“21(1) … a local authority … shall make arrangements for providing (a) residential accommodation for persons aged 18 or over who by reason of age, illness, disability, or any other circumstances are in need of care and attention which is not otherwise available to them … (1A) A person [subject to immigration control, including asylum seekers] may not be provided with residential accommodation under subsection (1)(a) if his need for care and attention has arisen solely (a) because he is destitute; or (b) because of the physical effects, or anticipated physical effects, of his being destitute.” (a) residential accommodation for persons aged 18 or over who by reason of age, illness, disability, or any other circumstances are in need of care and attention which is not otherwise available to them … (a) because he is destitute; or (b) because of the physical effects, or anticipated physical effects, of his being destitute.”
“Asylum seekers are not entitled merely because they lack money and accommodation to claim they automatically qualify under s21(1)(a). What they are entitled to claim (and this is the result of the Act of 1996) is that they can as a result of their predicament after they arrive in this country reach a state where they qualify under the subsection because of the effect upon them of the problems under which they are labouring. … It is for the authority to decide whether they qualify … In particular the authorities can anticipate the deterioration which would otherwise take place in the asylum seeker’s condition by providing assistance under the section. They do not need to wait until the health of the asylum seeker has been damaged.”
“The 1948 Act will be amended to make clear that social services departments should not carry the burden of looking after healthy and able-bodied asylum seekers. This role will fall to the new national machinery.”
“[I]f an applicant’s need for care and attention is to any material extent made more acute by some circumstance other than the mere lack of accommodation and funds, then, despite being subject to immigration control, he qualifies for assistance. Other relevant circumstances include, of course, age, illness and disability, all of which are expressly mentioned in section 21(1) itself. If, for example, an immigrant, as well as being destitute, is old, ill or disabled, he is likely to be more vulnerable and less well able to survive than if he were merely destitute.”
“It makes no sense for the old, the sick or the disabled to be eligible for hospital and other health services but not for the community care services they need.”
“42. Looking back, I have little doubt that our thinking (or certainly my thinking) on asylum-seekers was this: Those who without support would deteriorate essentially through destitution would be entitled to s.95 support irrespective of whether they were particularly vulnerable through age, ill health or disablement. Those, however, whose need for care and attention would exist even if in funds would still be entitled to community care under the 1948 Act. 43. The difficulty with this approach, however, a difficulty not I think appreciated by anyone when we decided ex parte O, is that it involves looking at s.21(1A) differently depending upon whether the ‘person subject to immigration control’ who is seeking support is or is not an asylum-seeker. If not an asylum-seeker then clearly the 1948 Act is indeed ‘the last refuge of the destitute’ and, as ex parte O decided, s.21(1A) should exclude from relief only the young and fit. If, however, the applicant is an asylum-seeker, then national assistance is no longer their last refuge: s.95 has replaced it. 44. Mrs Y-Ahmed’s case is, it seems to me, a clear one: she, on any view, appears entitled to 1948 Act assistance and thus is excluded from s.95 support. What, however, would be the position of, say, a blind asylum-seeker? Mr Howell QC for NASS accepts, indeed submits, that assuming such an applicant, once provided with suitable accommodation and subsistence under s.95, would not be in need of community care and attention, then he is entitled to s.95 support. And this, of course, is consistent with the prescribed application form quoted above. It is perhaps less easily reconcilable, however, with the approach to s.21(1A) adopted in ex parte O. Were the blind applicant to be a non-asylum-seeking immigrant, there can be little doubt that, for want of s.95 support, he would be entitled to assistance under the 1948 Act. 45. Clearly none of this can affect the resolution of the legal issue now before us or the outcome of the present appeal (concerning as it does Mrs Y-Ahmed’s support). It seems to me necessary, however, to note a certain tension between ex parte O and the clearly intended inter-relation between the 1948 Act and the 1999 Act with regard to asylum-seekers. I would end, therefore, by expressing the hope that NASS will continue to accept responsibility for supporting the great majority of asylum-seekers and that local authorities will only be expected to assist those comparatively few whose need for care and assistance would qualify them for 1948 Act assistance even were they not subject to immigration control (together, of course, with the relatively few non-asylum-seeking immigrants like O for whom in truth this Act is a last resort).”
“26. More widely, I have reached the clear conclusion that the answer to the first and major question raised in these proceedings is, at any rate at the level of this court, dictated by the decisions of the Court of Appeal in O and Bhikha and Westminster v NASS. In O and Bhikha, as set out in §11 above, the Court of Appeal specifically rejected the argument that ‘it is only if an applicant would still need [section 21] assistance even without being destitute that he is entitled to it’. In my view ‘[section 21] assistance’ must there mean ‘the provision of residential accommodation’. If so, the argument there rejected is precisely the argument advanced to me. In Westminster v NASS the Court of Appeal concluded, for obvious reasons, that the construction of section 21 in the case of asylum-seekers could not be different from its construction in the case of others subject to immigration control. That the application to asylum-seekers of the construction favoured in O and Bhikha might produce anomalies there began to emerge. Nevertheless, in the case of asylum-seekers, a clear line had been drawn, with whatever degree of forethought, by the White Paper which preceded the Act of 1999; and the adoption in their case of the test in O and Bhikha had at all events the added justification of being entirely loyal to it. 27. In §14 above I have set out paragraphs 42 to 45 of the judgment of Simon Brown LJ in Westminster v NASS because the local authorities in the present case set considerable store by them. I regard those paragraphs as a postscript to the judgment in which the emerging anomalies were acknowledged. The example of the blind man subject to immigration control, who needs considerable care and attention but not in the form of residential accommodation, was posited. I take the postscript to mean that, were he not an asylum-seeker, he would be entitled to residential accommodation under section 21; that, were he an asylum-seeker, the legal conclusion could be no different; but that outside the realms of legal obligation NASS should consider whether nevertheless to assume responsibility for him. At paragraphs 52 and 63, set out in §15 above, Mance LJ expressed himself even more conclusively, indeed by reference to the facts of that case. He said not that Mrs Y-Ahmed had a need for residential accommodation but that ‘she has a serious medical condition requiring specialist medical care and attention’ and therefore a need for care and attention which had not arisen solely because of destitution; that accordingly she was not excluded by (1A) from section 21; and that, being in need of care and attention and yet not thus excluded, she was to be dealt with (i.e. was entitled) under section 21.”
“21. Surely, argue the local authorities, those subject to immigration control are in no stronger position under section 21 than their indigenous counterparts. A destitute person subject to immigration control, who has a degree of disability with a consequential need for some sort of care and attention, obviously has a need for care and attention which does not arise solely because of destitution. Nevertheless, runs the crucial part of their argument, the resource at issue is residential accommodation; and so the need for care and attention consequential upon the disability must be such as can appropriately be met only by the provision of residential accommodation. They say that the reference to the need for care and attention both in (1)(a) and (1A) of section 21 must, unless the law is shamefully incoherent, be thus construed.”
“Surely … those subject to immigration control are in no stronger position under s21 than their indigenous counterparts”