RC v Secretary of State (Personal independence payment – daily living activities : Activity 8: reading and understanding signs, symbols and words) [2015] UKUT 386 (AAC) (23 June 2015)
THE UPPER TRIBUNAL
ADMINISTRATIVE APPEALS CHAMBER
DECISION OF THE UPPER TRIBUNAL JUDGE
The appeal is allowed.
The decision of the tribunal given at Dunfermline on 3 December 2014 is set aside.
The
case is referred to the First-tier Tribunal (Social Entitlement Chamber) for
rehearing before a differently constituted tribunal in accordance with the
directions set out below.
REASONS FOR DECISION
Summary
1. I have
allowed the appeal and remit to a differently constituted tribunal to rehear
the appeal.
2. Of
relevance to this decision, the tribunal awarded the claimant 4 points for
Activity 11b “Needs prompting to be able to undertake any journey to avoid
overwhelming psychological distress to the claimant” whereas the claimant
contended that Activity 11f “Cannot follow the route of a familiar journey
without another person, an assistance dog or an orientation aid” should have
been awarded from Activity 11 – Planning and following a journey from Schedule
1 to The Social Security (Personal Independence Payment) Regulations 2013 (“PIP
Regulations”).
3. This
appeal concerns the proper interpretation of the phrase “follow the route of a
… journey” in Activity 11d and 11f as part of Activity 11.
4. The
relevant part of the tribunal’s Statement of Reasons is:
“16. Planning and familiar journeys – In our
view, it does not follow from the appellant feeling or being unable to go out
alone that this is because she is unable to follow a route. It was not argued
or found that the appellant has a cognitive, intellectual or sensory impairment
which renders her unable to follow any route, whether familiar or unfamiliar.
We were satisfied from what was said in the PIP2, to the HP and us that the
appellant’s difficulty in going out was because she was prone to anxiety giving
rise to a need for prompting in order to undertake any journey to avoid
overwhelming psychological distress and that with such prompting she could, and
did, undertake journeys. We conclude that the appellant did not come within the
terms of a higher scoring descriptor.”
Grounds of appeal & Secretary of State’s Submissions
5. The
Ground of Appeal is that the tribunal misinterpreted the descriptor by imposing
a higher requirement than the descriptor warranted. It is argued that the
evidence shows that the claimant cannot go out without another person and
accordingly that she is unable to follow a route unaccompanied because she is
unable, and/or feels unable due to anxiety, to go out alone in the first place.
6. The Secretary of
State does not support the appeal contending that the tribunal correctly
considered the requirements of the descriptor. Reference is made to the
submission to pages 103/106, where in summary the Secretary of State’s
submission is that:
“the
particular wording used here leads one to the conclusion that what is meant to
be assessed is the ability of the Claimant to navigate a route, and whether
they need help with this particular faculty. It is not meant to assess whether
any Claimant, for whatever reason, needs another person with them when
walking.”
Reference is also made to the definition of “follow”
in Collins English Dictionary and to the meaning of “route” in R(DLA) 3/05 and
R(DLA) 1/03. The Secretary of State submits that the reference to “another
person”, and “assistance dog” or an “orientation aid” and argues that these
“show that orientation and sensory impairment problems are meant to be included
under this descriptor” and that accordingly it is navigation that is being
tested in these descriptors. A person who required to be present but did not
help with navigation would not be included.
7. In
response the claimant’s representative argues that “A person who cannot
undertake a journey, cannot follow a route” and submits “that the test for
mobility are not designed so that someone who can plan and follow a route,
intellectually, or in their imagination, but due to a disability cannot execute
it, unless accompanied, is to be excluded from the benefit.” I refer to the
full UT3 at page 108/109.
Legislation
8. Activity 11 –
Planning and following a journey is in the following terms:
Column 1
Activity
|
Column 2
Descriptors
|
Column 3
Points
|
1.
Planning and
following
a journey.
|
a.
Can plan and follow the route of a journey unaided.
|
0
|
|
b.
Needs prompting to be able to undertake any journey to avoid overwhelming
psychological distress to the claimant.
|
4
|
|
c. Cannot plan the route of a journey.
|
8
|
|
d.
Cannot follow the route of an unfamiliar journey without another person, assistance
dog or orientation aid.
|
10
|
|
e.
Cannot undertake any journey because it would cause overwhelming
psychological distress to the claimant.
|
10
|
|
f.
Cannot follow the route of a familiar journey without another person, an
assistance dog or an orientation aid.
|
12
|
Discussion
9. I
consider that the meaning of “cannot follow the route of a … journey without
another person …” in Activities 11d and 11f has to be determined in the
context of all the listed sub-activities in Activity 11 having regard to the
other Activities. Reading each sub-activity on its own suggests that there is
no consistent theme between each sub-activity. Activity 11a refers to “Can plan
and follow the route of a journey unaided” while Activity 11c is the opposite
i.e. “Cannot plan the route of a journey”. Activities 11b and 11e refer to the
need for “prompting to be able to undertake” or “cannot undertake” a journey
“to avoid overwhelming psychological distress” or “it would cause overwhelming
psychological distress”. So while there is a mental health element specified
for Activities 11b and 11e, there is no specific mental health element in the
other activities. It also seems to me to be extraordinary that a person who
cannot undertake any journey because it would cause overwhelming psychological
distress (Activity 11e) gets only 10 points, whereas a person who can go out
and follow a journey on a familiar route with another person (Activity 11f)
gets 12 points – so the permanently housebound gets less points that the person
who can sometimes go out.
10. The
Secretary of State’s position is that there is no evidence that the claimant
has a cognitive impairment that would render her unable to navigate a route
although the evidence shows that she never goes out alone not even to the local
shops due to anxiety. It is said that the anxiety does not impede her ability
to navigate a route. Submission paragraph 6.
11. If the
Secretary of State is right then Activities 11d and 11f stand in a category of
their own relating to the ability to navigate, whereas Activities 11b and 11e
are in a different category relating to “psychological distress”.
12. It is
my opinion that is not right. I consider that “cannot follow” does not have the
restricted meaning put forward by the Secretary of State. It is the “cannot”
that is the significant word and “cannot” is not qualified by any reason. I
consider that is covers the situation where a claimant “cannot follow” the
route because they cannot navigate the route or because they cannot follow it
because of some psychological factor, such as anxiety, even if they have the
intellectual capacity to follow the route in theory. Even if a claimant can in
theory navigate a route, if the claimant cannot in fact go out and follow it
without the assistance of another person, dog or other aid, whatever that
reason, I consider it brings the claimant within the Activity. There is, with
the exception of Activity 11e (as noted above) a logical progression in the
Activities. If a claimant can “plan and follow” a route there are no points; if
the claimant can plan and follow the route, but needs prompting to go out and
follow it, then it is 4 points. The next stage requires someone else to plan
the route for the claimant, who must then be able to follow that plan alone and
hence gets 8 points. The next stage is the person who cannot follow an
unfamiliar route without another person etc, so the
activity gets to
the stage where outside assistance is needed in order to be able to follow the
route and thus qualifies for 10 points.
13. I do
not accept the Secretary of State’s argument [Submissions paragraph 4] that
“another person” has to be construed in line with “assistance dog” and
“orientation aid” so that “another person” is restricted to someone helping
with “orientation and sensory impairment” alone. There are definitions of
“assistance dog” and “orientation aid” which limited the scope of dog and aid,
but there is no definition limiting the purpose for which the person can be
used. Activities 11d and 11f do not qualify “another person” such as “aided by”
or “assisted by” which are words defined in paragraph 1 of the schedule. I
therefore conclude that the reason the person is required so that the claimant
can follow the route can be any reason including a mental health reason such as
overcoming anxiety or other psychological distress.
14. I
therefore hold that the tribunal erred in law and reject the approach taken by
the Secretary of State to the meaning of these descriptors. The tribunal was
wrong to conclude that:
“it does not follow from the appellant feeling or
being unable to go out alone that this is because she is unable to follow a
route. It was not argued or found that the appellant has a cognitive,
intellectual or sensory impairment which renders her unable to follow any
route, whether familiar or unfamiliar.”
Disposal
15. I have
decided to remit to a differently constituted tribunal to rehear the appeal,
because I do not consider that I can make the decision myself. The tribunal
concluded on the evidence that:
“We were satisfied from what was said in the PIP2, to
the HP and us that the appellant’s difficulty in going out was because she was
prone to anxiety giving rise to a need for prompting in order to undertake any
journey to avoid overwhelming psychological distress and that with such
prompting she could, and did, undertake journeys. ….”
On
the face of it that is a reasonable conclusion on the evidence, but it must be
suspect in the context of this case, because the tribunal misinterpreted Activities
11d and 11f and therefore would not have considered them. Having ruled them out
the tribunal was left with no alternative, but to award Activity 11b, because
the claimant clearly did not come within Activity 11e.
16. I
therefore remit to a differently constituted tribunal to rehear the appeal. The
tribunal will have to take into account my interpretation of the meaning of
Activity 11d and 11f in deciding what activity, if any, under Activity 11
should be awarded to the claimant. Of course the tribunal rehearing the appeal
will have to consider the other activities claimed to qualify for the daily
living component at the standard rate unless the Secretary of State concedes
the other activities awarded by the tribunal in paragraph 4 of the Decision
Notice.
(Signed)
Sir Crispin Agnew of Lochnaw Bt QC
Judge of the Upper Tribunal
Date: 23 June 2015