House of Assembly Fifty-Fifth Parliament, First Session (55-1) 55 1 Parliament of South Australia House of Assembly published Bills Guardianship and Administration (Tribunal Proceedings) Amendment Bill Guardianship and Administration (Tribunal Proceedings) Amendment Bill Guardianship and Administration (Tribunal Proceedings) Amendment Bill Second Reading Second Reading The Hon. C.J. PICTON House of Assembly Kaurna Minister for Health and Wellbeing The Hon. C.J. PICTON (Kaurna—Minister for Health and Wellbeing) (15:56): I move: That this bill be now read a second time. I seek leave to have the second reading explanation and explanation of clauses inserted in Hansard without my reading them. Leave granted. Mr Speaker, today I introduce the Guardianship and Administration (Tribunal Proceedings) Amendment Bill 2025. This Bill will amend the Guardianship and Administration Act 1993 to make changes to procedures and reviews by the South Australian Civil and Administrative Tribunal (SACAT) to help facilitate timely discharge from hospital of patients with impaired decision-making capacity. When patients no longer require hospital care but are kept in a hospital bed awaiting discharge to an appropriate place such as an aged care facility, that extra time that they are unnecessarily kept in hospital is not good for the patient, and it is not good for the hospital. And that is the issue that this Bill seeks to alleviate, Mr Speaker. The issue to be addressed When a hospital patient lacks capacity to make the decisions required to enable their discharge from hospital, for example because they suffer from dementia, another appointed person is needed to make these decisions on that patient's behalf. This could be a substitute decision-maker under an Advance Care Directive made previously by the patient. Where the patient has not made an Advance Care Directive, it is likely that a guardian or administrator would need to be appointed by SACAT under the Guardianship and Administration Act. The Guardianship and Administration Act, and the principles of procedural fairness applicable to SACAT, require that medical evidence is gathered about the patient's decision-making capacity and that information from family, or other persons who know the patient well, is understood by SACAT before a decision is made to appoint a guardian or administrator. Protracted stays in hospital while awaiting these appointments and for discharge decisions to be made are not ideal as previously mentioned – both in terms of the negative impacts on the wellbeing of patients, and on the capacity of hospitals. Mr Speaker, it is accepted that extended stays in hospital awaiting decisions about movement into an aged or community care setting are detrimental to the health and wellbeing of patients. Of course, the ability to make timely discharge decisions is only one piece of a larger puzzle. Limited availability of Commonwealth-funded places in aged care, into which these patients can be discharged, is a significant factor. However, the Government is determined to pursue measures within its power to help alleviate this problem. Measures in the Bill One such measure in this Bill is to make legislative changes to enable SACAT to deal more quickly with applications to appoint a guardian or administrator for a hospital patient. The Bill would amend the Guardianship and Administration Act to authorise SACAT to prioritise these hospital applications over other non-urgent applications, where necessary. SACAT will be required to deal with guardianship and administration applications in respect of hospital patients within 14 days of a complete application, which is accompanied by all required supporting information. For applications where a person may be at risk of imminent personal or financial harm, the Guardianship and Administration Act already provides for urgent 'without-notice' SACAT hearings. Hospital patients, however, are often safe and cared for in hospital, so urgent interim orders do not ordinarily apply to that cohort. For hospital and other non-urgent guardianship and administration applications, SACAT's past listing timeframes have compared favourably with equivalent interstate tribunals. Mr Speaker, the new proposed 14 day requirement for hospital applications, coupled with additional funding for SACAT, will facilitate timely hearings for hospital applications, even during unusually busy periods. The Bill also proposes to make provision for expedited hearings of hospital applications (including in less than 14 days) in 'appropriate circumstances', by allowing SACAT to dispense with the requirement to notify all interested persons, or to shorten the usual notification period—only in appropriate circumstances. Examples of what could constitute 'appropriate circumstances' are set out in the Bill. These include: where discharge is proposed to be back to the patient's home, to reside with the guardian, or into short-term respite care; where the application is for appointment of the Public Advocate or Public Trustee and no other suitable appointee has been identified by the hospital after satisfying SACAT of reasonable inquiries; or where the hospital has identified a willing and available relative or supporter of the patient for appointment as guardian and/or administrator, but not identified any other interested person to be notified after satisfying SACAT of reasonable inquiries. To address potential risks that may arise from these expedited proceedings, the Bill amends the provisions in the Guardianship and Administration Act that currently allow SACAT to vary or revoke a guardianship or administration order at any time. These amendments will allow an interested person who was not notified of an expedited proceeding to make an application to vary or revoke an order without needing to satisfy SACAT of a change of circumstances. Finally Mr Speaker, the Bill would amend the review provisions in the Guardianship and Administration Act to allow more flexibility in the setting of mandatory review periods of SACAT orders. The maximum review periods for special powers orders will increase from 6 months to a maximum of 12 months for the first review, and from 12 months to a maximum of 3 years for subsequent reviews of these orders. The maximum review periods for other SACAT orders under the Act will increase from 3 years to 5 years. I note that SACAT will have discretion to fix a shorter review period, in either case, where it considers this necessary or desirable. These proposed changes to review periods would increase SACAT's capacity to deal with applications for orders under the Act and streamline imposts on parties arising from frequent mandatory reviews of SACAT orders, in circumstances where it is uncommon for orders to be changed on review. The measures in this Bill are supported by the Government providing additional funding to SACAT. Further funding of $3.8 million over two years and $1.7 million per annum (indexed) from 2027-28 was provided to SACAT as part of the 2025-26 Budget to support SACAT in achieving the objects of this Bill. There was also increased funding within SA Health to support the transition of people with complex needs into aged care services. I commend the Bill to the House. Explanation of Clauses Explanation of Clauses Part 1—Preliminary 1—Short title 2—Commencement These clauses are formal. Part 2—Amendment of Guardianship and Administration Act 1993 3—Amendment of section 33—Applications under this Division This clause amends section 33(1a) to provide that the qualifications in that section apply except where an application relates to an order that was made at proceedings expedited pursuant to section 65A and the applicant was not given notice of those proceedings by the Tribunal. 4—Amendment of section 37—Applications under this Division This clause amends section 37 to provide that subsection (1a) does not apply in circumstances where an application relates to an order that was made at proceedings expedited pursuant to section 65A and the applicant was not given notice of those proceedings by the Tribunal. 5—Amendment of section 57—Review of Tribunal's orders This clause amends section 57 in relation to the times within which the Tribunal must review the circumstances of a protected person as follows: in the case of a protected person who is being detained in any place pursuant to an order of the Tribunal—the time for review of the protected person is proposed to be— within 1 year of the making of the order or such earlier time as may be specified by the Tribunal in the order; and thereafter at intervals of not more than 3 years or such shorter intervals as may be specified by the Tribunal in the order; and in any other case—at intervals of not more than 5 years or such shorter intervals as may be specified by the Tribunal in the order. 6—Insertion of section 65A This clause inserts proposed new section 65A which provides that if an application for a guardianship order, an administration order or an order under section 32 (or a variation of any such order) is made in relation to a person who is an inpatient of an incorporated hospital, the Tribunal must hear the application as a matter of priority (but in any event within 14 days of the application being made and the completion of all preliminary obligations imposed in relation to the application under the Guardianship and Administration Act 1993 or the South Australian Civil and Administrative Tribunal Act 2013). 7—Amendment of section 66—Tribunal must give notice of proceedings This clause amends section 66 to provide that in relation to proceedings on an application to which proposed new section 65A(1) applies, the Tribunal is not obliged to give notice of the proceedings to a person referred to in section 66(1)(d) and may shorten the time for giving notice of the proceedings to any person referred to in section 66(1) if satisfied that appropriate circumstances exist in the particular case. For the purpose of determining if appropriate circumstances exist in the circumstances of a case, it is proposed that— appropriate circumstances in which the Tribunal may dispense with giving notice to a person referred to in section 66(1)(d) or shorten the time for giving such notice include (without limitation)— where the application is for the appointment of a guardian or administrator for a person and it is proposed that the person is to be discharged from the hospital to reside— in their own home; or with the person who is proposed as the guardian or administrator (as the case requires); or in a short-term funded aged care service or a Transition Care Program (both within the meaning of the Aged Care Act 2024 of the Commonwealth); or in prescribed circumstances; and where the application is for the appointment of the Public Advocate as guardian for the person and no other suitable person has been identified as a proposed guardian following reasonable enquiries by the applicant or other person as set out in the application; and where the application is for the appointment of the Public Trustee as administrator for the person and no other suitable person has been identified as a proposed administrator following reasonable enquiries by the applicant or other person as set out in the application; and where the application is for the appointment of a guardian or administrator for the person and no other person having a proper interest in the matter has been identified following reasonable enquiries by the applicant or other person as set out in the application; and appropriate circumstances in which the Tribunal may shorten the time for giving notice to a person referred to in section 66(1) (other than subsection (1)(d)) include (without limitation) circumstances where the application is for the appointment of a guardian or administrator for a person and it is proposed that the person is to be discharged from the hospital to reside— in their own home; or with the person who is proposed as the guardian or administrator (as the case requires); or in a short-term funded aged care service or a Transition Care Program (both within the meaning of the Aged Care Act 2024 of the Commonwealth); or in prescribed circumstances. Mr TEAGUE House of Assembly Heysen Mr TEAGUE: Deputy Speaker, I draw your attention to the state of the house. A quorum having been formed: The Deputy Speaker House of Assembly The DEPUTY SPEAKER: Member for Heysen, do you wish to speak to this briefly? Mr TEAGUE House of Assembly Heysen Mr TEAGUE (Heysen—Deputy Leader of the Opposition) (15:59): Thanks, Deputy Speaker. I rise and indicate that I am the lead speaker for the opposition and that the opposition supports the bill. The Guardianship and Administration (Tribunal Proceedings) Amendment Bill was— The Deputy Speaker House of Assembly The DEPUTY SPEAKER: Member for Heysen, I hate to interrupt you but we are now coming up to the Auditor-General. Mr TEAGUE House of Assembly Heysen Mr TEAGUE: It is only the second time today, but I am very conscious of the time and I might just hopefully draw it to an elegant conclusion in about 10 seconds. The Deputy Speaker House of Assembly The DEPUTY SPEAKER: Ten seconds, alright. Mr TEAGUE House of Assembly Heysen Mr TEAGUE: It was introduced by the Attorney in another place and only a couple of months ago. It is good that we are here in the house now debating the bill and, in the circumstances, I will seek leave to continue my remarks. Leave granted; debate adjourned.