Form COP3: Your questions answered
What is a COP3
COP3 is a specialist assessment of capacity form used by the Court of Protection. Used to establish if a person has the mental capacity to make a specific decision. The Court of Protection only makes decisions in the best interests of those who have been assessed as lacking the mental capacity to make that decision for themselves. Form COP3 has two parts; Part A and Part B. Part A is completed by the person making the application to the Court of Protection, and Part B is completed by the specialist Mental Capacity Assessor.
What types of decision-specific mental capacity assessments are recorded on a COP3 form?
The most common mental capacity assessment that Thornton & Lee complete on a COP3 form is in support of applications to the Court of Protection to become a Property and financial affairs Deputy. However, we also complete many COP3 form assessments for applications for a Personal Welfare Deputy, for a Statutory Will, for a Gifting application, and to remove a Trustee from a Trust. All of our Mental Capacity Assessors are skilled and experienced in completing all types of mental capacity assessments for a COP3 form.
Do I need a Solicitor to make an application to the Court of Protection?
Whilst we always suggest that members of the public have an experienced legal professional to guide them through the application to the Court of Protection, members of the public can also make applications to the Court of Protection directly and the forms are downloadable on the Government website for everybody. The merit of using a legal professional is that it avoids long delays and additional fees should the Court of Protection reject your application due to your forms being completed incorrectly. However, we do regularly complete COP3 forms for members of the public who have chosen to complete the application paperwork themselves and are very happy to accept referrals directly from members of the public. Thornton & Lee’s role and remit is strictly to complete mental capacity assessments. Consequently, should you choose to make an application to the Court of Protection directly without an experienced legal advisor, the correct completion of the application forms is your responsibility.
Who can complete a COP3
Official guidance for COP3 form completion lists appropriate professionals as medical practitioners or social care professionals as certified to complete COP3 forms. In practice, however, it can be frustrating and time-consuming trying to track down a professional experienced in mental capacity assessments who is able and willing to complete the form. NHS professionals are often reluctant or slow to respond due to work pressures, and Local Authorities do not have any statutory responsibility to complete these forms. At Thornton & Lee our Independent Social Workers offer a quick, professional and efficient solution to the stress of trying to source a professional willing to complete a COP3 mental capacity assessment.
Social Services already did a mental capacity assessment. Can’t I submit that to the Court of Protection?
Unfortunately, not. If you submit a mental capacity assessment even if it is for the same decision, for example, property and financial affairs, without it being formatted specifically on a form COP3, the Court of Protection will not accept the application.
What legal framework is used to complete a form COP3
The legal framework underpinning mental capacity assessments on a COP3 is the Mental Capacity Act (2005). The Mental Capacity Act provides a legal framework for acting and making decisions on behalf of adults who lack the mental capacity to make particular decisions for themselves. A key principle of the Mental Capacity Act is that mental capacity is presumed and the emphasis is upon the Mental Capacity Assessor to then establish evidence that the person being assessed lacks mental capacity for the decision in question. In order to make a decision under the Mental Capacity Act the person being assessed is required to understand, retain, weigh and communicate the relevant information for the decision in question.
Why do I need to tell you so much information about their circumstances if I believe they don’t have capacity?
The Court of Protection is clear that all persons being assessed must be supported to understand the relevant information for the capacity assessment. For example a property and financial assessment must include support explaining a basic level of the relevant information to the person being assessed such as the address of the property they own, where they bank, and income and expenditure, and also asking them who would like to support them with their affairs, and how, to be able to then assess if that person can retain and use the relevant information to arrive at their decision.
Why do you have to ask them questions when I already know they don’t have capacity?
We understand that this might be confusing or upsetting for family members that the appointment includes asking the person being assessed questions they are unable to answer. The Mental Capacity Act Code of Practice is clear that the person undertaking the assessment must do all that they can to explain the information relevant to the decision to the person being assessed, and the Court of Protection will not accept a mental capacity assessment on form COP3 which does not evidence how the relevant information has been explained to the person in an accessible manner, and evidence that following this explanation the person being assessed has been unable to understand, use or weigh the information.
What does cognitive optimum mean
At Thornton & Lee we triage all referrals very carefully to ensure each person is assessed at their cognitive optimum, which essentially means that the appointment took place when they were at their best in terms of their memory and understanding. For example, a person with Alzheimer’s might be quite bright in the mornings but become increasingly confused by the end of the day. Hence the appointment would be booked in the morning. Some types of acute illness or infection can impact understanding and memory too, such as a urine infection, so the appointment would be booked once this has been resolved. The Mental Capacity Assessor will also in addition to the timing of the assessment consider the location, involvement of trusted others, and communication method to make sure that as far as possible the person is relaxed, comfortable and the communication approach gives them maximum scope to both understand but also express any wishes or views they might have during the appointment.
Can a COP3 assessment be completed by video?
In principle yes, mental capacity assessments can be completed by video, and the Court of Protection does accept COP3 assessments undertaken virtually. At Thornton & Lee we undertake many assessments virtually each week with the COP3 form also explicitly requesting information as to whether the assessment was completed virtually or face to face and why. The essential aspect to consider when weighing whether the assessment should take place face-to-face or virtually is the impact on the person being assessed. The Mental Capacity Act Code of Practice is clear that the Assessor must take all practicable steps to ensure that the person being assessed is supported to understand and engage with the assessment and so ultimately video assessments can be utilised for those where it is evident that they will not be disadvantaged from understanding, using and weighing the relevant information for that decision by the assessment taking place virtually over face to face.
What do you do if they can’t communicate verbally?
At Thornton & Lee all of our Mental Capacity Assessors are trained in completing mental capacity assessments for those who are non-verbal. We have a vast library of resources and also experience in using a variety of different communication methods. So you can be reassured that the person being assessed is given the maximum opportunity to engage in a meaningful way and the right platform to be able to communicate any wishes or views that they have non-verbally.
Is it possible for the person to later regain capacity?
The COP3 form dedicates a section to this question, and in principle yes absolutely it’s possible in a small number of cases. For example, a younger adult with a learning disability, who has always had support from a parent or carer, might not yet have had the opportunity to develop and ‘acquire’ understanding and ability to use the information to make a capacious decision. With the right level of support and focus on independent living skills or financial management over time, they could go on in the future to have mental capacity. Another example might be an adult who has experienced an acquired brain injury and lost many of the skills and understanding over a particular decision. With the right focus on rehabilitation and practising skills over time, it might be possible for an adult with an acquired brain injury to ‘regain’ mental capacity in the future.
Can a COP3 assessment be completed for a patient still in hospital?
In principle yes, a mental capacity assessment can be completed when the person is still in hospital. Although we do generally find people do better in their own environment there are occasions when it is not possible to delay the mental capacity assessment and so it must take place in the hospital. However, the person being assessed must be at their ‘cognitive optimum’, and as such they must be free from any acute illness or infection that might impact on understanding and memory such as an infection, constipation, or unstable diabetes for example. If undertaking an assessment in a hospital it is also important that a quiet and distraction-free area is found to undertake the assessment to give the person the best opportunity to engage in a meaningful way with the appointment process.
How long will a COP3 assessment appointment take
It depends on the individual. If they enjoy the ‘chat’ with our Mental Capacity Assessor, as is often the case, then the appointment can take anything from 45 minutes to 2 hours. However, if the person is very poorly and is struggling to engage with the assessor despite the supportive and kind approach then the assessment will be streamlined to gather the relevant information as promptly and efficiently as possible.
How much is a COP3 assessment
At Thornton & Lee our video COP3 assessments have a fixed fee of £375.00. However, we know that the virtual world is not suitable or preferred by everyone and so if a face-to-face appointment is necessary or deemed to be the most appropriate method of assessment for a COP3 form for that person, we have assessors based throughout England and Wales and can offer a quote for travel.