The short answer
- Capacity is judged one decision at a timeA learning disability does not on its own mean somebody cannot decide. Someone may be able to choose their support worker and not be able to manage savings.
- Day to day, you can act without paperworkWhere your son or daughter cannot make an everyday decision, the person helping at the time decides in their best interests. The law protects you if you have checked and acted in their interests.
- Money is where formal authority is neededA DWP appointee handles benefits, for no fee. Other money needs a mandate or LPA while they can give one, or a deputy, which costs £432 to apply for.
- A welfare deputy is rarely appointedThe court prefers to make a single decision itself rather than hand ongoing welfare powers to anyone, including a parent. Health and care decisions are made in best interests, with you consulted.
This page covers the law in England and Wales and was checked on legislation.gov.uk and gov.uk in September 2026. It is general information, not legal advice. Some readers will be the person with a learning disability; where it says your son or daughter, read it as yourself.
What changes at 18
Why a parent stops being the legal decision maker at 18
Parental responsibility is a parent's legal authority over a child, and in law a child is somebody under 18. On the 18th birthday that authority ends, whatever your son or daughter's needs, and nothing replaces it automatically.
- At 16
The Mental Capacity Act starts to apply
Most of the Act covers people aged 16 and over, so from here a young person is assumed to be able to make their own decisions unless it is shown they cannot. The DWP also invites them to move from DLA to PIP.
- At 18
Parental responsibility ends
Doctors, colleges, banks and the council deal with your son or daughter as an adult. They may ask for their permission before talking to you.
- From 18
They can make a lasting power of attorney
If they have the mental capacity to make it, they can choose who could decide for them in future. Nobody can make one on their behalf.
- Any time
Capacity can change
People learn, gain confidence and sometimes lose ground. A decision about capacity made last year is not a decision about this year.
It can come as a shock if you have signed every form for 18 years. It does not shut you out. The law expects the people around your son or daughter to help them decide, and to consult you when they cannot. What ends is your right to the final word because you are their parent.
The preparation for this starts well before the birthday. What changes at 18, and how to plan the move to adult services covers the transition assessment, education plans and benefits. This guide covers the decisions themselves, within the learning disability family guide and the wider disability care section.
One decision at a time
Capacity is decided one decision at a time, after every effort to help
The Mental Capacity Act 2005 sets out five principles. The first three protect your son or daughter's right to decide, and the last two apply only once it is clear they cannot.
Section 1 of the Act says a person is assumed to have capacity unless it is established that they do not, and is not treated as unable to decide until all practicable steps to help them have been tried, or because a decision looks unwise. Anything done for someone who lacks capacity must be in their best interests, and the less restrictive way of achieving the same purpose must be considered first.
Capacity in the Act is about "a matter" at "the material time". So the question is never whether your son or daughter has capacity in general. It is whether they can make this decision, now. Somebody may be able to choose their support worker and not be able to understand a tenancy agreement. When a professional says your son "lacks capacity", it is fair to ask them which decision they mean.
- 1
Understand the information
Section 3(1)(a)The facts that matter for this decision, including what is likely to happen either way. A person who understands an explanation given in simple words, pictures or signs has understood it. - 2
Hold on to it long enough
Section 3(1)(b)Only for as long as it takes to make the decision. Remembering it for a short time is enough, so forgetting it next week does not by itself mean they could not decide. - 3
Use or weigh it
Section 3(1)(c)Put the information together and come to a view. Someone can understand every fact and still be unable to weigh them, and the reverse can also be true. - 4
Communicate the decision
Section 3(1)(d)By talking, signing, pointing to a picture or any other means. A person who cannot speak may be able to show a clear choice.
If a person cannot do any one of those four things for a particular decision, because of an impairment of the mind or brain such as a learning disability, they lack capacity for that decision at that time.
Helping them decide comes before deciding for themSection titled Helping%20them%20decide%20comes%20before%20deciding%20for%20them
This is often called supported decision making. Before anyone concludes your son or daughter cannot decide, they must have tried the things that might help. That can mean explaining one thing at a time, using easy read information or photographs, visiting a place before choosing it, picking a time of day when they are at their best, or having someone they trust in the room.
The easiest mistake to make, with the best of intentions, is answering for your son or daughter before they have had a chance to answer. Mental capacity and how it is assessed covers the test in more detail, and Mencap, the learning disability charity, has a guide to the Mental Capacity Act.
Best interests
When they cannot decide: best interests, and who makes the decision
If your son or daughter cannot make a particular decision even with help, it is made for them in their best interests. The Act does not name one person as the decision maker for everything. It depends on what the decision is.
| Who makes the best interests decision | Where you come in | |
|---|---|---|
| Everyday care: food, washing, going out | The person caring at the time, which may be you or a support worker | You may be the decision maker, without any paperwork |
| Medical treatment | The doctor or health professional who would give the treatment | They must consult you as someone caring for them or interested in their welfare |
| Council care and where support comes from | The council, through its social worker, as part of the care and support plan | Consulted, and you may be the person who helps them take part |
| Decisions covered by an LPA or court order | The attorney or deputy, within what the document or order allows | You decide if you are the attorney or deputy |
| Serious disagreement that nobody can settle | The Court of Protection | You can apply yourself, or ask to be joined to an application |
Everyday care: food, washing, going out
- Who makes the best interests decision
- The person caring at the time, which may be you or a support worker
- Where you come in
- You may be the decision maker, without any paperwork
Medical treatment
- Who makes the best interests decision
- The doctor or health professional who would give the treatment
- Where you come in
- They must consult you as someone caring for them or interested in their welfare
Council care and where support comes from
- Who makes the best interests decision
- The council, through its social worker, as part of the care and support plan
- Where you come in
- Consulted, and you may be the person who helps them take part
Decisions covered by an LPA or court order
- Who makes the best interests decision
- The attorney or deputy, within what the document or order allows
- Where you come in
- You decide if you are the attorney or deputy
Serious disagreement that nobody can settle
- Who makes the best interests decision
- The Court of Protection
- Where you come in
- You can apply yourself, or ask to be joined to an application
Based on the Mental Capacity Act Code of Practice, paragraph 5.8, and sections 4 and 5 of the Act.
Whoever makes the decision must follow section 4 of the Act. They must consider whether your son or daughter is likely to be able to make the decision later, and if so, whether it can wait. They must encourage them to take part as fully as they can. They must consider their past and present wishes and feelings, and the beliefs and values that would be likely to influence them. And they must, where practicable, consult anyone engaged in caring for them or interested in their welfare, which includes you. Best interests is not the same as what the family would like, or what is safest.
For everyday care, section 5 of the Act gives you legal protection. If you have taken reasonable steps to work out whether your son or daughter can make the decision, reasonably believe they cannot, and act in their best interests, you can help them wash, give them their tablets, or decide which shop to go to, without anyone's permission. The same applies to a support worker. Section 5 does not give anyone access to the person's bank account, or authority to sign a tenancy or other contract in their name, and that is where the tools in the next section come in.
If you are arranging support at home, the carer who spends most time with your son or daughter will be making many of these small decisions. On PrimeCarers the family, or the person themselves, chooses the carer, interviews them first and agrees the routine with them directly, and can keep the same person for as long as it suits both of them. When you are ready, you can search for carers near you and compare their rates: carers on PrimeCarers charge £18 to £25 an hour with our fee included, against £28 to £35 at an agency. There is no way to search for carers by learning disability experience or training. What a carer says about their experience is their own account on their profile, so ask them about it at interview, and what support at home looks like for an adult with a learning disability has more on choosing.
Which tool for which decision
Which legal tool fits which kind of decision
Different decisions take different routes. The map below starts with the same question each time and shows what happens for five kinds of decision, depending on whether your son or daughter can make it with help.
Start with one question each time
Can your son or daughter make this particular decision, now, once they have had all the help that might make it possible? The answer can be yes for one decision and no for another.
- 1
Everyday choices
What to eat and wear, how to spend a Saturday, who to see, when to go to bed.
Yes, with the right help
The choice is theirs. Offer options in a form they can use, such as pictures or a visit, and give them time.
No, even with every practical help
Whoever is helping at that moment decides in their best interests, usually you or a support worker. No paperwork is needed.
- The tool
- No legal document
- Cost
- Nothing to pay
- 2
Benefits
PIP, Universal Credit, housing costs and other benefits paid by the DWP.
Yes, with the right help
They claim in their own name, and you help with forms and letters as they ask.
No, even with every practical help
One person applies to the DWP to be their appointee. The appointee claims, reports changes and spends the money in their interests.
- The tool
- DWP appointee
- Cost
- No fee
- 3
The bank and other money
A bank account, savings, bills that are not paid from benefits, an inheritance.
Yes, with the right help
A third party mandate from the bank, or a property and financial affairs lasting power of attorney that they make and sign.
No, even with every practical help
A property and financial affairs deputy appointed by the Court of Protection. An appointee cannot touch money that is not benefits.
- The tool
- Mandate or LPA, otherwise a deputy
- Cost
- LPA £92 to register. Deputy £432 to apply, then yearly supervision
- Advice
- A point to talk to a solicitor
- 4
Health and care
Consent to treatment, a care and support plan, who comes into the home to help.
Yes, with the right help
They decide, and they can make a health and welfare lasting power of attorney to choose who would decide if they later cannot.
No, even with every practical help
The doctor, nurse or social worker responsible makes a best interests decision and must consult you. A welfare deputy is rarely appointed.
- The tool
- Best interests, with you consulted
- Cost
- Nothing to pay
- 5
Big decisions
Moving home or signing a tenancy, serious medical treatment, restrictions on going out alone.
Yes, with the right help
Their decision, even if it looks unwise to you. You can say what you think, and they can still choose.
No, even with every practical help
A best interests decision with the council or NHS, an independent advocate where needed, and the Court of Protection if there is serious disagreement or a deprivation of liberty that needs authorising.
- The tool
- Best interests, sometimes the court
- Cost
- Varies with the route, so ask a solicitor what it will cost before you start
- Advice
- A point to talk to a solicitor
For most everyday and health decisions no formal authority is needed. The formal tools mostly concern money, because a bank will only let somebody else act on an account with written authority. Where your son or daughter can make a lasting power of attorney, it is usually simpler and cheaper than a deputyship, and the choice of who acts is theirs.
Benefits, bank and money
Benefits, the bank account and other money
Money is where formal authority is most likely to be needed, and there are four routes. Which one fits depends on whether the money is benefits, and on whether your son or daughter can give authority themselves.
DWP appointee
Benefits only. No fee
Third party mandate
While they can give permission
Property and financial affairs LPA
£92 to register
Property and financial affairs deputy
£432 to apply
Benefits and the appointeeSection titled Benefits%20and%20the%20appointee
If your son or daughter cannot manage their benefits, you or another person can ask the DWP to make you their appointee. Only one appointee can act for someone. You sign the claim forms, tell the DWP about changes, and spend the money in their best interests. It gives you no authority over any other money, and gov.uk's guide to becoming an appointee explains how to apply. Some banks set a limit on the balance of an account that benefits paid to an appointee go into, and the bank should tell you if so. Benefits for an adult with a learning disability covers the benefits themselves.
The bank account and the third party mandateSection titled The%20bank%20account%20and%20the%20third%20party%20mandate
A bank account in your son or daughter's name is theirs. If they can understand what it means to let you use it, a third party mandate is the simplest arrangement, and each bank has its own form. The guidance banks and the government publish together, managing a bank account for someone else, says a mandate is not appropriate where the account holder cannot make the relevant decisions. In that case the bank will ask for a registered LPA or a deputyship order. If the council pays a direct payment and your son or daughter cannot manage it, the council can instead name a "suitable person" to receive and manage that money, and personal assistants and direct payments covers how that works.
A lasting power of attorney, if they can make oneSection titled A%20lasting%20power%20of%20attorney%2C%20if%20they%20can%20make%20one
Having a learning disability does not stop someone making a lasting power of attorney. Gov.uk says a person must be 18 or over and have mental capacity when they make it. In broad terms, that means understanding what the LPA is, who they are choosing and what that person could do. Some adults with a learning disability can understand that with a clear explanation, even if they would find managing their money on their own hard. Lasting power of attorney explains the forms and the two kinds. The certificate provider, who confirms your son or daughter understands the document, must be independent of the attorneys, so if there is real doubt about their understanding, ask a solicitor or a GP to be the certificate provider.
A property and affairs deputyship matters most where there is money in your son or daughter's own name beyond benefits, such as savings, compensation or an inheritance. If all their income is benefits, an appointee may be enough, and a solicitor can tell you which applies before you pay a fee.
Health, welfare and liberty
Health and welfare decisions, welfare deputies and deprivation of liberty
It can seem that becoming a personal welfare deputy is the way to make doctors and the council listen. The law points the other way.
The terms you will hear about welfare decisions
- Personal welfare deputy
- Someone the Court of Protection appoints to make ongoing decisions about treatment and care. The Code of Practice says welfare deputies are only required in the most difficult cases, where important actions cannot happen without the court's authority or there is no other way to settle the matter.
- Section 16(4)
- The part of the Act that tells the court a single decision by the court is preferred to appointing a deputy, and that a deputy's powers should be as limited in scope and time as is reasonably practicable.
- Deprivation of liberty
- When a person who cannot consent to their care arrangements is restricted in a way the law treats as taking away their liberty. It must be authorised to be lawful.
- DoLS
- The Deprivation of Liberty Safeguards. The authorisation process used in hospitals and care homes, run by the council.
- Court of Protection authorisation
- How a deprivation of liberty is authorised anywhere else, including in supported living or in a person's own home.
- Liberty Protection Safeguards
- A replacement for DoLS passed into law in 2019 and not brought into force. The government announced a consultation on them in October 2025, and no start date has been set.
In practice, health and welfare decisions for an adult who cannot make them are taken by the professional responsible, in their best interests, after consulting you. The court appoints a welfare deputy rarely, and a parent who is consulted, keeps notes and asks for decisions in writing is still heard without one. Where a serious disagreement cannot be settled, such as over where your son or daughter should live, the usual route is an application for the court to make that one decision. The Court of Protection explains how.
Deprivation of liberty, and what changed in 2026Section titled Deprivation%20of%20liberty%2C%20and%20what%20changed%20in%202026
If your son or daughter is not free to leave and cannot consent to their care arrangements, those arrangements may need authorising. On 2 June 2026 the Supreme Court changed the test for when that is a deprivation of liberty. The government's note on the changed definition says it applies immediately, that no single factor now decides it, and that a person who lacks capacity can still give valid consent if they are aware of their situation, have a basic understanding and can express a view. DoLS still apply in hospitals and care homes, and elsewhere authorisation still comes from the Court of Protection. The government has said more guidance will follow, so ask the social worker whether your son or daughter's arrangements are being reviewed. Deprivation of liberty at home covers this in more detail, and if you disagree with a decision, this is a point to take legal advice.
Advocates
When you can be their advocate, and when the council must provide one
Under the Care Act 2014, if your son or daughter would have substantial difficulty taking part in a council assessment, care and support plan or review, the council must arrange an independent advocate, unless there is an appropriate person who can support them. That person can be a parent, but not always.
| Who helps them | Why | |
|---|---|---|
| They are happy for you to help, and you are not paid to care for them | You, as the appropriate person | Your job is to help them say what they want. The guidance says knowing someone well or loving them deeply is not enough on its own. |
| They can decide, and do not want your support | Someone else they choose, or an advocate | Their wish must be followed, for example if they want more independence from the family. |
| You are paid to care for them, even through a direct payment | An independent advocate | Nobody providing care professionally or for payment can be the appropriate person. |
| There is nobody suitable in the family or among friends | An independent advocate | The council must still consult family and friends if your son or daughter asks it to. |
| You and the council disagree, and both think an advocate would help | You and an advocate | One of the two exceptions in paragraph 7.42. |
| An NHS-funded stay of over 4 weeks in hospital or 8 weeks in a care home is possible | You and an advocate | Where the council believes an advocate would be in their best interests. |
They are happy for you to help, and you are not paid to care for them
- Who helps them
- You, as the appropriate person
- Why
- Your job is to help them say what they want. The guidance says knowing someone well or loving them deeply is not enough on its own.
They can decide, and do not want your support
- Who helps them
- Someone else they choose, or an advocate
- Why
- Their wish must be followed, for example if they want more independence from the family.
You are paid to care for them, even through a direct payment
- Who helps them
- An independent advocate
- Why
- Nobody providing care professionally or for payment can be the appropriate person.
There is nobody suitable in the family or among friends
- Who helps them
- An independent advocate
- Why
- The council must still consult family and friends if your son or daughter asks it to.
You and the council disagree, and both think an advocate would help
- Who helps them
- You and an advocate
- Why
- One of the two exceptions in paragraph 7.42.
An NHS-funded stay of over 4 weeks in hospital or 8 weeks in a care home is possible
- Who helps them
- You and an advocate
- Why
- Where the council believes an advocate would be in their best interests.
Care Act 2014, section 67, and chapter 7 of the Care and support statutory guidance, paragraphs 7.32 to 7.42.
The council decides whether a family member can be the appropriate person. It can decide both a parent and an advocate are needed, for example where there may be a conflict of interest over money or a house. The detail is in chapter 7 of the Care Act statutory guidance.
There is a second kind of advocate under the Mental Capacity Act, an independent mental capacity advocate (IMCA). One must be instructed when the NHS or the council proposes serious medical treatment, or a move into a hospital for more than 28 days or a care home for more than 8 weeks, and there is nobody other than paid staff whom it would be appropriate to consult. If you are involved and willing, you are that person, and an IMCA is not needed.
Planning ahead
Wills, trusts, and planning for when you cannot help
If you worry about what happens when you can no longer help, the legal side has two parts: who will help with decisions, and how any money you leave can help your son or daughter without affecting their benefits.
What helps
- Asking a solicitor who writes wills for families of disabled people about a discretionary trust for your son or daughter's share
- Naming a second deputy, jointly and severally, or asking the court to name a successor, if you apply to be a deputy
- Helping your son or daughter make their own LPA while they have the capacity to, choosing people younger than you
- Writing down how your son or daughter communicates, and what they like, for whoever helps after you
What can cause problems
- Leaving money to your son or daughter outright, where it can count against means-tested benefits and in the council's charging
- Having no will, so the law decides who inherits and a share may pass to them outright
- Assuming a brother or sister will take over as deputy or appointee, when neither role passes on automatically
- Relying on a verbal promise from a relative, without asking them and writing it down
A discretionary trust holds money for your son or daughter without it belonging to them, and trustees decide how and when to use it. Set up correctly, it does not usually count in means tests. In England, council charging for care counts capital, and above £23,250 a person pays for their own care in full. Gov.uk explains the types of trust, but the drafting is specialist work: ask a solicitor whether they write trusts for families of disabled people before you instruct them. When the parents can no longer cope sets out wills, trusts, deputyship succession and the conversation with brothers and sisters in more detail.
Questions
Questions parents ask about decisions after 18
Not automatically. For everyday care, the Mental Capacity Act lets you decide in his best interests without any paperwork, and a DWP appointee can handle his benefits. A property and financial affairs deputyship is mainly needed if he has money beyond benefits, such as savings or an inheritance, and cannot manage it or make a lasting power of attorney. A personal welfare deputyship is rarely granted. A solicitor can tell you which applies before you pay a fee.
Yes, if she has the mental capacity to make it. She must be 18 or over and understand what the LPA is, who she is choosing and what they could do. A learning disability does not rule that out. She may be able to make one even if she would find managing money on her own hard. If there is doubt, a solicitor or GP acting as certificate provider can check. How an LPA works.
An appointee is appointed by the DWP to manage benefits only, for no fee. A property and financial affairs deputy is appointed by the Court of Protection to manage the money the order covers, such as bank accounts and savings, and is supervised each year by the Office of the Public Guardian.
Only with his authority or a legal one. If he can understand what it means, he can give you a third party mandate at his bank. If he cannot, the bank will usually ask for a registered lasting power of attorney or a deputyship order. If the account only receives benefits and you are his appointee, show the bank your BF57 form from the DWP.
She does, if she can make that decision with help, even if you disagree. If she cannot, it is a best interests decision, usually led by the council as part of her care and support plan, and you must be consulted. If you and the council cannot agree, the Court of Protection can decide, and that is the point to get legal advice.
Usually, if he is happy for you to support him, you are not paid to care for him, and you can help him say what he wants. The council decides. It must arrange an independent advocate if there is nobody suitable, if you and the council disagree, or if a long stay in hospital or a care home is being considered.
Not yet. The Liberty Protection Safeguards were passed in 2019 and have not been brought in, and the government announced a consultation on them in October 2025. Separately, a Supreme Court judgment on 2 June 2026 changed the test for what counts as a deprivation of liberty. DoLS still apply in hospitals and care homes, and the Court of Protection authorises a deprivation of liberty elsewhere.

