research Procedures s. 4 PART 2--MEDICAL RESEARCH PROCEDURES 4. Definitions and objects (1) In section 3(1) of the Principal Act-- (a) insert the following definitions-- ' "human research ethics committee" 5 means-- (a) a human research ethics committee established in accordance with the requirements of the National Statement; or 10 (b) an ethics committee established under the by-laws of a public hospital, public health service, denominational hospital or multi- purpose service (within the 15 meaning of the Health Services Act 1988); "medical research procedure" means-- (a) a procedure carried out for the purposes of medical research, 20 including, as part of a clinical trial, the administration of medication or the use of equipment or a device; or (b) a procedure that is prescribed by 25 the regulations to be a medical research procedure for the purposes of this Act-- but does not include-- 3 551347B.I1-15/11/2005 BILL LA INTRODUCTION 15/11/2005

 


 

Guardianship and Administration (Further Amendment) Act 2005 Act No. Part 2--Medical Research Procedures s. 4 (c) any non-intrusive examination (including a visual examination of the mouth, throat, nasal cavity, eyes or ears or the measuring of a person's height, weight or vision); 5 or (d) observing a person's activities; or (e) undertaking a survey; or (f) collecting or using information, including personal information 10 (within the meaning of the Information Privacy Act 2000) or health information (within the meaning of the Health Records Act 2001); or 15 (g) any other procedure that is prescribed by the regulations not to be a medical research procedure for the purposes of this Act; "National Statement" means-- 20 (a) the National Statement on Ethical Conduct in Research Involving Humans published by the National Health and Medical Research Council in 1999 as in force from 25 time to time; or (b) any superseding document published by the National Health and Medical Research Council that covers the same subject 30 matter; 4 551347B.I1-15/11/2005 BILL LA INTRODUCTION 15/11/2005

 


 

Guardianship and Administration (Further Amendment) Act 2005 Act No. Part 2--Medical Research Procedures s. 5 "relevant human research ethics committee" for a medical research procedure means the human research ethics committee responsible for approving the relevant research project; 5 "relevant research project" for a medical research procedure means the research project for the purposes of which the procedure is, or is to be, carried out; "working day" means a day other than a 10 Saturday, a Sunday or a public holiday appointed under the Public Holidays Act 1993.'; (b) in the definition of "medical or dental treatment", after paragraph (d) insert-- 15 "(da) a medical research procedure; or"; (c) in the definition of "special procedure", paragraph (b) is repealed. (2) Section 3(3) of the Principal Act is repealed. (3) For section 4(1)(f) of the Principal Act 20 substitute-- "(f) to provide for consent to special procedures, medical research procedures and medical and dental treatment on behalf of persons incapable of giving consent to those 25 procedures or treatment; and". 5. Functions of Public Advocate In section 16(1)(ja) of the Principal Act, after "special procedure" insert "or medical research procedure". 30 5 551347B.I1-15/11/2005 BILL LA INTRODUCTION 15/11/2005

 


 

Guardianship and Administration (Further Amendment) Act 2005 Act No. Part 2--Medical Research Procedures s. 6 6. Consent to medical research procedures (1) In the Principal Act-- (a) in section 36(1)(b) and (2), after "special procedure" insert ", a medical research procedure"; 5 (b) in section 37(1)-- (i) after "in relation to" (where secondly occurring) insert "a proposed medical research procedure or"; (ii) in paragraphs (b), (c) and (d), before 10 "treatment" insert "procedure or"; (iii) in paragraph (e), after "in relation to" insert "medical research procedures that include the proposed procedure or". 15 (2) After section 37(6) of the Principal Act insert-- '(7) For the purposes of sub-section (1)(h), if the patient-- (a) is likely to be capable of giving consent to the carrying out of a medical 20 research procedure, but not within a reasonable time as determined in accordance with section 42R(2); and (b) objects to a relative referred to in paragraphs (a) to (g) of the definition of 25 "nearest relative" in section 3(1) being involved in decisions concerning the patient that would include a medical research procedure being carried out on the patient-- 30 that relative is taken not to be the nearest relative of the patient.'. 6 551347B.I1-15/11/2005 BILL LA INTRODUCTION 15/11/2005

 


 

Guardianship and Administration (Further Amendment) Act 2005 Act No. Part 2--Medical Research Procedures s. 6 (3) At the end of section 39 of the Principal Act insert-- "(2) Division 6 contains provisions for the giving of consent in relation to the carrying out of a medical research procedure on a patient.". 5 (4) In the Principal Act-- (a) in section 40, after "special procedure" insert ", a medical research procedure"; (b) in section 41, after "dental treatment," insert "medical research procedure"; 10 (c) in section 42(a), after "section 42F" insert ", or to a medical research procedure"; (d) in section 42A(1)-- (i) for "or medical or dental treatment on a patient without consent under this Part 15 if the practitioner believes on reasonable grounds that the treatment" substitute ", a medical research procedure or medical or dental treatment on a patient without consent 20 under this Part or authorisation under section 42T if the practitioner believes on reasonable grounds that the procedure or treatment"; (ii) in paragraph (c), after "in the case of" 25 insert "a medical research procedure or"; (e) in section 42A(2)-- (i) after "special procedure" insert ", a medical research procedure"; 30 (ii) after "this Division" insert "and, in the case of a medical research procedure, section 42Q"; 7 551347B.I1-15/11/2005 BILL LA INTRODUCTION 15/11/2005

 


 

Guardianship and Administration (Further Amendment) Act 2005 Act No. Part 2--Medical Research Procedures s. 7 (iii) in paragraph (c), for "battery." substitute "battery; or"; (f) after section 42A(2)(c) insert-- "(d) guilty of an offence against section 42G(1) or 42Y(1).". 5 7. New section 42E substituted For section 42E of the Principal Act substitute-- "42E. Consent of Tribunal to special procedure On hearing an application under this Division, the Tribunal may consent to the 10 carrying out of a special procedure only if it is satisfied that-- (a) the patient is incapable of giving consent; and (b) the patient is not likely to be capable, 15 within a reasonable time, of giving consent; and (c) the special procedure would be in the patient's best interests.". 8. Further amendments to Part 4A 20 (1) In section 42G of the Principal Act-- (a) at the foot of sub-section (1) insert-- "Penalty: Imprisonment for 2 years or 240 penalty units or both."; (b) in sub-section (2)(e), for "battery." 25 substitute "battery; or"; (c) after sub-section (2)(e) insert-- "(f) guilty of an offence against sub- section (1).". 8 551347B.I1-15/11/2005 BILL LA INTRODUCTION 15/11/2005

 


 

Guardianship and Administration (Further Amendment) Act 2005 Act No. Part 2--Medical Research Procedures s. 9 (2) After section 42N(6) of the Principal Act insert-- "(7) An application cannot be made, and the Tribunal cannot make any order, under this section in relation to a medical research procedure. 5 Note: Sections 42V, 42W and 42X provide for the Tribunal's jurisdiction in relation to medical research procedures.". 9. New Division 6 inserted in Part 4A After Division 5 of Part 4A of the Principal Act 10 insert-- 'Division 6--Medical Research Procedures 42P. Introduction and outline of Division (1) This Division contains provisions for the carrying out of a medical research procedure 15 on a patient. Note: See section 36 for the definition of "patient". (2) In essence, this Division provides a 4 step process for authorising the carrying out of a medical research procedure on a patient, as 20 follows-- (a) step 1 is to determine whether the relevant research project is approved by the relevant human research ethics committee--see section 42Q; 25 (b) step 2 is to determine whether the patient is likely to recover the capacity to consent to the procedure within a reasonable time--see section 42R; (c) step 3 is to seek the consent of the 30 person responsible for the patient, which only applies where allowed by section 42R--see section 42S; 9 551347B.I1-15/11/2005 BILL LA INTRODUCTION 15/11/2005

 


 

Guardianship and Administration (Further Amendment) Act 2005 Act No. Part 2--Medical Research Procedures s. 9 (d) step 4 is procedural authorisation, which only applies where allowed by section 42R and the person responsible cannot be ascertained or contacted--see section 42T. 5 (3) Steps 2, 3 and 4 referred to in sub-section (2) do not apply to the carrying out of a medical research procedure under section 42A. Note: Section 42A provides for the carrying out of a 10 medical research procedure without consent in emergency situations. (4) This Division also provides that-- (a) the Tribunal has jurisdiction in various circumstances--see sections 42V, 42W and 42X; 15 (b) offences may be committed by registered practitioners who fail to comply with the Division--see section 42Y; (c) registered practitioners who comply 20 with the Division are protected from civil and criminal liability--see section 42Z. (5) This Division is subject to section 41, which prohibits the carrying out of medical 25 treatment if a refusal of that treatment is in force under the Medical Treatment Act 1988. 42Q. Step 1--Approval of relevant research project 30 (1) Step 1 is to determine whether the relevant research project has been approved by the relevant human research ethics committee. 10 551347B.I1-15/11/2005 BILL LA INTRODUCTION 15/11/2005

 


 

Guardianship and Administration (Further Amendment) Act 2005 Act No. Part 2--Medical Research Procedures s. 9 (2) A medical research procedure must not be carried out on a patient if the relevant research project has not been approved by the relevant human research ethics committee. 5 (3) A medical research procedure must be carried out in accordance with the relevant human research ethics committee approval, including any conditions of that approval. 42R. Step 2--Is patient likely to recover within 10 a reasonable time? (1) Step 2 is to determine whether the patient is likely to be capable, within a reasonable time, of giving consent to the carrying out of a medical research procedure. 15 (2) The reasonable time is the time by which, given the nature of the relevant research project, the procedure would need to be performed on the patient, having regard to-- (a) the medical or physical condition of the 20 patient; or (b) the stage of treatment or care; or (c) other circumstances specific to the patient. (3) If a patient is likely to be capable, within a 25 reasonable time as determined in accordance with sub-section (2), of giving consent to the carrying out of a medical research procedure, a registered practitioner must not carry out, or supervise the carrying out of, the 30 procedure under the authority of a consent under section 42S or procedural authorisation under section 42T. 11 551347B.I1-15/11/2005 BILL LA INTRODUCTION 15/11/2005

 


 

Guardianship and Administration (Further Amendment) Act 2005 Act No. Part 2--Medical Research Procedures s. 9 (4) If a patient is not likely to be capable, within a reasonable time as determined in accordance with sub-section (2), of giving consent to the carrying out of a medical research procedure, a registered practitioner 5 may carry out, or supervise the carrying out of, the procedure under the authority of a consent under section 42S or procedural authorisation under section 42T. (5) Before, or as soon as practicable after, 10 carrying out, or supervising the carrying out of, the medical research procedure, the registered practitioner must state his or her belief that, at the time of the procedure, the patient is or was not likely to be capable of 15 giving consent within a reasonable time and the reason for that belief in writing in the patient's clinical records. Note: This section does not apply to a medical research 20 procedure under section 42A--see section 42P(3). 42S. Step 3--Consent of person responsible (1) Step 3 is to seek the consent of the person responsible for the patient to the carrying out of the medical research procedure on the patient. 25 Note: This section does not apply to a medical research procedure under section 42A-- see section 42P(3). (2) The person responsible may consent to the carrying out of a medical research procedure 30 on the patient. 12 551347B.I1-15/11/2005 BILL LA INTRODUCTION 15/11/2005

 


 

Guardianship and Administration (Further Amendment) Act 2005 Act No. Part 2--Medical Research Procedures s. 9 (3) The person responsible may only consent to the carrying out of the procedure if he or she believes that the carrying out of the procedure would not be contrary to the best interests of the patient. 5 (4) The consent must be consistent with the requirements for consent, if any, specified in the relevant human research ethics committee approval for the relevant research project or the conditions of that approval. 10 42T. Step 4--Procedural authorisation (1) Step 4 is procedural authorisation for the carrying out of the medical research procedure on the patient, which applies only if the person responsible for the patient 15 cannot be ascertained or contacted. Note: This section does not apply to a medical research procedure under section 42A-- see section 42P(3). (2) A registered practitioner may carry out, or 20 supervise the carrying out of, a medical research procedure on a patient without the consent under section 42S of the person responsible for the patient if-- (a) the patient is not likely to be capable, 25 within a reasonable time as determined in accordance with section 42R(2), of giving consent to the carrying out of the procedure; and (b) steps that are reasonable in the 30 circumstances have been taken-- (i) to ascertain whether there is a person responsible and, if so, who that person is; and 13 551347B.I1-15/11/2005 BILL LA INTRODUCTION 15/11/2005

 


 

Guardianship and Administration (Further Amendment) Act 2005 Act No. Part 2--Medical Research Procedures s. 9 (ii) if the person responsible is ascertained, to contact that person to seek his or her consent to the proposed procedure under section 42S-- 5 but it has not been possible to ascertain whether there is a person responsible or who that person is or to contact that person; and (c) the practitioner believes on reasonable 10 grounds that inclusion of the patient in the relevant research project, and being the subject of the proposed procedure, would not be contrary to the best interests of the patient; and 15 (d) the practitioner does not have any reason to believe that the carrying out of the procedure would be against the patient's wishes; and (e) the practitioner believes on reasonable 20 grounds that the relevant human research ethics committee has approved the relevant research project in the knowledge that a patient may participate in the project without the 25 prior consent of the patient or the person responsible; and (f) the practitioner believes on reasonable grounds that-- (i) one of the purposes of the relevant 30 research project is to assess the effectiveness of the therapy being researched; and 14 551347B.I1-15/11/2005 BILL LA INTRODUCTION 15/11/2005

 


 

Guardianship and Administration (Further Amendment) Act 2005 Act No. Part 2--Medical Research Procedures s. 9 (ii) the medical research procedure poses no more of a risk to the patient than the risk that is inherent in the patient's condition and alternative treatment; and 5 (g) the practitioner believes on reasonable grounds that the relevant research project is based on valid scientific hypotheses that support a reasonable possibility of benefit for the patient as 10 compared with standard treatment. (3) Before, or as soon as practicable after, the medical research procedure is carried out, the practitioner supervising the carrying out of the procedure (or, if there is no such person, 15 the practitioner carrying out the procedure) must sign a certificate-- (a) certifying as to each of the matters set out in sub-section (2); and (b) stating that the person responsible 20 (if any) or the patient (if the patient gains or regains capacity) will be informed as required by sub-section (4). (4) A registered practitioner involved in the relevant research project must inform the 25 person responsible (if any) or the patient (if the patient gains or regains capacity) as soon as reasonably practicable of-- (a) the patient's inclusion in the relevant research project; and 30 (b) the option to refuse consent for the procedure to be continued and withdraw the patient from future participation in the project without compromising the patient's ability to 35 15 551347B.I1-15/11/2005 BILL LA INTRODUCTION 15/11/2005

 


 

Guardianship and Administration (Further Amendment) Act 2005 Act No. Part 2--Medical Research Procedures s. 9 receive any available alternative treatment or care. (5) The registered practitioner supervising the carrying out of the procedure (or, if there is no such person, the registered practitioner 5 carrying out the procedure) must-- (a) forward a copy of the certificate referred to in sub-section (3) to the Public Advocate and the relevant human research ethics committee as 10 soon as practicable (and in any event within 2 working days) after supervising the carrying out of, or carrying out, the procedure; and (b) ensure that the certificate is kept in the 15 patient's clinical records. (6) If-- (a) the medical research procedure is a procedure extending over a period exceeding one month after a copy of 20 the certificate is forwarded to the Public Advocate and the relevant human research ethics committee under sub- section (5); and (b) the registered practitioner supervising 25 the carrying out of the procedure (or, if there is no such person, the registered practitioner carrying out the procedure) believes on reasonable grounds that-- (i) the requirements of sub-sections 30 (2)(b) and (8) (if applicable) have been met but the person responsible has not been able to be ascertained or contacted; and 16 551347B.I1-15/11/2005 BILL LA INTRODUCTION 15/11/2005

 


 

Guardianship and Administration (Further Amendment) Act 2005 Act No. Part 2--Medical Research Procedures s. 9 (ii) the patient has not gained or regained the capacity to consent-- the practitioner must, at intervals of not more than one month while the procedure continues, sign a certificate, and forward a 5 copy to the Public Advocate and the relevant human research ethics committee, certifying that each of the matters set out in sub- section (2) continue to apply. (7) The registered practitioner supervising the 10 carrying out of the procedure (or, if there is no such person, the registered practitioner carrying out the procedure) must ensure that each certificate under sub-section (6) is kept in the patient's clinical records. 15 (8) If a medical research procedure is being carried out on a patient under the authority of this section, steps that are reasonable in the circumstances must continue to be taken (as the case requires)-- 20 (a) to ascertain whether there is a person responsible and, if so, who that person is; and (b) if the person responsible is ascertained, to contact that person to seek his or her 25 consent to the proposed procedure. Note: If the person responsible is contacted and is willing and able to make a decision (see section 37), section 42S applies. If the patient 30 gains or regains capacity to consent, his or her consent must be sought, as he or she will no longer be a person to which this Division applies. 17 551347B.I1-15/11/2005 BILL LA INTRODUCTION 15/11/2005

 


 

Guardianship and Administration (Further Amendment) Act 2005 Act No. Part 2--Medical Research Procedures s. 9 42U. Best interests (1) In this Division, for the purposes of determining whether a medical research procedure would or would not be contrary to the best interests of a patient, the following 5 matters must be taken into account-- (a) the wishes of the patient, so far as they can be ascertained; and (b) the wishes of any nearest relative or any other family members of the 10 patient; and (c) the nature and degree of any benefits, discomforts and risks for the patient in having or not having the procedure; and (d) any other consequences to the patient if 15 the procedure is or is not carried out; and (e) any other prescribed matters. (2) For the purposes of sub-section (1)(b), if the patient-- 20 (a) is likely to be capable of giving consent to the carrying out of a medical research procedure, but not within a reasonable time as determined in accordance with section 42R(2); and 25 (b) objects to-- (i) a relative referred to in paragraphs (a) to (g) of the definition of "nearest relative" in section 3(1); or 30 18 551347B.I1-15/11/2005 BILL LA INTRODUCTION 15/11/2005

 


 

Guardianship and Administration (Further Amendment) Act 2005 Act No. Part 2--Medical Research Procedures s. 9 (ii) another family member (other than the patient's spouse or domestic partner)-- being involved in decisions concerning the patient that would include a medical 5 research procedure being carried out on the patient-- that relative or family member is taken not to be the nearest relative or a family member of the patient. 10 42V. Applications to Tribunal (1) An application may be made to the Tribunal in relation to any matter, question or dispute under this Division relating to the best interests of a patient. 15 (2) An application may be made by-- (a) a person responsible; or (b) a person who, in the opinion of the Tribunal, has a special interest in the affairs of the patient, including a 20 registered practitioner (if any). (3) Despite sub-section (2)(b), a registered practitioner who is involved in the relevant research project cannot apply to the Tribunal in relation to a refusal of the person 25 responsible for a patient to consent under section 42S to the carrying out of a medical research procedure on the patient. (4) If an application is made under this section, the patient is a party to the proceeding. 30 19 551347B.I1-15/11/2005 BILL LA INTRODUCTION 15/11/2005

 


 

Guardianship and Administration (Further Amendment) Act 2005 Act No. Part 2--Medical Research Procedures s. 9 (5) The Tribunal must give notice of an application, of the hearing of the application and of any order of the Tribunal in respect of the application to-- (a) the Public Advocate; and 5 (b) any other person whom the Tribunal considers has a special interest in the affairs of the patient. (6) On an application under this section, the Tribunal-- 10 (a) may make an order that for matters relating to medical research procedures, either generally or of a particular kind, a person specified in the order is to be the person responsible; 15 (b) may appoint a person as guardian of the patient generally or for matters relating to medical research procedures; (c) may vary a guardianship order to make provision for matters relating to 20 medical research procedures; (d) may revoke, suspend or vary an instrument appointing a person as the enduring guardian to the extent that the instrument relates to medical research 25 procedures; (e) may make an order that any proposed medical research procedure is or is not contrary to the best interests of the patient; 30 20 551347B.I1-15/11/2005 BILL LA INTRODUCTION 15/11/2005

 


 

Guardianship and Administration (Further Amendment) Act 2005 Act No. Part 2--Medical Research Procedures s. 9 (f) may make any orders or give any directions it considers necessary to resolve any conflict between persons relating to the best interests of a patient; (g) may make a declaration as to the 5 validity or effect of any decision relating to medical research procedures; (h) may give an advisory opinion in relation to the best interests of a patient; (i) may make any other orders it considers 10 to be in the best interests of the patient. 42W. Person responsible may seek advice (1) The person responsible for a patient may apply to the Tribunal for directions or an advisory opinion on any matter or question 15 relating to the scope or exercise of his or her authority to consent to a medical research procedure on behalf of the patient. (2) The Tribunal must give notice to any person whom the Tribunal considers has a special 20 interest in the affairs of the patient of the application, of the hearing of the application and of any order, directions or advisory opinion of the Tribunal in respect of the application. 25 (3) The Tribunal may-- (a) give any directions or advisory opinion it considers necessary; (b) make any order it considers necessary. (4) The Tribunal of its own motion may direct, 30 or give an advisory opinion to, the person responsible for a patient in respect of any matter. 21 551347B.I1-15/11/2005 BILL LA INTRODUCTION 15/11/2005

 


 

Guardianship and Administration (Further Amendment) Act 2005 Act No. Part 2--Medical Research Procedures s. 9 (5) An action does not lie against the person responsible for a patient on account of an act or thing done or omitted to be done by that person in accordance with any order, directions or advisory opinion of the 5 Tribunal made or given under this section unless in representing the facts to the Tribunal that person has been guilty of fraud, wilful concealment or misrepresentation. 42X. Guidelines for medical research 10 procedures The Tribunal may-- (a) in consultation with the Public Advocate and the Secretary to the Department of Justice; and 15 (b) with the approval of the Governor in Council-- issue and make available to members of the public guidelines to assist the person responsible for a patient in determining 20 whether or not to consent to medical research procedures in respect of the patient. 42Y. Offences (1) Subject to section 42A, a registered practitioner must not carry out, or supervise 25 the carrying out of, a medical research procedure on a patient unless-- (a) the carrying out of the procedure is allowed by section 42R and either the person responsible for the patient has 30 given consent under section 42S or the procedure is authorised under section 42T; or 22 551347B.I1-15/11/2005 BILL LA INTRODUCTION 15/11/2005

 


 

Guardianship and Administration (Further Amendment) Act 2005 Act No. Part 2--Medical Research Procedures s. 9 (b) the carrying out of the procedure is otherwise authorised by law. Penalty: Imprisonment for 2 years or 240 penalty units or both. (2) A registered practitioner must not sign a 5 certificate under section 42T(3) or (6) that the practitioner knows to be false. Penalty: 120 penalty units. (3) A registered practitioner must not carry out, or supervise the carrying out of, a medical 10 research procedure on a patient unless the relevant research project has been approved by the relevant human research ethics committee. Penalty: 240 penalty units. 15 42Z. Protection of registered practitioner (1) A registered practitioner who, in good faith, carries out, or supervises the carrying out of, a medical research procedure on a patient in accordance with this Division in reliance 20 on-- (a) a consent given by another person whom the registered practitioner believed on reasonable grounds was authorised to give such consent; or 25 (b) a purported consent given by another person whom the registered practitioner believed on reasonable grounds was authorised to give such consent but was not so authorised-- 30 is not-- (c) guilty of assault or battery; or (d) guilty of professional misconduct; or 23 551347B.I1-15/11/2005 BILL LA INTRODUCTION 15/11/2005

 


 

Guardianship and Administration (Further Amendment) Act 2005 Act No. Part 2--Medical Research Procedures s. 10 (e) liable in any civil proceedings for assault or battery; or (f) guilty of an offence against section 42Y(1). (2) A registered practitioner who, in good faith, 5 carries out, or supervises the carrying out of, a medical research procedure on a patient in accordance with this Division without the consent of another person and in the belief on reasonable grounds that the requirements 10 of this Division have been complied with is not-- (a) guilty of assault or battery; or (b) guilty of professional misconduct; or (c) liable in any civil proceedings for 15 assault or battery; or (d) guilty of an offence against section 42Y(1). (3) Nothing in this section affects any duty of care owed by a registered practitioner to a 20 patient.'. 10. Consequential amendments (1) For section 60A(6)(b) of the Principal Act substitute-- "(b) an application under section 42V (except an 25 application in respect of which an order is made under section 42V(6)(b) appointing a guardian generally); or". (2) At the end of section 80 of the Principal Act insert-- 30 "(2) Sub-section (1) does not apply to a contravention of section 42Q(2). Note: Section 42Y(3) creates an offence relating to the matters covered in section 42Q(2).". 24 551347B.I1-15/11/2005 BILL LA INTRODUCTION 15/11/2005

 


 

Guardianship and Administration (Further Amendment) Act 2005 Act No. Part 2--Medical Research Procedures s. 11 (3) After section 82(1)(ca) of the Principal Act insert-- "(cab) prescribing any procedure-- (i) to be a medical research procedure for the purposes of this Act; or 5 (ii) not to be a medical research procedure for the purposes of this Act; and (cac) prescribing any matters to be taken into account in determining whether a medical research procedure would or would not be 10 contrary to the best interests of a person to whom Part 4A applies; and". 11. New section 88 inserted After section 87 of the Principal Act insert-- '88. Medical research procedures 15 (1) This Act, as in force immediately before the commencement day, continues to apply on and after that day in relation to any consent or conferral of authority to consent to the carrying out of a special procedure, being a 20 procedure carried out for the purposes of medical research, given by the Tribunal that was in force immediately before that day. (2) Despite anything to the contrary in paragraph (e) of section 42T(2), a registered 25 practitioner is taken to have complied with that paragraph if he or she believes on reasonable grounds that the relevant human research ethics committee has given approval for the relevant research project before the 30 commencement day in the knowledge that a patient may participate in the project without the prior consent of the patient. 25 551347B.I1-15/11/2005 BILL LA INTRODUCTION 15/11/2005

 


 

Guardianship and Administration (Further Amendment) Act 2005 Act No. Part 2--Medical Research Procedures s. 12 (3) In this section-- "commencement day" means the day on which section 11 of the Guardianship and Administration (Further Amendment) Act 2005 comes into 5 operation.'. 12. Consequential amendment of Mental Health Act 1986 (1) In section 83(1) of the Mental Health Act 1986, after "special procedure" insert "or medical 10 research procedure". (2) At the foot of section 83(1) of the Mental Health Act 1986 insert-- "Note: Part 4A of the Guardianship and Administration 15 Act 1986 applies to the carrying out of a special procedure or medical research procedure on persons who are incapable of giving consent to that procedure.". __________________ 26 551347B.I1-15/11/2005 BILL LA INTRODUCTION 15/11/2005

 


 

Guardianship and Administration (Further Amendment) Act 2005 Act No. Part 3--Miscellaneous Amendments s. 13 PART 3--MISCELLANEOUS AMENDMENTS 13. Definition In section 3(1) of the Principal Act, in the definition of "guardian", after "means" insert "(except in section 58C(2))". 5 14. Delegation by Public Advocate In section 18(1) of the Principal Act-- (a) for "other than--" substitute "other than this power of delegation."; (b) paragraphs (a) and (b) are repealed. 10 15. Guardianship orders--wishes of proposed represented person In the Principal Act-- (a) after section 22(2)(a) insert-- "(ab) the wishes of the proposed represented 15 person, so far as they can be ascertained; and"; (b) in section 23(2)(a), after "person" insert ", so far as they can be ascertained". 16. Appointment of enduring guardian 20 (1) In section 35A(2)(c) of the Principal Act-- (a) after "execution of the instrument" insert "by each of the appointor, the proposed enduring guardian and the proposed alternative enduring guardian (if any)"; 25 (b) for sub-paragraph (iii) substitute-- "(iii) both of whom have witnessed the execution of the instrument by the appointor, the proposed enduring guardian or the proposed alternative 30 enduring guardian (as the case requires) 27 551347B.I1-15/11/2005 BILL LA INTRODUCTION 15/11/2005

 


 

Guardianship and Administration (Further Amendment) Act 2005 Act No. Part 3--Miscellaneous Amendments s. 17 in the presence of that person and each other; and". (2) After section 35A(2) of the Principal Act insert-- "(2A) For the avoidance of doubt, it is not necessary-- 5 (a) for the same persons to witness the execution of the instrument by the appointor, the proposed enduring guardian and the proposed alternative enduring guardian (if any); or 10 (b) for the appointor, the proposed enduring guardian and the proposed alternative enduring guardian to execute the instrument at the same time or in the presence of each other.". 15 17. Appointment of administrator--wishes of proposed represented person (1) For section 46(2) of the Principal Act substitute-- "(2) In determining whether or not a person is in 20 need of an administrator of her or his estate, the Tribunal must consider-- (a) whether the needs of the person in respect of whom the application is made could be met by other means less 25 restrictive of the person's freedom of decision and action; and (b) the wishes of the person in respect of whom the application is made, so far as they can be ascertained.". 30 (2) In section 47(2)(a) of the Principal Act, after "person" insert ", so far as they can be ascertained". 28 551347B.I1-15/11/2005 BILL LA INTRODUCTION 15/11/2005

 


 

Guardianship and Administration (Further Amendment) Act 2005 Act No. Part 3--Miscellaneous Amendments s. 18 18. New section 47B inserted After section 47A of the Principal Act insert-- "47B. Payment of costs and expenses to administrator or former administrator from estate 5 (1) If, in any proceeding, a court or tribunal orders that an administrator pay any costs of the proceeding, the court or tribunal may order that the administrator pay, or be reimbursed for, all or part of those costs from 10 the estate administered by the administrator. (2) In any proceeding, a court or tribunal may order that an administrator be reimbursed for all or part of the administrator's costs of the proceeding from the estate administered by 15 the administrator. (3) A court or tribunal may order that the costs incurred in administering an estate by a person appointed as an administrator (including the costs of any proceeding) may 20 be paid out of, or reimbursed from, the estate, whether or not the appointment has been revoked or quashed. (4) An order referred to in sub-section (3) may be made on an application under section 55 25 or otherwise, and for that purpose, a reference in section 55 to an administrator is taken to include a reference to a person whose appointment as an administrator has been revoked or quashed.". 30 29 551347B.I1-15/11/2005 BILL LA INTRODUCTION 15/11/2005

 


 

Guardianship and Administration (Further Amendment) Act 2005 Act No. Part 3--Miscellaneous Amendments s. 19 19. Application for rehearing After section 60A(3) of the Principal Act insert-- "(3A) If the Tribunal makes an order on a reassessment under section 61 conducted on the Tribunal's own initiative, a party or a 5 person entitled to notice of the reassessment may apply to the Tribunal for a rehearing of the reassessment, if the Tribunal gives leave.". 20. New section 60B substituted 10 For section 60B of the Principal Act substitute-- "60B. Parties and notice (1) In addition to any other parties, the following are parties to a rehearing-- (a) in the case of the rehearing of an 15 application referred to in section 60A(1)--a party to the proceeding on that application; (b) in the case of the rehearing of a reassessment referred to in 20 section 60A(3A)--a party to the reassessment. (2) The following are entitled to notice of an application for a rehearing-- (a) in the case of the rehearing of an 25 application referred to in section 60A(1)--a person who was entitled to notice of the making of the that application; (b) in the case of the rehearing of a 30 reassessment referred to in section 60A(3A)--a person who was entitled to notice of the reassessment.". 30 551347B.I1-15/11/2005 BILL LA INTRODUCTION 15/11/2005

 


 

Guardianship and Administration (Further Amendment) Act 2005 Act No. Part 3--Miscellaneous Amendments s. 21 21. New section 67 inserted After section 66 of the Principal Act insert-- '67. Effect of setting aside administration order on previous actions of administrator (1) An order of a court or tribunal (the "setting 5 aside order") that sets aside, or has the effect of setting aside, an administration order does not affect the validity of anything done in accordance with the administration order before the setting aside order takes 10 effect. (2) Sub-section (1) is subject to any order to the contrary by the court or tribunal making the setting aside order.'. 22. New section 86A inserted 15 After section 86 of the Principal Act insert-- "86A. Enduring guardians An appointment of an enduring guardian made under this Act that was in force immediately before the commencement of 20 sections 16 and 24 of the Guardianship and Administration (Further Amendment) Act 2005 is not invalid on or after that commencement only because-- (a) it was not executed in accordance with 25 section 35A as amended by section 16 of the Guardianship and Administration (Further Amendment) Act 2005; or (b) it is not in the form of Form 1 in 30 Schedule 4 as amended by section 24 of the Guardianship and Administration (Further Amendment) Act 2005.". 31 551347B.I1-15/11/2005 BILL LA INTRODUCTION 15/11/2005

 


 

Guardianship and Administration (Further Amendment) Act 2005 Act No. Part 3--Miscellaneous Amendments s. 23 23. Acting Public Advocate In Schedule 3 to the Principal Act, after clause 2(1) insert-- "(1A) The Attorney-General may appoint a person who-- 5 (a) has previously been appointed as Acting Public Advocate under sub-clause (1); and (b) has taken an oath or made an affirmation under clause 3-- as Acting Public Advocate during the temporary 10 absence of the Public Advocate. (1B) A person appointed under sub-clause (1A) is not required to take another oath or make another affirmation under clause 3. (1C) The Attorney-General may at any time revoke an 15 appointment under sub-clause (1A).". 24. Form for appointment of enduring guardian In Schedule 4 to the Principal Act, in Form 1-- (a) in clause 2, for "personal circumstances" substitute "person or circumstances"; (b) after-- 20 "This is an appointment of an enduring guardian made under Division 5A of Part 4 of the Guardianship and Administration Act 1986. ........................................ ............... (Signature of appointor) (date)" insert-- "CERTIFICATE OF WITNESSES We (insert names, addresses and occupations of at least 2 witnesses) certify-- 25 (a) that the appointor has signed this instrument freely and voluntarily in our presence; and 32 551347B.I1-15/11/2005 BILL LA INTRODUCTION 15/11/2005

 


 

Guardianship and Administration (Further Amendment) Act 2005 Act No. Part 3--Miscellaneous Amendments s. 24 (b) that the appointor appeared to understand the effect of this instrument. ........................................................ ........... (Signature of witness authorised to (date) witness the signing of statutory declarations) ......................................................... ........... (Signature of other witness) (date)"; (c) after-- "I, (insert name, address and occupation of proposed 5 guardian) accept appointment as a guardian under this instrument and undertake to exercise the powers conferred honestly and in accordance with the provisions of the Guardianship and Administration Act 1986. .................................................. ............... (Signature of proposed guardian) (date)" insert-- 10 "CERTIFICATE OF WITNESSES We (insert names, addresses and occupations of at least 2 witnesses) certify-- (a) that the proposed guardian has signed this 15 instrument freely and voluntarily in our presence; and (b) that the proposed guardian appeared to understand the effect of this instrument. ........................................................ ........... (Signature of witness authorised to (date) witness the signing of statutory declarations) ......................................................... ........... (Signature of other witness) (date)"; 33 551347B.I1-15/11/2005 BILL LA INTRODUCTION 15/11/2005

 


 

Guardianship and Administration (Further Amendment) Act 2005 Act No. Part 3--Miscellaneous Amendments s. 24 (d) after-- "(If applicable:) I, (insert name, address and occupation of proposed alternative guardian) accept appointment as an alternative guardian under this 5 instrument and undertake to exercise the powers conferred honestly and in accordance with the provisions of the Guardianship and Administration Act 1986. ...................................................... ............... (Signature of proposed alternative (date)" guardian) insert-- 10 "CERTIFICATE OF WITNESSES We (insert names, addresses and occupations of at least 2 witnesses) certify-- (a) that the proposed alternative guardian has signed this instrument freely and voluntarily in our 15 presence; and (b) that the proposed alternative guardian appeared to understand the effect of this instrument. ........................................................ ........... (Signature of witness authorised to (date) witness the signing of statutory declarations) ......................................................... ........... (Signature of other witness) (date)"; (e) omit-- "CERTIFICATE OF WITNESSES 20 We (insert names, addresses and occupations of at least 2 witnesses) certify-- (a) that the appointor, the proposed guardian and the proposed alternative guardian (if any) have signed this instrument freely and voluntarily in 25 our presence; and 34 551347B.I1-15/11/2005 BILL LA INTRODUCTION 15/11/2005

 


 

Guardianship and Administration (Further Amendment) Act 2005 Act No. Part 3--Miscellaneous Amendments s. 24 (b) that the appointor, the proposed guardian and the proposed alternative guardian (if any) appeared to understand the effect of this instrument. ........................................................ ........... (Signature of witness authorised to (date) witness the signing of statutory declarations) ......................................................... ........... (Signature of other witness) (date)". 35 551347B.I1-15/11/2005 BILL LA INTRODUCTION 15/11/2005

 


 

Guardianship and Administration (Further Amendment) Act 2005 Act No. Endnotes ENDNOTES By Authority. Government Printer for the State of Victoria. 36 551347B.I1-15/11/2005 BILL LA INTRODUCTION 15/11/2005

 


 

 


[Index] [Search] [Download] [Related Items] [Help]