QUEEN'S BENCH DIVISION
ADMINISTRATIVE COURT
Strand, London, WC2A 2LL |
||
B e f o r e :
____________________
THE QUEEN on the application of (1) MS C (2) MR W |
Claimants |
|
- and - |
||
SECRETARY OF STATE FOR WORK AND PENSIONS - and - ZACCHAEUS 2000 TRUST |
Defendant Intervener |
____________________
David Barr QC and Nicholas Moss (instructed by Government Legal Department) for the Defendant
Zoe Leventhal and Alistair Mills (instructed by Leigh Day) for the Intervener
Hearing dates: 14-15 May 2015
____________________
Crown Copyright ©
Mrs Justice Patterson:
Introduction
i) breached the duty on the part of the defendant to act within a reasonable time;ii) breached the Article 6 rights of the individual applicants;
iii) breached Article 1 of the First Protocol to the European Convention of Human Rights (ECHR).
"The Claimants' claim is a challenge to the administration of the personal independence payment scheme and the lawfulness of the delays in that system. There is a statutory entitlement to PIP and PIP is also a gateway to other benefits. I consider this claim arguable. There is clearly a wider public interest. I have considered very carefully the Defendant's submissions regarding the academic nature of the Claimants and the availability of an alternative remedy. The Court's discretion to allow a claim where the Claimants' cases are academic is not to be exercised lightly. Although both Claimants claims of PIP have been determined, serious issues are raised in this case regarding systematic and widespread delays. The Courts should not be shut out of resolving such an issue, including consideration of declaratory relief. For all of these reasons, there is good reason to grant permission. The Defendant's submissions that alternative remedies are available do not suffice to shut out the claim. The evidence submitted raises questions raises the adequacy and availability of the complaints procedure. For all of these reasons, I grant permission to the Claimants. I also grant permission to Z2K to intervene limited to the basis of their application, including oral submissions."
The General Background
i) a phased geographical roll out for new PIP claims from 8 April 2013;ii) a limited transfer of a small number of DLA entitled persons to PIP, but only if there were satisfactory arrangements in place to assess entitlement and, either, there has been a change in circumstance, or the person turns sixteen years old or voluntarily chooses to transfer to PIP (phase two); and
iii) a transfer to 1.5 million DLA entitled persons (phase three).
"The implementation of the Personal Independence Payment has been nothing short of a fiasco. The Department of Work and Pensions has let down some of the most vulnerable people in our society, many of whom have had to wait more than 6 months for their claims to be decided.
The Department's failure to pilot the scheme meant that the most basic assumptions such as how long assessment would take and how many would require face to face consultations, had not been fully tested and proved to be wrong. This resulted in significant delays, a backlog of claims and unnecessary distress for claimants who have been unable to access the support they need to have, and in some cases work independently."
"You have already stated that by the end of 2014 no one will be waiting longer than 16 weeks for a PIP assessment. Are you going to hit that target?
Mr Harper: It is not going to slip too far because we have said that we are not going to do the very flexible autumn, because we have got the end of year commitment as well, so we have been very clear by the end of the year nobody will be waiting for longer than 16 weeks for an assessment. That is a very clear commitment that the Secretary of State has made, which I am happy to repeat today, and that we are working with the providers to ensure that we hit.
Chair: '16 weeks is still four months. Do you think that it is an acceptable length of time for somebody who may have developed a disability and suddenly has a lot of costs associated with that disability – which is what PIP is all about –to wait four months before they get money to pay for adaptations they might need in order to live their life or in order to adjust for the disability?'
Mr Harper: 'No. I would like us to be able to make decisions or make the whole process work faster than that, but there is no point in getting ahead of ourselves.'"
Claimants' Factual Background
The Intervener's Evidence
Ground One: Was the Delay on the Part of the Defendant in Processing the PIP Claims Unlawful?
Claimants' Submissions
i) Parliament took the view that people eligible for PIP should have it as of right. It was a legal entitlement; andii) Parliament provided for a replacement scheme to DLA with more complex individualised assessment for claimants. What is reasonable will have to be determined by the nature of the assessment exercise.
"We agree with the Minister that the current level of service offered to PIP claimants and the length of time claimants are waiting for decisions on their PIP applications is not acceptable. People should not be forced to wait six months or more to find out whether they are entitled to financial support towards the additional costs of living with disabilities and health conditions. Urgent action is required. We recommend that DWP closely examine its own systems and that it work with the contracted providers to resolve the current dire situation…we also recommend that DWP clear the existing backlog of claims and reduce the average time taken to process new claims to the expected 74 days before it extends the natural reassessment of existing DLA claims to other parts of the country."
"16. The delays which claimants are suffering before receiving a decision on their claim are causing unacceptable pressures and stress on this vulnerable group, and their families and carers. Citizens Advice, Mencap and Disability Association Barking and Dagenham told us that some claimants had been forced to resort to loans, food banks and discretionary housing payments to cover additional costs. In some cases, family members or carers had stopped or reduced their working hours to help care for claimants, while they waited to receive Personal Independent Payment. We heard evidence of a claimant requiring hospital intervention as a result of the stress caused by the delays suffered, and another claimant who was unable to afford the specific diet required for diabetes and gastric problems, while waiting for a decision. The delays have also led to increased demands on wider public spending and on disability organisations which provide support to claimants.
17. Personal Independence Payment acts as a passport to wider benefits such as a carer's allowance, disability premiums and concessionary travel. It also exempts certain households from the benefit cap. Citizens Advice told us that delays in administering Personal Independence Payment have impacted on families' rights to these wider benefits. The Department assured us that passported social security benefits such as carer's allowance, would be backdated to the start of Personal Independence Payment if the benefit criteria had been met. Other passported schemes, such as the Blue Badge scheme, do not rely solely on an entitlement to Personal Independence Payment. Claimants can still claim these benefits through other means, such as an assessment of walking difficulty carried out by Local Authorities."
"3.15. The Department did not leave enough time to assess the impact of increased volumes on the length of the claims process or to identify delays in assessments before inviting new claims from across the country in June 2013. It also had limited time to identify problems before introducing natural reassessment of Disability Living Allowance claims in October 2013. The Department identified delays in late August, leaving only two months to resolve problems before volumes would increase again to around 55,000 claims per month."
"The Department for Work and Pensions (the Department) rushed the introduction of Personal Independence Payment and did not pilot the benefit process. We are concerned that many disabled people have experienced long and unacceptable delays in their Personal Independence Payment being assessed and granted. The process has proved inaccessible and cumbersome for claimants, who are some of the most vulnerable people in society. The Department significantly misjudged the number of face-to-face assessments that providers would need to carry out, and the time there assessments would take. This has resulted in significant delays to benefit decisions and a growing backlog of claims. The unacceptable level of service provided has created uncertainty, stress and financial costs for claimants, and put additional financial and other pressures on disability organisations, and on other public services, that support claimants. The Department has yet to achieve the savings it intended to make and will have to seek compensatory savings elsewhere."
The Intervener's Submissions
a) whether there is a statutory right or a legitimate expectation at stake;
b) the extents of the impacts on the person affected by the delay and their vulnerability and the extent to which any interim provision/support is provided;
c) whether the defendant accepts that the delays are unacceptable;
d) how far the relevant delays exceed appropriate benchmarks or targets;
e) the reasons why the delays have occurred – administrative failings, errors on the part of the defendant in individual cases or designing the scheme as a whole; and
f) the resources of the defendant to remedy the problem and whether any improvements are being made to the systems in question.
i) the statutory entitlement under section 77 of the Welfare Reform Act;ii) the department's own guidance for the period of determination, initially of 74 days, and then not beyond 16 weeks; and
iii) the impact on the individual of the delay.
Defendant's Submissions
i) some internal processes including identity verification were taking longer than expected;ii) some PIP claimants were taking longer to return their PIP2 forms and a significant number did not return their forms at all. That contributed to a higher number of claimants requiring a face to face assessment;
iii) a higher proportion of claimants were failing to attend their face to face consultations so that the appointment could not be reallocated to another person and a further appointment had to be arranged unless there was a good reason for the claimant not to attend;
iv) analysis of the assessment showed that their writing up was taking longer than anticipated.
i) revising guidance for health professionals to make it clearer what is expected from them during assessments;ii) revising the audit criteria and guidance;
iii) revising the forms that providers need to complete;
iv) improving communications with claimants so that they are clear on what is expected in progressing a PIP claim.
Discussion and Conclusions
i) Is it appropriate to treat the claimants' cases as test cases?ii) What is the right approach as to whether the delay in the circumstances is unreasonable?
"10. It follows in my view that a system of applying resources which is not unreasonable and which is applied fairly and consistently can be relied on to show that delays are not to be regarded as unreasonable or unlawful.
11. As was emphasised by Lord Bingham, the question was whether delay produced a breach of Article 6(1). Here the question is whether the delay was unlawful. It can only be regarded as unlawful if it fails the Wednesbury test and is shown to result from actions or inactions which can be regarded as irrational. Accordingly, I do not think that the approach should be different from that indicated as appropriate in considering an alleged breach of the reasonable time requirement in Article 6(1). What may be regarded as undesirable or a failure to reach the best standards is not unlawful. Resources can be taken into account in considering whether a decision has been made within a reasonable time, but (assuming the threshold has been crossed) the defendant must produce some material to show that the manner in which he has decided to deal with the relevant claims and the resources put into the exercise are reasonable. That does not mean that the court should determine for itself whether a different and perhaps better approach might have existed. That is not the court's function. But the court can and must consider whether what has produced the delay has resulted from a rational system. If unacceptable delays have resulted, they cannot be excused by a claim that sufficient resources were not available. But in deciding whether the delays are unacceptable, the court must recognise that resources are not infinite and that it is for the defendant and not for the court to determine how those resources should be applied to fund the various matters for which he is responsible."
i) Both claimants' cases called for expeditious consideration. They each suffered from significant disabilities (as set out above). They were each properly to be regarded as amongst the most vulnerable in society.ii) The first claimant was classified as a person requiring additional support early on in the process of her claim. Yet the system then in operation required her to travel some distance to a face to face assessment on two separate occasions when she had explained her difficulty in travelling. It took more than one year after she initially contacted DWP for sufficient details to be obtained over the telephone to enable her claim to be considered and determined.
iii) For the second claimant similar considerations, although less extreme, applied from the moment of claim until the determination some ten months later.
iv) The NAO report of February 2014 clearly identified backlogs at each stage of the claimant process. It found also that the defendant had adopted a challenging timetable and had not fully assessed the performance of its proposed systems for starting the national roll out of the claim in 2013. Insufficient time had been allowed to resolve the problems before extending the scheme in October 2013.
v) Assessment providers at that time were struggling with both capacity and capability to carry out the assessments. To require the first claimant to attend a face to face assessment on two separate occasions was both inappropriate, caused her considerable distress and was irrational in her circumstances.
vi) The Public Account Committee's findings in their report, of June 2014, were that the failure to pilot the scheme and assumptions made for the assessment process were both unsubstantiated and wrong.
vii) The Minister's evidence to the DWP Select Committee in September 2014 accepted that 16 weeks was not an acceptable length of time because, amongst other factors, of the impact it would have on someone who had developed a disability.
viii) The prejudice and distress of both claimants of having to wait for the protracted period of time to have their claims determined was considerable and unnecessary.
ix) The reasons for the delay are set out earlier and are contained in the reports of the Parliamentary Select Committees, the NAO and the report of the independent examiner, Mr Gray. Although the defendant uses the scale of the implementation that it had to grapple with as a point in its favour it overlooks the fact that the point also operates the other way as explained in (x) below. It was incumbent upon the defendant also to address failings identified by itself and by the Select Committees and the independent report.
x) The defendant did identify steps to be taken and has implemented procedures which appear to be reducing the backlog and making the system increasingly efficient and fit for purpose. I recognise that the Secretary of State has been dealing with hundreds of thousands of applications and will have to deal with some 1.5 million more applicants when the full system of PIP is rolled out. The scale of the project is a cogent factor in the defendant's favour but it has to be balanced against the fact that the PIP scheme is intended for the most vulnerable members of society and fit for purpose has to be construed with that service user in mind. It is important, therefore, that the system introduced and operated is accessible to its service users and efficient.
xi) Whilst the steps that the defendant has taken are a significant and weighty material consideration they cannot excuse, in my judgment, the handling of the claims of the two instant claimants when an effective system of operation of PIP benefit should have resulted in an award to each claimant significantly earlier in 2014. In acting as it did in their individual cases the defendant acted in a way that was unreasonable in the sense of being irrational.
xii) Back payments are an important step but do not provide a complete answer to the unnecessary stress that the prolonged delays that occurred in each of these two cases undoubtedly caused.
i) no payment on account/advance payments;ii) the effect on the benefit cap;
iii) transitional provisions;
iv) the inability to identify who were priority cases;
The absence of those factors as part of the defendants roll out of PIP increased the hardship for many claimants. However, the further steps taken by the defendant, as set out above, in all areas of the implementation of the scheme including the development of an electronic claiming channel, responding to the Gray review, working with the assessment providers to ensure they have the right numbers of people in the right places within the country, ensuring that the assessment centres are within more convenient travelling distance for claimants together with the review of whether there should be a triage system to identify hardship or other priority cases mean that earlier shortcomings have been or are in the process of being addressed. It cannot be said that there are now inherent systemic failings in the system. That means that the individual points made by the intervener, such as no interim payment on account, the effect of the benefit cap and the requirement to amend transitional provisions do not need to be the subject of this judgment.
"93. Transitional
(1) Regulations may make such provision as the Secretary of State considers necessary or expedient in connection with the coming into force of any provision of this Part.
(2) Schedule 10 (transitional provision for introduction of personal independence payment) has effect."
Ground Two: Did the Defendant's Conduct Breach the Article 6 Rights of the Individual Claimants to a Determination within a Reasonable Time?
"29. The Court would point out in the first place that the Convention places a duty on the Contracting States to organise their legal systems so as to allow the courts to comply with the requirements of Article 6(1), including that of trial within a 'reasonable time'. Nonetheless, a temporary backlog of business does not involve liability on the part of the Contracting States provided that they take, with the requisite promptness, remedial action to deal with an exceptional situation of this kind.
Methods which may fall to be considered, as a provisional expedient, admittedly include choosing to deal with cases in a particular order, based not just on the date when they were brought but on their degree of urgency and importance and, in particular, on what is at stake for the persons concerned. However, if a state of affairs of this kind is prolonged and becomes a matter of structural organisation, such methods are no longer sufficient and the State will not be able to postpone further the adoption of effective measures."
Discussion and Conclusions
"1. In the determination of his civil rights and obligations or of any criminal charge against him, everyone is entitled to a fair and public hearing within a reasonable time by an independent and impartial tribunal established by law. Judgment shall be pronounced publicly but the press and public may be excluded from all or part of the trial in the interest of morals, public order or national security in a democratic society, where the interests of juveniles or the protection of the private life of the parties so require, or the extent strictly necessary in the opinion of the court in special circumstances where publicity would prejudice the interests of justice."
"147. In considering the scope of article 6(1) it is proper to take a broad approach to the language used and seek to give effect to the purpose of the provision. In Ringeisen v Austria (No.1) (1971) 1 EHRR 455, para 94 the phrase was taken to cover 'all proceedings the result of which is decisive for private rights and obligations.' …The distinction noticed by the Commission in X v United Kingdom (1998) 25 EHRR CD 88, 96 is not to be overlooked, that is the distinction between:
'the acts of a body which is engaged in the resolution of a dispute ('contestation') and the acts of an administrative or other body purporting merely to exercise or apply a legal power vested in it and not to resolve a legal claim or dispute.'
But at least from the time when a power has been exercised and objection is taken to that exercise the existence of a dispute for the purpose of article 6(1) can be identified.
148. The scope of article 6 accordingly extends to administrative determinations as well as judicial determinations. But, putting aside criminal proceedings with which we are not here concerned, the article also requires that the determination should be of a person's civil rights and obligations."
At [149] Lord Clyde continued:
"…The dispute may relate to the existence of a right, and the scope or manner in which it may be exercised… But it must have a direct effect of deciding rights or obligations."
And at [150]:
"150. It is thus clear that article 6(1) is engaged where the decision which is to be given is of an administrative character, that is to say one given in an exercise of a discretionary power, as well as a dispute in a court of law regarding the private rights of the citizen, provided that it directly affects civil rights and obligations and is of a genuine and serious nature. It applies then to the various exercises of discretion which are raised in the present appeals. But while the scope of the article extends to cover such discretionary decisions, the particular character of such decisions cannot be disregarded. And that particular factor has important consequences for the application of the article in such cases."
Ground Three: Whether there was a Breach of Article 1 First Protocol?
"In conclusion, therefore, if any distinction can still be said to exist in the case-law between contributory and non-contributory benefits for the purposes of the applicability of Article 1 of Protocol No. 1, there is no ground to justify the continued drawing of such a distinction."
"There have been relatively few cases under the first rule, nor is it easy to find a common theme. Clayton and Tomlinson: Law of Human Rights 2nd Ed (para 18.100) comment:
'... the court has recognised a type of interference with the peaceful enjoyment of possessions which is neither a deprivation nor a control of use. It has been described as a kind of catch-all category for any kind of interference which is hard to pin down. The court is increasingly using the concept of interference with the substance of property when it has difficulty classifying interferences.'
This suggests that searching for an all-embracing test of the situations engaged by the first rule may be unproductive."
Discussion and Conclusions
"Every natural or legal person is entitled to the peaceful enjoyment of his possessions. No one shall be deprived of his possessions except in the public interest and subject to the conditions provided for by law and by the general principles of international law.
The preceding provisions shall not, however, in any way impair the right of a State to enforce such laws as it deems necessary to control the use of property in accordance with the general interest or to secure the payment of taxes or other contributions or penalties."
Relief
ANNEX I
Legal Framework
"77. Personal independence payment
(1) An allowance known as personal independence payment is payable in accordance with this Part.
(2) A person's entitlement to personal independence payment may be an entitlement to—
(a) the daily living component (see section 78);
(b) the mobility component (see section 79); or
(c) both those components.
(3) A person is not entitled to personal independence payment unless the person meets prescribed conditions relating to residence and presence in Great Britain."
"78. Daily living component
(1) A person is entitled to the daily living component at the standard rate if—
(a) the person's ability to carry out daily living activities is limited by the person's physical or mental condition; and
(b) the person meets the required period condition.
(2) A person is entitled to the daily living component at the enhanced rate if—
(a) the person's ability to carry out daily living activities is severely limited by the person's physical or mental condition; and
(b) the person meets the required period condition.
(3) In this section, in relation to the daily living component—
(a) 'the standard rate' means such weekly rate as may be prescribed;
(b) 'the enhanced rate' means such weekly rate as may be prescribed.
(4) In this Part 'daily living activities' means such activities as may be prescribed for the purposes of this section.
(5) See sections 80 and 81 for provision about determining—
(a) whether the requirements of subsection (1)(a) or (2)(a) above are met;
(b) whether a person meets 'the required period condition' for the purposes of subsection (1)(b) or (2)(b) above.
(6) This section is subject to the provisions of this Part, or regulations under it, relating to entitlement to the daily living component (see in particular sections 82 (persons who are terminally ill) and 83 (persons of pensionable age))."
"80. Ability to carry out daily living activities or mobility activities
(1) For the purposes of this Part, the following questions are to be determined in accordance with regulations—
(a) whether a person's ability to carry out daily living activities is limited by the person's physical or mental condition;
(b) whether a person's ability to carry out daily living activities is severely limited by the person's physical or mental condition;
(c) whether a person's ability to carry out mobility activities is limited by the person's physical or mental condition;
(d) whether a person's ability to carry out mobility activities is severely limited by the person's physical or mental condition.
(2) Regulations must make provision for determining, for the purposes of each of sections 78(1) and (2) and 79(1) and (2), whether a person meets 'the required period condition' (see further section 81).
(3) Regulations under this section—
(a) must provide for the questions mentioned in subsections (1) and (2) to be determined, except in prescribed circumstances, on the basis of an assessment (or repeated assessments) of the person;
(b) must provide for the way in which an assessment is to be carried out;
(c) may make provision about matters which are, or are not, to be taken into account in assessing a person."
Section 82 makes specific provision for the terminally ill.
"90. Abolition of disability living allowance
Sections 71 to 76 of the Social Security Contributions and Benefits Act 1992 (disability living allowance) are repealed."
"1(1) Regulations under section 93 may in particular make provision for the purposes of, or in connection with, replacing disability living allowance with personal independence payment.
(2) In this Schedule 'the appointed day' means the day appointed for the coming into force of section 77."
Paragraph 4(1) provides:
"4(1) The provision referred to in paragraph 1(1) includes—
(a) provision for terminating an award of disability living allowance;
(b) provision for making an award of personal independence payment, with or without application, to a person whose award of disability living allowance is terminated."
Paragraph 4(2)(a) provides:
"4(2)The provision referred to in sub-paragraph (1)(b) includes—
(a) provision imposing requirements as to the procedure to be followed, information to be supplied or assessments to be undergone in relation to an award by virtue of that sub-paragraph or an application for such an award;"
Note 1 There are special rules for that category. The judgment focuses upon people claiming under the normal rules. [Back] Note 2 DWP – Business Case May 2013 and interviews with departmental staff. [Back]