PMcC-v-Department for Social Development (IS) [2012] NICom 325
Decision No: C7/12-13(IS)
Background
'Appeal disallowed
Appellant is not entitled to Income Support from 9.3.11 as is treated as possessing capital in excess of the prescribed amount of £16,000'
Proceedings before the Social Security Commissioner
Errors of law
"(i) making perverse or irrational findings on a matter or matters that were material to the outcome ('material matters');
(ii) failing to give reasons or any adequate reasons for findings on material matters;
(iii) failing to take into account and/or resolve conflicts of fact or opinion on material matters;
(iv) giving weight to immaterial matters;
(v) making a material misdirection of law on any material matter;
(vi) committing or permitting a procedural or other irregularity capable of making a material difference to the outcome or the fairness of proceedings;
Each of these grounds for detecting any error of law contains the word 'material' (or 'immaterial'). Errors of law of which it can be said that they would have made no difference to the outcome do not matter."
Why was the decision of the appeal tribunal in the instant case in error of law?
What did the Department decide?
'On the balance of probabilities customer has a capital in excess of the prescribed amount for Income Support.
The Law Used To Make This *Decision/Determination
Income Support (General) Regulations (NI) 1987 Regulation 45
Reasons for *Decision/Determination
Customer received £385,000.00 on 8/11/05 from a compensation payment. Previous claims have been submitted by her husband dated 8/7/09 and 19/10/09.
The husband provided some receipts for expenditure which were accepted on previous decision dated 8/7/09. He provided a summary from the builder which was not accepted as no invoice has been provided to date. Customer and her husband have not provided any further receipts or explanations for expenditure from this capital since application for Income Support on 19/10/09. The unaccounted for capital figure reduced to £264,006.28 at 19/10/09. I have used this unaccounted for capital figure and reduced it by living expenses for the period 19/10/09 to 13/4/11 ( ). As a result the unaccounted for capital figure at 13/4/11 has been reduced by £7073.96 to £256,932.32.'
What did the appeal tribunal decide?
'It is not disputed that the Appellant was in receipt of £385,000 by way of a compensation payment on 8.11.05. The Appellant either on her own behalf or by way of her husband has explained why this money has reduced to a figure below the sum of £16,000. The Tribunal does not accept those explanations as outlined in the related case of (the claimant's husband) (NW/5840/11/61/L). There is little or no evidence to corroborate those assertions by the Appellant and her husband. Accordingly the Tribunal is satisfied that the Appellant still possesses that capital subject to the deductions for living expenses outlined in her husband's related case. The unaccounted capital figure at the date of the decision is £275,488.44 less the sum of £21.00 identified as contained in the bank account on 21.3.11 leaving a sum of £275,467.43. The Appellant is treated as being in possession of that figure and is therefore not entitled to Income Support.'
'Although the bank account is in name of his wife the Appellant is treated as possessing that capital by virtue of Section 130, and 132 of the Social Security Contributions and Benefits (NI) Act 1992. Reg 45 of the Income Support (General) Regulations (NI) 1987 provides that the capital limit to receiving Income Support is £16,000. In other words if it is proved that an individual has capital of £16,000 or more than there can be no entitlement to Income Support.
(The claimant), in his letter of appeal, indicates that he no longer has capital in excess of £16,000 having spent all of his money in the interim. He has provided various documents, including bank statements and receipts as evidence of this contention. More recently he has produced documentation which would indicate that various direct debits, in his wife's name have been refused due to lack of funds. He has also supplied a supportive letter from his solicitors Messrs Rafferty and Co. At the hearing of the appeal the Appellant referred to extensive renovations at his property and to gifts and loans to friends and family. He confirmed that he had no record of these latter transactions.
It is clear from the papers in this case that (the claimant's wife) received High Court compensation in the sum of £385,000 and this sum was lodged to her First Trust Bank Account on 8.11.05. At this point her husband was, by virtue of the above legislation, no longer entitled to Income Support because of the capital rule. He had, in fact, been receiving this benefit until the compensation sum came to the notice of the Department who on 8.7.09 disallowed his entitlement from 8.11.05 to 24.11.08. This decision was not appealed. His most recent claim made on 19.10.09 was considered in the light of this information and subsequent documentation contained at Tabs 6 and 8 of the case papers. This claim was disallowed on 7.1.10 although this decision was amended, as it contained an official error, and a revised decision was made on 5.6.11 against which the Appellant has now appealed.
Having considered all of the evidence in this case the Tribunal is satisfied that the Department's decision is correct and it is therefore upheld. The starting point is the previous decision of the Department dated 8.7.09. The capital of the Appellant was assessed as £273,267.71 as at 24.11.08. This decision was not appealed. Indeed there is nothing in the evidence before the Tribunal to indicate that this decision was incorrect or in error of law. By the time his most recent claim was made the Department took the view that the Appellant should be treated as possessing this capital. The Tribunal has considered all of the evidence in this case both verbal and written and is satisfied that the Appellant remains in possession of capital sufficient to exceed the sum of £16,000. The Appellant has, in the view of the Tribunal, not provided a satisfactory explanation as to why large withdrawals were made on the bank accounts. The Tribunal does not accept that numerous gifts or loans were made to family and friends. The Department has correctly assessed the capital retained by the Appellant as at 7.1.10 the date of the decision to disallow the claim. The reconsideration dated 5.6.11 and contained at Tab 13 of the casepapers indicates that, at the date of the decision, the appellant is treated as possessing capital amounting to £280,479.77 less the amount of £1119.76 contained in his wife's bank account number *****-***. The Tribunal is satisfied that the Department's decision is correct and it is therefore upheld.'
The relevant legislative provisions
'No person shall be entitled to an income-related benefit if his capital or a prescribed part of it exceeds the prescribed amount".
Section 132(4) of the 1992 Act provides that:
'(4) Circumstances may be prescribed in which
(a) a person is treated as possessing capital or income which he does not possess;
(b) capital or income which a person does possess is to be disregarded;
(c) income is to be treated as capital;
(d) capital is to be treated as income.'
Regulation 45 of the Income Support (General) Regulations (Northern Ireland) 1987, as amended, provides that:
'For the purposes of section 130(1) of the Contributions and Benefits Act as it applies to income support (no entitlement to benefit if capital exceeds prescribed amount), the prescribed amount is £16,000'
Regulation 51(1) of the Income Support (General) Regulations (Northern Ireland) 1987, as amended, provides that:
'(1) A claimant shall be treated as possessing capital of which he has deprived himself for the purpose of securing entitlement to income support or increasing the amount of that benefit except
(a) where that capital is derived from a payment made in consequence of any personal injury and is placed on trust for the benefit of the claimant; or
(b) to the extent that the capital which he is treated as possessing is reduced in accordance with regulation 51A (diminishing notional capital rule); or
(c) any sum to which paragraph 43(2)(a) of Schedule 10 (capital to be disregarded) applies which is administered in a way referred to in paragraph 43(1)(a).'
Regulation 51A provides for the reduction of any notional capital determined under regulation 51.
The proper approach to the issues of capital relevant to benefit entitlement
'17. How ought a decision-maker or a tribunal on appeal deal with issues of capital relevant to benefit entitlement? While I do not wish to be too prescriptive, I suggest that a decision-maker or a tribunal on appeal in such circumstances should endeavour to seek the answers to certain questions, in a relevant and coherent order, and, if this is done, it is more likely that the correct decision will emerge. These are, in my view, the relevant questions:
(Questions (i) to (viii) relate to actual capital.)
(i) Is capital relevant to the rules of entitlement to the benefit at issue?
(ii) If so, what is the relevance of capital to the issues in the case eg if the capital is above a certain amount will the claimant's potential benefit be affected?
(iii) Is the capital at issue in the case actual capital? and, if so, identify the actual capital.
(iv) What is the connection between the capital and the claimant eg sole owner or co-owner?
(v) If there is such a connection, does anyone else have a legal or other interest in the capital?
(vi) Can any or all of the capital be disregarded, under the disregard rules?
(vii) If not, what is the value of the actual capital?
(viii) Having established the value of the actual capital, taking into account the disregard rules, is entitlement to the benefit at issue affected?
(Questions (ix) to (xiv) will help clarify whether one is dealing with actual or notional capital and care should be taken not to ignore these questions on an assumption, often a wrong assumption, that the relevant capital is notional.)
(ix) Did the claimant ever have capital which might have affected entitlement to the benefit in question?
(x) Has it been established that the claimant still has that capital? ie is it still actual capital?
(xi) What is the connection between that capital and the claimant eg sole owner or co-owner?
(xii) If there is such a connection, does anyone else have a legal or other interest in that capital?
(xiii) Can any or all of that capital be disregarded, under the disregard rules?
(xiv) If not, what is that capital's value?
(Questions (xv) to (xvi) relate to notional capital.
(xv) If no-one else has a legal or other interest in it, has the claimant deprived himself of the capital for the purpose of securing entitlement to benefit in line with the rules on deprivation? ie has it become notional capital?
(xvi) What is the value of the notional capital, taking into account the diminishing notional capital rule? ie has the value diminished over the passage of time?
The answers to these questions are not necessarily straightforward and, almost inevitably, rigorous and careful fact-finding will be required by decision-makers and tribunals.'
Analysis
'A tribunal is entitled to draw its own inferences and reach its own conclusions, and however profoundly the appellate court may disagree with its view of the facts it will not upset its conclusions unless
(a) there is no or no sufficient evidence to found them, which may occur when the inference or conclusion is based not on any facts but on speculation by the tribunal (Fire Brigades Union v Fraser [1998] IRLR 697 at 699, per Lord Sutherland); or
(b) the primary facts do not justify the inference or conclusion drawn but lead irresistibly to the opposite conclusion, so that the conclusion reached may be regarded as perverse: Edwards (Inspector of Taxes) v Bairstow [1956] AC 14, per Viscount Simonds at 29 and Lord Radcliffe at 36.'
'34. Firstly, the Tribunal of Commissioners in R(IS) 26/95 were considering three separate cases of which CIS/417/1992 was one. At paragraph 2.328 of Volume 2 of Social Security Legislation 2007 (which may have been the volume which was considered by the appeal tribunal in this case) the authors state:
' In CIS 127/1993 the Commissioner raises the question of where the burden of proof lies when considering whether the capital rule is satisfied. The Tribunal of Commissioners in CIS 417/1992 (reported as part of R(IS) 26/95) treat this as part of what the claimant has to prove in showing entitlement to income support.'
35. At paragraph 25 of their decision, the Tribunal of Commissioners in CIS/417/1992, in remitting the case back to a differently constituted appeal tribunal, directed that the issues before the appeal tribunal was whether the claimant satisfied the conditions of entitlement to IS. In that case, that would turn on whether the market value of his actual (or deemed) share of a freehold exceeded the capital limits for entitlement to IS, and the claimant had discharged the burden of proof with respect to that entitlement condition. It seems to me that the authors of social security legislation are correct in concluding that the Tribunal of Commissioners treated the issue of proving the valuation of an actual capital asset as part of proving the conditions of entitlement to a social security benefit which burden lay on the claimant. That seems to fall short of a conclusion that the decision is authority for the proposition that ' the question of capital is something the claimant has to prove to show entitlement to income support.' And that ' once it has been shown the claimant possesses capital it is for them [sic] to prove expenditure or the disregards apply.'
36. Secondly, the authors of social security legislation went on to qualify the statement which they had made in respect of CIS/417/1992. They stated that:
'However, the argument that the capital rule operates as an exception to the conditions of basic entitlement does not appear to have been put. See sidenote to s.134 which is entitled 'Exclusions from benefit.''
37. The latter reference is to section 134 of the Social Security Contributions and Benefits Act 1992, in Great Britain. In 2007, section 134(1) of the Social Security Contributions and Benefits Act 1992, read as follows:
'Exclusions from benefit
134 (1) No person shall be entitled to an income-related benefit if his capital or a prescribed part of it exceeds the prescribed amount.'
38. At paragraph 1.41 of Volume 2 of Social Security Legislation 2007 the authors state:
' Since the capital rule operates as an exclusion to benefit it is arguable that burden of proof that a claimant's capital exceeds the limit is on the Secretary of State.'
39. Accordingly, it is arguable that there is an alternative to the reasoning ascribed to CIS/417/1992.
40. In paragraph 2.328 of Volume 2 of Social Security Legislation 2007, and in relation to the question of the burden of proof, the authors cite two further cases of the Social Security Commissioners in Great Britain CIS/240/1992 and CIS/30/1993, which, they submit are authority for the propositions that:
(i) once it has been shown that the claimant possesses an item of capital, it is for him to prove that one of the disregards apply; and
(ii) once it has been established that the claimant is the legal owner of property, the burden is on her to show that she does not have all of the beneficial interest.
41. At paragraph 13 of CIS/240/1992, Commissioner Mesher states that:
' Although I have not found it necessary in this decision to deal with the general question of the burden of proof in relation to the capital rule, it must be the case that once it is shown that a claimant possesses an item of capital it is for the claimant to prove that one of the provisions of Schedule 10 applies so that the item is disregarded.'
42. The emphasis in the quotation is mine and the reference to Schedule 10 is to Schedule 10 of the Income Support (General) Regulations 1987, which deals with capital which is to be disregarded. In my view, accordingly, CIS/240/1992 is authority for the more limited principle that if a claimant, in possession of a capital asset, wishes to have that disregarded for the purposes of entitlement to IS, the burden of proof that one of the Schedule 10 disregards applies lies on the claimant. Once again that seems to fall short of a conclusion that the decision is authority for the proposition that ' the question of capital is something the claimant has to prove to show entitlement to income support.'
43. I accept that at paragraph 36 of CIS/30/93, Commissioner Mesher set out the principle that ' once it is shown that the claimant was the legal owner of a capital asset, the burden then falls on her to prove (on the balance of probabilities) that she did not have any or all of the beneficial interest in that asset.' That statement was, however, in the context of the facts of that particular case, where the claimant had transferred a capital asset. Once again, that principle falls short of a conclusion that the decision is authority for the proposition that ' the question of capital is something the claimant has to prove to show entitlement to income support.'
44. Finally, in paragraph 2.328 of Volume 2 of Social Security Legislation 2007, the authors note that all of the decisions cited in connection with the burden of proof in capital cases had to be read in light of the decision of the House of Lords in Kerr v Department of Social Development for Northern Ireland [2004] UKHL 23; [2004] 4 All ER 385. At paragraphs 62 and 63, Baroness Hale stated that:
'62. What emerges from all this is a co-operative process of investigation in which both the claimant and the department play their part. The department is the one which knows what questions it needs to ask and what information it needs to have in order to determine whether the conditions of entitlement have been met. The claimant is the one who generally speaking can and must supply that information. But where the information is available to the department rather than the claimant, then the department must take the necessary steps to enable it to be traced.
63. If that sensible approach is taken, it will rarely be necessary to resort to concepts taken from adversarial litigation such as the burden of proof. The first question will be whether each partner in the process has played their part. If there is still ignorance about a relevant matter then generally speaking it should be determined against the one who has not done all they reasonably could to discover it '
45. It seems to me that there is sufficient doubt and qualification concerning the cited quotation from Volume 2 of Social Security Legislation 2007 to conclude that it is representative of the correct legal position that the burden of proof that a claimant's capital exceed the limits for entitlement to a relevant benefit lies on the claimant, as part of proving entitlement to benefit.'
Disposal
(Signed): K Mullan
Chief Commissioner
12 September 2012