"(1) A person shall be entitled to an attendance allowance if he is aged 65 or over, he is not entitled to the care component of the disability living allowance and he satisfies either-- (a) the condition specified in subsection (2) below ("the day attendance condition")..." "and prescribed conditions as to residence in Great Britain. "(2) A person satisfies the day attendance condition if he is so severely disabled physically or mentally that, by day, he requires from another person -- "(a) frequent attention throughout the day in connection with his bodily functions..."
"The Secretary of State submits that the Commissioner erred in law in: (a) holding - contrary to established authority - that help in carrying (as opposed to drinking) hot drinks was capable of constituting a 'attention ... in connection with ... bodily functions' ... and (b) concluding - without evidence as to whether, without such help, the claimant could reasonably have access to hot drinks by other means (e.g. a thermos flask) - that the claimant 'requires' such help..."
"2. Mrs Batty suffers from severe arthritis and also hypertension. Her condition was such that she has to rely on a wheelchair outside her home for any other than very short distances, and she has restricted movement in her arms. Unfortunately, because of her age, she is not eligible to apply for Disability Living Allowance mobility component and is restricted to Attendance Allowance, which only takes her mobility problems into account in a limited fashion, and for which a higher test for her care needs applies." "4. Mrs Batty was born on17 June 1930 and impressed the Tribunal as an indomitable and spirited lady who managed her disability well; she said she would not give into it. The examining medical practicioner stated that she cannot straighten her back and that she walks bent forward 40 degrees. She has a wheelchair but also uses a scooter to go to the shops, and still has a part-time job and was able to drive to work, getting the short distance to her desk, which she would not leave, apart from going to the toilet (a few paces away) which she managed with difficulty but without help. She brought her lunch in sandwich form. "5. The help that we found that she normally needed daily was: A) to fix her bra on and to put her tights on in the morning, and undressing at night; B) help to get in and out of the bath or shower; C) preparation of meals. "6. In all other respects the evidence showed that she is normally self-sufficient, as far as her bodily functions are concerned, but she is dependent on her husband for household tasks such as cleaning and also lifting her scooter into the car when it is necessary. Unfortunately, these needs do not fall to be taken into consideration in meeting the eligibility criteria for Attendance Allowance. "7. She is used to having drinks brought to her throughout the day by her husband or workmates, but we did not find that this help was in connection with her bodily function and, therefore, could not count these acts of assistance to her towards the test for lower rate Attendance Allowance, which requires 'frequent' attention throughout the day in connection with bodily functions.' If such assistance could be counted then we judge that Mrs Batty would be entitled to an award at the lower rate because of the frequency of the assistance required and afforded throughout the day..."
"I heard full argument about whether drinking and being provided with drinks constitutes a proper element of attention. It was common ground that help with drinking itself would constitute required attention. And drinks, unlike meals, cannot be limited to preparing just one hot meal a day. If the claimant reasonably required several drinks -- perhaps several hot drinks -- a day, then any attention necessary to ensure she was able to consume those drinks would be relevant. How far will such attention go beyond helping her lift a pre-filled cup or glass to her lips? I reject the view of the Secretary of State that attention can be considered only in so far as it is with the actual act of drinking. In my view, that -- like the frequency with which cold or hot drinks are needed -- is a question of fact in each case." "
"20. In any case in which a tribunal has to apply a standard with a greater or lesser degree of imprecision and to take a number of factors into account, there are bound to be cases in which it will be impossible for a reviewing court to say that the tribunal must have erred in law in deciding the case either way..."
"This is a statutory appeal on a point of law. The court on such an appeal does not have the residual discretion which it has on an application for judicial review to limit the circumstances in which it grants leave or relief. It is contended on Mr Mallinson's behalf that there have been errors made in the adjudication of his claim for attendance allowance in that what in law constitutes attention in connection with bodily functions has been treated as supervision. If he is right as to this, then this constituted an error of law which on appeal the courts are required to rectify. Other issues in other circumstances, for example, as to whether acts which are attention constitute frequent attention, will normally be questions of fact and therefore findings which cannot be disturbed on appeal."
"In order to get the allowance, the 'attention' must be required 'frequently throughout the day' or 'prolonged or repeated' during the night. 'Frequently' connotes several times - not once or twice. 'Prolonged' means some little time. 'Repeated' means more than once at any rate'. "
'Quot homines tot sententia: suo quoique mos', which may be translated: '
'So many Commissioners, so many opinions: his own a law to each'. "Such a situation should not be allowed to continue. These provisions have to be applied, day in and day out, by delegated medical practitioners all over the country. They should be applied uniformly. Else there will many complaints. "Why should she get it and not me?'
"I look first at the section without regard to authority. To my mind the word 'functions' in its physiological or bodily sense connotes the normal actions of any organs or set of organs of the body, and so the attention must be in connection with such normal actions. The word 'attention' itself indicates something more than personal service, something involving care, consideration and vigilance for the person being attended. The very word suggests a service of a close and intimate nature. And the phrase 'attention in connection with bodily functions' involves to my mind some service involving personal contact carried out in the presence of the disabled person."
"'I consider that the words of the section referred to a person who needs the relevant degree of attention in connection with the performance of his bodily functions and that they are directed primarily to those functions which the fit man normally performs for himself.'"
"The point of construction is a short one, a difficult one and, as the history of controversy about it has shown, a point on which different minds can fairly take different views. It is largely a matter of impression and does not admit to elaborate argument or analysis. "
"'A person... is so severely disabled physically or mentally that, by day, he requires from another person... frequent attention throughout the day in connection with his bodily functions...' "
"'I consider that the words of the section referred to a person who needs the relevant degree of attention in connection with the performance of his bodily functions and that they are directed primarily to those functions which the fit man normally performs for himself.'" "
"Here again, I would stress that the attention which is desiderated in connection with the bodily function must be some close and intimate service to the person of the claimant. The service is narrower than that of assistance. Assistance would cover activities done for the person. Attention implies services done to the person. The personal nature of what is comprised in attention prompts the observation made by Dunn LJ in the passage in his judgment in Packer's case[1981] 1 WLR 1017 , 1023F that the attention must be a service involving personal contact carried out in the presence of the disabled person."