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18 Med. L. Int'l 3 (2018)

handle is hein.journals/medclint18 and id is 1 raw text is: 



                                                            MEDICAL LAW..
Article                                                    I NTERN ATI ON AL

                                                               Medical Law International
                                                                 2018, Vol. 18(I) 3-34
Rethinking necessity and best                                    K The Author(s) 2018
interests in New           Zealand                             Reprints and permission:
                                                       sagepub.co.uld/jou rnalsPermissions.nav
            apa    city   laDOI: 10.1 177/0968533218762240
ment        capacity law                                   journals.sagepub.com/home/mli
                                                                      OSAGE


Alison Douglass
Barristers Chambers and Bioethics Centre, University of Otago, New Zealand



Abstract
This article considers the hard-earned lessons that New Zealand might draw from
developments in English mental capacity law that should inform a comprehensive
review of New Zealand's equivalent adult guardianship legislation, the Protection of
Personal and Property Rights Act 1988. The United Nations Convention on the
Rights of Persons with Disabilities, and the shift towards supported decision-making,
requires State parties to rethink domestic laws and engage with the key concepts of
this important human rights convention. The most significant development under the
Mental Capacity Act (England and Wales) 2005 is the identification of the so-called
'Bournewood gap' and the realization that the common law doctrine of necessity
provides inadequate procedural safeguards for people with impaired capacity who
are unable to consent or object to their healthcare and living arrangements. In
addition, the 'best interests' standard for decision-making in English law has evolved
with a greater emphasis on support for the exercise of a person's legal capacity into
this standard. This article argues that these developments should influence reform of
New Zealand's mental capacity law.


Keywords
Best interests, necessity, supported decision-making, mental capacity, Protection of
Personal and Property Rights Act 1988 (NZ)

Received 17 November 2017; Revised 4 February 2018; Accepted 8 February 2018


Corresponding author:
Alison Douglass, Barristers Chambers and Bioethics Centre, University of Otago, PO Box 5117, Dunedin,
Otago 9058, New Zealand.
Email: alison.douglass@barristerschambers.co.nz

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