Case Nos: QBCOF99/0940/0941/0942/0943
IN THE SUPREME COURT OF JUDICATURE
IN THE COURT OF APPEAL (CIVIL DIVISION)
ON APPEAL FROM THE ORDER OF MR JUSTICE SULLIVAN
Royal Courts of Justice
Strand, London, WC2A 2LL
Date: 27 July 2000
B e f o r e :
RICHMOND
BORO COUNCIL |
Appellants | |
WATSON/STENNETT/COBHAM/ARMSTRONG |
Respondents |
These four appeals involve an important issue as to whether charges can be
levied by local authorities in relation to accommodation provided by them under
section 117 of the Mental Health Act 1983 to persons who have been discharged
from detention under section 3 of that Act. The appellant local authorities
contend that charges can (and indeed must) be levied ; the respondents
submit that there is no power to charge and charges cannot thus be made. On 28
July 1999 Mr Justice Sullivan held that there was no power for the respondents
to charge for such residential accommodation in the absence of express
statutory authority and that section 117 conferred no power to charge. He
granted permission to appeal.
The outcome of these appeals has wide-ranging financial implications for all
local authorities. We are told that in practice local authorities are divided
on this issue. About half recognise that there is a positive obligation upon
them to provide accommodation free to such patients ; the other half consider
they have a right (or even a duty) to charge for this accommodation. The
respondents in all four appeals have all been subject to detention under
section 3 of the 1983 Act. Upon their respective discharge from that
detention, the appellant Social Services Authority in each case has provided
them with residential accommodation.
Statutory framework
The two principle statutory provisions for consideration are as follows :
Section 117 Mental Health Act 1983 (as amended):
"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 transfer direction made
under section 47 or 48 above, and then cease to be detained and [(whether or
not immediately after so ceasing)] leave hospital.
(2) It shall be the duty of the [Health Authority] and of the local social
services authority to provide, in co-operation with relevant voluntary
agencies, after-care services for any person to whom this section applies until
such time as the [Health Authority] and the local social services authority are
satisfied that the person concerned is no longer in need of such services [;
but they shall not be so satisfied in the case of a patient who is subject to
after-care under supervision at any time while he remains so subject.]"
The expression "after care services" is not defined in the Act. Section 117 confers no express authority to charge for after care services. It is the appellants principle contention that the power to do so derives from the National Assistance Act 1948. Section 21, so far as is material, provides :
21. Duty of local authorities to provide accommodation
(1) [Subject to and in accordance with the provisions of this Part of the Act,
a local authority may with the approval of the Secretary of State,
and to such an extent as he may direct shall, make arrangements for
providing]
(a) residential accommodation for persons [aged eighteen or over] who by
reasons of age, [illness, disability] or any other circumstances are in need of
care and attention which is not otherwise available to them : [and
(a) residential accommodation for expectant and nursing mothers who are in need
of care and attention which is not otherwise available to the.]
(b)
(2) In making any such arrangements [a local authority shall have regard to the
welfare of all persons for whom accommodation is provided and in particular to
the need for providing accommodation of different descriptions suited to
different descriptions of such persons as are mentioned in the last foregoing
subsection.
However there is an important provision in sub-section (8) which provides :
"(8) .... nothing in this section shall authorise or require a local authority to make any provision authorised or required to be made (whether by that or by any other authority) by or under any enactment not contained in this Part of this Act [or authorised or required to be provided under the National Health Service Act 1977.]"
Section 22 (1) provides :
"22 Charges to be made for accommodation
(1) subject to section 26 of this Act, where a person is provided with
accommodation under this Part of this Act the local authority providing the
accommodation shall recover from him the amount of the payment which he is
liable to make in accordance with the following provisions of this section."
Thus the NAA imposes a duty to charge for residential accommodation
according to means.
Section 29 provides :
"29 Welfare arrangements for blind, deaf, dumb and crippled persons
etc
(1) A local authority [may direct in relation to persons ordinarily resident in
the area of the local authority shall make arrangements for promoting the
welfare of person to whom this section applies, that is to say persons [aged
eighteen or over] who are blind, deaf or dumb[or who suffer from mental
disorder of any description]]. And other persons [aged eighteen or over] who
are substantially and permanently handicapped by illness, injury, or congenital
deformity or such other disabilities as may be prescribed by the Minister."
Before Sullivan J., the local authorities contended that section 117 does
not impose a free-standing duty to provide after care services, including
"caring" residential accommodation. It is a "gateway" section which imposes a
duty to ensure that after care services are provided under such other
enactment's that may be appropriate. In the case of residential accommodation
the respondents must ensure that it is provided under section 21 of the 1948
Act. Once accommodation is provided under section 21 then a charge must be
made under section 22. In respect of other aspects of after-care, the local
authority must be sure that it is provided under, among others, section 29. A
local authority does not impose charges or discharge payments for that element
of the after care package.
Sullivan J. held that the question was one of statutory interpretation and
accepted the submissions on behalf of the patients that the starting point must
be the language in section 117 itself, considered not in isolation, but within
the immediate framework provided by the Act and the wider context of related
legislation. He held that section 117(2) imposes a duty on the health
authority and the local services authority to provide after care services for
persons to whom section 117 applies. It does not impose a duty to secure the
provision of such services under other powers, and that no other enactments are
mentioned in sub-section 2 as a potential source of such power. He alluded to
the fact that there are other sections of the Act (which have been incorporated
by way of amendment in 1990) which expressly referred to the fact that section
117 imposed a free-standing duty to provide after-care services. Moreover, he
held that section 117 is an "other enactment" within the terms of section
21(8). Given that section 117 both "authorises" and "requires" the provision
of accommodation for these four patients the effect of sub-section (8) was
specifically to disengage the respondents section 21(1) power.
He made a declaration in respect of each applicant in the following terms
:
AND IT IS DECLARED
1. The Applicant falls within the terms of section 117(1) of the Mental Health
Act 1983 ;
2. Her accommodation must be provided pursuant to section 117(2) of that Act,
and not section section 21(1) of the National Assistance Act 1948 ;
3. Accordingly, the Respondents are not entitled to charge the Applicant for
that accommodation.
Mr Richard Lissack QC on behalf of the appellants submitted that the judge's construction of section 117 conflicts with the language of the section, its place in the statutory regime and (if it is permissible in Pepper v. Hart terms to look at it) the singular Parliamentary history of section 117. He accepts that section 117 does create a duty : the duty to provide "after-care services." However, he contended that the right question to ask is `what services?'. It is either :
(a) a free-standing raft of otherwise undefined services (as the judge
appears to have found) or,
(b) that body of services which the local authority has power to provide under
other enactments, i.e. a `gateway' (as the appellants contend).
In support of his argument leading counsel points to the language of the
section itself. First, he points to the lack of any definition of
"services." A local authority only has those functions expressly conferred by
statute or ancillary thereto pursuant to section 111 of the Local Government
Act 1972. Hence, the functions of local authorities are usually tightly
defined. If the judge is correct and section 117 operates outside section 21
then, in theory, "anything goes" for the more vulnerable section 117
qualifiers. In order to prevent such an open-ended commitment Parliament now
circumscribes how (i.e. the administrative manner in which) the section 117
duty is to be performed. (See section 117(2)B) and section 32). He commented
that it is odd for it not to have similarly incorporated regulations to govern
the functions themselves if they are "free-standing." There is no need to,
because they are not.
Second, the language of section 117 appears to place the same duty on both
local authorities and health authorities, and raises the practical question of
who should pay as between authorities. Health authorities, and local
authorities exercise different functions but the judge's construction strikes
at the heart of this distinction. Leading counsel submitted that the purpose
of section 117 is to impose a duty on both authorities to exercise their
respective powers : not to require one to exercise the powers of the other.
Third, Mr Lissack relied heavily on the fact that there has been no amendment
to section 117 "after-care services" since 1983. The after-care services which
health authorities and local authorities provide in other contexts have changed
since then. He submitted that the only explanation for no change is that the
services which it envisages are those which the authorities have power,
"outside of"section 117 to provide. Parliament should be presumed not to have
intended that the 1983 position would continue to apply.
He further submitted that beyond the language of section 117 itself, the
appellant's approach is harmonious and consistent. The section would guarantee
that a person qualifying will be provided with the after-care services needed ;
impose on the health authority and the local authority a duty to act in concert
to avoid a section 3 qualifier from slipping through the net ; remove any
discretion to provide ; and mark out a specific sub-group. In the light of
this analysis section 117 would not run counter to present policy where, for
example, local authorities have since 1993, been forbidden from providing
(free) residential accommodation to the mentally ill. ( see National Health
Service Act 1977, Schedule 8, para.2 (4 AA)) In essence, it is submitted that
the wider legislation provides, as Parliament and Government intended, for
local authorities to charge for residential accommodation in all financially
appropriate cases. Thus the appellant's construction allows "after-care
services" in section 117 to move with the times.
Counsel for the four respondents made common cause and submitted that the
statutory framework is clear and unambiguous and in their favour. In essence
they contend :
"(1) the provision of accommodation can and must be provided to these
applicants pursuant to section 117
(2) given that the section 117 is thus engaged, the section 21 power is
expressly disengaged by section 21 itself. Accordingly, there can be no
question of the local authority choosing to use the charge-
attracting power."
Conclusions
All counsel agree that the starting point must be the language in section 117 itself. Mr Lissack concedes, in my view correctly, that the words "after-care services" in the MHA 1983 can include residential accommodation which is specifically designed to care for the needs of persons who have been detained under section 3 and who have left hospital. Like the learned judge, I consider leading counsel was correct to make that concession. In Clunis the Camden and Islington Health Authority (1998) 1 CCLR 215 AT 225G, Beldam L.J. said :
"After-care services are not defined in the Act. They would normally include social work, support in helping the ex-patient with problems of employment, accommodation or family relationships, the provision of domiciliary services and the use of day centre and residential facilities."
The interpretation of section 117 was considered in R. .v. Ealing District Health Authority ex parte Fox (1993) 3 AER 170. At page 181 I said :
"the duty is not only a general duty but a specific duty owed to the applicant to provide him with after-care services until such time as the district health authority and local social services authority are satisfied that he is no longer in need of such services."
It must follow that from the cessation of each respondent's respective detention under section 3 the appellants owed the respondents a specific duty to provide them with after-care services until the local authorities concerned become satisfied that the services are no longer needed. As Sullivan J. stated (page 17G-18A) :
"On the face of it section 117(2) imposes a duty on the health authority and the local social services authority to provide after-care services for persons to whom section 117 applies. It does not impose a duty to secure the provision of such services under other powers, no other enactments are mentioned in sub-section (2) as a potential source of such power."
In my judgment, as a matter of construction, section 117 is unambiguous in its imposition of a free-standing duty to provide after-care services on local and health authorities. The language adopted by the draftsmen is in imperative form, providing that "It shall be the duty ..... ." There is no reference in that section or elsewhere in the Act to the exercise of this duty being dependent on any other provision in the Act or any other piece of legalisation (primary or secondary). Consequently, it would be artificial and contrary to the plain meaning of that section to imply a further requirement that the local authority can only exercise this duty by reference to a separate provision. Moreover, if section 117 had been intended as a gateway provision, one would expect to find an express reference to those other provisions in the section itself (for example see section 2 of the Chronically Sick and Disabled Persons Act 1970). The absence of any such reference suggests that to interpret section 117 as a gateway provision would be highly artificial. Thus in my view the interpretation of section 117 by the learned judge cannot be faulted.
The judge having so decided stated :
"Having looked at the language, it is sensible to stand back and see if the
result gives rise to any anomaly, absurdity or injustice."
This Mr Lissack invites us now to do.
I start by considering the language of the amendments to the 1983 Act contained
in section 25 which deal with the "after-care under supervision" and thus are
not directly relevant to these cases. However, Mr Richard Drabble QC on behalf
of Mrs Watson and Mr Armstrong indicated 21 instances in section 25A-25J which
were inserted by the Mental Health (Patients in the Community) Act 1995, where
expressions such as "after-care services provided for him under section 117"
"after- care services provided (or to be provided) under section 117 below,"
and "after-care services other than medical treatment) provided for the patient
under section 117 below" are to be found.
I accept Mr Drabble's contention that if section 117 were not a direct
provision-making section, then sections 25A-25H would not have been expressed
as above.
I turn to consider the language and effect of section 21 of the 1948 Act.
Sub-section (1) authorises the provision of accommodation to a person only
where accommodation is "not otherwise available to them." In the present
cases, accommodation is (or was), otherwise available to all the
respondents, namely by virtue of section 117. Thus, on my interpretation, the
section 21(1) power does not (or did not) arise. Even in the absence of
section 117, section 21(1) would permit the local authorities to provide
section 3 persons with residential accommodation because they are in need of it
"by reason of age, illness, disability or any other circumstances." This again
supports the argument that section 117 is a self-standing provision and is not
a gateway to sections 21 and 22 of the 1948 Act.
There was considerable argument concerning section 21(8) which states :
"Nothing in this section shall authorise or require a local authority to make
any provision authorised or required to be made (whether by that or by any
other authority) by or under any enactment not contained in this part of this
Act or authorised or required to be made under the National Health Service Act
1977."
In my judgment, all this means is that if one enactment authorises or requires the provision of residential accommodation (in this case section 117 N.H.A.), there is no power to provide residential accommodation under section 21(1). The effect of this provision was considered by the Court of Appeal in North Devon Health Authority v. Coughlan (1999) CCLR 285. Lord Woolf, delivering the decision of the Court, at paragraph 27 posed the question :
"How are the words "or authorised or required to be provided under" the
Health Act to be applied?
28. Each word is of significance. The powers of the local authority are not
excluded by the existence of a power in the Health Act to provide
the service, but they are excluded where the provision is authorised or
required to be made under the Health Act. The position is
different in the case of "any other enactment" where it is sufficient if there
is an authority or requirement to be made by or under the
enactments.
29. --- The section (21(8)) should not be regarded as preventing a local
authority from providing any health services. The sub-sections prohibitive
effect is limited to those health services which, in fact, have been authorised
or required to be provided under the Health Act. Such Health Services would
not therefore include services which the Secretary of State legitimately
decided under section 3(1) of the Health Act it was not necessary for the NHS
to provide.--The true effect is to emphasise that Care Act provision, which is
secondary to Health Act provision, may nevertheless include nursing care which
properly falls outside the NHS."
Mr Lissack recognises that paragraph 28 presents difficulty but sought to distinguish the decision on the basis that since section 117 was not directly in issue, the final sentence of paragraph 28 was obiter. Addressing this argument, Sullivan J. said (page 23C) :
"Although section 117 was not in issue, the Court did have to construe the excluding provisions of section 21(8). The contrast between the position where provision is authorised or required to be made under the 1977 Act, and by or under "any other enactment," including section 117, was central to the Court's decision. I am therefore satisfied that the approach of the Court to section 21(8) is binding upon me."
Although I have some reservations as to what paragraph 28 really means, I
respectfully agree with the decision of the Court of Appeal and Sullivan J.
Section 117 is an "other enactment" in the terms of section 21(8). Given that
it both "authorises" and "requires" the provision of accommodation to these
four patients, section 21(8) of the 1948 Act specifically disengages the local
authorities section 21(1) power. Accordingly the accommodation thus provided
is being provided pursuant to section 117 of the MHA and is wholly independent
of section 21 of the 1948 Act. It must follow that there is no power to levy
charges for after-care services, including the residential accommodation,
provided pursuant to section 117.
All counsel invited us to look at legislation outside the two immediate
provisions which we have discussed to see if the result reached by Sullivan J.
gives rise to any anomaly, absurdity or injustice. Ms Jenni Richards for
Cobham drew our attention to section 46(3) of the National Health Service and
Community Care Act 1990 (NHSACCA 90) where there is a specific reference to
section 117. Sub-section (1) requires each local authority to prepare and
publish a plan for the provision of community care services in their area.
Sub-section (3) provides :
"community care services" means services which a local authority may provide
or arrange to be provided under any of the following provisions -
(a) part III of National Assistance Act 1948
(b) section 45 of the Health Services and Public Health Act 1968 ;
(c) section 21 and Schedule 8 of the National Health Service Act 1977 ;
and
(d) section 117 of the Mental Health Act 1983."
The effect of this section to my mind makes it clear that section 117 is
concerned with the direct provision of services and is not merely a
gateway to the provision of residential accommodation under section 21 NAA or
to the provision of other services under unspecified enactments. She also
pointed out that by section 47(1) the local authority must carry out an
assessment of the person's needs for those services and, (b) having regard to
the results the local authority must then decide whether his needs "call for
the provision by them of any such services." i.e. under section 117 MHA. I
was attracted by her argument that section 47(1) is in itself a gateway or
trigger to community care services provided in the assessment and service
provision decision regime. It is not necessary to go further to consider her
contention that the argument advanced by the local authorities would provide,
effectively, a gateway to a gateway. I did not find any of the Acts cited by
Mr Lissack to carry any weight in this regard.
Mr Lissack advanced a number of "policy based" and consequential arguments to
support a submission that the judge's decision and his reasoning were at fault.
He suggested that upholding Sullivan J.'s construction would lead to a
"windfall gain" for patients. The case has wide-ranging financial implications
for all local authorities : the nation-wide annual loss of revenue may be
around £100 million if the learned judge is right. The windfall gain to
individuals receiving services would come largely from centrally funded State
benefits. The question whether authorities are liable to repay to those
hitherto charged also arises. There the amount at stake may be as high as
£800 million. These figures were based on a study conducted by the
Association of Directors of Social Services (ADSS).
I do not find the concept of a "windfall" convincing in the context of the
provision of after-care services to all those who genuinely require them and
who qualify for services provided for by Parliament. Section 3 persons are
particularly vulnerable, they are probably unlikely to be able to manage to
earn a living, or manage their affairs or return to their former home. As Ms
Richards succinctly put it "moreover the categorisation of the provision of
free services to individuals who have been compulsorily detained in hospital
and who may be amongst the most seriously ill and needy in society as a
"windfall gain" is wholly inapt.
Similarly I consider the argument advanced by and on behalf of the local
authorities that provision is made for those who "deserve" services and those
who are "undeserving" (e.g. the "brain-damaged victim" on one hand as against
the "elderly imprisoned criminal)" unhelpful in a situation where one is
seeking to construe and give effect to an Act of Parliament. Suffice it to say
that section 117 is concerned with those who have been detained under the
powers of compulsory admission which are only to be exercised as a last resort.
As Sullivan J. aptly put it :
"(There is no) inherent unfairness in such a group being entitled to free accommodation as part of their package of after-care in the community .... If, as part of (the programme of community care) patients who would otherwise have been detained in hospital, at considerable cost to the NHS, are accommodated within the community is part of their after-care, I can see no good reason why the public purse and not the former patient should bear the cost of providing that accommodation."
I also found unattractive the suggestion that there was "a perverse
incentive" to patients who will positively wish to be compulsorily detained
under the MHA in order that they might benefit from section 117 when their
compulsory detention terminates. To my mind the section 3 person and his
family are unlikely to be able to make this fine judgment and the suggestion is
also a slur on those members of the medical profession who are responsible for
taking the decision whether or not to exercise the powers of compulsory
admission. Sullivan J. rather kindly described this submission as "somewhat
far-fetched."
I see nothing anomalous in imposing a joint duty on health and local
authorities' social services to provide after-care services. Ms Fenella Morris
pointed to a variety of statutory provisions which allow for joint or
cross-funding for community care services such as section 28A NHS Act 1977 and
section 113 Local Government Act 1972. The language of the section clearly
reduces the opportunity of two such authorities to try to pass the buck and as
a result no proper provision is made. The person's illness may require a
particular type of provision more readily available from the health authority,
another person may be in good physical health not requiring health service
treatment but who is able and indeed obliged to reside in caring residential
accommodation provided by the local authority. In time, the person in
residential accommodation may experience a deterioration in his physical health
in which case the responsibility may properly pass to a health authority. This
is not an uncommon situation and the language of section 117 ensures a seamless
provision for the section 3 person while at the same time permitting
cross-funding of community care services between the two authorities. Thus I am
not persuaded by the argument that Parliament could not have intended to impose
an identical duty on local and health authorities. There is nothing
inequitable in such an arrangement. On the contrary the health authority is
not allowed to charge, to allow the local authority to recover the costs
would produce an inequitable outcome. Moreover, this is not, as
suggested, an open-ended commitment, by section 117(2) after-care services are
provided only "until such time as the .... authority are satisfied that the
person concerned is no longer in need of such services."
I am unconvinced by the argument that the absence of amendment since 1983
supports the local authorities contention that it is a gateway provision. The
absence of amendment merely suggests that the provision has not been considered
in need of change. It has not been suggested that the scheme does not work
satisfactorily. Since the local authority has opted to make provision (as
opposed to the other half of the authorities who have not), this strongly
suggests that there is no need for further regulation.
I am unable to accept the appellants' contention that their approach is
"harmonious and consistent." In the absence of ambiguity in the wording of
section 117, the fact that another interpretation may accord with general
policy has no bearing on the matter. Mr Lissack's four predicted outcomes of
interpreting section 117 as a gateway provision would equally be true of the
judge's interpretation of section 117 as a free-standing duty.
I have considered the appellants' assertion that no other provision imposes a
duty on local authorities to provide residential accommodation for the mentally
ill, free of charge. This, to my mind, is a circular argument. The fact that
Parliament has made separate provision for a particular category of the
mentally ill to be provided with caring residential accommodation after they
have left hospital when no member of any other sub-group of the mentally ill is
accorded the same treatment, does not undermine Parliament's specific
intention. It simply demonstrates that those covered by section 117 are
regarded as meriting different treatment by the provision of residential
accommodation which, if they refuse to accept, will result in their compulsory
return to hospital.
In summary, I am unpersuaded that any of these policy or social considerations
can be deployed to any effect in what is essentially a question of
construction. The appellants' suggestion that the interpretation which I
favour can result in unfairness is not an argument for imposing an artificial
construction on section 117. Giving full weight to the "unfair windfall"
argument the appropriate response is to amend the benefits under the relevant
regulations and not to depart from the plain words of section 117. It is
unrealistic to suggest that mentally ill patients, or their relatives or
doctors and medical staff would intentionally behave in such a way as to ensure
a detention under section 3 so that on release the person would be entitled to
accommodation without charge. If there be faults in the system they can only
be remedied by further legislation.
The Pepper and Hart Argument
Since I have concluded that the wording of the section is unambiguous, there
is no need to resort to policy arguments or to refer to Hansard to elucidate
the Parliamentary intention behind the provisions. The appellants' point to
the lack of "tightness" in the wording of the provision and the absence of
regulations governing the exercise of the section 117 duty. Although there is
a positive duty to provide the after-care services there is clearly a
discretion as to the level of those services should be, bearing in mind that
the obligation is to each individual patient and is circumscribed by the need
of the patient. This discretion cannot be said to introduce ambiguity into the
section. Similarly, the absence of any definition of "after-care services"
does not render the provision ambiguous. The absence of a definition simply
points to the discretion accorded to the authorities in the appropriateness of
the provision for each individual patient. For reasons already given the
argument that Parliament could not have intended to impose an identical or
joint duty on local and health authorities does not create an ambiguity.
Consequently, I have come to the conclusion that neither the interpretation of
the section nor the outcome of the appeal depends upon policy considerations
and reference to the Parliamentary history according to the criteria set out in
Pepper v. Hart should not be permitted . Nevertheless, even if
the correct construction of section 117 leads to anomalies, in the operation of
the benefits system or for other sub-groups of the mentally ill, it is for
Parliament to address them by legislation and does not justify a departure from
the plain meaning of section 117 or an excursion into its Parliamentary
history.
Accordingly, I would dismiss this Appeal.
Lord Justice Buxton:
I agree with Otton LJ that this appeal must be dismissed, and with the
reasons that he gives for that conclusion. I venture to add a few words of my
own.
This case turns on a small number of fundamental, even trite, propositions
about the powers and duties of local authorities. They are:
1. A public body can only do that which it is authorised to do by positive
law. In the words of Laws J in R v Somerset CC ex p Fewings [1995] 1
All ER 513 at p524a, that is a sinew of the rule of law.
2. In practical terms, the powers and duties of a local authority under that
rule will only be found in statutory form.
3. A strong form of that inhibition on local authorities is to be found in the
particular rule that financial charges can only be imposed by a public body
with specific statutory approval: see the principle enunciated in A-G v
Wilts United Dairies, cited by the House of Lords in R v Richmond LBC ex
p McCarthy & Stone [1992] 2 AC 49 at p67C.
4. By the operation of the rule that Parliament does nothing in vain, (a)
statutory provisions expressed in terms of duties are to be assumed to have
operative force in imposing those duties; and (b) a duty imposed by one Act is
to be assumed not to duplicate a duty already imposed by another Act.
It follows from these propositions that
1. When Parliament passed what is now section 117 of the Mental Health Act
1983, clear words would have been needed to establish either (a) that the terms
of section 117(2) did not create a duty; or (b) that the duty that section
117(2) did create was duplicated by or was in the same terms as the duty
created by section 21 of the National Assistance Act 1948. In that connection,
the concept of a "gateway" section invoked by the appellants does not apply
here. Such a section might be that cited by the Judge at page 20, section 2 of
the Chronically Sick and Disabled Persons Act 1970, which imposes on the local
authority a duty to exercise one of its existing and specified powers. But
section 117(2) creates a duty that makes no reference to any other statutory
power or duty.
2. The section 117 duty is sui generis, and does not repeat or overlap
with the power or duty created by section 21.
3. In exercising the section 117 duty the local authority can only charge those
in respect of whom it performs that duty if there is statutory authority to
charge specific to that duty. No such authority exists.
4. It is not open to the local authority to claim that when providing
accommodation to a person falling under section 117(1) it is exercising its
powers under section 21. If that were the case, the local authority would be
failing to perform its duty under section 117. Alternatively, where a specific
duty without a charging provision is imposed on a local authority, it does not
have vires in that case to exercise a more general power that does have
a charging power attached to it.
Accordingly, the local authorities were obliged to provide accommodation as
part of their after-care function by the provisions of section 117 but not
otherwise; and thus could only impose contingent requirements on the receivers
of those services if section 117 or a power attracted by section 117 so
permitted. No such power exists.
That being the plain effect of the statutory provisions, it is very doubtful
whether arguments based on the anomalous or unreasonable effect of the
provisions could displace it. But in fact 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.
These considerations enable to be put in perspective the argument based on
section 21(8) of the 1948 Act, and the reference to that section that is
contained in paragraph 28 of the judgment of this court in R v North Devon
Health Authority ex p Coughlan, which my Lord has set out. The
Respondents' argument was simple. The provision of residential accommodation
is both authorised and required by section 117, which is plainly an enactment
not contained in the 1948 Act. Therefore, the power to provide residential
accommodation under section 21(1) of the 1948 and thus to charge for it is, as
Mr Drabble put it, "disengaged" by the existence of the section 117 power. The
Judge appears to have been persuaded by this argument, which he thought to be
reinforced or justified by the observation about section 21(8) in para 28 of
the judgment in Coughlan that
The powers of the Local Authority..are excluded in the case of `any other enactment', where it is sufficient if there is an authority or requirement to be made by or under the enactment.
I do not consider that either the terms of section 21(8) or the reference to
it in Coughlan have the conclusive force attributed to them by the
Judge. The argument based on section 21(8) necessarily presupposes that
section 117 itself does indeed authorise or require the provision of
residential accommodation: the very issue that lies at the heart of this
appeal. If it does have that effect, then, as I have already indicated,
because it has no charging provision attached to it the local authority cannot
impose charges for that accommodation; and section 21(8) therefore adds nothing
effective to the argument. If on the other hand section 117 does not itself
authorise or require the provision of residential accommodation, then section
21(8) by its terms is not engaged at all. The same is true of the observations
in Coughlan, which do no more than repeat the terms of section 21(8) in
a more difficult context, not engaged in our case, of the relationship between
local authorities and the National Health Service in the provision of nursing
care.
All that said, however, consideration of the relationship between section 117
and section 21(8) yields some further reflections that are of some general
significance in this case. First, when one asks whether a section that in its
terms says that it is the duty of the local authority to provide
services is a section that authorises or requires the provision of
services, it is very difficult to think of reasons for saying that it is not.
Second, the rule emphasised in section 21(8) is a strong reflection of the
general principle already set out that every local government power must be
attributed to a specific and identifiable statutory authority: not least
because of the issue that is central to this case, of determining the
vires of any ancillary provisions, such as charging. It is very
difficult against that background to think that Parliament would have placed on
the statute book a provision like section 117 that appears to create, but on
the Appellants' argument does not create, a specific duty. It is even less
likely that authority would be conferred to make the same provision under two
different statutory enactments which have different ancillary implications: a
situation that in any event section 21(8) renders impossible so far as
provision under section 21 is concerned.
Finally, Mr Lissack was properly diffident in invoking the jurisprudence of
Pepper v Hart in this case, and he was right to show that caution. This
case comes nowhere near to being one in which the Pepper v Hart criteria
are present. There is no clear Parliamentary statement of the purpose of the
Bill; and the important pre-condition of ambiguity in the Act's wording is not
fulfilled either. Mr Lissack argued that the ambiguity was to be found in the
term "after-care services" not being defined. But that term is certainly not
ambiguous. Its meaning may, like many expressions, be subject to the
possibility of some argument at its outer penumbra; but there can be no doubt
at all that the service in issue in this case, the provision of residential
accommodation, falls squarely within it.
For what it is worth, however, when we did look, as we were asked to do, at the
Parliamentary material, none of it supported the case that the appellants
wished to make. Some speakers, including the proposer of the amendment that
became section 117, thought or may have thought that section 117, as it now is,
converted a previous power into a duty. Some, including the Minister with
departmental responsibility for the Bill, thought or may have thought that the
duty that it created was the same as that already existing. None of them said
that section 117 merely referred to the existing duty, and did not itself
impose any duty at all. Whether government spokesmen would have persisted in
that view, and thus have persisted in adopting the wording of section 117, if
they had had the benefit of the arguments in this case is perhaps another
matter. But the fact that that question simply cannot be answered is a very
good demonstration of why the Pepper v Hart jurisprudence should only be
used in those cases where the House of Lords clearly intended it to be used.
Mr Justice Hooper
I agree that the appeal should be dismissed.
Order: Appeal dismissed; legal aid taxation; leave to appeal
refused.
(Order does not form part of approved judgment.)