Who can refer a matter?
Medico-legal referrals come from solicitors and barristers, insurers, self-insurers, superannuation funds, medical defence organisations, tribunals, courts and government agencies. A letter of instruction is required. General practitioners refer clinical patients, not medico-legal matters. Where a GP’s patient needs a capacity assessment for a legal matter, the solicitor instructs Dr Siddle directly.
What does Dr Siddle not assess?
Dr Siddle does not accept criminal matters, family law parenting assessments, or assessments of children and adolescents. Every referral is checked for conflict of interest when it arrives.
Can she assess someone who cannot come to the rooms?
Assessments are conducted in Dr Siddle’s rooms at Spring Hill or by telehealth. She does not undertake home visits, aged-care facility visits or hospital visits.
How long does a report take?
Usually one week from the assessment, once the documents are complete. It is occasionally longer when Dr Siddle or her practice manager is on leave.
Will Dr Siddle attend court or a conference with counsel?
Yes. Dr Siddle attends court and conferences with counsel, and prepares supplementary reports where asked.
What happens when a referral arrives?
The referring party will send the claim file, medical records, prior reports, and the specific questions needing to be answered. The independent assessment will usually take one to two hours. The subject is informed of the independence of the assessment and that the report will go to the referrer. Assessments are conducted in Dr Siddle’s rooms at Spring Hill or by telehealth. Home visits are not undertaken. Dr Siddle will then provide a report including the assessment and her response to the specific questions. Reports are usually provided within one week.
Does a dementia diagnosis mean the person lacks capacity?
No. Capacity is decision-specific. Many people with early or moderate dementia retain capacity for a will, an enduring document or a straightforward financial decision. The assessment looks at the specific abilities the legal test requires, not the label.
Can she give an opinion on capacity after the person has died?
Yes. A retrospective opinion is built from medical records, the solicitor's file, and statements from people who knew the person. The report is explicit about how far the evidence goes.