IN THE COURT OF APPEAL (CIVIL DIVISION)
ON APPEAL FROM THE SOCIAL SECURITY COMMISSIONER
(COMMISSIONER DAVID WILLIAMS)
Strand London, WC2 |
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B e f o r e :
LORD JUSTICE LATHAM
LORD JUSTICE GAGE
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SECRETARY OF STATE FOR WORK AND PENSIONS | Appellant/Defendant | |
-v- | ||
JUNE BATTY | Respondent/Claimant |
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MR DANIEL KOLINSKY (instructed by Messrs Davies Gore Lomax, 63 Great George Street, Leeds, LS1 3BB) appeared on behalf of the Respondent
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Crown Copyright ©
"(1) A person shall be entitled to an attendance allowance if he is aged 65 or over, he is not entitled to the care component of the disability living allowance and he satisfies either--
(a) the condition specified in subsection (2) below ("the day attendance condition")..."
"and prescribed conditions as to residence in Great Britain.
"(2) A person satisfies the day attendance condition if he is so severely disabled physically or mentally that, by day, he requires from another person --
"(a) frequent attention throughout the day in connection with his bodily functions..."
"The Secretary of State submits that the Commissioner erred in law in:
(a) holding - contrary to established authority - that help in carrying (as opposed to drinking) hot drinks was capable of constituting a 'attention ... in connection with ... bodily functions' ... and
(b) concluding - without evidence as to whether, without such help, the claimant could reasonably have access to hot drinks by other means (e.g. a thermos flask) - that the claimant 'requires' such help..."
"2. Mrs Batty suffers from severe arthritis and also hypertension. Her condition was such that she has to rely on a wheelchair outside her home for any other than very short distances, and she has restricted movement in her arms. Unfortunately, because of her age, she is not eligible to apply for Disability Living Allowance mobility component and is restricted to Attendance Allowance, which only takes her mobility problems into account in a limited fashion, and for which a higher test for her care needs applies."
"4. Mrs Batty was born on 17 June 1930 and impressed the Tribunal as an indomitable and spirited lady who managed her disability well; she said she would not give into it. The examining medical practicioner stated that she cannot straighten her back and that she walks bent forward 40 degrees. She has a wheelchair but also uses a scooter to go to the shops, and still has a part-time job and was able to drive to work, getting the short distance to her desk, which she would not leave, apart from going to the toilet (a few paces away) which she managed with difficulty but without help. She brought her lunch in sandwich form.
"5. The help that we found that she normally needed daily was:
A) to fix her bra on and to put her tights on in the morning, and undressing at night;
B) help to get in and out of the bath or shower;
C) preparation of meals.
"6. In all other respects the evidence showed that she is normally self-sufficient, as far as her bodily functions are concerned, but she is dependent on her husband for household tasks such as cleaning and also lifting her scooter into the car when it is necessary. Unfortunately, these needs do not fall to be taken into consideration in meeting the eligibility criteria for Attendance Allowance.
"7. She is used to having drinks brought to her throughout the day by her husband or workmates, but we did not find that this help was in connection with her bodily function and, therefore, could not count these acts of assistance to her towards the test for lower rate Attendance Allowance, which requires 'frequent' attention throughout the day in connection with bodily functions.' If such assistance could be counted then we judge that Mrs Batty would be entitled to an award at the lower rate because of the frequency of the assistance required and afforded throughout the day..."
"I heard full argument about whether drinking and being provided with drinks constitutes a proper element of attention. It was common ground that help with drinking itself would constitute required attention. And drinks, unlike meals, cannot be limited to preparing just one hot meal a day. If the claimant reasonably required several drinks -- perhaps several hot drinks -- a day, then any attention necessary to ensure she was able to consume those drinks would be relevant. How far will such attention go beyond helping her lift a pre-filled cup or glass to her lips? I reject the view of the Secretary of State that attention can be considered only in so far as it is with the actual act of drinking. In my view, that -- like the frequency with which cold or hot drinks are needed -- is a question of fact in each case."
"In this case it is common ground the claimant is unable to stand up straight or straighten one of her knees. She walks only with a limp and with the use of a walking stick and any available grab bars. How can someone carry a drink in such a condition? The evidence was that the claimant could not. And how can she get her drink from the tap, bottle or kettle into a cup, glass or container and then to a location so that she can drink it (which presumably involved her sitting down)? That question was not fully explored, but is relevant to this claimant's reasonable attention needs. Her evidence was that she could, but did not, make a hot drink, but could not carry it. But the evidence of the examining medical practitioner was that while she could use taps she could not use a cooker or cope with hot pans. In my view, taking all this together there is evidence that the claimant reasonably needed some help with her drinks, if only to get them to a position where she was able safely to drink them, and that such help would be reasonably required on a number of occasions in any day. I do not think that the law is so strict as to limit the attention needs for a person such as the claimant to the physical act of lifting a pre-positioned and pre-filled cup or glass to the lips. The claimant's representatives rightly reminded me of the well-known caselaw about 'the yardstick of a "normal life"' and the test of immediacy used in Cockburn ([RA]2/98). I do not need to repeat those citations. Even quite disabled people can normally get themselves drinks without difficulty if they are mobile. The claimant is severely limited in her ability to do that. The help she reasonably needs so that she has her drinks available as others would is within the test of what is reasonably required for her personal care. While that does not extend so far as to include all the aspects of preparing drinks by what might be termed 'room service' or 'desk service', it is a factor in evaluating what she reasonably needs.
"13. I accept from the examining medical practitioner (and the decision of the Secretary of State) that during the day the claimant reasonably requires help getting into and out of bed, with washing and bathing, with using any stairs, with dressing and undressing. She also reasonably needs some help with getting drinks (and I assume from the same arguments food) into a cup or container and a position where she can drink it, and with picking things up and with carrying things. There is also evidence that sometimes she has to use a wheelchair. At night there is evidence that she may need help getting out of bed to go to the toilet sometimes.
"14. I agree with the Secretary of State and the tribunal that the help she needs, and gets, with cooking, shopping, cleaning and general household duties is not relevant. Nor does help with her scooter or getting her to her part time job count. But the fact that she is able to carry out some part time work despite her disabilities does not negate any reasonable requirements she has throughout the day. Rather, it is the help she reasonably needs when working that is the issue.
"Drawing my own conclusions about the limitations that the accepted severe disablements of the claimant would impose upon her physical activities in the light of all the evidence, I am of the view that on the balance of probabilities she reasonably required frequent help throughout the day with her personal care. This help was not needed only in the morning and evening but during the day as well. I do not agree with the Secretary of State's view that there are long periods during the day when she does not reasonably require any help."
"20. In any case in which a tribunal has to apply a standard with a greater or lesser degree of imprecision and to take a number of factors into account, there are bound to be cases in which it will be impossible for a reviewing court to say that the tribunal must have erred in law in deciding the case either way..."
"This is a statutory appeal on a point of law. The court on such an appeal does not have the residual discretion which it has on an application for judicial review to limit the circumstances in which it grants leave or relief. It is contended on Mr Mallinson's behalf that there have been errors made in the adjudication of his claim for attendance allowance in that what in law constitutes attention in connection with bodily functions has been treated as supervision. If he is right as to this, then this constituted an error of law which on appeal the courts are required to rectify. Other issues in other circumstances, for example, as to whether acts which are attention constitute frequent attention, will normally be questions of fact and therefore findings which cannot be disturbed on appeal."
It seems to me that our approach to this appeal must be to apply the same test as that indicated by Lord Woolf, namely to ask the question as to whether or not there has in fact been an error of law.
"In order to get the allowance, the 'attention' must be required 'frequently throughout the day' or 'prolonged or repeated' during the night. 'Frequently' connotes several times - not once or twice. 'Prolonged' means some little time. 'Repeated' means more than once at any rate'.
"'Attention' is different from 'activity' or 'attendance'. It connotes something personal to the disabled person.
"'Bodily functions' include breathing, hearing, seeing, eating, drinking, walking, sitting, sleeping, getting in or our of bed, dressing, undressing, eliminating waste products - and the like - all of which an ordinary person - who is not suffering from any disability - does for himself. But they do not include cooking, shopping or any of the other things which a wife or daughter does as part of her domestic duties: or generally which one of the household normally does for the rest of the family.
" It is the words 'in connection with' which give rise to the difficulty. They are very uncertain. Some kinds of attention are closely connected with 'his bodily functions'; other kinds are too remote. It is a question of degree upon which different minds may reach different conclusions. As Terence said long ago: 'Quot homines tot sententia: suo quoique mos', which may be translated: 'So many men, so many opinions; his own a law to each'. In the very question before us, I might say: 'So many Commissioners, so many opinions: his own a law to each'.
"Such a situation should not be allowed to continue. These provisions have to be applied, day in and day out, by delegated medical practitioners all over the country. They should be applied uniformly. Else there will many complaints. "Why should she get it and not me?' To dispel these complaints - as far as possible - I think the courts should lay down rules for guidance. I would hold that ordinary domestic duties such as shopping, cooking meals, making tea or coffee, laying the table or the tray, carrying it into the room, making the bed or filling the hot water bottle, do not qualify as 'attention in connection with the bodily functions' of the disabled person. But that duties that are out of the ordinary - doing for the disabled person what a normal person would do for himself - such as cutting up food, lifting the cup to the mouth, helping to dress and undress or at the toilet - all do qualify as 'attention in connection with the bodily functions' of the disabled person."
Dunn LJ, at page 1023E said as follows:
"I look first at the section without regard to authority. To my mind the word 'functions' in its physiological or bodily sense connotes the normal actions of any organs or set of organs of the body, and so the attention must be in connection with such normal actions. The word 'attention' itself indicates something more than personal service, something involving care, consideration and vigilance for the person being attended. The very word suggests a service of a close and intimate nature. And the phrase 'attention in connection with bodily functions' involves to my mind some service involving personal contact carried out in the presence of the disabled person."
Later in his judgment, at page 1023, Dunn LJ cited from a decision of a Commissioner, Mr Monroe, in an earlier case, which he considered contained a helpful citation in the following terms:
"'I consider that the words of the section referred to a person who needs the relevant degree of attention in connection with the performance of his bodily functions and that they are directed primarily to those functions which the fit man normally performs for himself.'"
O'Connor LJ delivered a concurring judgment, at the end of which he gave us as example of activities of assistance which could qualify: the cutting up of food for a person and feeding it to that person.
"The point of construction is a short one, a difficult one and, as the history of controversy about it has shown, a point on which different minds can fairly take different views. It is largely a matter of impression and does not admit to elaborate argument or analysis.
"First, it is clear that the policy underlying section 35 of the Act [that is the predecessor to that Act with which we are concerned] stops short of providing an attendance allowance for all who are incapable of looking after themselves without some outside help even if that help is frequently required. Very large areas of domestic work in respect of which the disabled are necessarily dependent on others is deliberately excluded. If cooking is the one domestic chore with qualifies, it is, in a sense, the odd man out.
"Again, it seems a reasonable inference that the policy of the enactment was to provide a financial incentive to encourage families or friends to undertake the difficult and sometimes distasteful task of caring within the home for those who are so severely disabled that they must otherwise become a charge on some public institution.
"The language of the section should, I think, be considered as a whole, and such consideration will, I submit, be more likely to reveal the intention than an attempt to analyse each word or phrase separately. The totality of the language to be construed reads:
"'A person... is so severely disabled physically or mentally that, by day, he requires from another person... frequent attention throughout the day in connection with his bodily functions...'
"At first blush, this language does not to my mind fit the person whose physical disablement only prevents him from preparing his own meals.
"If I have to break down and attempt to analyse the language, I would emphasise three points. First, the disablement must be severe. Secondly, the phrase 'bodily functions' is a restricted and precise one, narrower than, for example, 'bodily needs.' Thirdly, the phrase 'attention' ... in connection with bodily functions,' which must, I think be read as a whole, connotes a high degree of physical intimacy between the person giving and the person receiving the attention. I would add that I fully agree with the observations of Dunn LJ in Packer's case [1981] 1 WLR 1017 at p.1023 in the paragraph between letters E and G.
"At the end of the day I doubt if the construction of the relevant words can be more accurately or more concisely expressed than in the passage from the decision of Mr Commissioner Monroe in 1974, cited by Dunn LJ at p.1025:
"'I consider that the words of the section referred to a person who needs the relevant degree of attention in connection with the performance of his bodily functions and that they are directed primarily to those functions which the fit man normally performs for himself.'"
"This criterion has the great merit of being clear and easily applied."
"Here again, I would stress that the attention which is desiderated in connection with the bodily function must be some close and intimate service to the person of the claimant. The service is narrower than that of assistance. Assistance would cover activities done for the person. Attention implies services done to the person. The personal nature of what is comprised in attention prompts the observation made by Dunn LJ in the passage in his judgment in Packer's case [1981] 1 WLR 1017, 1023F that the attention must be a service involving personal contact carried out in the presence of the disabled person."
Order: Appeal allowed, with the matter remitted to the Appeal Tribunal at Stockport. Order for a Legal Services Commission funding assessment of the respondent's costs given.