“first, the person must be in need of care and attention; secondly, the need must arise by reason of age, illness, disability or ‘other circumstances’ and, thirdly, the care and attention which is needed must not be available otherwise than by the provision of accommodation under section 21”: see M per Baroness Hale at §31, citing R (Wahid) v Tower Hamlets London Borough Council[2002] EWCA Civ 287 [2002] LGR 545 §30”… Secondly, it is clear that the words “not otherwise available” in s.21(1)(a) govern “care and attention”, not “accommodation”: M §16 per Baroness Hale; §§50-52 per Lord Neuberger. It is equally clear … that ordinary, as opposed to special, accommodation, is not excluded: “… people who need care and attention which could be provided in their own homes, if they had them, can fall within section 21(1)(a)”. (M §30 per Baroness Hale.). (4) Section 21 was considered in the apex cases of M (2008 in the House of Lords) and L (2013 in the Supreme Court). In both cases, asylum support accommodation under s.95 of the 1999 Act was recognised as available to the claimants, as asylum-seekers: see M at §§3 and 39; L at §4. The question was whether, under s.21 of the 1948 Act, Slough and Westminster were nevertheless obliged to provide accommodation. In M, the claim was based on the need for HIV meds to be kept in refrigerated conditions. In L the claim was based on the need for social worker monitoring. L was diagnosed with depression and post-traumatic stress disorder, who had been discharged from a mental health unit and was temporarily housed by Westminster pursuant to an order for interim relief (§10). His assessed needs were for monitoring, by a social worker care coordinator called Mr Wyman, providing support, advice and encouragement, and generally monitoring his mental health condition. Both claims failed. M’s claim failed because refrigeration for the meds was not a “care and attention” need (see M at §§36, 40, 60). L’s claim failed: first, because social worker monitoring was not a “care and attention” need (L at §44); and secondly, because in any event provision for social worker monitoring was “in no sense accommodation-related” (L at §45). That involved overturning the Court of Appeal, which had decided in L that the provision to meet care and attention needs would not be “reasonably practicable and efficacious” achieving their objectives unless they were combined with a degree of stability in the claimant’s living arrangements. The Supreme Court said this was too “loose and indirect” a link between care and attention needs and accommodation (L at §46). the national scheme [of asylum support] is designed to be a scheme of “last resort”
“This means that it has at least to be care and assistance of a sort which is normally provided in the home (whether ordinary or specialised) or will be effectively useless if the claimant has no home”