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Northern Ireland - Social Security and Child Support Commissioners' Decisions |
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You are here: BAILII >> Databases >> Northern Ireland - Social Security and Child Support Commissioners' Decisions >> [2009] NISSCSC C9_08_09(DLD) (30 September 2009) URL: http://www.bailii.org/nie/cases/NISSCSC/2009/C9_08_09(DLD).html Cite as: [2009] NISSCSC C9_8_9(DLD), [2009] NISSCSC C9_08_09(DLD) |
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[2009] NISSCSC C9_08_09(DLD) (30 September 2009)
Decision No: C9/08-09(DLA)
Background
Proceedings before the Social Security Commissioner
The submissions from the parties
(i) failing to give adequate reasons for its decision and, more particularly, failing to give adequate reasons for its decision that the appellant could undertake the tasks associated with the preparation of a cooked main meal for one person; and
(ii) deciding that it was reasonable for the appellant to explore with an occupational therapist the possibility of obtaining additional aids to assist with the activity of the preparation of a cooked main meal. The applicant's representative submitted that the appeal tribunal had failed to address this issue at the oral hearing of the appeal, thereby denying her the opportunity to comment on this.
The relevant legislative provisions
' a person shall be entitled to the care component of a disability living allowance for any period throughout which
(a he is so severely disabled physically or mentally that
(i) he requires in connection with his bodily functions attention from another person for a significant portion of the day (whether during a single period or a number of periods); or
(ii) he cannot prepare a cooked main meal for himself if he has the ingredients;
(b) he is so severely disabled physically or mentally that, by day, he requires from another person
(i) frequent attention throughout the day in connection with his bodily functions; or
(ii) continual supervision throughout the day in order to avoid substantial danger to himself or others; or
(c) he is so severely disabled physically or mentally that, at night,
(i) he requires from another person prolonged or repeated attention in connection with his bodily functions; or
(ii) in order to avoid substantial danger to himself or others he requires another person to be awake for a prolonged period or at frequent intervals for the purpose of watching over him.'
For adults, entitlement to the lowest rate is awarded if the appellant satisfies either of the conditions set out in paragraph (a). It is self-evident that there cannot be a double payment where there is a finding that both conditions are satisfied. For children, sub-paragraph (ii) cannot be considered and, in any event, entitlement based on sub-paragraph (i) is subject to the additional test for children. For both adults and children entitlement is subject to the disability conditions being satisfied during the relevant qualifying periods.
For adults, entitlement to the middle rate is awarded if either of the conditions set out in paragraph (b) or paragraph (c) are satisfied. For children, entitlement based on paragraphs (b) or (c) is subject to the additional test for children. For both adults and children entitlement is subject to the disability conditions being satisfied during the relevant qualifying periods.
For adults, entitlement to the highest rate is awarded if both of the conditions set out in paragraph (b) and paragraph (c) are satisfied. For children, entitlement based on both paragraphs (b) or (c) is subject to the additional test for children. For both adults and children entitlement is subject to the disability conditions being satisfied during the relevant qualifying periods.
The 'main meal' test
(i) the general nature of the test;
(ii) the relevance of vari-ability in the preparation of a cooked main meal;
(iii) the use of devices to assist with the tasks associated with the preparation of a cooked main meal, or to improve the environment in which the task is carried out; and
(iv) The relationship of the cooking test to other aspects of functioning.
The general nature of the test
' In my view the "cooking test" is a hypothetical test to be determined objectively. Factors such as the type of facilities or equipment available and a claimant's cooking skills are irrelevant.
The nature of the "cooked main meal" which the claimant "cannot prepare" is crucial. In my view it is a labour intensive reasonable main daily meal freshly cooked on a traditional cooker. What is reasonable is a question of fact to be determined by reference to what is reasonable for a member of the community to which the claimant belongs e.g. a vegetarian meal as opposed to one which is not. The use of the phrase "for himself" shows that the meal is intended to be for just one person, not for the whole family. The "main meal" at issue is therefore a labour intensive, main reasonable daily meal for one person, not a celebration meal or a snack. The main meal must be cooked on a daily basis and it is irrelevant that a claimant may prepare, cook and freeze a number of main meals on the days that help is provided and then defrost and heat them in a microwave on subsequent days. The test depends on what the claimant cannot do without help on each day.
Because the main meal has to be cooked, the test includes all activities auxiliary to the cooking such as reaching for a saucepan, putting water in it and lifting it on and off the cooker. All cooking utensils must of course be placed in a reasonable position.
The word "prepare" emphasises a claimant's ability to make all the ingredients ready for cooking. This includes the peeling and chopping of fresh vegetable as opposed to frozen vegetables, which require no real preparation. However in my view a chop, a piece of fish or meat ready minced does not fall into the category of "convenience foods" and are permissible as basic ingredients. I should add for the sake of completeness that because the test is objective it is irrelevant that a claimant may never wish to cook such a meal or that it is considered financially impossible.'
' It cannot be overstressed that the "main meal" at issue is a main reasonable daily meal for one person. It follows that the use of heavy pans or dishes are (sic) not necessary for the preparation of such a meal. Nor is it necessary to use the oven. If the claimant is unable to stand for any length of time, such a meal can be prepared and cooked while sitting on a high stool or chair if necessary. It is all a question of what is reasonable in the circumstances of the case.'
' its purpose is not to ascertain whether the applicant can survive, or enjoy a reasonable diet, without assistance. It is a notional test, a thought experiment, to calibrate the severity of the disability. It does not matter whether the applicant actually needs to cook No doubt some people (disabled or otherwise) do need to cook or prefer to do so, although home cooking seems to be fighting a losing battle against convenience foods, and ready-cooked meals. Not for nothing is the notional meal contemplated by the cooking test described in the authorities as 'traditional'. It must be remembered that disability living allowance is a non-contributory, non-means tested benefit. A person who cannot cook for himself, is entitled to the allowance, now £14.90 a week, whether he solves the eating problem by obtaining help, having a wife, buying television dinners or dining at the Savoy. On the other hand, even if a person needs to cook and has the motor skills to do so, he may still need assistance; to obtain the ingredients which the test assumes him to have, or because he is culinarily incompetent.'
'7. The reference by Lord Hoffmann to "the cooking test described in the authorities as traditional" is a reference to R(DLA) 2/95 where Commissioner Heggs defined the test as that of "a labour intensive reasonable main daily meal freshly cooked on a traditional cooker. a meal for one person, not a celebration meal or a snack. ... [T]he test includes all activities auxiliary to the cooking such as reaching for a saucepan, putting water in it and lifting it on and off the cooker." I take the House of Lords to be endorsing that test, but doing so in its own words and therefore to some extent replacing it. As a matter of both definition and interpretation the test can in my view be taken little further. For that eason, I do not consider any other earlier Commissioner's decision to be of assistance in this case. And I see no problem with the wording of the form DLA1A. Essentially, it leaves it to the claimant to explain her or his own problems, and for decision-makers to decide if the test is met.
8. The task is to apply the test to the problems the claimant has. That is a question of fact, not law. The starting point, as Lord Hoffmann comments, is what the claimant says in the claim form. To that must be added all other evidence. The tribunal's job, if there is a dispute, is to test for itself the claimant's abilities against the hypothetical test. It can do that by direct application finding what difficulties the claimant actually has in cooking in the way he or she does so, if that happens. And it can do that by indirect application finding what limits the claimant has on gripping, lifting, bending, planning or otherwise by reference to other activities the claimant does undertake such as eating, washing, driving, shopping, cleaning, being aware of danger, or any other physical or mental activity using the same bodily functions as are normally used in cooking. Having looked at all the available evidence, it must then, as the House of Lords expressly confirmed, take a broad judgmental view about whether the claimant's problems are such that the claimant is or is not able to meet the test for the relevant period, with input from all three members of the tribunal.'
Vari-ability in preparing a cooked main meal
(i) the provision of a cooked main meal was something required regularly if someone were to enjoy a reasonable quality of life so that if the inability to cook were on no more than occasional days, the test would not be satisfied, but that it would if there were a clear pattern of a person not being able to provide for him/her self; and
(ii) that in the appellant's case there was such a clear pattern in that there would sometimes be weeks in which for three days she would have to forego her one cooked meal.
'One possible construction is that if there was a single occasion during the period when a remission in his disability would have allowed him to cook a meal, it cannot be said that throughout the period he was unable to do so I do not think that [that] would be right. That is not because one occasion is de minimis but because the test does not in my opinion function at that day-to-day level. It involves looking at the whole period and saying whether, in a more general sense, the person [satisfies the conditions of entitlement] It is an exercise in judgement rather than an arithmetical calculation of frequency the question involves taking a 'broad view' of the matter and making a judgement.'
Kitchen aids and the cooking environment
(i) the test pre-supposes that the preparer of the meal has the ingredients. Accordingly, inability to shop for the ingredients is to be excluded (CDLA770/00);
(ii) an inability (can't), or disinclination (won't) to cook is to be ignored - the test is hypothetical or abstract (Moyna, R(DLA) 2/05, R(DLA) 2/95, CDLA/770/00, CDLA/5686/1999);
(iii) the usual kitchen devices to assist with the preparation of food may be taken into account (R(DLA) 2/95, CDLA/770/00);
(iv) the usual kitchen devices to assist with the cooking of food may be taken into account (CDLA/1469/95, CDLA/5686/99, CDLA/770/00);
(v) while usual kitchen devices may be taken into account, the test should not be limited by reference to specific adaptations to the traditional kitchen to compensate for a disability (R(DLA)2/95);
(vi) the ability to bend is not an essential part of the main meal test, and it does not require the manipulation of heavy pots and pans (CDLA/1469/95, CDLA/5686/99, CDLA/770/00, C41/98(DLA), CDLA/2367/2004);
(vii) microwave ovens, used in the preparation of a cooked main meal, may be taken into account (CDLA/770/00, CDLA/5250/02). In this regard, the following comments of Commissioner Jupp in CDLA/2367/2004 at paragraph 10 are apposite:
'The claimant's second ground of appeal was that the use of the microwave in preparing a cooked main meal should be disregarded. This is an oversimplification of the position. The test is whether a claimant "cannot prepare a cooked main meal for himself if he has the ingredients". In the Secretary of State for Work and Pensions v. Moyna [2003] 4AER 162 R(DLA) 7/03, Lord Hoffman said of the "cooking test" that:
" .its purpose is not to ascertain whether the applicant can survive, or enjoy a reasonable diet, without assistance. It is a notional test, a thought experiment, to calibrate the severity of the disability".
Thus we have moved from the position where a claimant might satisfy the criteria if s/he could not, most of the time, prepare a cooked main meal for one on a traditional cooker. The better view now is that it is more a question of what the claimant does with the microwave most of the time which will enable the appropriate decision to be made as to whether s/he satisfies the criteria for an award. It is clear that if the only activity that a claimant carries out with the microwave is to pierce a plastic lid, place the item in the microwave and adjust the controls, this will not equate to the preparation of a cooked main meal for one. If, however, the range of activities conducted by the claimant is, in broad terms, much the same whether or not the meal is then cooked in or on a traditional cooker or in a microwave, there is no reason why the use of the microwave should not be taken into account. It will be borne in mind that it has long been held that it is not necessary for a claimant to be able to bend to the oven nor hold heavy pans to prepare a cooked main meal for one.'
(viii) claimed risks associated with cooking will have to be assessed, but all risk cannot be eliminated (R(DLA) 1/97);
(ix) the effects of heat and steam must be considered where the appellant/claimant suffers from breathing problems. Factors include the nature of the disability, likely reaction to heat/steam, and degree of ventilation available (CDLA/4214/02, CDLA/20/94).
How did the appeal tribunal in the instant case analyse whether the appellant satisfied the 'main meal' test?
'Main meal?
- Can't lift a pan or even a full kettle.
- Hands too sore to feel.
- Son provides a meal for her freezes defrosts heats in microwave.
- Rarely uses cooker occasionally heats things up.
- Can (eg) heat a tin of beans on the cooker.
- Can't lift the grill.'
'Main meal test:
This was the care component particularly in issue. (The claimant) reports that she cannot prepare and cook a main meal for one person. She is afraid to lift hot saucepans and would have difficulty with their weight. She can heat food in a microwave and can, eg, heat beans in a saucepan on the cooker. The Tribunal is of the opinion that (the claimant) could undertake the tasks involved in preparing and cooking a main meal for one person.
Also, it would be reasonable for (the claimant) to explore with the Occupational Therapist the possibility of obtaining additional aids (in addition to the trolley she has) to assist with this activity.'
Was the decision of the appeal tribunal in error of law?
"(i) making perverse or irrational findings on a matter or matters that were material to the outcome ('material matters');
(ii) failing to give reasons or any adequate reasons for findings on material matters;
(iii) failing to take into account and/or resolve conflicts of fact or opinion on material matters;
(iv) giving weight to immaterial matters;
(v) making a material misdirection of law on any material matter;
(vi) committing or permitting a procedural or other irregularity capable of making a material difference to the outcome or the fairness of proceedings;
Each of these grounds for detecting any error of law contains the word 'material' (or 'immaterial'). Errors of law of which it can be said that they would have made no difference to the outcome do not matter."
The further comments concerning the availability of aids from an OT
'Also, it would be reasonable for (the claimant) to explore with the Occupational Therapist the possibility of obtaining additional aids (in addition to the trolley she has) to assist with this activity.'
Disposal
(i) the decision under appeal is a decision of the Department, dated 15 August 2007, which decided that the applicant was not entitled to DLA from and including 9 July 2007;
(ii) the Department is directed to provide details of any subsequent claims to DLA and the outcome of any such claims to the appeal tribunal to which the appeal is being referred. The appeal tribunal is directed to take any evidence of subsequent claims to DLA into account in line with the rinciples set out in C20/04-05(DLA);
(iii) it will be for both parties to the proceedings to make submissions, and adduce evidence in support of those submissions, on all of the issues relevant to the appeal; and
(iv) it will be for the appeal tribunal to consider the submissions made by the parties to the proceedings on these issues, and any evidence adduced in support of them, and then to make its determination, in light of all that is before it.
(Signed): K Mullan
COMMISSIONER
30 September 2009