“I do not give permission to appeal on either of the grounds advanced on behalf of [the appellant] as neither in my judgment have a realistic prospect of showing the First-tier Tribunal erred materially in law. There is no arguable case of a breach of natural justice by not holding another face-to-face assessment. This is just an issue of evidence and the proper weight that could be attached to the last face-to-face assessment. Further, a confusion as to the sequencing of dates in and of itself does not evidence an error of law if the decision arrived at is sound. Where the confusion as to dates does identify an arguable error of law, however, is in the arguable failure of the First-tier Tribunal to correctly identify the decision under appeal to it and the consequences which arguably flow from that error. PM –v- SSWP (PIP)[2017] UKUT 0037 (AAC) CPIP/2533/2016 3 The appeal papers show that [the appellant] had been awarded the enhanced rate of the mobility component of PIP from2 January 2014 to1 January 2016 by the First-tier Tribunal on5 January 2015 (page 173). This appeal decision overturned the Secretary of State’s decision on the claim dated12 August 2014 . Given this award was due to expire on1 January 2016 , a renewal claim form for PIP was completed by [the appellant] on8 October 2015 (page 42), pursuant, it would seem, to regulation 33(2) of theUniversal Credit, Personal Independence Payment, Jobseeker’s Allowance and Employment and Support Allowance (Claims and Payments) Regulations 2013 . This led to the ‘paper-based assessment’ on15 October 2015 (pages 68-76). The paper-based assessment then led the Secretary of State to make not one but two decisions. The first was dated18 November 2015 (page 237) and was to the effect that, on the renewal claim, there was no entitlement to PIP from2 January 2016 . The second decision was dated20 November 2015 (242) and removed the award of PIP made by the First-tier Tribunal with effect from20 November 2015 . Was this a supersession decision made undersection 10 of the Social Security Act 1998 , even though no grounds for supersession were given? Or was it instead a revision on any grounds of the18 November 2015 decision removing entitlement from20 November 2015 ? And in either event, on what basis did a decision effective from20 November 2015 mean that [the appellant] had been paid “too much money” (bottom of page 244)? On the face of it, it was only this second decision that [the appellant] asked to be mandatorily reconsidered (i.e. revised) (see page 247); though on a fair reading of the contents of his letter of10 December 2015 it is well arguable that he was also challenging the decision about his continuing to be entitled to PIP in the future. That then led to the Secretary of State’s decision on mandatory reconsideration dated29 December 2015 (page 249). On the face of it, this was the only decision before the First-tier Tribunal on the appeal to it: see regulation 7(2) of theUniversal Credit, Personal Independence Payment, Jobseeker’s Allowance and Employment and Support Allowance (Decisions and Appeals) Regulations 2013 . That decision, however, was to the effect that [the appellant] was not entitled to PIP from12 August 2014 . It refers to a telephone call having been made by [the appellant] on25 November 2015 (page 250), but the record of that call is not evidenced (as it ought to have been if it was recorded– see rule 24(4)(b) of the Tribunal Procedure (First-tier Tribunal) (SEC) Rules) 2008); and this narrative does not account for the10 December 2015 letter, which is in the appeal papers. Even though it is not apparent from the body of the29 December 2015 letter, the new date of disentitlement of12 August 2014 means that this decision must have revised the decision of20 November 2015 and replaced it with a decision superseding the First-tier Tribunal’s awarding decision with effect from12 August 2014 . Again, the ground and basis for such a supersession are nowhere explained in the29 December 2015 decision. PM –v- SSWP (PIP)[2017] UKUT 0037 (AAC) CPIP/2533/2016 4 If the above narrative is correct, it is at the very least arguable that the First-tier Tribunal erred in law in considering that the decision before it on appeal was the one dated20 November 2015 and that that decision had not been revised on mandatory reconsideration (see paragraph 2 of statement of reasons on page 273). It is also arguable that it erred in law in not addressing the basis for superseding the previous First-tier Tribunal’s decision. Furthermore, even on its own (arguably wrong view) that what was before it was the20 November 2015 decision as not revised, that decision was still, at least arguably, a supersession decision removing entitlement from20 November 2015 , and the tribunal of12 April 2016 failed to address the basis for supersession at all in its decision. Indeed it is arguable the tribunal erred in law in either (a) considering that there was an appeal before it against the18 November 2015 decision refusing the renewal claim with effect from2 January 2016 (or not explaining why such an appeal was also before it), or (b) proceeding on the basis that the20 November 2015 decision was (only) concerned with entitlement to PIP from2 January 2016 . I should add that, unfortunately, the Secretary of State’s appeal response to the First-tier Tribunal was singularly unhelpful (indeed silent) in explaining the narrative of decision-making arising from the renewal claim, the decisions made and the basis for the supersession decision which was under appeal to the First-tier Tribunal. All of the above issues need to be addressed. I also invite submissions on what [the appellant] may now be able to do about the unappealed18 November 2015 decision, if the above narrative is correct.”
“As Mr Spencer [for the Secretary of State] rightly further submits, a tribunal is required to make findings as to (i) the ground upon which the supersession decision was made and (ii) the date from which it properly took effect. In the present case, although the FTT’s decision notice confirmed the Secretary of State’s decision of9 September 2015 , neither of these two issues was addressed head-on (either in the decision notice or in the statement of reasons). The FTT’s comprehensive failure to do so amounts to a material error of law which means I should set aside its decision and remit the case for rehearing.”
“The informed but impatient reader might consider this approach to be the epitome of Upper Tribunal persnickiteness. Not so. It is true, of course, that the decision maker in the present case acted upon the second HCP report. So to the informed reader the case may appear to have regulation 26(1)(a) written all over it. However, the existence of new HCP medical evidence does not, of itself, preclude supersession on the alternative ground of a relevant change of circumstances. As Mr Spencer very fairly observes, a subsequent HCP report may support an increase in the claimant’s PIP award due to further needs which had already been previously and promptly notified by the claimant under regulation 23(1)(a). Unthinking and automatic resort to the new HCP report under regulation 26 in such a case would result in the claimant potentially losing out as regards arrears of benefit. Although I have not had full argument on the point, it seems to me in principle that Mr Spencer is correct in arguing that (with emphasis as in the original): “regulation 26 should be understood as allowing supersession to be carried out where a relevant change of circumstances cannot be identified. Whether there is an identifiable change of circumstances should thus be considered first, however briefly. Regulation 26 should be considered next if and only if no change of circumstances (or other alternative ground of supersession) has been identified. In effect, regulation 26 is a provision of last resort for cases where no other ground of supersession is made out.”
“12. The effect of regulation 26(1)(a) of the 2013 Decisions and Appeals Regulations taken on its own is relatively uncontroversial. A similar power of supersession has existed for some time for incapacity benefit (IB) and employment and support allowance (ESA) in the 1999 Decisions and Appeals Regulations. In relation to those powers, a three-judge panel of the Upper Tribunal said this in FN v Secretary of State for Work and Pensions (ESA)[2015] UKUT 670 (AAC) , now reported as [2016] AACR 24: “70. We accept this analysis [of how the pre-existing case law fitted together] and although we were not asked to consider the practical application of regulation 6(2)(g) or 6(2)(r)(i) [of the 1999 Decisions and Appeals Regulations], we re-emphasise that the purpose of both provisions is to provide that the obtaining of a medical report or medical evidence following an examination is in itself a ground of supersession and that, accordingly, there is no longer a requirement to identify a 2 I say “may” because, for the reasons given below, the20 November 2015 decision as revised on mandatory reconsideration was not a supersession decisions under regulation 26(1)(a) of theUniversal Credit, Personal Independence Payment, Jobseeker’s Allowance and Employment and Support Allowance (Decision and Appeals) Regulations 2013 . PM –v- SSWP (PIP)[2017] UKUT 0037 (AAC) CPIP/2533/2016 9 regulation 6(2)(a)(i) change of circumstances in order to supersede an IB or ESA decision. More importantly, however, we accept and endorse what was said by Mr Commissioner Jacobs in paragraph 10 of CIB/1509/2004. What both provisions do is to authorise a supersession procedure but do not determine the outcome. What determines the outcome is a decision by the decision-maker (initially) or the First-tier Tribunal (on appeal), after an assessment of all the relevant evidence, as to whether the substantive tests (incapacity for work or limited capability for work) are satisfied.”
“10. On either approach, regulation 6(2)(g) merely authorises a supersession procedure. It does not determine the outcome. It merely recognises that evidence has been produced that may, or may not, show that the operative decision should be replaced. The outcome is determined by the conditions of entitlement for an award.”
“….I make these directions, however, to address a related matter, but one which I do not consider has been satisfactorily addressed in the submissions to date. This concerns the unappealed18 November 2015 decision. That decision was to the effect that, on the renewal claim, there was no entitlement to PIP from2 January 2016 . The second decision was dated20 November 2015 and removed the award of PIP made by the First-tier Tribunal with effect from20 November 2015 . I suggested when giving permission to appeal that on one analysis this might have been a decision revising the18 November 2015 decision and changing it to a decision removing [the appellant’s] entitlement to PIP from20 November 2015 . If this was the case, however, the PIP renewal claim would still stand to be decided because this decision (on this analysis) was not deciding that claim. However I do not consider this can be the correct construction of the decision letters because the20 November 2015 decision letter refers to looking at [the appellant’s] award of PIP, but the18 November 2015 decision letter did not make [the appellant] any award of PIP, and furthermore that18 November 2015 letter referred to a “claim” for PIP which must mean the renewal claim as the earlier claim that had led to the earlier award had long since ceased as a matter of law. All of this leads me to conclude that the20 November 2015 decision has to be an entirely separate decision from the18 November 2015 decision. As I explained previously, it was only the20 November 2015 that [the appellant] asked to be mandatorily reconsidered (see page 247). It may be on a fair reading of the contents of his letter of10 December 2015 that, despite its referring only to the20 November 2015 decision, [the appellant] was also challenging the decision about his continuing to be entitled to PIP in the future, (that is, the18 November 2015 decision). (But all that may mean is that18 November 2015 decision still stands to be mandatorily reconsidered by the Secretary of State. If that is the case then he could now do so as a matter of urgency, [the appellant] could appeal the decision if not changed on mandatory reconsideration, and both decisions could then be listed to be heard together before the First-tier Tribunal to which this appeal is to be remitted.) It is not disputed that the Secretary of State then made a decision on mandatory reconsideration of the20 November 2015 decision. This was dated29 December 2015 (page 249). It is also not disputed that it was this decision, which had revised to [the appellant’s] disadvantage the20 November 2015 decision, that was under appeal to the First-tier Tribunal. PM –v- SSWP (PIP)[2017] UKUT 0037 (AAC) CPIP/2533/2016 16 However, despite the argument of the Secretary of State in his submissions of17 November 2016 , I am still not clear on what lawful basis the separate (see above)18 November 2015 renewal claim decision was before the First-tier Tribunal. The problem in a nutshell, as it seems to me, is that that decision could only be appealed if it had been mandatorily reconsidered, but it had not. That was the point I was seeking to make by referring to regulation 7(2) of theUniversal Credit, Personal Independence Payment, Jobseeker’s Allowance and Employment and Support Allowance (Decisions and Appeals) Regulations 2013 . That regulation is quite explicit in setting out that the right of appeal undersection 12 of the Social Security Act 1998 can arise only if the Secretary of State has considered an application to revise the decision. On my understanding of the history, no application for revision has ever been made, or more importantly considered by the Secretary of State, in respect of the18 November 2015 decision. This is not intended in any way as a criticism of [the appellant], who no doubt sensibly may have thought the last decision he received, the20 November 2015 decision, was the only one he needed to challenge. What, however, is the remedy (if any) to enable [the appellant] to get the18 November 2015 decision also before a First-tier Tribunal? I have suggested one in paragraph 5 above (in bold). Another might be an argument that on the appeal against the supersession decision [the appellant] could argue that not only was removing his award from an earlier date wrong but that it ought to have continued beyond1 January 2016 . This approach may, however, be problematic given the need to identify who was making the application for supersession and when it then may be effective from (see R(IB)2/04). Another possibility is that I have misunderstood the narrative and [the appellant] did in fact seek a mandatory reconsideration of the18 November 2015 decision and the Secretary of State made a decision on that application. A further possibility is that I am wrong on the law (though I do not think I am, at least at the moment, given the mandatory terms of regulation 7(2)). In all the circumstances I consider both parties need to address me (again) on how the18 November 2015 decision (or its effects) may get before the First-tier Tribunal.”