[2008] UKSSCSC CH_361_2006 (09 July 2008)
Decision
'The tribunal has jurisdiction to entertain the claimant's appeal
That appeal succeeds.
The decision of the Metropolitan Borough of Stockport issued on 6 May 2005 is reversed.
The claimant has been overpaid the sum of £985.90 as housing benefit for the period from 23 September 2002 to 1 May 2005.
That overpayment is not a recoverable overpayment because it was caused by an official error—namely, the breach by the Metropolitan Borough of Stockport of its statutory duty under regulation 12A(3) of the Housing Benefit (General) Regulations 1987 to refer the claim to a rent officer within three days of receiving it or as soon as practicable thereafter—and, at the time the claimant received the payment and the notice relating to it, she could not reasonably have been expected to realise that it was an overpayment.'
Reasons
Introduction
Background
(a) On 7 April 2005, Stockport notified the claimant of what it described as an 'initial assessment' of her housing benefit, under which she had been awarded 'housing benefit' at the weekly rate of £73 from 23 September 2002. That award was calculated on the basis of a temporary figure (also £73.00) for the rent she had to pay. Her contractual rent was equivalent to £80.55 per week. It will be necessary for me to refer to the precise terms of that letter.
(b) The reason Stockport had to use a temporary figure for the claimant's eligible rent was that, even though the claim was two years and seven months old, no reference had been made to the rent officer under regulation 12A of the Housing Benefit Regulations. Stockport now made such a reference. The tribunal found, and I am therefore prepared to accept (in Stockport's favour), that they did so on 7 April 2005. However, that finding is difficult to reconcile with the dates given in the rent officer's decision.
(c) On 17 April 2005, Stockport paid the claimant £9,872.01 for the period from 23 September 2002 to 17 April 2005 on the basis of the award notified by the letter of 7 April.
(d) On 6 May 2005, Stockport received the rent officer's decision. The rent officer had determined that the rent of £350 per calendar month was significantly high and that the claim-related rent (i.e., the rent upon which housing benefit would be assessed) was £286 per month, or £65.82 per week.
(e) On the same day, Stockport wrote to the claimant and informed her that '[y]our claim for housing benefit has been changed from 23/09/2002 because we have now received the Rent Officer's decision'. The letter went on to notify her that her 'revised benefit entitlement' was at the rate of £65.82 per week from 23 September 2002 onwards, increasing to £65.64 per week from 1 April 2003.
(f) In a separate letter, also dated 6 May 2005, Stockport notified the claimant that she had been overpaid £985.90 for the period from 23 September 2002 to 1 May 2005. The letter explained variously that this was because a 'change in your circumstances has resulted in more benefit being paid than you were entitled', because 'we have now received the Rent Officer's determination and that 'the overpayment … is the Rent Officer's rent is lower than the Indicative Rent Level'. Finally, the letter offered the claimant a right of appeal against Stockport's decision.
(g) The phrase 'indicative rent level' had not been mentioned in previous correspondence and was not further explained. It refers to the determinations made by rent officers under Article 3(2) of, and Part IV of Schedule 1 to the 1997 Order.
(h) The claimant exercised her right of appeal and, on 17 October 2005, the tribunal found in her favour. He decided that, under regulation 12A(3) of the Housing Benefit Regulations, Stockport should have referred the rent within 3 days of the tribunal's decision on 16 March 2005. They had not done so until 7 April and, in those circumstances, 'the determination of the Rent Officer cannot be relied on by the Council for revising its assessment of HB during the period 23.9.2002 to 1.5.2002.'
The appeal to the Commissioner
Reasons for the Commissioner's substituted decision
The issues
(a) First I need to establish whether the original payment of £9,872.01 to the claimant was a payment of housing benefit or a payment on account of housing benefit under regulation 91 of the Housing Benefit Regulations. If it was the latter, then, to the extent that the payment on account exceeded the claimant's true entitlement, it is automatically recoverable by adjustment of future benefit payments under regulation 91(3)—and Stockport would therefore be entitled to succeed on the main issue in this appeal—whether or not there had been an official error.
(b) If the payment was a payment of housing benefit rather than a payment on account, then there is no dispute that there has been an overpayment or as to how much has been overpaid. The second issue is therefore whether that overpayment is recoverable. That, in turn, depends upon whether it was caused by an official error.
(c) Third, and finally, even if the overpayment was caused by an official error, it is recoverable if the claimant should have known at the relevant time that she was being overpaid.
I will deal with each of those issues in turn.
Housing benefit or payment on account?
'Payment on account of a rent allowance
91.—(1) Where it is impracticable for the relevant authority to make a decision on a claim for a rent allowance within 14 days of the claim for it having been made and that impracticability does not arise out of the failure of the claimant, without good cause, to furnish such information, certificates, documents or evidence as the authority reasonably requires and has requested, the authority shall make a payment on account of any entitlement to a rent allowance of such amount as it considers reasonable having regard to—
(a) such information which may at the time be available to it concerning the claimant's circumstances; and
(b) any relevant determination made by a rent officer in exercise of the Housing Act functions.
(2) The notice of award of any payment on account of a rent allowance made under paragraph (1) shall contain a notice to the effect that if on subsequent decision of the claim the person is not entitled to a rent allowance, or is entitled to an amount of rent allowance less than the amount of the payment on account, the whole of the amount paid on account or the excess of that amount over the entitlement to an allowance, as the case may be, will be recoverable from the person to whom the payment on account was made.
(3) Where on the basis of the subsequent decision the amount of rent allowance payable differs from the amount paid on account under paragraph (1), future payments of rent allowance shall be increased or reduced to take account of any underpayment or, as the case may be, overpayment.'
In a case where the rent officer has yet to make a determination, paragraph (1)(b) of regulation 91 refers to the indicative rent levels (see paragraph 9(g) above).
'Notification of Housing Benefit: Initial Assessment
Your claim for housing benefit has initially been assessed from 23/09/2002.
As a result of this initial assessment you have been awarded the following benefit.
From 23/09/2002 your housing benefit is £73 per week.
Please note that this is a provisional assessment only. The amount you are entitled to each week may be changed when all the information needed to work out your claim is processed. If you are entitled to less than the weekly amount stated above, you may have to pay some money back to the council.
Housing Benefit Payment Details
Your benefit will be paid by cheque at the end of every two weeks.
Your first/next payment of £9,782.01for 23/09/2002 to 17/04/2005 is due to be paid on 17/04/2005.'
That passage was followed by some standard form paragraphs under the heading 'Further information', which included the following:
'If you want to appeal to an independent tribunal straight away you can APPEAL against the decision….'
'How Your Housing Benefit Has Been Worked Out
From 23/09/2002 to 31/03/2003, your housing benefit is £73.00 each week.
Your Maximum Benefit
The rent you are being charged, converted to a weekly figure, is £80.55 each week.
The rent officer has not been able to make a decision about your rent yet. Until a decision is made, your benefit is being worked out using a temporary figure of £73.00 each week. As soon as the Rent Officer provides his decision, your benefit will be looked at again.
If the Rent Officer's decision is higher than £73.00 each week, you may be owed some extra money. If it is lower than £73.00 each week, you may have to pay some money back.
Before your benefit is worked out, the Rent Officer must look at the rent you are being charged, to decide whether it is reasonable for the property you are living in, for someone in your personal circumstances.
The Maximum Benefit which can be awarded is therefore £73.00 each week.
Your Total Weekly Benefit
Since you are receiving Income Support, you are entitled to the Maximum Benefit of £73.00 each week.'
(a) it describes the sum of £73.00 that has been awarded as "housing benefit" rather than as a payment on account of benefit;
(b) it also states expressly "you have been awarded the following benefit" (emphasis supplied). What has been awarded, or is to be paid, is then described as "benefit" or "housing benefit" on at least twelve separate occasions. A decision under regulation 91 does not involve a payment of "benefit" but a "payment on account" of benefit.
(c) except in relation to the level of the eligible rent, the "assessment" has been calculated with precise reference to the personal circumstances of the claimant. That is a process that is not required by regulation 91. The payment on account is not required to represent the claimant's actual, or estimated, entitlement to benefit. It is only necessary for the authority to have regard to the information that is available to it concerning the claimant's circumstances and to pay "such amount as it considers reasonable" on account.
(d) the additional pages tell the claimant expressly that she is "entitled" to the 'Maximum Benefit' of £73.00 each week. The use of the word 'entitled' is wholly inconsistent with the suggestion that the letter is notifying a decision to make a payment on account, which can only be made in circumstances where entitlement has yet to be established.
(e) it does not contain the words "payment on account", or a reference to regulation 91.
(f) the letter offers a right of appeal where none would exist if the decision had been to make a payment on account.
'If you are entitled to less than the weekly amount stated above, you may have to pay some money back to the council'
and
'If the Rent Officer's decision is higher than £73.00 each week, you may be owed some extra money. If it is lower than £73.00 each week, you may have to pay some money back'
which, taken together, might be construed as a notice under regulation 91(2).
(a) All decisions awarding housing benefit are provisional in the sense that they are liable to be revised on any ground if the claimant applies for a revision within a month or, again within a month, the local authority has information that is sufficient to show that the original decision was factually incorrect (see regulation 4(a) and (b) of the 2001 Regulations). In this case such a revision was more than a theoretical possibility. On the same day as Stockport wrote to the claimant they had belatedly referred her claim to the rent officer. As the award had apparently been worked out using indicative rent levels, and the claimant was plainly over-occupying, it was probable that the maximum housing benefit derived from the rent officer's individual determination would differ, from that derived from the relevant indicative rent level. Rent officers normally have to make their determinations with five working days so it was also probable that Stockport would be in possession of information showing the 'award' to be incorrect within a month. In those circumstances, the use of the word 'provisional' reads most naturally as a warning to the claimant of the very real prospect that the award notified by the letter would in due course be revised.
(b) The notice required by regulation 91(2) must be to the effect that if on subsequent decision of the claim the claimant is entitled to less benefit than the sum paid on account, the excess paid, will be recoverable. That is an accurate summary of the effect of regulation 91(1) and (3). That, however, is not what the statements set out at paragraph 21 above say, they say that 'you may have to pay some money back'. I consider the difference between 'will' and 'may' to be crucial. The absence of the former word means that the statements do not comply with the requirements of regulation 91(2). Rather I read them as drawing the claimant's attention to the general rules on recovery of benefit (i.e., under regulation 99 of the Housing Benefit Regulations). In particular, the use of the word 'may' allows for the possibility that the claimant 'may not' have to pay the money back. That is consistent with regulation 99 (under which some overpayments caused by official error are irrecoverable) and is not consistent with the absolute right of recovery conferred on Stockport where regulation 91(3) applies.
'I submit that the relevant authority was not in a position to make an award of benefit on 07/04/05. Under regulation 12A of the [Housing Benefit Regulations] the relevant authority was obliged to refer the claim to a Rent Officer for a determination to be made. Until that determination had been made, it was impossible for them to determine the maximum rent under regulation 11 and the eligible rent under regulation 10(3)(a). It was therefore impossible for them to establish the maximum housing benefit under regulation 61, which meant that there could be no entitlement to Housing Benefit under section 130(1)(b) of the Social Security Contributions and Benefits Act 1992. I therefore submit that the letter at pages 25 to 26 cannot have been a notification of an award of Housing Benefit. There is no record of an award being made and indeed the legislation precluded an award being made at that time.
I submit that the fact that the letter dated 07/04/05 erroneously contains the words "assessment" and "award" and alludes to appeal rights that do not exist does not mean that an awarding decision must have been made, when the sum of the evidence suggests otherwise. I submit that the legislation requiring a notification to be issued is separate from the legislation governing the making of decisions and that the issue of a notification is not the same thing as making a decision. An incorrect notification cannot have the effect of altering the decision it was intended to notify.
I submit that the officer who composed the letter of 07/04/05 may have misunderstood the status of a payment on account, which would explain the inaccurate terminology. However I submit that they did manage to convey the important message that the amount being paid was "provisional" and that money might have to be repaid if weekly entitlement was found to be less than the amount paid.'
(a) The correct decision for Stockport to have made was to make a payment on account but it does not follow that that is what they actually did.
(b) Similarly, Stockport should not have made an award of housing benefit until the rent officer determination was available but that does not mean that they did not do so.
(c) Neither does it mean that, if they did do so, the resulting award of benefit was invalid.
(d) It may be that the officer who took the decision intended to make a payment on account but that is not something about which I can speculate. The question is whether he succeeded in doing so. That depends upon the terms of the decision he made and the only direct evidence I have of those terms is the letter he wrote to the claimant on 7 April 2005.
(e) Correctly interpreted, the letter notified the claimant of a decision awarding her housing benefit, not a decision to make a payment on account of housing benefit.
(f) I therefore conclude that the sum of £9,782.01 paid to the claimant on 17 April 2005 was a payment of housing benefit for the period from 23 September 2002 to 17 April 2005 and not a payment on account.
Was the overpayment recoverable?
'… an overpayment caused by a mistake made whether in the form of an act or omission by—
(a) the relevant authority;
(b) an officer or person acting for that authority;
…
where the claimant, a person acting on his behalf or any other person to whom the payment is made, did not cause or materially contribute to that mistake, act or omission.'
(a) As the tribunal correctly noted, under regulation 12A(3) of the Housing Benefit Regulations required Stockport to make an application to the Rent Officer 'within 3 days, or as soon as practicable thereafter,' of receiving her claim. Under regulation 12A(4) the reference to '3 days' is to three working days.
(b) Stockport received the claim on Tuesday 17 September 2002. The primary time limit for making the application to the rent officer expired at the end of Friday 20 September 2002. Stockport did not make that application until 7 April 2002, 929 days later. It therefore exceeded the time limit by a factor of over 30,965%. I do not accept that it was impracticable for Stockport to refer the case to the rent officer at any time during that period. Stockport was in breach of its statutory duty to refer long before—probably years before—the tribunal decided in the claimant's favour on 16 March 2005.
(c) In my judgment, it is not necessary for there to be a breach of duty by an authority before there can be an official error within regulation 99. However, a breach of duty will always raise the possibility that an official error has occurred. In this case, I find that Stockport's failure to refer the claim to the rent officer was 'a mistake … in the form of an … omission by … the relevant authority' within the regulation. As the claimant did not cause or materially contribute either to that mistake or to the overpayment as a whole, that mistake was an official error.
(d) The official error caused the overpayment. Had Stockport referred the case to the rent officer within the time limit imposed by regulation 12A(3), the rent officer's determinations would have been available before the tribunal's decision and Stockport would have been able to base the award of housing benefit on those determinations and not on the indicative rent levels. Had that happened there would have been no overpayment.
(e) I have also decided that the claimant could not reasonably have been expected to realise at the time she received the payment, or the letter of 7 April 2005 that related to it, that it was an overpayment. Given what she was told about the 'provisional' nature of the award, she would certainly have been aware that the payment might have been an overpayment but that is not the test that I have to apply. An overpayment caused by official error can only be recovered from the claimant if she ought to have realised that she was definitely being overpaid (see R v Liverpool City Council ex parte Griffiths (1990) 22 HLR 312 (QBD) and CH/2554/2002). There is no basis for me to draw that conclusion in this case. Among other things, it would involve my assuming, without evidence, that the claimant's knowledge of the indicative rent levels and the local market for rented property exceeded that of the officer who made the decision notified on 7 April 2005.
'Clearly it was not "practicable" to make a referral whilst the claim was disallowed on the basis that rent allowance was not payable. Therefore it could not have been practicable to make the referral within 3 days of the claim having been made by the authority.'
With respect that is a non-sequitur. The claim was not disallowed as soon as it was received. Although I am not told precisely when Stockport decided to refuse housing benefit, they must have investigated the claim before it reached that decision. The reference to the rent officer could—and should—have been made while that investigation was being undertaken.
Conclusion
(Signed on the original) | Richard Poynter Deputy Commissioner 9 July 2008 |