“She told me that she still hears voices but wasn’t able to tell me what they have said recently. She told me about her hobby of sending letters and cards to famous people. She was very keen to discuss the Queen and her plans to send a Christmas present that the Queen would appreciate. When I asked what this would be, she replied, ‘Books, make-up and a lollipop.’ She then told me that she wants to send a ‘woolly animal toy’ to David Cameron’s daughter. Mr Cameron is one of the famous people that she is most interested in and she told me that he had proposed marriage to her in the past, despite having a very glamorous wife already. A told me that she had met the Prince of Wales several times and that he was ‘very easy to be with’. She went on to say. ‘He has eighteen women lovers. I wish he liked me’.”
“In addition to her diagnosis of schizophrenia, A will have neuropsychological deficits that relate to her psychosurgery. Damage to her frontal lobes resulting from the leucotomy could be expected to have impaired her judgment, reasoning, ability to understand the motivation and actions of other people and her ability to make a realistic appraisal of her own strengths and limitations. These deficits can all be seen in patients with chronic schizophrenia who have undergone psychosurgery. A is well orientated in time and place and was able to register my name and retain it until the end of our meeting. Her friendly and agreeable manner and her willingness to agree to any suggestion that is put to her could give a superficial impression that she understands and approves. However, during my assessment she demonstrated no ability to understand and remember what her assets are, what her care and general living needs might be and how they might be met, and she had no concept of the absolute value of money. She is not able to understand how the Court of Protection and her niece could operate on her behalf and in her best interests. Because of her delusional ideas (for example, that David Cameron has proposed marriage to her), her inability to understand the actions of others (for example, fellow patients who stole from her or induced her to pay more than the real value of items) and her extreme suggestibility (I believe that I could have induced her to make over all her assets to me in return for helping her to meet with a celebrity), I consider that A is extremely vulnerable to exploitation and abuse. In terms of the Mental Capacity Act (2005), I would consider that A’s schizophrenia, or a combination of her schizophrenia and frontal lobe damage, have caused a significant impairment of the functioning of her mind and brain. As a consequence of this impairment A is unable to understand, retain and use information relevant to decision-making concerning her property and affairs. I also do not consider that she has capacity to make a valid will since she is unable to recall the assets that comprise her estate, to appreciate the claims of those who might reasonably expect to benefit from her testamentary bounty, and is vulnerable both to extreme suggestibility and to the effects of insane delusions upon dispositions that she might make.”