QUEEN'S BENCH DIVISION
THE ADMINISTRATIVE COURT
Strand London WC2A 2LL |
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B e f o r e :
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THE QUEEN ON THE APPLICATION OF O | Claimant | |
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LONDON BOROUGH OF LEWISHAM | Defendant |
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Bryan McGuire (instructed by Lewisham Legal Services) appeared on behalf of the Defendant
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"a. Whether the Defendant acted in breach of Regulation 3(b) of the National Assistance Act 1948 (Choice of Accommodation) Directions in offering a place at 3Cs rather than at the Claimant's preferred choice of accommodation;
b. Whether the Defendant unlawfully failed to have regard to Paragraph 6.1 of the Guidance on National Assistance Act 1948 (Choice of Accommodation) Directions by taking into account the existence of a block contract with 3Cs".
Both those arguments are expressly limited to the costing element, and in particularly the question as to whether, in this case, cost trumps preference or preference trumps cost.
"6.1 Any block contract or other form of contract that a council may have with a provider should not serve to limit choice. An individual should not be limited to care homes that hold such contracts with the funding council, or [care] homes that are run by councils. It would not be reasonable for a council to use as a test for the suitability of accommodation, its presence or absence from a previously compiled list of preferred suppliers. The Directions and Regulations do 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."
Mr McGuire submits that the first sentence of that direction is qualified and illustrated by the examples that follow in the rest of the paragraph. It is obvious that an individual should not be limited to care homes that are governed by the block contracts. It would equally not be reasonable for a council to use as a test for suitability of accommodation whether or not it is an approved home, or is the subject of a block contract. Those are, says Mr McGuire, examples of the ways in which a block contract should not limit choice. But, he says, what it does not say is that the financial effect of the existence of a block contract should be ignored.
"We are working very hard at present to help [O] to cope with his obsessional and challenging behaviour and we hope to see an improvement. This may of course change the level of support that he needs in the future and we will of course be happy to discuss this at future reviews. However, we feel at this current time that we could not support [O] successfully without this level of support."
"24 hour staff intensive service — at least 1:1 and 2:1 in some community settings."
I do not need to read the rest because it is not of crucial importance to what I have to decide.
"a. It was his belief that the figure quoted for additional staff for outside activities was in any case an overestimate based on what was already being purchased in block contract... and he was in continuing discussion with 3Cs on this point:"
That is not directly relevant to my consideration. There is a separate calculation which was provided by 3Cs, which showed why it was that they were in fact expecting an extra £1,300 over and above the £1,400 which would come through as a result of their £70,000 per year block contract fee, all of which was ascribed to the need for extra 2:1 care. But the distinction between the block fee and the overall fee is not a matter which I am now considering:
"b. That 3Cs agreed that further reductions in price in the medium to short term were possible particularly around the additional 1:1 and the night wake funding as [O]'s routines and activities became established;"
That is relevant to the flexibility aspect to which I have already indicated:
"c. From his discussions with 3Cs he expected that a reduction in cost of about 4 hours a day would be managed and supported after about 3 months;"
"On September 5th I telephoned Jim Barry, Head of Finance at 3Cs, to seek clarification on the figures sent by Jan Underhill. Jim explained how the costs had been calculated and advised that all he had been asked to do was provide costs for 2:1 staffing. In my view therefore there remained room for further negotiation and discussion on price.
At panel on 6th September I reported on my discussions with Jim. I advised panel that I was in the process of clarifying the cost of the additional 1:1 support as it equated with the actual cost of the whole block funded package and there was likely to be an error. Irrespective, in the discussion at panel, it was agreed that while [O] required a high level of support he would not require 2:1 for sixteen hours a day in the longer term."