MacKay Hannah

Reform of Adults with Incapacity Law in Scotland: Understanding and shaping what is coming next


Sandra McDonald

Director, EX-PG Ltd (and former Public Guardian for Scotland)

Sandra holds qualifications in law, nursing and public sector management. Sandra worked as a Sister on an Intensive Care Unit, before ‘crossing sides’ to NHS management. Sandra managed various NHS services before undertaking and successfully completing a law degree. On graduating Sandra became an in house legal advisor to an NHS Trust. This somewhat unusual combination of experiences and qualifications were invaluable in her role as Public Guardian.

Public Guardian

For 14 years (2004-2018) Sandra was the Public Guardian for Scotland. The Public Guardian supports as well as supervises those appointed, under the Adults with Incapacity (Scotland) Act 2000, to administer the affairs of persons with incapacity. She holds qualifications in law, public sector management and nursing. She led a team of 80, delivering a service across the whole of Scotland.


Sandra offers mental capacity/incapacity advice and training, drawing on the breadth and wealth of her experience as Public Guardian. All advice and training is tailored to client's needs and is specifically designed to assist both those supporting, as well as those developing and delivering services for, people with incapacity.


Jan Killeen

Author, Report on 'Creating an National Overarching Supported Decision-making Framework for Scotland'

Jan Killeen, former Policy Director, Alzheimer Scotland, was recently commissioned by the Scottish Government to produce a report on ‘Creating an National Overarching Supported Decision-making Framework for Scotland.’ This followed from her Churchill Fellowship research into supported decision-making initiatives in Australia in 2016. Much of Jan’s working life had focused on advancing legal and civil rights of people living with dementia and others with cognitive disabilities, first through Scottish Action on Dementia, which amalgamated with Alzheimer Scotland in 1994. From there she coordinated the national campaign for radical law reforms which led to the introduction of the Adults with Incapacity (Scotland) Act 2000. This was followed by a series of related Scottish Government commissions, including research into the effectiveness of AWI (2002-2004), which in turn led to a three- year secondment to coordinate an action programme to improve AWI policy and practice.

Jan’s other related achievements include co-authoring the Charter of Rights for People with Dementia and their Carers, producing policy reports and guides on autonomy and decision-making and giving presentations on international platforms, most recently a the International Guardianship Conference in South Korea. Jan served as a part-time Commissioner with the Mental Welfare Commission, for four years followed by four years as a Board member, finishing in 2016. Jan is a qualified social worker and teacher, with a degree in Sociology. At postgraduate level she specialized in community development and is committed to empowering people affected by cognitive difficulties.
Jan can be contacted at:

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Excellent programme, very informative and gave me ideas I want to pursue in relation to my work plan.

Margaret Stewart, Lifecare,
Care of Older People in Scotland 2016

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