[2009] UKUT 51 (AAC) (16 March 2009)
Decision of the Upper Tribunal
(Administrative Appeals Chamber)
As the decision of the Pensions Appeal Tribunal (held in London on 18 May 2007 under reference SD/00282/2005) involved the making of an error in point of law, it is SET ASIDE under section 12(2)(a) and (b)(ii) of the Tribunals, Courts and Enforcement Act 2007 and the decision is RE-MADE.
The decision is: the claimant is not entitled to an allowance for lowered standard of occupation, as decided by the Secretary of State on 6 December 2004.
Reasons for Decision
A. The issue
B. How the issue arises
C. The SAP
'3 Eligibility for attributable benefits
(1) The Secretary of State may decide to award benefits to a person under this Part of these Regulations (referred to in these Regulations as "attributable benefits") if-
the person has been a member of any reserve force;
he has been required to retire or has been discharged from that force on the grounds that he is medically unfit to continue in service;
the injury or condition which gave rise to his being unfit to continue in service-
(i) is attributable to his service in that force; or
(ii) where the injury or condition existed before or arose during his service, has been aggravated by his service in that force;
he suffered the injury, or (as the case may be) the condition was first diagnosed, on or after 1st April 1980;
an assessment has been carried out for the purposes of Part III of the 1983 Order under which the degree of disablement due to the injury or condition has been assessed as being 20% or more; and
he has been awarded retired pay or a pension under Part III of the 1983 Order, and the commencing date of the award is no later than the day after the date of his medical discharge.
(2) For the purposes of these Regulations, where the retirement or discharge of the person was caused by more than one injury or condition, any reference to "the degree of disablement due to the injury or condition" shall be to the total degree of disablement due to every such injury or condition.'
'SCHEDULE 1
PART I - GENERAL
1. There shall be two annual rates of attributable pension (referred to in these Regulations as "the higher rate" and "the lower rate").
2. A person shall be entitled to be paid at the higher rate if the injury or condition in respect of which the attributable pension is paid has substantially affected the person's ability to work.
3. For the purposes of paragraph 2, a person's ability to carry out work is to be regarded as having been substantially affected by an injury or condition if, by reason of that injury or condition, he is unable to carry out any particular profession, trade or occupation (excluding service in a reserve force but including any unpaid domestic duties) which he was accustomed to carry out-
before he suffered the injury or condition; or
where he was required to retire or was discharged because an existing injury or condition was aggravated by service, before the injury or condition was so aggravated.
4. A person who is not entitled to be paid at the higher rate shall be paid at the lower rate.
5.-(1) Subject to sub-paragraph (2), a person's entitlement to be paid at the higher or lower rate shall be determined by the Secretary of State when the award of attributable benefits is first made to the person concerned.
(2) The Secretary of State may review a person's entitlement to be paid at the higher or lower rate; and, where he determines that the person should be paid at the different rate, he shall be paid at that different rate from the date of the decision on the review.'
D. The ALSO
'21 Allowance for lowered standard of occupation
(1) Except in the case of a member to whom paragraph (1B) applies, where a member of the armed forces is in receipt of retired pay or a pension in respect of disablement the degree of which is less than 100 per cent and the disablement is such as to render him incapable, and likely to remain permanently incapable, of following his regular occupation and incapable of following any other occupation with equivalent gross income which is suitable in his case, taking into account his education, training and experience, he may be awarded an allowance at a rate not exceeding the appropriate rate specified in paragraph 9 of Part IV of Schedule 1, so, however, that the aggregate rate of his retired pay or pension together with the allowance under this article shall not exceed the rate of retired pay or pension which would have been appropriate in his case if the degree of his disablement had been 100 per cent.
(1B) This paragraph applies in the case of a member who submits a new claim for an allowance under this article
(a) on or after the date he attained the age of 65; or
(b) where the degree of disablement is assessed at less than 40 per cent.'
E. Payment of the ALSO and the SAP
'54 Interpretation of Part VI
(1) In articles 55, 56, 59, 60, 61, 62 and 64 the expression "pension" means any retired pay, pension, allowance, grant or other continuing benefit under this Order or a 1919 to 1921 instrument and the expression "gratuity" means any gratuity under this Order or any of those instruments.'
'55 Adjustment of awards in respect of other compensation
(1) Where the Secretary of State is satisfied that compensation has been or will be paid to or in respect of a person to or in respect of whom a pension or gratuity is being or may be paid or that any compensation which has been or will be paid will benefit such a person, the Secretary of State may take the compensation into account against the pension or gratuity in such manner and to such extent as he thinks fit and may withhold or reduce the pension or gratuity accordingly.
(3) In this article "compensation" means-
(a) any periodical or lump sum payment in respect of the disablement or death of any person, or in respect of any injury, disease or incapacity sustained or suffered by any person, being a payment
(i) for which provision is made by or under any enactment, Order in Council (including this Order), Warrant, Order, scheme, ordinance, regulation or other instrument; or
(ii) which is recoverable as damages at common law; '
F. The nature of the appeal
'8. Proceedings before a tribunal are in the form of an appeal (not limited to a point of law) rather than a review and so the tribunal had to substitute its own judgment for that of the Secretary of State (although its decision might have been to the same effect) rather than merely reviewing the reasonableness of the Secretary of State's judgment (which might have involved accepting that the Secretary of State's approach was reasonable even though it would itself have taken a different approach). The distinction is important and, although it is possible that the tribunal did in fact agree with the Secretary of State's approach, the language used in the decision leaves open the possibility that it merely reviewed its reasonableness. '
'39. a right of appeal against an exercise of discretion that is non-justiciable because the relevant considerations cannot be discerned must be limited to points of law. '
'14. The purpose of article 55 of the 1983 Service Pensions Order and, now, article 52 of the 2006 Service Pensions Order is plainly to prevent the duplication of payments '
The identification of a double payment is a justiciable issue.
G. The tribunal's reasons
• The 2001 Regulations took account of the 1983 Order.
• They did not define the SAP as being either compensation or as paid in respect of disablement or incapacity'.
• A press notice issued on 9 May 2002 said that in addition to the occupational pensions scheme 'a separate scheme operates to provide compensation for service personnel injured or killed during military service, in the form of the War Pension Scheme.'
H. The Defence Council Instructions
I. The argument for the Secretary of State
J. Analysis
Are the circumstances of this case within the scope of the discretion?
• It paid to the claimant and it was paid at intervals. It was, therefore, a periodical payment.
• The claimant was receiving a pension under the 1983 Order. That pension is paid in respect of the claimant's 'disablement, injury or incapacity'. It is one of the conditions of entitlement to a SAP under regulation 3 of the 2001 Regulations that the claimant must be receiving a pension under the 1983 Order. The other conditions serve to identify a subset of those who are receiving such a pension. Although those other conditions must be satisfied, the SAP is payable as a direct result of the claimant's disablement attributable to service. In those circumstances, the SAP is paid in respect of the claimant's disablement.
• The SAP was initially paid under the Defence Council Instructions, which are a 'scheme or other instrument' for the purposes of article 55(3)(a)(i). It was latterly paid under the 2001 Regulations, which are a 'scheme' or 'regulation' for the purposes of that provision.
Is this an appropriate case in which to exercise the discretion?
'13. Although article 55 of the 1983 Service Pensions Order and its successor, article 52 of the 2006 Service Pensions Order, are expressed in discretionary terms, the discretion must be exercised in a way that furthers the purpose of the legislation and is rational rather than arbitrary. The Secretary of State is entitled to have a policy that indicates how he will approach the exercise of discretion, provided that the policy does not fetter his exercise of the discretion so that he cannot exercise it properly. Indeed, it is desirable that he should have a published policy so that it can be seen that his decision-making is not arbitrary. While, on an appeal, a tribunal is not bound by the policy, it must exercise the discretion conferred by the legislation judicially which, again, means exercising it in a way that furthers the purpose of the legislation and is rational and, moreover, it should have regard to the Secretary of State's policy and explain any departure from it.
I have already quoted paragraph 14, in which Mr Rowland identified the purpose of article 55 as being 'to prevent the duplication of payments'.
K. Mr Baradon's arguments
Pensions and periodical payments
The relationship between the SAP and the ALSO
• If the claimant's disablement is between 20% (the minimum for a SAP) and 40% (the minimum for an ALSO).
• If the claimant's disablement is 100%, because the ALSO tops up the amount payable under the 1983 Order to the equivalent for that percentage.
• If the claimant's incapacity is not permanent or is not sufficient to satisfy the equivalent gross income test, both of which are requirements for an ALSO but not for a SAP.
• If for some reason the claimant decides not claim an ALSO.
The nature of SAP and ALSO
• If the SAP is more than the ALSO, the ALSO is not payable.
• If the SAP is less than the ALSO, the ALSO is payable but only to the extent that it exceeds the SAP.
This represents an appropriate allocation between the SAP and the ALSO. Reduced earning capacity is covered by the SAP as a supplement to the occupational pension scheme rather than by the disablement scheme under the 1983 Order. The latter only applies to the extent that the former does not. Article 55 operates to prevent duplicate payment in those circumstances where both are available.
The operation of SAP and ALSO
'The Appellant is wrong to submit that the payment of both an ALSO and a SAP constitutes double recovery. ALSO operates as a minimum income guarantee on the disability pension payable under Article 10 of the SPO and decreases with the severity of the injury because of the 100% disablement cap imposed under Article 21. A SAP, in contrast, increases as the Article 10 pension increases (with the severity of the disablement), and is disregarded for the purposes of the Article 21 cap.
'A SAP is therefore (like other benefits paid under the Regulations) designed to provide payments over and above those provided under the SPO, except insofar as explicitly provided for in the legislation (for example in Regulations 7 and 22).'
Exhaustive coverage in the 2001 Regulations
Absurdity
L. Disposal
Signed on original on 16 March 2009 |
Edward Jacobs Upper Tribunal Judge |
ANNEX
DEFENCE COUNCIL INSTRUCTIONS 1981 AND 1984
ATTRIBUTABLE BENEFITS FOR RESERVISTS (U)
RN J 266/81
Army J 125/81
RAF J 110/81
[D/NPP/23/1/23]
In order to qualify for an award of attributable retired pay or pension a reservist must be invalided from the reserve because of an injury or disease which the DHSS accept as being attributable to service and which they assess as representing a degree of disablement of 20 per cent or more. The award will be at a higher or lower rate depending on whether or not the reservist loses his civilian job as a result of the injury or disease:
a. If the reservist loses his civilian job the award will be the minimum rate of attributable retired pay or pension plus the additional attributable gratuity appropriate to a member of the regular forces of the same rank and with the same degree of disability (see ANNEX A) abated in respect of any pension benefits which he receives from his civilian employer as a result of the disability, or, in the case of non-pensionable employment or self-employment, any pension paid as a result of the disability for which tax relief has been given in respect of contributions paid under the retirement annuity payments scheme. The abatement will be determined from the formula set out below:
A. is the officer's or rating's annual civilian pension,
B. is his civilian lump sum.
0.75 (A+B/9).
The amount of abatement in respect of pension benefits from earlier employments and self-employed pension schemes, will be at the discretion of the Secretary of State for Defence.
b. If the reservist is still able to continue with his civilian job the award will, irrespective of rank, be at the rate set out in ANNEX B to this DCI.
A regular reservist who is recalled to Service either in time of peace or national emergency and retains his civilian job while on recalled Service and who receives an injury or contracts a disease which is accepted by the DHSS as being attributable to his recalled Service, and where the degree of disablement is assessed at 20 per cent or more may be awarded Service attributable retired pay or pension provided that his disability is such that, if he were a regular member of the forces, he would be invalided therefrom. The award will be at a higher or lower rate depending upon whether or not the reservist loses his civilian job on account of the attributable disability;
a. If the reservist loses his civilian job he will be awarded the rate of attributable retired pay or pension plus the additional attributable gratuity appropriate to a regular member of the forces of the same rank and with the same degree of disability, abated by such part of any pension received from his civilian employer as a result of the disability; or in the case of non-pensionable employment or self-employment, any pension paid as a result of the disability for which tax relief has been given in respect of contributions paid under the retirement scheme, which does not reduce the attributable award below the level of the rate of any invaliding retired pay or pension for which the reservist may have title. The abatement will be determined from the formula set out below:
A. is the officer's or rating's annual civilian pension,
B. is his civilian lump sum.
0.75 (A+B/9)
The amount of abatement in respect of pension benefits from earlier employments and self-employed pension schemes, will be at the discretion of the Secretary of State for Defence.
b. If the reservists is still able to continue with his civilian job the award will, irrespective of rank, be at the rate set out in ANNEX B to this DCI.
Where the death of a regular or volunteer reservist is accepted by DHSS as being attributable to Service and where, in the case of a regular reservist he gave full pay Service on or after 31 March 1973, and, in the case of a volunteer reservist, he was a member of a reserve force on or after 31 March 1980 or could be included under para 9 of this DCI, the widow and/or dependent children will be eligible for awards of attributable family pensions and gratuities as set out in ANNEX C, abated in respect of any pension benefits paid by the member's civilian employer as a result of his death, or in the case of non-pensionable employment or self-employment any pension benefits payable as a result of his death, for which tax relief was given in respect of the contributions paid under the retirement annuity payments scheme. In the case of the widow of a regular reservist the widows attributable pension will not be so reduced below the rate of any forces family pension for which she is eligible. The abatement will be determined from the formula set out below:
A. is the widow's civilian pension,
B. is her civilian lump sum.
0.75 (A+B/18)
The amount of abatement in respect of pension benefits from the husband's or father's earlier employments and self-employment pension schemes, and in respect of children's pension benefits will be at the discretion of the Secretary of State for Defence.
Where no civilian pension benefit is taken into account in the assessment of the awards under paras 6, 7 and 8 the awards will be subject to increase in the normal way under the pensions increase measures. Where the civilian pension can be increased under Section 59 of the Social Security Pensions Act, 1975, and no part of any lump sum payment from the civilian employer has been annuitized increases to the MOD award will be made in the normal way. However where an annuitized lump sum is taken into account or where the civilian pension is not one to which the above mentioned 1975 Act applies the PI measure will be applied to the gross MOD award which will then be abated by the actual rate of civilian pension in payment and/or the annuitized value of any lump sum using the formula 0.75 (A+B/18).
[Annexes AC contain rates of payment.]
ATTRIBUTABLE BENEFITS FOR RESERVISTS (U)
RN J 295/84
Army J 164/84
RAF J 149/84
[D/Sec 2(A)/66/24]
a. If the reservist loses his civilian job the award is the minimum rate of attributable retired pay or pension plus the additional attributable gratuity appropriate to a member of the regular forces of the same rank, and with the same degree of disability. The pension will be abated in respect of any pension benefits received from his civilian employer as a result of the disability including preserved pension from the date it comes into payment. In the case of non-pensionable employment or self-employment the abatement will be in respect of any pension paid as a result of the disability for which tax relief has been given on contributions paid under a retirement annuity scheme. No account is taken of benefits from personal insurance schemes. The abatement is determined from the formula set out below:
(a) is the officer's or serviceman's annual civilian pension.
(b) is his civilian lump sum.
0.75 (A+B/9)
The amount of abatement in respect of preserved or existing pension benefits from previous regular service, and pension benefits from previous civilian employment or a self-employment scheme is at the discretion of the Secretary of State for Defence.
b. If the reservist is able to continue with his civilian job the award will, irrespective of rank, be one-third of the rate for a regular private according to the degree of disability (the lower rate referred to in para 3).
a. If the reservist loses his civilian job the award is the minimum rate of attributable retired pay or pension plus the additional attributable gratuity appropriate to a member of the regular forces of the same rank, and with the same degree of disability. The pension will be abated in respect of any pension benefits received from his civilian employer as a result of the disability including preserved pension from the date it comes into payment. In the case of non-pensionable employment or self-employment the abatement will be in respect of any pension paid as a result of the disability for which tax relief has been given on contributions paid under a retirement annuity scheme, but which does not reduce the attributable award below the level of the rate of any invaliding retired pay or pension to which the reservist may have title. No account is taken of benefits from personal insurance schemes. The abatement is determined from the formula set out below:
(a) is the officer's or serviceman's annual civilian pension.
(b) is his civilian lump sum.
0.75 (A+B/9)
The amount of abatement in respect of preserved or existing pension benefits from previous regular service, and pension benefits from previous civilian employment or a self-employment scheme is at the discretion of the Secretary of State for Defence.
b. If the reservist is able to continue with his civilian job the award will, irrespective of rank, be one-third of the rate for a regular private according to the degree of disability.
Where the death of a regular or volunteer reservist is accepted by DHSS as being attributable to service and where, in the case of a regular reservist he gave full pay service on or after 31 Mar 73, or, in the case of a volunteer reservist he was a member of a reserve force on or after 31 Mar 80 or could be included under para 8 of this DCI, the widow and/or dependent children are eligible for awards of attributable family pension and gratuity. The pension will be abated in respect of any pension benefits paid by the member's civilian employer as a result of his death, or, in the case of non-pensionable employment or self-employment, any pension benefits payable as a result of his death, for which tax relief was given on contributions paid under a retirement annuity scheme. No account is taken of benefits from personal insurance schemes. The abatement will be determined from the formula set out below:
(a) is the widow's civilian pension.
(b) is her civilian lump sum.
0.75 (A+B/18)
In the cases of widows and dependent children of reservists who previously gave service in the regular forces, awards of attributable family pension would be instead of, not additional to, any forces family pension for which they may be eligible on account of such service. An attributable pension abated under the terms of this paragraph will not be reduced below the rate of forces family pension otherwise payable. The amount of abatement in respect of pension benefits from the husband's or father's previous civilian employment or self-employed pension schemes is at the discretion of the Secretary of State for Defence.
Children's pensions from the civilian employer, being of limited duration, are not taken into account with the widow's pension under the aforementioned formula. Each child is considered separately with pension and lump sum benefits received from the civilian employer being entered in the formula in order to produce the amount by which the MOD attributable child's pension is abated. A short-term pension paid to the widow by her late husband's civilian employer is effectively a continuation of his pay and is not included in the calculation of the MOD attributable pension since the latter is a long-term pension. Apart from the MOD attributable gratuity no awards are made by MOD during the currency of the civilian employer's short-term pension. However, if the civilian employer's short-term pension is less than the sum of the civilian employer's long-term family pension and the MOD attributable pension, the difference may be paid to the widow.
Where no civilian pension benefit is taken into account in the assessment of awards under paras, 4, 5, 6 and 8, the awards are subject to increase in the normal way under the pensions increase measures. Where the civilian pension can be increased under Section 59 of the Social Security Pensions Act, 1975, and no part of any lump sum payment from the civilian employer has been annuitised, increases to the MOD award are made in the normal way. However, where an annuitised lump sum is taken into account or where the civilian pension is not one to which the aforementioned 1975 Act applies, the PI measure will be applied to the gross MOD award which will then be abated by the actual rate of civilian pension in payment and/or the annuitised value of any lump sum using the formula 0.75 (A+B/9) for reservists and 0.75 (A+B/18) for reservists' widows.