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REDCROFT CARE HOMES LTD FOR JUDICIAL REVIEW [2023] ScotCS CSOH_95 (21 December 2023)
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[2023] ScotCS CSOH_95
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OUTER HOUSE, COURT OF SESSION
[2023] CSOH 95
P625/22
OPINION OF LORD YOUNG
In the petition of
REDCROFT CARE HOMES LIMITED
Petitioner
for
Judicial Review of a decision of Edinburgh Health and Social Care Partnership
Petitioner: D Edwards; BTO
Respondent: C MacNeill KC, D Anderson: City of Edinburgh Council Legal Department
21 December 2023
Issue
[1]
This is a petition for judicial review seeking an order to quash a decision by the
Edinburgh Health and Social Care Partnership (EHSCP) intimated to the petitioner by letter
dated 6 May 2022 ("the decision letter"). In terms of the decision letter, the EHSCP refused a
request to make a payment of £284,100.78 to cover a deficit in funding.
[2]
In the answers lodged on behalf of EHSCP, it is averred that the City of Edinburgh
Council has legal responsibility for the decision complained of and ought to have been
called as respondent. Ultimately, nothing turns on this distinction as Mr MacNeill KC, who
appeared at the substantive hearing on behalf of the respondent, made clear that his
2
instructions came from the City of Edinburgh Council. He accepted that the relevant
decision was taken on behalf of the Council by the EHSCP. For simplicity, where I use the
term "respondent" that is to be taken to encompass both the City of Edinburgh Council and
EHSCP insofar as that body was acting on behalf of the Council.
Background
[3]
The petitioner operates a care facility at Redcroft House, Edinburgh. This facility
provides a residential service for adults with learning disabilities and complex needs. The
number of service users accommodated at Redcroft House is small with the consequence
that any reduction in the number of service users is likely to have a significant impact on the
financial viability of the petitioner's business. The respondent provides funding for a
number of service users at Redcroft House. That funding is provided under a Framework
Agreement originally dated 16 June 2014. The Framework Agreement has been extended by
agreement between the parties and remained in force for the period in respect of which the
deficit funding was sought. There have been ongoing discussions with regard to entering
into a new updated Framework Agreement since around 2018 with much of that discussion
concerning the weekly and daily rates to be charged.
[4]
As at 2018, the respondent funded nine service users at Redcroft House. In
February 2019, the respondent announced a large scale investigation ("LSI") into the services
being provided at Redcroft House. Once the LSI had been instigated, a moratorium on
funding new placements came into operation. The LSI was completed by October 2020.
While the moratorium was in place, the number of service users funded by the respondent
dropped over time to six by October 2020.
3
[5]
The petitioner approached the respondent with two separate claims for additional
payments. It was accepted that both of these claims for payment fell outwith the terms of
the Framework Agreement. Adopting the terminology from the decision letter, one claim
for payment was in relation to a deficit caused by a reduction in the occupancy rate from
nine service users to six service users ("the occupancy rate claim"). This claim for payment
sought to address issues of financial viability which arose due to the lower level of payments
being received. It is the decision to refuse this claim for payment which the petitioner now
seeks to quash. The other claim for payment was in respect of changes to the overnight
staffing arrangements ("the overnight staffing claim"). This related to the additional cost of
providing a "waken night" carer for one of the service users commencing in January 2019.
The respondent subsequently agreed to this claim for payment. While the overnight staffing
claim is not the subject of this application for judicial review, the petitioner seeks to draw an
inference of irrationality by comparing the acceptance of that claim by the respondent with
its decision to refuse the occupancy rate claim.
[6]
Prior to the decision in relation to these claims, there were meetings and discussions
between Rajen Mawjee, the petitioner's managing director, and various employees of the
respondent. The petition narrates part of one email sent by Marc Long, a contracts officer
for the respondent, to Mr Mawjee on 9 February 2022. That email stated:
"Firstly, regarding the discussed statement of how the costs arose and why payment
is needed, after my discussion with the Finance team, we would need confirmation
that this payment will be put towards the refurbishment and some details of the plan
for accomplishing. This would also help when included with the committee report
as the work is required as part of the service and whatever payment is made will
definitely be used for this work will aid in receiving a positive result. I am aware
you have emailed me some information of this but I feel having it in writing as part
of the full statement on the `backpayment', and hopefully more detail, will be
helpful. Regarding the rate, below are the 1 to 1 and day care rates I have been able
to find for 2018 until present. These are not for calculating staffing hours for the core
costs but instead to help you factor in the 1 to 1 and day care figures received and
4
separate the core costs from the total payments etc received and the total expenses
where relevant.
1 to 1/Day Care rates 21/22 20/21 19/20 18/19 £17.84 £17.46 £16.90 £16.60.
At the moment I have been unable to find the rates for the core service in the
documents I have access to, I am looking into where I might be able to find this
information but I don't know if I will likely be able to find anything at this time.
However, with the 1 to 1/Day care rates removed from the totals the rest should be
core costs and where necessary the weekly rates can be those. I hope this is helpful
for progressing forward."
[7]
The petitioner collated the vouching and information requested in this email which
was then submitted to the respondent in order that a decision could be taken. By letter
dated 6 May 2022, the respondent made an offer of payment in relation to the overnight
staffing claim but declined to make an offer in relation to the occupancy rate claim.
[8]
The decision letter commenced by dealing with the overnight staffing claim. In that
regard, the respondent stated:
"Further to our discussions, representation at our Executive Management Team, and
subject to receipt of satisfactory evidence as below, the Edinburgh Health and Social
Care Partnership propose a payment of £253,256.64 to Redcroft Care Services
(Redcroft House) in recognition of the amendment made to the overnight staffing
arrangements between the period 01/01/2019 to 31/03/2022, which was an overall
increase in staff hours from those specified in the initial Framework Agreement ... I
would hope this proposed back-dated payment fully meets the expectation of the
service."
[9]
The decision letter then dealt with the occupancy rate claim. In that regard, the
decision letter stated:
"A further request was made by Redcroft Care Services for backdated funding for
the amount of £284,100.78 to cover for a deficit caused by a reduction in occupancy
rates. I can confirm that the Executive Management Team did not support this
request on the basis that the care home was subject to a Large Scale Investigation
during the period of this claim, part of which saw a moratorium on placements to the
care home to safeguard existing residents."
[10]
First orders in this petition for judicial review were granted on 4 August 2022. As
originally drafted, the petition challenged the decision on two grounds, unreasonableness
5
and irrationality. On 4 November 2022, I granted an interlocutor discharging the
substantive hearing scheduled for 16 December 2022 and sisting proceedings while parties
discussed possible settlement. The sist was renewed on two occasions finally expiring on
13 April 2023. Following the failure to achieve an extra-judicial settlement, a substantive
hearing on the petition and answers was fixed for 14 July 2023. Approximately one week
before that hearing, the petitioner lodged a minute of amendment seeking to add new
averments contending that there had been a breach of the petitioner's legitimate expectation
and/or procedural unfairness. A late affidavit from Mr Mawjee was also produced at that
time. I allowed the minute of amendment to be received into process and for the affidavit to
be received late. The petition and answers were amended in terms of the minute of
amendment and the respondent's answers thereto at the commencement of the hearing on
14 July 2023.
Submissions of the petitioner.
[11]
On behalf of the petitioner it was submitted that the supervisory jurisdiction of the
Court of Session was engaged. Under reference to C v Advocate General for Scotland 2011
CSOH 124 at paragraph [23], it was submitted that the familiar tripartite test was one to be
applied with flexibility. A contractual background could provide the tripartite relationship
in some cases although it was not suggested that this was such a case. The Framework
Agreement was part of the background but its existence did not indicate that this was a
purely contractual matter between the parties. The respondent was exercising the functions
and discretionary powers under the Social Work (Scotland) Act 1968. The payments which
the petitioner sought were in relation to the care arrangements which the respondent had
made under section 12 of the 1968 Act. As it was accepted by both petitioner and
6
respondent that the Framework Agreement gave no contractual entitlement to this payment
it followed that when the respondent took the decision whether to make the payment or not,
it was exercising a discretion under this statutory power. This was sufficient to bring the
matter under the purview of the supervisory jurisdiction.
[12]
Before noting the petitioner's submissions on breach of legitimate expectations, it
should be noted how the proposition was advanced by the petitioner in both its pleadings
and in terms of Mr Mawjee's affidavit. In terms of the petition, it was averred that:
"The understanding of the petitioner, on which it legitimately relied at all material
times, based upon what was said by the respondent at the meetings before and after
February 2021 was that the parties had reached agreement that the petitioner was
entitled to the payments it sought and that payment would be made as soon as
vouching was provided by the petitioner".
It can be seen that these averments identify the legitimate expectation as being that payment
had been agreed subject only to vouching of the amount. The basis for that expectation is
said to arise from discussions at various meetings. The affidavit from Mr Mawjee does not
deal with the petitioner's expectations to any significant extent other than at paragraph 19
where it is stated:
"During the time we dealt with Mr Long and well before, there was agreement that
the 2014 Framework Agreement rates were outdated and insufficient, that what was
called a `backpayment' should be made to Redcroft to redress the position and that
EHSCP simply needed vouching of the increases in our costs. See for example the
attached email `Exhibit A' from Marc Long which refers in terms to a `back
payment'".
My reading of this affidavit is that Mr Mawjee's expectation was that a backpayment would
be made once vouching was produced, and that this expectation arose from both meetings
and an email. However, Mr Mawjee's affidavit identifies the historical rates paid under the
Framework Agreement as being the underlying problem rather than the reduction in the
occupancy rate.
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[13]
In his submissions on behalf of the petitioner, Mr Edwards characterised the
legitimate expectation slightly differently. The argument was advanced by reference to the
email sent on 9 February 2022 by Mr Long. It was accepted that the petitioner had no
legitimate expectation that it would receive a payment in respect of the occupancy rate
claim. The respondent could say yes or no to the claim. Rather, it was argued, the petitioner
had a legitimate expectation that the fact of the LSI would not be a relevant consideration in
the decision. It was submitted that the email amounted to a clear and unambiguous
representation that the respondent's decision would proceed on the basis of vouching and
other documentation provided by the petitioner alone without regard to the fact that there
had been a LSI. The petitioner had relied upon that representation to provide detailed
vouching and information at considerable expense. If the fact of the LSI was going to be a
relevant factor in the decision making, there was no point in the petitioner being asked to go
through the process of collating this documentation. It was submitted that the overriding
principle was one of fairness in which a decision maker could not change the criteria on
which the decision would be taken. The legitimate expectation arguments were advanced
with reference to Attorney General of Hong Kong v Ng Yuen Shiu [1983] 2 AC 629 at
pp 636-638; R v Secretary of State for Home Department ex parte Khan [1984] 1 WR 1337 at
pp 1343, 1344 and 1347; and Lochore v Moray District Council 1991 SCLR 741 at pp 748-749.
[14]
Alternatively, it was submitted that it was procedurally unfair to consider the LSI as
a relevant consideration without notifying the petitioner about its relevance or giving the
petitioner an opportunity to make representations in respect of it. Further the respondent's
decision was irrational. It was submitted that it was irrational to refuse the occupancy rate
claim because of the existence of the LSI while agreeing to satisfy the overnight staffing
claim which was also in respect of a period when the LSI was taking place. Further, it was
8
said to be irrational to reject the whole of the occupancy rate claim as it included a period of
time after the LSI had been completed.
Submissions of the respondent
[15]
The respondent sought dismissal of the petition as incompetent since the petition
raised no issue for the supervisory jurisdiction of the court. The respondent had statutory
responsibilities for the provision of social welfare services including the provision of
residential care. The respondent made arrangements to fulfil those statutory obligations
owed to individuals by entering into contractual arrangements with care providers such as
the petitioner. These were purely commercial agreements with various care providers. In
the present case, the Framework Agreement governed the services which the petitioner
would provide to the respondent in order that the respondent could fulfil its statutory
duties. The Framework Agreement provided that the petitioner's entitlement to be paid was
in respect of each service user. As the number of service users happened to reduce during
the LSI as a consequence of the moratorium, it followed that the contractual entitlement to
remuneration dropped accordingly. In deciding whether to make an additional payment
not governed by the Framework Agreement, the respondent was not exercising any
jurisdiction, power or authority subject to the supervisory jurisdiction. A public authority
will normally be acting under some statutory power when it enters into a contract, such as
an employment contract with a member of staff, but that did not engage the supervisory
jurisdiction.
[16]
Esto the petition was competent, there was no unlawful decision. It was accepted on
all sides that there was no contractual entitlement to the payment sought. The email from
Mr Long could not create a legitimate expectation on the part of the petitioner. It was not a
9
clear and unambiguous representation or promise that the final decision would not take
account of any particular factor. Rather, it was clear from the email that Mr Long was not
the decision maker. He was not saying what criteria might or might not be relevant to the
decision maker. At most, the email could be construed as indicating that by providing the
information sought, the petitioner would have a "hope" of the final decision being
favourable. This was very far from being a clear and unambiguous statement that a
particular factor would or would not be considered relevant in the decision making process.
Nor did the email provide that payment would follow once vouching had been verified.
The email did not state or imply that the decision would be taken only on the
documentation to be submitted by the petitioner.
[17]
In response to the petitioner's argument based on procedural unfairness it was
submitted that there could be no procedural unfairness in what were commercial
negotiations for an ex gratia payment. The respondent had a wide discretion whether to
grant or decline the petitioner's request for an additional payment. The petitioner's
argument based on irrationality fell to be rejected because there were good reasons to
differentiate between the two claims. The overnight staffing claim was made in respect of
additional services provided by the petitioner in respect of the specific needs of one service
user identified as part of the LSI process. The petitioner had incurred those additional costs
in meeting that particular service user's needs. The occupancy rate claim was effectively
compensation sought following a reduction in the payments made as a consequence of the
reduced number of service users. It was inherently rational for the respondent to refuse the
occupancy rate claim in respect of a service which it was not provided with. As a public
authority, the respondent had to ensure that public monies were used appropriately.
10
Decision
[18]
I have little difficulty in rejecting the petitioner's argument in relation to the
competency of this petition. The supervisory jurisdiction is engaged where a public
authority possesses a legally circumscribed jurisdiction, power or authority and the court is
called upon to ensure that the public authority exercises its functions within the limitations
to which it is subject (Crocket v Tantallon Golf Club 2005 SLT 663 at para 37). Those
limitations may be set by statutory provision, contractual terms or by common law. In
answering the question whether the decision under review is truly one to which the
supervisory jurisdiction applies, it is necessary to focus closely upon the nature of the act or
decision under challenge (G v Watson 2014 CSIH 81 at para 23).
[19]
The parties agreed that the Framework Agreement governed the provision of care
services but that it did not provide a contractual basis for the occupancy rate claim. Neither
party suggested that the Framework Agreement set out any criteria or mechanism which
governed how the parties required to approach a request for an additional payment outwith
the terms of that document. The discussions surrounding the request for these additional
payments took place against a backdrop of an ongoing commercial relationship, including
negotiation of an updated agreement, but the parties were contractually unconstrained as to
the merits of these claims. It is correct that the respondent would be acting under the
relevant statutory power in the event that it decided to make an additional payment. For
obvious reasons, it was no part of the petitioner's case that the respondent did not have
statutory power to make such a payment. In essence, the respondent had to decide whether
it considered it appropriate to make an ex gratia payment to the petitioner to compensate for
the drop in the occupancy rate while the moratorium was in place. That decision was not
one conferred upon it under any jurisdiction, authority or power. It arose because of a gap
11
within the Framework Agreement which did not provide for the circumstances which had
arisen while the LSI was in place. Ultimately, the respondent decided to hold the petitioner
to the terms of the Framework Agreement and refused to make payment in respect of the
occupancy rate claim. This was a unilateral decision which the respondent considered
appropriate in the circumstances. The fact that the respondent would have been acting
under a statutory power if it had elected to make good on the petitioner's claim is
insufficient on its own to engage the supervisory jurisdiction. For these reasons, I consider
that the respondent's decision communicated in May 2022 is not one which is amendable to
judicial review and the petition falls to be dismissed as incompetent.
[20]
In the event that this matter proceeds further, I shall briefly explain what my
decision would have been on the merits of the petition.
[21]
In my opinion, it was telling that the precise formulation of the legitimate
expectation varied between the averments in the petition, the affidavit and the oral
submissions. This lack of consistency calls into question just how clear and unambiguous
any representation or conduct was. I do not accept that a fair reading of the email could
have led the petitioner to conclude that the existence of the LSI was to be left out of account
when the decision came to be made. There are a number of reasons for that conclusion. In
the first place, the email indicates that Mr Long was passing on information derived from
his discussions with the Finance team and he also referred to what should be included in the
committee report. At no stage did Mr Long indicate that he was part of the decision making
process with the authority to say what factors the decision maker would be considering as
relevant to their decision. In the second place, I agree with the respondent that the email
does not state or infer that the LSI would be ignored as a factor in the final decision, or that
the decision would be taken only on the basis of the vouching and information being sought
12
by the email. The email is silent about the fact of the LSI. In the third place, there is an
artificiality about the petitioner's argument that the fact of the LSI was hidden as being a
relevant factor in the decision. The LSI gave rise to the moratorium which in turn prevented
service users being replaced thus causing the financial difficulties experienced by the
petitioner. The fact of the LSI was the very trigger for the occupancy rate claim and would
have been an obvious background fact on which that claim was founded.
[22]
I also reject the petitioner's arguments in relation to procedural unfairness. The
procedural unfairness argument does not, in my view, go beyond the legitimate expectation
argument which I have rejected. There was no procedural unfairness generated by
Mr Long's email. The petitioner was not misled as to the factors which the decision maker
would be considering. The petitioner knew that the LSI led to a moratorium with a resultant
reduction in the contractual payments and that it would require to persuade the respondent
why an additional payment going beyond their contractual obligations was appropriate.
The terms of the email did not misdirect or mislead the petitioner in that regard.
[23]
In terms of the irrationality argument, it was submitted by the petitioner that there
had been a lack of candour on the part of the respondent as to the reasoning which
underpinned the decision. Shortly before the substantive hearing, I had refused a motion for
commission and diligence by the petitioner seeking any documentation showing the
underlying reasoning behind the decision letter. I refused that motion primarily as it came
too late. Facing up to that difficulty, Mr Edwards argued that the respondent ought to have
been candid from the outset as to the underlying reasoning for the decision and that the
court should be cautious about any explanation put forward now to explain the rationale for
the decision.
13
[24]
I have to deal with the irrationality argument on the basis of the pleadings. It is for
the petitioner to persuade the court that there is substance in the argument that the
respondent's decision was irrational. The irrationality argument had featured in the
pleadings from the outset based on the decision letter alone. No attempt was made in the
pleadings to go behind the decision letter to challenge the respondent's underlying
reasoning.
[25]
I am not persuaded that the decision letter demonstrates an irrational decision when
a comparison is made between the overnight staffing claim which was agreed by the
respondent and the occupancy rate claim which was rejected. In short, there is no prima facie
inference of irrationality raised by the different treatment of these claims. The overnight
staffing claim reflected additional waking hours' costs incurred by the petitioner to provide
a service to one of the service users. It is perfectly understandable that the respondent
would consider it appropriate to pay for an additional service provided by the petitioner to
a service user even though it was not covered by the terms of the Framework Agreement.
This additional service was actually provided during part of the period covered by the LSI.
The occupancy rate claim was different. It was sought to compensate the petitioner for the
loss of revenue due to the reduction in services provided at Redcroft House. No doubt this
claim raised difficult issues for the respondent including the risk that a refusal might affect
the viability of the petitioner's business with potential consequences for the remaining
service users at Redcroft House, but there is a rational basis for the respondent's decision to
differentiate between these two additional payments sought by the petitioner.
[26]
There was a further irrationality argument advanced by the petitioner based upon
the fact that the occupancy rate claim covered a period extending beyond the completion of
the LSI in October 2020. Thus, it was argued, it was irrational to refuse the whole of the
14
payment based on the fact of the LSI alone. I think it fair to say that this argument was
advanced fairly briefly at the end of the petitioner's submission and the respondent's
response was equally brief. I also reject this argument. The reduced payments occurred
when service users left and were not replaced during the moratorium. It was not the
commencement or ending of the LSI itself which immediately resulted in alterations to the
levels of payment. When the LSI ended, the petitioner was still operating with a reduced
number of service users and was only contractually entitled to payment corresponding to
that number of service users. The respondent's decision to refuse the occupancy rate claim
and to pay only their contractual liability was a rational one. The lifting of the LSI did not,
in itself, alter the underlying rationality of that decision.
Disposal
[27]
I shall sustain the first, third and fourth pleas-in-law for the respondent and dismiss
the petition. I was not addressed in relation to expenses so I shall make no order at this
time. If parties are unable to reach agreement on expenses, they should ask for the matter to
be put out by order so that I can be addressed on that issue.