QUEENS BENCH DIVISION
ADMINISTRATIVE COURT
Strand, London, WC2A 2LL | ||
B e f o r e :
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THE QUEEN on the application of BIRMINGHAM CARE CONSORTIUM and others | Claimant | |
- and - | ||
BIRMINGHAM CITY COUNCIL | Defendant |
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Smith Bernal Reporting Limited, 190 Fleet Street
London EC4A 2AG
Tel No: 020 7421 4040, Fax No: 020 7831 8838
Official Shorthand Writers to the Court)
Mr Christopher Baker (instructed by Birmingham Legal Services) for the Defendant
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AS APPROVED BY THE COURT
Crown Copyright ©
Mr Justice Stanley Burnton:
(a) a consortium of nursing and care homes in Birmingham and the proprietors of a number of such homes; and
(b) persons who were entitled to be placed in care homes by the Birmingham City Council and complained that their choice of care home had been unlawfully restricted by it.
Unless otherwise indicated, my references below to “the Claimants” simpliciter are to the consortium and the proprietors of nursing and care homes only. I shall refer to the Claimants entitled to placements in nursing or care homes as “the individual Claimants”. Unless otherwise indicated, references in my judgment to care homes include nursing homes.
“If your home chooses not to extend its existing contract, all current residents can remain at your home at your current contract rate. No new placements can be made until an extension to your contract is agreed.”
The legislative scheme
“(1) Subject to and in accordance with the provisions of this Part of this 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 18 or over who by reason of age, disability or any other circumstance are in need of care and attention which is not otherwise available to them …”
The term accommodation is defined in section 21(5) NAA 1948, which provides:
“References in this Act to accommodation provided under this Part thereof shall be construed as references to accommodation provided in accordance with this and the five next following sections …”
Arrangements made by a local authority under section 21 of the 1948 Act may include arrangements made with a third party. Section 26(1) provides:
“… arrangements under section 21 of this Act may include arrangements made with a voluntary organisation or with any other person who is not a local authority where –
(a) that organisation or person manages premises which provide for reward accommodation falling within subsection (1)(a) or (aa) of that section, and
(b) the arrangements are for the provision of such accommodation.”
Section 26(2) provides:
“Any arrangements made by virtue of this section shall provide for the making by the local authority to the other party thereto of payments in respect of the accommodation provided at such rates as may be determined by or under the arrangements .…”
“… the local authority shall only be required to make or continue to make arrangements for a person to be accommodated in his preferred accommodation if –
(a) the preferred accommodation appears to the authority to be suitable in relation to his needs as assessed by them;
(b) the cost of making arrangements for him at his preferred accommodation would not require the authority to pay more than they would usually expect to pay having regard to his assessed needs;
(c) the preferred accommodation is available;
(d) the persons in charge of the preferred accommodation provide it subject to the authority’s usual terms and conditions, having regard to the nature of the accommodation, for providing accommodation for such a person under Part III of the National Assistance Act 1948.”
“As with all aspects of service provision, there should be a general presumption in favour of people being able to exercise choice over the service they receive. The limitations on authorities’ legal obligation to provide preferred accommodation set out in the direction are not intended to deny people reasonable freedom of choice, but simply to ensure that authorities are able to fulfil their obligations for the quality of service provided and for value for money. The terms of the direction are explained more fully below. Where for any reason an authority decides not to arrange a place for someone in their preferred accommodation it must have a clear and reasonable justification for that decision which relates to the criteria of the direction.”
“7.4 The test should be whether the cost of preferred accommodation is more than the authority would usually expect to pay for someone with the same assessed needs as the individual concerned. This is not necessarily the same as the cost that the authority would have in fact have incurred had the particular individual not decided to exercise their right to chose, since that might be either higher or lower than the authority would usually pay. For example, the cost of a one particular placement at a given time might be determined by the fortuitous availability for whatever reason of a place below the cost that an authority would usually expect to meet, or else by the temporary unavailability of accommodation at the authority’s usual price.
7.5 The costs being compared should be gross costs before income from charging. Given the different amounts that authorities will recover from individuals by way of charges it would not be possible to determine a usual net cost an authority would expect to pay.
7.6 Costs will vary around the country. …
7.7 Costs may also vary according to the type of care. For example, the cost an authority might usually expect to pay for respite care might be different from its usual cost for permanent care.”
“For example, where authorities are conducting, or have completed, exercises designed to draw up closed lists of approved suppliers they will need to make it clear that as a result of this direction such a list cannot now be regarded as an exhaustive statement of those providers with whom the authority will contract. It would not be reasonable for an authority to use as a test of the suitability of accommodation its presence on or absence from a previously compiled list of approved suppliers. The direction does not, however, prevent an authority having a list of preferred providers with which it will contract where a potential resident expresses no preference for particular accommodation, nor from recommending such providers to prospective residents.”
Discussion
“5.5.2 It is now well documented nationally that home owners within the sector are facing increasing financial pressures due to the legislative changes which are taking place. The new Care Commission standards are placing additional obligations on providers and for some home owners the likely costs of meeting the new national minimum standards are prompting their decision to leave the sector. Issue 10, February 2002 of the ‘Care and Health’ publication indicated that approximately 50,000 or 10% of care home places have ‘reportedly disappeared since 1997 as a result of the mismatch between fee levels paid and what homes estimate as their costs’. In Birmingham, the Service Contracts section recently produced a report on home closures (See Appendix three). This showed that a net reduction of 314 independent sector residential beds had occurred in Birmingham since April 1999 – this mirrored the national trend as it represented 10% of the overall provision.
5.5.3 There have been consultation sessions with providers over the past 12 months in which providers have discussed their financial position in the light of new legal obligations facing them. Homeowners from the Birmingham Care Consortium (which is an amalgamation of Private Sector Trade Associations in Birmingham) have recently provided the Department with a proposal for fees based on their current actual costs. These have been developed by Burgess and Bullock (Chartered Accountants and Business Advisors) and state that fee levels should be set at £326 and for nursing provision at £487. To reflect the possible impact on the Department’s budget the Finance section have advised that a £50.00 uplift on current prices would incur an additional £9 million pounds expenditure in the year 2002/3. The Department proposes that negotiation with providers on fee levels will be informed by objective information about the predicted costs of care given factors such as Care Commission Standards. The Department would seek to establish a member led, Joint Working Group with providers to consider this issue. Working closely with other Local Authorities some of whom have already commissioned work on this matter. Through this means a realistic price and modelling of the impact of standards should be achieved.”
“The table below summarises the results from the spreadsheets. It should be noted that these apply to a care home that meets all of the national minimum standards and any additional ones that the Council imposes. We expect very few, if any, of Birmingham’s current homes to meet these standards, and so the Council should devise a formula to reduce the rate payable based on the degree of falling short. This deduction will be a percentage of the weekly allowance for the capital value of the home, and would reduce the fair price for care by up to £108.”
“Clearly, however, Birmingham Council should not reimburse sub-standard homes at the same rate. To avoid this, a formula needs to be developed for discounting the building and equipment allowance for each home by a factor that represents the degree to which the home falls short of the required physical standards. …
Such an adjustment factor would be very important in reducing the cost consequences of any decision in principle for local authorities to allow for a return on capital 16% in fees. For a new build or existing home which is fully compliant with all physical standards and ‘valued’ at £32,500 per bed excluding land, such a return on capital allowance would account for £108 per week in fees at an assumed occupancy rate of 92.5%. If a sub-standard home were ‘valued’ it would halve that figure, which is not out of line with current care home market values, it would imply a halving of the return on capital allowance (at the same rate of 16%), i.e. a saving of £54 per week for the local authority.”
Section 4 of the report set out a summary of care home costs. It began:
“The following 4 tables summarise the results from the spreadsheets. It should be carefully noted that these apply to a care home that meets all of the national minimum standards and any additional ones that the Council’s care purchasers impose. We expect very few, if any, of Birmingham’s current homes to meet these standards, and so the Council should devise a formula to reduce the rate payable (deduction for non-compliance with physical standards) based on the degree of falling short.”
“8. At the time when the Laing & Buisson April report was provided to the Defendants, they did not make available the material which supported their recommendation that a 16% per annum return on capital should be allowed for (see paragraph 3.3.1). This was the reason why my paper referred to the report being incomplete. The basis of this calculation was eventually provided in a national report they prepared for the Joseph Rowntree Foundation. No further work, however, has been done to analyse this calculation because it was based upon the implementation of the new higher national minimum care standards which the government then announced were themselves to be reviewed. My colleague, David Jones, refers to this in his witness statement. It should also be noted that central government has not approved the findings of Laing & Buisson report for the Joseph Rowntree Foundation.
9. We disagreed with Laing & Buisson about their assumed rate of return on capital investment, which they themselves recognised ‘may seem high’ (paragraph 3.3.1). Our work on this area suggested that a lower rate of return was reasonable, which is why the resulting figures which we proposed (i.e. £401 pw for nursing home care, £284 pw for low dependency residential care, £343 pw for high dependency residential care) were lower than Laing & Buisson’s. I understand that this aspect of the Defendants’ decision is not under challenge. These figures were based on the assumption that a home met the new higher national care standards.
10. For present purposes, the key feature of the Defendants’ proposal was the phasing in of the increase over the period up to 2007. This was when the new higher national minimum care standards were (as it was then understood) to be implemented. As Laing & Buisson stated, very few if any homes in Birmingham were expected to meet these standards currently, and the value placed by Laing & Buisson on the difference between current and future standards was as much as £108 per week. Accordingly, there was considerable investment and change required before these significantly higher levels of payment could be justified, as reflected in the substantial 5 year implementation period.”
(a) that Mr Wise specifically stated his understanding that this point was not in issue;
(b) that his witness statement was served, I assume, shortly after it was signed, i.e. over a month ago, so that there was plenty of time for the issue to be properly explored if the Claimants had stated that it was in issue;
(c) that the internal briefing paper dated 23 May 2002 prepared by Mr Wise specifically referred to this issue, and stated that “our initial assessment … is £83 per resident per week”, i.e. £60 less than the Laing & Buisson figure, so that his witness statement is consistent with his own contemporaneous internal memorandum;
(d) that by failing to alert the Defendant to the fact that issue was taken, it was deprived of the opportunity of justifying its position on this point;
I do not think it right or fair to Mr Wise and the Defendants now to permit them to challenge what he said in paragraph 9 of his witness statement.
“Councillor McCorry, the Cabinet Member, and myself acknowledge the gap between current fee levels and a ‘Fair Cost of Care’ in the context of the Care Standards Act and other legislative pressures on the care sector.”
The “Fair Cost of Care” referred to may well have been the cost for care in a home that satisfies both the current and anticipated minimum standards, and not merely the current standards.
“… where a local authority has a statutory duty to provide services and to fund them in part or in whole out of monies provided by its taxpayers it must balance two duties one against the other. On the one hand it must provide the statutory services required of it; on the other, it has a fiduciary duty to those paying for them not to waste their money. It must fairly balance those duties one against the other.”
Thirdly, the Court should be slow to intervene where, as in the present case, there has been a long process of consultation and the local authority and the service providers are, in effect, engaged in a contractual negotiation with the local authority. Lastly, the extension offered in the letter of 19 June 2002 was for a relatively short period and was expressly indicated to be an interim proposal: see the first and second bullet points on the first page, and penultimate sentence. I should have been reluctant to impeach that offer on the basis of alleged long-term effects of the rate offered for a period of 9 months.
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MR JUSTICE STANLEY BURNTON: My judgment has been distributed in draft. The finalised copies are available for the parties, members of the public and the press. For the reasons set out in it the claim will be dismissed.
MR BAKER: My Lord, in that event the defendants ask for their costs in the usual way.
MR GREEN: My Lord, that is opposed for this reason. Your Lordship identified in your Lordship's judgment a number of unambiguous representations that the Council was not paying the true cost of care, and that was the fundamental factual basis on which the claim was brought. It then became clear at the end of August that that was not the Council's position and that it was paying the true cost of care. In my submission, any order for costs should take account of that, no costs payable up to 30th August, when Mr Wise's statement waswas produced, but I accept that costs, in the ordinary way, should follow from that date when the Council's position was made clear. I say "made clear", no explanation had been given to the claimant or this court as to why those representations were made.
MR JUSTICE STANLEY BURNTON: I have the point.
MR GREEN: As to quantum, my learned friend and I are agreed that there should be a detailed assessment.
MR BAKER: My Lord, we certainly agree on that last point. As to the form of the order, I would make four points very quickly.
First of all, the factual issue was not the only issue in the case. There were other points that the claimants pursued, including the question of fetter and discretion, which was an additional point taken at the last moment. There is no indication that they would not have pursued the case but for the factual issue.
Secondly, the correspondence reveals that both the key points as to the amounts that were to be paid were evident from the correspondence. First of all, the Laing & Buisson reduction of £108 a week was evidence on the face of the report. Secondly --
MR JUSTICE STANLEY BURNTON: That was £180 for the --
MR BAKER: The care standards.
MR JUSTICE STANLEY BURNTON: And they were suggesting £54.
MR BAKER: Yes. That was known to the claimants in any event. As to the difference between Laing & Buisson and the defendants as to the rate of return on capital, that also was made plain in the correspondence. Your Lordship will see that from page 63, the largest of the paragraphs, about a third of the way down the page:
"However, (reading to the words). Consequently my accountants have undertaken work to estimate this element as detailed in the attachment."
My instructions that are that the attachment was Mr Wise's paper --
MR JUSTICE STANLEY BURNTON: It does not take anyone very far forward though, does it?
MR BAKER: It indicated that there was an issue as to that. The claimants never sought to clarify those points in the correspondence prior to commencing proceedings, and the way in which they commenced proceedings with huge urgency was not merited on the facts of this case. Having launched the proceedings, the claimants then received the acknowledgement of service from the defendants, and, as your Lordship will see from page 22, in that acknowledgement of service, which was served on 8th August, that is two days after the commencement of proceedings, the final sentence at paragraph 6 referring to the higher level for payment in forthcoming years, "such high levels, however, are dependent upon the providers meeting higher standards than is presently the case".
So it was made clear from the off, we would say, that those increased payments were linked to the attainment of those higher standards in precisely the same way as Laing & Buisson had themselves identified previously. That point was made good in the evidence that the defendants then put forward from Mr Wise in particular.
For those reasons, we respectfully say that the claimants had sufficient information at least to have sought to have clarified the position, which in any event they never did, even when they were provided with the clear evidence from Mr Wise. That is an indication --
MR JUSTICE STANLEY BURNTON: They are not disputing their liability for costs after the service of Mr Wise's evidence.
MR BAKER: No.
MR JUSTICE STANLEY BURNTON: The real question is whether to some extent the Council were responsible for the commencement of proceedings. I have your point that proceedings were commenced in the degree of urgency which was not, it would seem, entirely merited. But nonetheless there was document after document in which the Council was saying, we cannot afford to pay the fair costs of care.
MR BAKER: But at the same time we respectfully say that the information was before the claimants --
MR JUSTICE STANLEY BURNTON: I have that point.
MR BAKER: -- sufficient to identify what the issues were and they could have clarified that. The fact that even when provided with the evidence from Mr Wise they never reviewed the position or sought to challenge it is an indication, in our submission, that this claim would have been commenced regardless of the factual issue, because the clarification of that point made no difference, on the face of it, to the claimants' intention to pursue the proceedings.
My Lord, for those reasons we would respectfully say that there should be no departure from the ordinary order for costs.
MR GREEN: My Lord, this claim would not have been brought, as I indicated at the hearing, if it had been the Council's position throughout that they were paying the true costs of care. My learned friend has taken you to one document, over the page, at page 64, there is the assertion: "The City Council accepted that at the present time it was not meeting the real cost of care at home".
MR JUSTICE STANLEY BURNTON: I remember that.
MR GREEN: It is those representations that have caused the trouble. The fact that the Council, through Mr Wise, have sought to correct the position, the misapprehension that they created, does not answer the point. The claim was brought on that understanding, an understanding that was only, in my submission, clarified, or at least purportedly clarified, by Mr Wise at the end of August.
MR JUSTICE STANLEY BURNTON: Thank you very much.
In my judgment there is substance in the claimants' assertion that the repeated and apparently clear statements by the defendant that it could not afford to pay the fair costs of care in the residential homes which the claimants represented was a, and probably the most important, factor which led to the commencement of these proceedings. Had the Council made its position clearer before proceedings began it may be that there would have been no proceedings. Against that, one has the fact that once the position had been made relatively clear the proceedings did continue.
I think that I should reflect the fact that the Council, to a significant extent, brought these proceedings on itself, while also taking into account the fact that the position of the Council, so far as its meeting a proper cost of care, was not clarified or sought to be clarified before proceedings began.
It is not disputed on behalf of the claimants that the defendant is entitled to its costs from 30th August 2002, and it will pay those costs. So far as the earlier costs are concerned, it seems to me that justice will be done if Birmingham received one third of its costs to that date. That third seeks to balance the responsibilities of both sides in the circumstances and takes into account the fact that, to a significant extent, there was a rush to proceedings on the part of the claimants which was not in the event justified.
MR GREEN: My Lord, I am obliged. The only other issue is that I am instructed to ask for permission to appeal on the two principal findings, first as to the construction of the (inaudible) direction and, secondly, the finding of fact that your Lordship made that the Council was indeed paying the true cost of care.
If I could take the second first, because they are both necessarily linked. Your Lordship found that it was not fair to disregard Mr Wise's evidence given that he was not, as it were, put on notice. In my submission, the defendant has known throughout the claimants' understanding of the position that it, the defendant, was not paying the true cost of care. That was an understanding based on the defendant's own evidence, its representations. It subsequently provides a different account. There were conflicting accounts, but not as between the claimant and the defendant but between the defendant's own representations. There was no further evidence that the claimant could have put forward to counter the evidence of Mr Wise, otherwise the defendant was aware of the position taken by the claimants.
MR JUSTICE STANLEY BURNTON: You could have called on the defendants to provide the calculations or the paper on which their calculation of an appropriate return to capital was based, and had you done so I would have expected to see rather than more than Mr Wise's assertion.
MR GREEN: I accept that, but nonetheless there has been no explanation as to why the defendant said, we are not paying the true cost of care in July, but now say that they are.
MR JUSTICE STANLEY BURNTON: I have put forward a reason for that. There we are.
MR GREEN: That is the finding of fact. As to construction, if it were found that the defendant was not paying the true cost of care, then, in my submission, it cannot take account of that fact in the construction of the choice of direction. I am not going to rehearse the argument that your Lordship has already heard, but it is a matter of some importance.
MR JUSTICE STANLEY BURNTON: I appreciate it is a matter of some importance.
In my judgment, the wording of the directions and guidance is clear. On that wording, irrespective of the issue as to fair cost of care, the claimants would have failed, and so far as the fair costs of care is concerned and Mr Wise's evidence, it seems to me that the conclusions I have reached in the circumstances were ones which I was really bound to draw. Therefore I do not give leave to appeal. The claimants can seek leave from the Court of Appeal.
MR GREEN: I am obliged.
MR BAKER: My Lord, there is one other matter which is, as your Lordship will recall, your Lordship adjourned the application for permission in the case of Lily Broom.
MR JUSTICE STANLEY BURNTON: Permission will be refused in that case.
MR BAKER: I am much obliged. The defendants have an application for costs in that case in the sum of £700 occasioned by the service of the proceedings, writing to the court on the question of expedition and the attendance.
MR JUSTICE STANLEY BURNTON: Do you have a schedule?
MR BAKER: I do not have a costs schedule, I am afraid.
MR JUSTICE STANLEY BURNTON: What do you say as to that?
MR GREEN: I am not entirely sure what has been done by the defendant to incur those costs. They have written a letter telling the court that they were attending anyway for the main hearing. I am not entirely sure what further costs have been incurred.
MR JUSTICE STANLEY BURNTON: I would be more sympathetic if there were a schedule, but there is not a schedule.
MR BAKER: I am sorry, I cannot assist.
MR JUSTICE STANLEY BURNTON: I am not going to award a detailed assessment. In those circumstances I think I should make no order as to costs.
MR BAKER: So be it.