“Arrears due to customer due to the cessation of CA being paid to [his wife] are not to be offset against the overpayment as this is an advantageous change of circumstances and there is one month time limit for notification.”
“When a decision is made about DLA it results in notification automatically being sent to ESA via a Work Available Report (WAR) (see attached example). It is therefore submitted that the overpayment occurred as the result of an error by the department as it did not use this information to initiate a supersession/review of [the claimant’s] award of ESA breaking the chain of causation under s.71 of SSAA 1992 (see R(SB) 15/87, KS v Secretary of State for Work and Pensions (ESA)[2019] UKUT 188 (AAC) CE/297/2019 4 CIS/159/1990, CSIS/7/1994 and GJ v SSWP (IS)[2010] UKUT 107 (AAC) ) resulting in the overpayment not being recoverable from the claimant.”
“Such guidance relating to awards of benefit are not an easy read for many claimants but the words used so far as changes are concerned indicate that the claimant is required to tell the Department that either the claimant or his or her partner starts or stops getting any benefits and on that basis the Tribunal found that the wording of this document KS v Secretary of State for Work and Pensions (ESA)[2019] UKUT 188 (AAC) CE/297/2019 5 although not the easiest read was not ambiguous such that an appellant would be so confused by it that it required some form of interpretation before he felt obliged to act or needed to act on it.”
“was not persuaded or impressed by the argument that the WAR would itself negate any obligation by an appellant to [notify] under Regulation 32(1A). The Tribunal found that the appellant was under an obligation under Regulation 32(1A) and that the notification or requirement was not an ambiguous one and the Tribunal found that [the] appellant had failed to make disclosure. The Tribunal in making that finding did not find for the appellant’s argument that there had been a breaking of the chain of causation but rather the overpayment was a direct result of the appellant’s failure to notify and accordingly and on that basis the Tribunal found that the overpayment was recoverable from the appellant.”
“While it is patently inaccurate to suggest that the FtT ‘simply’ held that the appellant had been in receipt of benefits for years, I do consider it is arguable as an error of law, with a realistic prospect of success, that (a) the FtT’s consideration of ESA40 was tainted by introducing that factor, with others, into its consideration, when it should have been applying an objective test; and (b) that it failed to engage sufficiently with the content and language of ESA40.”
“36. It seems to me that the outcome of that reasoning, which I broadly accept, is really that section 71 in effect sets out a two-fold test for causation. First, it requires that the overpayment of benefit should have been made “in consequence of the misrepresentation or failure to disclose”
“(1) Subject to paragraphs (1C) and (2), in calculating an amount recoverable under section 71 of the Administration Act or under regulations under regulation 11 (“the overpayment”), the adjudicating authority must deduct— (a) any amount that has been offset under Part 3; (b) any additional amount of a benefit specified in paragraph (1A) which was not KS v Secretary of State for Work and Pensions (ESA)[2019] UKUT 188 (AAC) CE/297/2019 9 payable under the original, or any other, determination but which should have been determined to be payable in respect of all or part of the overpayment period to the claimant or their partner— (i) on the basis of the claim as presented to the adjudicating authority; or (ii) on the basis that any misrepresentation or failure to disclose a material fact had been remedied prior to the award being made.”