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What does King Charles actually do as Britain’s head of state? Queen Camilla and Prince William can stand in for him as he battles cancer, from Buckingham Palace meetings to giving the King’s Speech

King Charles III has been diagnosed with a “form of cancer”, according to a statement released by Buckingham Palace on February 5 – but what does he actually do as Britain’s head of state? Photo: @RoyalFamily/X
The news of King Charles’ cancer diagnosis has not only shocked many as the royal is famous for living a healthy lifestyle, but it has also refocused attention on the responsibilities of Britain’s monarch and revived a central question about the country’s centuries-old system of government: what does the king actually do?
Britain’s King Charles leaves the London Clinic after receiving treatment for an enlarged prostate in London, Britain, on January 29. Photo: Reuters

Under Britain’s constitutional monarchy, the king is head of state but must remain politically neutral and leave policymaking to the elected Parliament. He is obliged to follow the government’s advice and not act on his own opinions.

But even in his largely ceremonial job, Charles performs a number of duties integral to the running of the UK.

What are King Charles’ duties as Britain’s head of state?

King Charles, wearing the Imperial state crown, waves from the Buckingham Palace balcony after viewing the Royal Air Force fly-past in central London after his coronation in May 2023. Photo: AFP

His most visible role is at the annual State Opening of Parliament, where the monarch sets out the government’s agenda in a formal address. The speech is written by the government and contains a summary of the legislation proposed for the forthcoming parliamentary session.

Charles, 75, first delivered the King’s Speech in November, although he delivered the last Queen’s Speech of his mother’s reign on her behalf in 2022 when she dropped out due to health issues.

The monarch also gives royal assent to bills passed by Parliament, meaning that all legislation must receive his sign-off to become law. He or she plays a similar part in appointing new prime ministers and Cabinet members.

King Charles delivers a speech during the State Opening of Parliament in the House of Lords Chamber, in London, Britain, in November 2023. Photo: Reuters

The sovereign dissolves Parliament before a general election and invites the leader of the party that won to become prime minister and to form a government.

Two days before her death on September 8, 2022, Charles’ mother, Queen Elizabeth, appointed Liz Truss to what turned out to be only a six-week term as prime minister.

The monarch also holds a weekly private audience with the prime minister and can express political opinions during it, but what is said must remain behind closed doors. The meetings, which usually take place on Wednesdays at Buckingham Palace, are expected to continue during Charles’ outpatient cancer treatment, although they may take place remotely.

King Charles and prime minister Rishi Sunak attend a reception at Buckingham Palace to mark the Global Investment Summit 2023 in November 2023. Photo: dpa

The palace has said the king will also continue receiving stacks of important government documents, which are traditionally delivered daily in a red leather box, and chairing monthly meetings of the Privy Council.

The council, which served as the original executive arm of the government in England, today advises the king on giving his formal approval of orders that were vetted by government officials, including on matters such as issuing coins and setting up new government departments.

Who can step in for King Charles if he can’t perform duties due to illness?

King Charles and Queen Camilla wave as they leave by car from Clarence House in London, on February 6. Photo: AFP

Palace officials say that while the king plans to continue with state business and official paperwork during his treatment, he is stepping back from the hundreds of public engagements he carries out each year.

If the monarch cannot perform the sovereign’s duties because of illness, two or more “Counsellors of State” can be appointed to act on his behalf. Those who can stand in for Charles include his wife, Queen Camilla, his eldest son, Prince William, his sister, Princess Anne, and his youngest brother, Prince Edward.
King Charles and Queen Camilla leave the London Clinic in central London, on January 29. Photo: AP Photo
Prince Andrew, the king’s controversial brother, and Prince Harry, Charles’ younger son, are technically on the list as well, but not expected to take up any royal duties, though Harry flew to London on Tuesday from California to see his father.

Another of the monarch’s visible duties as head of state is hosting world leaders during their visits to the UK. Beyond that, the king is expected to serve as a symbol of national identity, unity and continuity. Every year, the monarch leads Remembrance Day ceremonies to honour members of the armed forces who were killed while fighting for the country.

King Charles delivers his message during the recording of his first Christmas broadcast in the Quire of St George’s Chapel at Windsor Castle, Berkshire, England, in December 2022. Photo: AP

For many British families, watching the king’s annual Christmas Day address on TV is a holiday tradition.

Charles is also head of the Commonwealth, a loose association of 56 countries, most of them former British colonies or once under British rule. That role, too, is mostly ceremonial.

King Charles
  • Palace officials say that while King Charles plans to continue with state business and official paperwork during his cancer treatment, he’s stepping back from public engagements
  • Queen Camilla and Prince William can stand in for Charles, like he did for Queen Elizabeth – and while Harry isn’t expected to take up royal duties, he did fly to London from California to see his dad