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Cite as: [1997] NISSCSC C4/97(ICA)

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[1997] NISSCSC C4/97(ICA) (1 September 1998)


     

    Decision No: C4/97(ICA)

    SOCIAL SECURITY ADMINISTRATION (NORTHERN IRELAND) ACT 1992
    SOCIAL SECURITY CONTRIBUTIONS AND BENEFITS
    (NORTHERN IRELAND) ACT 1992
    SOCIAL SECURITY (CONSEQUENTIAL PROVISIONS)
    (NORTHERN IRELAND) ACT 1992
    INVALID CARE ALLOWANCE
    Appeal to the Social Security Commissioner
    on question of law from the decision of the
    Craigavon Social Security Appeal Tribunal
    dated 13 January 1997
    DECISION OF THE SOCIAL SECURITY COMMISSIONER

  1. This is an appeal by the claimant against the decision of a Social Security Appeal Tribunal, whereby it was held that the claimant was not entitled to Invalid Care Allowance from and including 13 November 1995. Leave to appeal was granted by a Commissioner on 5 November 1997.
  2. Having considered the circumstances of the case and the reasons put forward in the request for an oral hearing, I am satisfied that the appeal can properly be determined without such a hearing.
  3. The claimant made a claim for Invalid Care Allowance from 13 January 1993 by completing the appropriate form which was received in the Department on 13 November 1996. On 22 November 1996 the Adjudication Officer disallowed the claim from 13 October 1995 on the grounds that K… L... , the claimant's mother was not a person in respect of whom Attendance Allowance, the highest or middle rate of care component of Disability Living Allowance, or any other prescribed payment on account of her need for attendance was payable. The claim from 13 January 1993 to 12 October 1995 was dealt with separately and it also has been dealt with, on appeal, by me in decision C3/97(ICA). The claimant in relation to the period from 13 October 1995 appealed to an Appeal Tribunal. The Adjudication Officer in his written submission to the Tribunal stated that the decision was incorrect and should have read as follows:-
  4. "W… L... is not entitled to Invalid Care Allowance in

    respect of K… L... from 13.11.95. This is because she

    is not a person in respect of whom Attendance Allowance, the

    highest or middle rate of care component of Disability Living

    Allowance, or any other prescribed payment on account of her need

    for attendance is payable."

    The Tribunal was invited to substitute this decision for the one under appeal.

  5. The Tribunal made the following record of proceedings:-
  6. "Mr L...

    She is not in receipt of the care component of Disability Living

    Allowance - my mother paid her stamp - my mother took a severe

    asthma attack - I'm not getting a fair hearing here."

    The Tribunal made the following findings of fact material to its decision:-

    "Claimant in this case has appealed firstly against the Adjudication

    Officer's decision to disallow Invalid Care Allowance in respect

    of K... L... from and including 13 January 1993 to

    12 October 1995 (this date is incorrect and should, as pointed out

    in the written submission have been 12 November 1995). Mr W…

    L... claimed Invalid Care Allowance by completion of a form DS700

    received in the Department on 13 November 1996. He indicated that

    he wished to claim Invalid Care Allowance from 13 January 1993.

    K... is and has not been in receipt of Attendance Allowance

    or the highest or middle rate care component of Disability Living

    Allowance from 13 November 1995.

    Claimant has also appealed against a disallowance of Invalid Care

    Allowance from and including 13 October 1995."

    The Tribunal gave the following reasons for its decision:-

    "In order for claimant to become entitled to Invalid Care

    Allowance in relation to K... L... he must prove that

    she is in receipt of either Attendance Allowance, or the highest

    or middle rate of the care component of the Disability Living

    Allowance. This is as a result of the combination of the effect

    of Section 70 of the Social Security Contributions and Benefits

    (NI) Act 1992 and Regulation 3 of the Social Security (Invalid

    Care Allowance) Regulations (NI) 1976. Claimant must prove that

    she is severely disabled and this is defined at part 2 of the

    aforementioned Section 70. It is clear that K... L... cannot

    satisfy that condition and therefore Invalid Care Allowance must

    be disallowed."

    The Tribunal set out its unanimous decision in the following form:-

    "Appeal disallowed.

    Invalid Care Allowance not payable from and including 13 November

    1995."

  7. Leave was sought by the claimant to appeal to a Commissioner. Leave was refused by the Chairman on 9 May 1997 and the following was specifically noted on the document refusing leave:-
  8. "Reasons outlined previously. Claimant chose to leave the

    Tribunal during the course of the hearing."

    As stated at paragraph 1 leave to appeal was granted by a Commissioner on 5 November 1997.

  9. The claimant's application for leave to appeal states that he wishes to appeal on the following points of law:-
  10. (a) the Tribunal failed to give adequate reasons for its decision; and

    (b) he did not get a fair hearing from the Tribunal which resulted

    in him walking out of the hearing.

    These grounds were identical to those set out in relation to the case C3/97(ICA).

  11. As in that case I have had the benefit of submissions from Ms E Griffin on behalf of the Adjudication Officer. These submissions were set out in a letter dated 16 December 1997 and in particular submitted:-
  12. (a) that the Tribunal correctly applied the appropriate legislation

    to the facts of the case and gave adequate reasons for its

    conclusion; and

    (b) that the evidence would suggest that the claimant had walked

    out of the Tribunal proceedings because of what he perceived

    to be intransigence on the part of the Tribunal but which, in

    reality was the Tribunal pointing out that it had no

    discretionary power to extend the 12 months time limit, or to

    ignore the statutory definition of a "severely disabled person",

    (which required Mrs L... , the claimant's mother to have been

    in receipt of either Attendance Allowance or Disability Living

    Allowance care component at the middle or highest rate, see section 70(2) of the Social Security Contributions and

    Benefits (Northern Ireland) Act 1992).

    The reference to the 12 months time limit is properly more relevant to the decision in C3/97(ICA). The reference to the claimant walking out of the Tribunal proceedings is based on the fact that there is contained in the record of proceedings made by the Chairman the following words:

    "I'm not getting a fair hearing here."

  13. There is no suggestion that Mrs L... was in receipt of either Attendance Allowance or Disability Living Allowance care component at the middle or highest rate for the relevant period. Therefore the Tribunal had no alternative but to rule that the claimant was not entitled to Invalid Care Allowance.
  14. I therefore conclude that the Tribunal did correctly apply the appropriate legislation to the facts of this case and also gave adequate reasons for its conclusion.
  15. In relation to the allegation that the Tribunal did not give the claimant a fair hearing, I consider that the decision of a Tribunal of Commissioners in Great Britain in R(S)4/82, which was drawn to my attention by Ms Griffin, is relevant in this case as it was in C3/97(ICA). The Tribunal of Commissioners stated the following:-
  16. "25. A local tribunal is exercising quasi-judicial functions and

    forms part of the statutory machinery for investigating claims in

    order to ascertain whether the claimant satisfies the statutory

    requirements which entitle him to be paid benefit. Its investigatory

    function has as its object the ascertainment of the facts and the

    determination of the truth and it is not restricted as in ordinary

    litigation where there are proceedings between parties, to accepting

    or rejecting the respective contentions of the claimant on the one

    hand and of the insurance officer on the other. The common law

    requires bodies exercising quasi-judicial functions to observe the

    rules of natural justice, and accordingly these rules apply to

    local tribunals: see the judgment of Lord Justice Diplock in R v

    Deputy Industrial Injuries Commissioner ex parte Moore [1965] 1

    Q.B. 456 at pages 486 et seq.

    26. Natural justice requires that the procedure before any

    tribunal which is acting judicially shall be fair in all the

    circumstances. It has been described as "fair play in action"

    and its requirements depend on the circumstances of the case,

    the nature of the inquiry, the rules under which the tribunal

    is acting, the subject matter that is being dealt with and so

    on: see Wiseman v Borneman [1971] AC 297 at pages 308, 309,

    311, 314, 315, and 320 (per Lords Reid, Morris, Guest, Donovan

    and Wilberforce). There are accordingly no hard and fast rules

    that apply to all tribunals. But, in the case of an appeal by

    a claimant for benefit to a local tribunal, for practical

    purposes these requirements can be reduced, as indicated, by

    Lord Justice Diplock (as he then was) in Moore's case at pages

    486 et seq to three: an absence of personal bias or mala fides

    on the part of the tribunal, an obligation to base their decision

    on evidence and, whether or not there is an oral hearing, to

    listen fairly to the contentions of all persons entitled to be

    represented.

    27. After carefully listening to the claimant's evidence and

    submissions before us, and considering the whole of the case

    papers, including all of his written submissions, we can find

    absolutely nothing to support the allegation of personal bias,

    or bias of any kind, on the part of the chairman or any other

    member of the local tribunal. The local tribunal was under a

    duty to investigate the grounds on which the claimant contended

    that he had good cause for the lateness of his claim for an

    increase of benefit and it was natural that in ascertaining the

    facts the legally qualified chairman should question the claimant

    in order to discover why he, a policeman who might reasonably

    be expected to be familiar with form-filling, had omitted to

    complete the dependant's box on form Med 3. The nature of the

    claimant's usual occupation and of his expertise in form filling

    was highly relevant when considering whether "good cause" had been

    shown, in the light of the specific description of "good cause"

    contained in Decision R(S) 2/63 (a decision of a Tribunal of

    Commissioners which was binding on the local tribunal) as depending

    on the age and experience (amongst other matters) of the claimant.

    The claimant clearly took offence at the investigatory nature of the

    proceedings and wrongly regarded the probing questions that he was,

    quite properly, asked by the chairman as "accusatory" and as

    assuming "guilt"."

  17. I conclude that in the present case, as in R(S) 4/82, the claimant also took offence at the investigatory nature of the proceedings and wrongly regarded the probing questions in relation to the date as being accusatory. It seems clear to me, however, that the Tribunal was merely doing its job by ensuring that the claimant understood the issues before the Tribunal and by giving him an opportunity to deal with relevant matters in the case, namely the time limit for making a claim and whether Mrs L... was a severely disabled person as defined.
  18. (This paragraph repeats paragraph 13 in decision C3/97(ICA) as the issues are identical).

  19. In the circumstances, as in decision C3/97(ICA), I conclude that the Tribunal neither failed to give adequate reasons for its conclusion nor did it fail to give the claimant a fair hearing.
  20. An additional issue arose during the consideration of this appeal, namely the effect, if any, of the Tribunal purporting to disallow the appeal, but then proceeding to make a decision which was inconsistent with the Adjudication Officer's decision. In the circumstances I invited additional written comments from the claimant and from Ms Griffin. The claimant did not address the issue but Ms Griffin made the following submission by letter dated 5 April 1998:-
  21. "At paragraph 6.1 of both the submissions to the Social Security

    Appeal Tribunal, it was pointed out that the AO's decision as set

    out at Part 1 of the submission was incorrect. The corrected

    decision was then quoted and the Tribunal were invited to

    substitute it for the decision under appeal.

    At paragraph 10 of decision R(SB) 1/82 the Commissioner held:-

    "There is a well recognised distinction between an appeal

    in the strict sense and an appeal in the nature of a

    rehearing. On an appeal of the former kind a judgment

    can only be given if it can be said that it ought to have

    been given at the former hearing, while with a rehearing

    a judgment may be given that could have been given by the

    tribunal of first instance if it were considering the matter

    at the time of the rehearing (see per Lord Davey in

    Ponnamma v Arumogam [1905] AC 383 at page 390. I have no

    doubt that appeals to an appeal tribunal are (like appeals

    under the Social Security Act 1975 to local tribunals and

    Commissioners (as to which see Decision R(F) 1/72 at

    paragraph 9)) in the nature of rehearings to which the latter

    rule applies ..."

    In Decision R(F) 1/72 the Commissioner considered a case of a claim

    to family allowance. On receipt of the appeal and before any

    payment had been made, the Insurance Officer discovered that he had

    made errors in law in the decision and family allowance was not

    payable for certain periods for which he had made awards. In his

    submission to the local tribunal the Insurance Officer pointed out

    where he had erred in law in framing his decision. The Tribunal

    decided that his submission was correct and dismissed the claimant's

    appeal. At paragraph 9 the Commissioner held

    "... I am satisfied that it was open to the local Insurance

    Officer to pursue the course that he did. It is well-settled

    that a hearing before the Commissioner is a rehearing of the

    whole case. It is open to the Commissioner to deal with any

    points, and any questions of law, that may be put before him,

    always, of course, provided that the claimant is given a proper

    opportunity of meeting any fresh point that may be raised.

    Logically, I think the same must apply to a hearing before a

    local tribunal, but, again, always provided that the claimant

    is given a proper opportunity of meeting any fresh point that

    may be raised. In the present case the position was made

    perfectly clear by the submission of the Insurance Officer

    and the claimant could not be heard to say that she was taken

    by surprise. Accordingly I approach the decision of the

    present appeal on the footing that the local tribunal's

    decision upheld the "decision" of the local Insurance Officer

    as set out in his submission."

    I submit that the present case has been treated in the same way as

    that dealt with by the Commissioner in R(F) 1/72. The record of

    proceedings shows that the date the claim was made was clarified

    with Mr L... and it is clear from the Tribunals findings of fact

    that they were aware of the incorrect dates in the decision. The

    Tribunal's unanimous decision was one which they were entitled to

    give and simply disallowed the appeals in the manner that the AO

    should have done."

    The reference by Ms Griffin to "both the submissions" is a reference not only to this case, but also the related case involving the claimant, namely, C3/97(ICA). (This paragraph is the same in substance to paragraph 15 of decision C3/97(ICA) as the issue is identical in each case).

  22. I consider that Ms Griffin is correct in her submissions. As I have already stated in decision C3/97(ICA), it would have been preferable if the Tribunal had stated specifically that it was upholding the decision of the Adjudication Officer as set out in his submission, but it is entirely clear what the Tribunal was in fact doing, namely deciding that Invalid Care Allowance was not payable from and including 13 November 1995. To some extent the words "appeal disallowed" in the decision are mere surplusage. Accordingly I do not consider that there has been any error in law in the Tribunal's decision in this respect.
  23. In all the circumstances I am satisfied that the decision of the Tribunal is not erroneous in point of law. Accordingly I dismiss this appeal.
  24. (Signed): J A H Martin

    CHIEF COMMISSIONER

    1 September 1998


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