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Thread: Hospitals and next of kin...advise needed

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    Anthropomorphic Personification shaithis's Avatar
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    Hospitals and next of kin...advise needed

    So, one of the GFs sons has been in a horrible accident and is currently unable to communicate.

    His GF has declared herself next of kin and declared to the hospital that only herself and her immediate family are allowed to visit him.

    Under UK law, his next of kin is his mother as he and his GF are not married.

    Hospitals seem to be allowed to decide themselves who is next of kin.....and once they decide, they seem to not want to discuss it. The GF was even allowed to declare herself NOK after his mother had signed the papers allowing for surgery on her son on the night he was rushed it....

    This is causing immeasurable grief. Has anyone been through this and have any advise on how to proceed? Is it really going to come to a court order? Would the hospital even recognise it?
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    RIP Peterb ik9000's Avatar
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    Re: Hospitals and next of kin...advise needed

    Mate, sorry to hear this. This one needs a qualified lawyer and it sounds like time is of the essence. Get on to citizen's advice or call a local solicitor. The Law Society should presumably be able to direct you to an appropriate practice with the relevant expertise.

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    The late but legendary peterb - Onward and Upward peterb's Avatar
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    Re: Hospitals and next of kin...advise needed

    As IK9000 says. As an interim the mother could take in birth certificates to show that she is the legal NOK.

    Edict Found this (on Wikipaedia - so not autoratitive). But it seems it has no legal study in the UK, and someone can be nominated as NOK. Also gets complicated if they were living together.

    The term has no legal definition in the United Kingdom. An individual can nominate any other individual as their next-of-kin. There is no requirement for the nominated person to be a blood relative or spouse, although it is normally the case. Someone who has no close family (or who has little or no contact with their surviving family members) may decide to list someone outside their family as their next of kin, for instance a friend or a neighbour.

    The nominated person must agree to the nomination, otherwise it is invalid. The status of next-of-kin confers no legal rights and has no special responsibilities, except as referred to below in the specific context of the Mental Health Act.

    The status of next-of-kin does not in any way imply that they stand to inherit any of the individual's estate in the event of their death. The intestacy rules[3] stipulate who inherits automatically (in the absence of a will); an individual can make a will and nominate other persons. If a minor inherits (children inherit from parents even in the absence of a will),[3][4] then, until the child is 18 years of age, there is a "trust" imposed, which means that the executors or trustees of the will remain responsible for the assets until the child is 18.[5] The term "next of kin" should not be confused with parental responsibility.[6]

    In the context of health care, patients are often asked to nominate a next-of-kin when registering with their general practitioner, or alternatively on admission to hospital. Hospitals will then notify the next-of-kin that the patient has been admitted or if there is any change in their condition. If the patient is unconscious or otherwise unable to state their next-of-kin, hospitals will usually list their nearest blood relative, though there are no specific rules. Doctors attempt to seek the views of the next-of-kin when considering decision making for unconscious patients or those who lack capacity. The next-of-kin has no power to make any decisions regarding medical care, only to advise, and can neither override the previously stated wishes of the patient nor prevent the medical team acting in what they consider to be the best interests of the patient.

    Traditionally, unmarried partners (especially same sex ones) were often excluded by certain institutions, but this has changed in recent years due to the increase in cohabitation in the UK, and in diverse families, such as those formed by unmarried partners with children (47.6% of children were born outside marriage in 2012).[7] As a result of these social changes, the policy in most NHS trusts is to ask a person on their admission to hospital to nominate their next of kin formally.[8]

    Powers similar to next-of-kin as defined in other jurisdictions can be explicitly delegated to another person using lasting power of attorney,[9] under the provisions of the Mental Capacity Act 2005[10] (note that this Act does not relate specifically to mental health and is largely unrelated to the Mental Health Act).
    On a personal level, really sorry to hear about this and I hope it is resolved amicably.
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    Going Retro!!! Ferral's Avatar
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    Re: Hospitals and next of kin...advise needed

    The girlfriend has no say in this matter (unless married or common law type relationship which is being together for so many years), it comes down to family so if parents are still alive then they will be NOK, if no parents it comes down to brothers and sisters (even their kids can come into play if brothers and sisters are old), even aunts and uncles if they were needed and be inclined to do so.

    If person has no family whatsoever then the girlfriend could possibly have some say in the matter

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    The late but legendary peterb - Onward and Upward peterb's Avatar
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    Re: Hospitals and next of kin...advise needed

    Quote Originally Posted by Ferral View Post
    The girlfriend has no say in this matter (unless married or common law type relationship which is being together for so many years), it comes down to family so if parents are still alive then they will be NOK, if no parents it comes down to brothers and sisters (even their kids can come into play if brothers and sisters are old), even aunts and uncles if they were needed and be inclined to do so.

    If person has no family whatsoever then the girlfriend could possibly have some say in the matter
    Not according to the Wikipedia entry. Anyone can be nominated as NOK. (In the UK)

    Professional legal advice is needed I think.
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    Re: Hospitals and next of kin...advise needed

    First, sorry to hear about your GF's son. Hope he recovers soon.

    Second, IANAL, and what follows is my best understanding.

    That said, as I understand it, NOK will be whoever the patient wants. The patient MIGHT have a previous declaration on file with the hospital, or MIGHT be carrying a card (*) or the hospital MIGHT eveb have accessed GP records, where NOK might well have been declared.

    Bear in mind, the ONLY persons entitled to make decisions about a patient's medical treatment will be

    1) the patient, if conscious, communicative and legally competent, OR
    2) the holder of a legally valid power if attorney, AND/OR
    3) the patient's doctors.

    The NOK is usually a designated single point of contact. The hospital CAN discuss care with immediate relatives, at their discretion, but generally in situations where the situation is serious enough to be concerned about NOKs, it's because nursing staff are nursing staff, and don't want to be explaining the details over and over, so they explain if to the NOK and ask all other relatives to get updates from the NOK. This especially applies to ICU staff, who really already have far too much to do.

    Where it causes issues is when there are family disputes between different members and hospitals generally have no wish to get of the middle of that.

    Also, for extremely ill patients in ICU, ICU staff will often restrict visitors because too many visitors buzzing about is not good for the patient, or other ICU patients, and THAT will be their priority.


    As for the GFs standing, a lot depends on circumstances. If patient and GF have been 'co-habiting' for a length of time, say 6 months a year or more, the hospital may well regard her as NOK. After all, not every child gets on witb parents, sibblings, etc and relationships can be very poor, but if you choose to 'co-habit' with someone .....

    And if the patient has registered the GF, at hospital, GP, etc, or is carrying a card (*), well ......


    All that said, it would be unusual for an ICU to totally deny parent's access to a child, even an adult child, if seriously ill UNLESS there is bad blood going on. And for an adult child, that patient's "life partner" may well be a more appropriate NOK than a blood relative.

    If there is bad blood going on, generally the very last thing a hospital wants is to get involved.

    My advice, for what it's worth, try to work WITH the GF, not argue over who should be NOK.


    (*) Some hospitals provide blank wallet-sized NOK cards designed to be cartied around, just in case.

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    RIP Peterb ik9000's Avatar
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    Re: Hospitals and next of kin...advise needed

    does she have access to his passport? What has he written in the NoK section in the back of it?

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    Re: Hospitals and next of kin...advise needed

    This isn't anything you can resolve by taking advice from an internet forum but I totally understand feeling powerless to help your other half.

    Right now, forget about "solving" this problem, just be there for your partner and listen to what they're saying.

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