“The approach which I have taken is clearly at odds with parts of the Secretary of State’s Care Act Guidance, and in particular with paragraph 19.64 of that guidance. I have had regard to that guidance, but it cannot override what I regard as the correct interpretation of the relevant primary legislation and the case law. The Secretary of State is in the process of considering how the Care Act Guidance should be amended, on this and other related points, in light of the approach taken to this and a number of other similar cases.”
“(2) …. (a) he is suffering from mental disorder of a nature or degree which makes it appropriate for him to receive medical treatment in a hospital; and …….. (c) it is necessary for the health or safety of the patient or for the protection of other persons that he should receive such treatment and it cannot be provided unless he is detained under this section; and (d) appropriate medical treatment is available for him.”
“117 - After Care (1) This section applies to persons who are detained under section 3 above, or admitted to a hospital in pursuance of a hospital order made under section 37 above, or transferred to a hospital in pursuance of a hospital direction made under section 45A above or a transfer direction made under section 47 or 48 above, and then cease to be detained and (whether or not immediately after soceasing) leave hospital.”
“(3) In this section “the clinical commissioning group or Local Health Board” means the clinical commissioning group or Local Health Board, and “the local social services authority” means the local social services authority, for the area inwhich the person concerned is resident or to which he is sent on discharge by thehospital in which he was detained.”
“(3) In this section “the clinical commissioning group or Local Health Board” means the clinical commissioning group or Local Health Board, and “the local social services authority” means the local social services authority— (a) if, immediately before being detained, the person concerned was ordinarilyresident in England, for the area in England in which he was ordinarily resident; (b) if, immediately before being detained, the person concerned was ordinarilyresident in Wales, for the area in Wales in which he was ordinarily resident; or (c) in any other case for the area in which the person concerned is resident or towhich he is sent on discharge by the hospital in which he was detained.”
“That, applying the approach of the Supreme Court in R (Cornwall CC)v Secretary of State for Health[2016] AC 137 , JG should be regarded as being ordinarily resident in the area of Worcestershire as at23 June 2015 (immediately before the second period of detention), on the basis thatWorcestershire had itself placed her in Swindon pursuant to its obligations toprovide her with after-care under section 117 of the Mental Health Act 1983following the first period. Though physically present and resident in Swindon at this date, she remained ordinarily resident in Worcestershire “for fiscal andadministrative purposes” in the sense discussed by Lord Carnwath in paragraph 60 of the Cornwall judgment.” (“Proposition 1”, emphasis added) ii) Second, that where there has been a period of detention, immediately followed by a period of after-care services, immediately followed by a second period of detention, the words “immediately before being detained” in section 117(3) of the 1983 Act require a decision as to the ordinary residence of the person immediately before they were first detained, rather than immediately before their most recent period of detention. Since JG was ordinarily resident in Worcestershire immediately before her first period of detention under section 3 of the 1983 Act, this was the place where she was ordinarily resident at all material times. (“Proposition 2”) iii) Third, that the effect of section 117(2) of the 1983 Act is that the duty to provide after care arising from a period of detention continues until a decision is made by “the clinical commissioning group or Local Health Board and the local social services authority [that they are] are satisfied that the person concerned is no longer in need of such services”
“The true reading of the speeches delivered is that the House decided to construe the words in their tax context as bearing their natural and ordinary meaning as words of common usage in the English language…”
“Unless, therefore, it can be shown that the statutory framework or the legal context in which the words are used requires a different meaning, I unhesitatingly subscribe to the view that ordinarily resident refers to a man’s abode in a particular place or country which he has adopted voluntarily and for settled purposes as part of the regular order of his life for the time being, whether of short or of long duration.”
“There are two, and no more than two, respects in which the mind of the propositus is important in determining ordinary residence. The residence must be voluntarily adopted. Enforced presence by reason of kidnapping or imprisonment, or a Robinson Crusoe existence on a desert island with no opportunity of escape, may be so overwhelming a factor as to negative the will to be where one is. And there must be a degree of settled purpose . . . All that is necessary is that the purpose of living where one does has a sufficient degree of continuity to be properly described as settled.”
“An authority is not required to determine his "real home," whatever that means nor need any attempt be made to discover what his long-term future intentions or expectations are.”
“If, as to which I offer no firm opinion, ordinary residence in an area of the local education authority has a special meaning when the distribution of the fiscal burden between local education authorities is being considered as a matter for the exercise of executive decision by the Secretary of State, it does not follow that such special meaning, whatever it be, is to be attributed to the term "ordinary residence in the United Kingdom (British Islands)" when used as a criterion of an applicant's eligibility for an award.”
“(2) Where a local authority provide accommodation under subsection (1) for a child who is ordinarily resident in the area of another local authority, that other local authority may take over the provision of accommodation for the child within” three months of being notified that this is occurring or such longer period as may be prescribed. Section 29(7) of the 1989 Act also entitles the provider of accommodation under section 20(1) to “recover from that other authority any reasonable expenses incurred by them in providing the accommodation and maintaining him”
“(6) In determining the “ordinary residence” of a child for any purpose of this Act, there shall be disregarded any period in which he lives in any place— (a) which is a school or other institution; (b) in accordance with the requirements of a supervision order under this Act; or (ba) in accordance with the requirements of a youth rehabilitation order under Chapter 1 of Part 9 of the Sentencing Code; (c) while he is being provided with accommodation by or on behalf of a localauthority”
“24. — Authority liable for provision of accommodation. (1) The local authority empowered under this Part of this Act to provide residential accommodation for any person shall subject to the following provisions of this Part of this Act be the authority in whose area the person is ordinarily resident.”
“Where a person is provided with residential accommodation under this Part of this Act, he shall be deemed for the purposes of this Act to continue to be ordinarily resident in the area in which he was ordinarily resident immediately before the residential accommodation was provided for him.”
“(6). For the purposes of the provision of residential accommodation under this Part, a patient (“P” ) for whom NHS accommodation is provided shall be deemed to be ordinarily resident in the area, if any, in which P was resident before the NHS accommodation was provided for P, whether or not P in fact continues to be ordinarily resident in that area.”
“A declaration that “is resident” insection 117(3) of the Mental Health Act 1983 has the same (or substantially the same) meaning as “is ordinarily resident” undersection 24 of the National Assistance Act 1948 , so that a person placed by a local authority under section 21 [of the1948 Act] in the area of another local authority remains ordinarily resident in the area of the placing authority for the purposes of Part III of the [1948 Act] and section 117(3) [of the 1983 Act].”
“There seems to me to be no perceptible difference between the three phrases,‘resident’, ‘ordinarily resident’ and ‘normally resident’. All three connote settled presence in a particular place other than under compulsion. Applying those tests to JM's circumstances and leaving aside the deeming provision in section 24(5) ofthe 1948 Act, JM was unquestionably resident at Roanu House when he wasadmitted to Sutton Hospital under section 3 of the 1983 Act. He had lived there for about a year…He had nowhere to live in Hammersmith. If anyone had asked him the question, and he had been capable of giving a rational answer to it, ‘where do you now reside?’ on9 April 2008 , his answer could only have been ‘in Roanu House’. If he had been asked ‘do you reside in Hammersmith and Fulham?’ he might have said ‘I wish I did’, but he could not sensibly have said ‘I do’.”
“27. … the fact that it does cannot lead to a construction of primary legislation which the wording of the legislation does not bear. It should also be remembered that section 117 does not only apply to those who are supported by a local authority under section 21 of the 1948 Act. It applies also to those discharged from mental hospitals who were admitted there as a result of a criminal process or of a transfer from a prison. It applies also to many people who do not require accommodation to be provided for them by a local authority but who have homes of their own and who are afflicted by mental illness. “28. It cannot therefore be said that as a matter of construction Parliament must have intended, when it enacted section 117...that the duties owed under the 1948 Act and section 117 should be congruent. If there is an anomaly it is for Parliament to correct” …”
“the statutory provision is not at all anomalous, and not at all surprising. The persons referred to in section 117(1) are an identifiable and exceptionally vulnerable class. To their inherent vulnerability they add the burden, and the responsibility for the medical and social service authorities, of having been compulsorily detained. It is entirely proper that special provision should be made for them to receive after-care, and it would be surprising, rather than the reverse, if they were required to pay for what is essentially a health-related form of care and treatment.”
“(a) responsibility for the social care of a mentally ill person will shift between local authorities, without any planning or any therapeutic purpose, on the day an individual is detained under section 3 [of the 1983 Act]; this is precisely the time when consistent, coherent care is most needed to increase the chances of early discharge and to maintain existing community links; (b) prior to discharge and subsequently, the social care of a mentally ill person will be provided by a new social work team unfamiliar with the individual's history and family background; (c) after-care is more likely to be provided out of the ‘home’ borough, and away from the friends, family and support networks that are vital to re-integration and recovery; (d) there will be a strong financial incentive on local social services authorities to place people such as JM, who are likely at some point to be admitted under the [1983 Act], outside their borough boundaries.”
“44. I have considerable sympathy for Hertfordshire's arguments. It is not easy to see why Parliament did not simply follow the precedent of the 1948 Act when enacting the duty under section 117. 45. However, the 1948 Act precedent must have been well known to those involved in drafting the new Bill. …. We have to proceed on the basis that Parliamentdeliberately chose a different formula; and that, by implication, it accepted thepossibility of responsibility changing over the period of detention, including thepotential impact on continuity of patient care. Furthermore, we are bound by exparte Watson to accept that section 117 was intended to be a free-standing provision, not dependent on the 1948 Act. 46. Those considerations are sufficient in my view to require us to reject Mr Green's proposed form of declaration. That invites us to hold that “is resident” in section 117(3) of the 1983 Act has “the same (or substantially the same) meaning” as “is ordinarily resident” in section 24 of the 1948 Act. That is inviting us to rewrite the language of the statute to the form which Parliament could have adopted but did not. It also glosses over the status of the deeming provision. This view is reinforced by the contrast with the case where accommodation is provided under section by a primary care trust or local health board; there Parliament has amended section 24 so as to apply a deeming provision (see subsection (6) and (6A)….”
“52. Although there are policy reasons for excluding a period of placement under section of the 1948 Act, neither counsel was able to offer a legitimate interpretative technique to achieve that result. Placement under that section is not compulsory,even though the patient may in practice have little choice. Nor, in the light of exparte Watson, can one find in section 117 of the 1983 Act any express or implicitlink to section of the 1948 Act, on which one could found such an exclusion.”
“In policy terms [section 24(5)] ensured that decisions on placements, inside or outside an authority's area, were made solely with reference to the interests of the client, without affecting the placing authority's continuing responsibility for his care.”
“52………. If one asks where was PH's ordinary residence in the period immediately before his move to Somerset, an obvious answer for many purposes would be his home with his carers. That is where he had lived happily for some fourteen years. On an objective view it might be thought sufficiently “settled” to meet Lord Scarman's test, regardless of whether PH himself took any part in the decision-making. 53. However, although the choice of South Gloucestershire may fit the languageof the statute, it runs directly counter to its policy. The present residence inSomerset is ignored because there is no connection with that county other than aplacement under the 1948 Act. By the same policy reasoning, South Gloucestershire's case for exclusion would seem even stronger. There is no present connection of any kind with that county, the only connection being a historicplacement under a statute which specifically excluded it from consideration as theplace of ordinary residence for the purposes of that Act.”
“55. It is highly undesirable that this should be so. It would run counter to the policy discernible in both Acts that the ordinary residence of a person provided with accommodation should not be affected for the purposes of an authority's responsibilities by the location of that person's placement. It would also have potentially adverse consequences. For some needy children with particular disabilities the most suitable placement may be outside the boundaries of their local authority, and the people who are cared for in some specialist settings may come from all over the country. It would be highly regrettable if those who provide specialist care under the auspices of a local authority were constrained in their willingness to receive children from the area of another authority through considerations of the long-term financial burden which would potentially follow.”
“56……..However, the court was there faced with a rather different argument, which depended on reading theMental Health Act 1983 section 117 (in which responsibility was based on “residence” without any deeming provision) as though it had the same meaning as ordinary residence under section 24. The court (para 45) rejected that argument, not only because it was inconsistent with the statute, but also because it was constrained by higher authority to hold that section 117 was a free-standing provision not dependent on the 1948 Act.”
“58. Section 24(5) poses the question: in which authority's area was PH ordinarily resident immediately before his placement in Somerset under the 1948 Act? In a case where the person concerned was at the relevant time living in accommodation in which he had been placed by a local authority under the 1989 Act, it would beartificial to ignore the nature of such a placement in that parallel statutory context. He was living for the time being in a place determined, not by his own settledintention, but by the responsible local authority solely for the purpose of fulfillingits statutory duties. 59. In other words, it would be wrong to interpret section 24 of the 1948 Act so as to regard PH as having been ordinarily resident in South Gloucestershire by reason of a form of residence whose legal characteristics are to be found in the provisions of the 1989 Act. Since one of the characteristics of that placement is thatit did not affect his ordinary residence under the statutory scheme, it would createan unnecessary and avoidable mismatch to treat the placement as having had thateffect when it came to the transition in his care arrangements on his eighteenthbirthday. 60. On this analysis it follows that PH's placement in South Gloucestershire by Wiltshire is not to be regarded as bringing about a change in his ordinary residence. Throughout the period until he reached 18, he remained continuously where he was placed by Wiltshire, under an arrangement made and paid for by them. For fiscal and administrative purposes his ordinary residence continued to be in their area, regardless of where they determined that he should live….”
“An Act to make provision to reform the law relating to care and support for adults and the law relating to support for carers; to make provision about safeguarding adults from abuse or neglect; to make provision about care standards; to establish and make provision about Health Education England; to establish and make provision about the Health Research Authority; to make provision about integrating care and support with health services; and for connected purposes.”
“5. Part 1 of the Act is intended to give effect to the policies requiring primary legislation that were set out in the White Paper Caring for our future: reforming care and support (Cm 8378, July 2012), to implement the changes put forward by the Commission on the Funding of Care and Support, chaired by Andrew Dilnot, and to meet the recommendations of the Law Commission in its report on Adult Social Care (Law Com 326, HC 941, May 2011) to consolidate and moderniseexisting care and support law”
“(4) An adult who is being provided with accommodation undersection 117 of the Mental Health Act 1983 (after-care) is to be treated for the purposes of this Part as ordinarily resident in the area of the local authority in England or the local authority in Wales on which the duty to provide the adult with services under that section is imposed; …”
“(5) An adult who is being provided with NHS accommodation is to be treated forthe purposes of this Part as ordinarily resident— (a) in the area in which the adult was ordinarily resident immediately before the accommodation was provided, or (b) if the adult was of no settled residence immediately before the accommodation was provided, in the area in which the adult was present at that time.”
“Schedule 1 makes provision to ensure that where a person in England, who has care and support needs and requires residential accommodation to meet those needs, is provided with that accommodation in another part of the UK by a local authority, generally this does not result in a transfer of that authority’s responsibility for that person. Paragraphs 2 to 4 make similar provision in respect of placements in England of people from Wales, Scotland or Northern Ireland which are arranged under the relevant Welsh, Scottish or Northern Irish legislation. These paragraphs also make similar provision in respect of crossborder placements not involving England i.e. Wales-Scotland, Scotland-Northern Ireland and Northern Ireland-Wales.”
“S40 Disputes about ordinary residence or continuity of care (1) Any dispute about where an adult is ordinarily resident for the purposes of thisPart, or any dispute between local authorities under section 37 about the application of that section, is to be determined by— (a) the Secretary of State, or (b) where the Secretary of State appoints a person for that purpose (the “appointed person”), that person. (emphasis added) (2) The Secretary of State or appointed person may review a determination under subsection (1), provided that the review begins within 3 months of the date of the determination. (3) Having carried out a review under subsection (2), the Secretary of State or appointed person must— (a) confirm the original determination, or (b) substitute a different determination.”
“446. Section 75 clarifies the meaning of after-care and makes minor amendments tosection 117 of the Mental Health Act 1983 (the 1983 Act). The changes remove anomalies in determining the responsible local authority in relation to the provision of after-care services under the 1983 Act to people who have been detained in hospital for treatment of mental disorder and the provision of care and support services to which the [2014] Act applies. … 448. Subsections (3) and (4) apply the ordinary residence rules to section 117 in order to avoid anomalies which can currently arise where one local authority is responsible for commissioning section 117 services whilst another commissionsany other services a person may need. They apply consistent after-care ordinary residence rules in England and Wales, in particular, in relation to which health body and local authority are responsible for commissioning after-care services. One benefit of this will be to empower the Secretary of State to resolve disputes as to which authority is liable to commission section 117 services, which can currently only be resolved through the courts. The Secretary of State and the Welsh Ministers will publish arrangements for determining cross-border disputes.”
“(6) In this section, “after-care services”, in relation to a person, means services which have both of the following purposes— (a) meeting a need arising from or related to the person's mental disorder; and (b) reducing the risk of a deterioration of the person's mental condition (and, accordingly, reducing the risk of the person requiring admission to a hospital againfor treatment for mental disorder).”
“449…. makes clear that section 117 services must meet a need arising from or related to the person’s mental disorder. Additionally, the purpose of these services must be to reduce the risk of deterioration in the person’s mental condition and, accordingly, to reduce the risk of the person’s re-admission to hospital for treatment for mental disorder. 450. The definition of after-care services is nevertheless broad. For example, aftercare can encompass health, social care and employment services, supported accommodation and services to meet the person’s wider social, cultural and spiritual needs, if these services meet a need that arises directly from or is related to the particular patient’s mental disorder, and help to reduce the risk of a deterioration in the patient’s mental condition.”
“The main reason for this is that section 117 applies to a specific group of former mental health patients whose needs are linked directly to the 1983 Act, since services are required in order to reduce their chance of being readmitted to hospital. Furthermore, section 117 cannot be described as a pure social care enactment, since it establishes a joint duty on social services and the NHS and would not fit easily into our proposed statute. However, we consider below whether section 117 could or should be more fully integrated within the legal framework for the provision of adult social care services.”
“The majority of responses…agreed that in principle the concept of ordinary residence should be extended to section 117 services and that the current effect of section 117 should be retained. However, there was disagreement about the best way to achieve this.”
“Several local authorities expressed concern about the implications of this judgment and argued that under our scheme, responsibility for funding section 21 accommodation should remain with the placing authority as it would do under the ordinary residence rules. However, some consultees argued that the effect of thisjudgment should be retained since it means that service users will receive supportfrom social workers who work in the local area and are aware of locally availableservices. Others argued that the specific and cyclical nature of mental illness meantthat the last authority in which the patient was living should only have section 117responsibility until any further detention occurred.”
“The concept of ordinary residence should be extended to apply to after-care services provided undersection 117 of the Mental Health Act 1983 . The issue ofhow the ordinary residence rules should be applied to section 117 should be takenforward as a general review of the policy of the Government and Welsh Assembly Government.”
“We similarly support the Law Commission’s recommendation 63 that the concept of ordinary residence should be extended to apply to people receiving services under section 117. This would address the problem in some cases of a person’s mental health needs being catered for by one authority and their other needs by another and help reduce some of the anomalies associated with this type of care and support.”
“Section 117 is a freestanding duty because some of the specific characteristics of these services do not apply to mainstream care and support. The most significant of these is that after-care services cannot be charged for and must be provided free of charge. Whilst we wish to remove some of the anomalies of section 117 by specifically applying certain provisions to after-care services (as per recommendations 61-63), we do not intend to change its status. In our view, it would be more straightforward to retain section 117 as a freestanding provision, albeit amended as proposed in other recommendations.”
“The term “resident” in the 1983 Act is not the same as “ordinarily resident” in the 1948 Act and therefore the deeming provisions (and other rules about ordinary residence explained in this guidance do not apply).”
“There are several provisions in the Care Act (section 39(1)-(3) and (5)-(7) and paragraph 2 of Schedule 1) which deem a person to be ordinarily resident in a particular local authority’s area in specified circumstances for the purposes of Part 1 of the Act. These deeming provisions do not apply to section 117 of the 1983Act, nor have they been incorporated into section 117 of the 1983 Act.”
“Although any change in the patient’s ordinary residence after discharge will affect the local authority responsible for their social care services, it will not affect the local authority responsible for commissioning the patient’s section 117 aftercare. Under section 117 of the 1983 Act, as amended by theCare Act 2014 , if a person is ordinarily resident in local authority area (A) immediately before detention under the 1983 Act, and moves on discharge to local authority area (B) and moves again to local authority area (C), local authority (A) will remain responsible for providing or commissioning their after-care. However, if thepatient, having become ordinarily resident after discharge in local authority area(B) or (C), is subsequently detained in hospital for treatment again, the localauthority in whose area the person was ordinarily resident immediately beforetheir subsequent admission (local authority (B) or (C)) will be responsible for theirafter-care when they are discharged from hospital.”
“The clear purpose of section 117 is to arrange for the provision of services to a person who has been, but is not currently being, provided with treatment and care as a hospital patient. That purpose is implicit in the very expression “after-care”, which is used not only in the heading but throughout the body of section 117 in the phrase “after-care services”
“WCC placed [JG] in Swindon’s area, pursuant to section 117. She remained entitled to and in receipt of section 117 support until her redetention under section 3 of the 1983 Act on23 June 2015 . The first issue on which the Secretary of State seeks clarification, and comments or legal submissions you may wish to make, is whether [JG] wasever discharged from the provision of section 117 support by WCC. In particular, is there any information or contemporaneous documentation (or any other reason or argument) to suggest that [JG] was formally discharged from the provision of aftercare support under section 117(2),on the basisthat such support was no longer necessary to meet her needs? In the event that no such formal dischargetook place, and in any event, the Secretary of State would welcome your submissions on whether WCC’s pre- 158. existing duty under section 117 continued, or ceased, whether by operation of law or otherwise, during the period that [JG] has been detained under section 3 of the 1983 Act. In the event that WCC’s original section 117 duty continued during the detention it would appear to do so on any further discharge from detention, in which case it is not necessary to consider whether any new duty arose or who would be responsible under section 117(3) as it now stands.”
“Was JG discharged from s. 117 provision, before being re-detained? 6. The first issue on which the Secretary of State seeks clarification, is whether JG was ever discharged from the provision of s. 117 support by Worcestershire. The answer is no; there was no decision to discharge JG from s. 117 services, and JG remained in receipt of s. 117 support up to the date on which she was again detained under s. 3 of the 1983 Act, in June 2015. Did Worcestershire’s s. 117 duty persist during JG’s second period of detention? 7. If, as was the case, JG was not discharged from s. 117, the Secretary of State seeks submissions on whether Worcestershire’s duty under s. 117 continued, or ceased, during when JG was detained under s. 3 of the 1983 Act, between June and November 2015.”
“As a result of JG’s re-admission to hospital, the Claimant issued a ‘termination notice’ to the care home which had been accommodating JG in Swindon”