ADMINISTRATIVE APPEALS CHAMBER
On appeal from First-tier Tribunal (Social Entitlement Chamber)
B e f o r e :
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Ipswich Borough Council |
Appellant |
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- v - |
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TD |
First Respondent |
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and |
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The Secretary of State for Work and Pensions |
Second Respondent |
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Representation:
Wal Callaby, Appeals Officer, for the appellant (at both hearings)
The first respondent represented herself (at both hearings)
Denis Edwards of counsel for the second respondent (second hearing only)
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Crown Copyright ©
The decision of the Upper Tribunal is to allow Ipswich's appeal. The decision of the First-tier Tribunal made on 26 July 2021 under case number SC134/20/00416 was made in error of law. Under section 12(2)(a) and (b)(i) of the Tribunals, Courts and Enforcement Act 2007 I set that decision aside and remit the case to be redecided by a freshly constituted First-tier Tribunal.
Further pursuant to that section 12(2)(b)(i), the Upper Tribunal directs: (i) that the remitted appeal is to be decided after an oral hearing before the First-tier Tribunal, and (ii) that the appeal is to be decided by the First-tier Tribunal on the basis that the second respondent to this appeal to the Upper Tribunal (who is the appellant on the appeal to the First-tier Tribunal) was not passported to a full award of housing benefit for the periods relevant to her appeal when she had a 'nil award' of universal credit.
Any further directions are for the First-tier Tribunal.
Introduction
"no overpayment of housing benefit [to the claimant] for the period 21/01/2020 to 24/05/2020 because [the claimant] remained on Universal Credit throughout [that period]".
The relevant background in more detail
The FTT's decision
"For the purposes of these Regulations, a person ("P") is on universal credit on any day in respect of which P is entitled to universal credit (whether it is in payment or not)".
"14.…[the claimant] was at all material times "on UC"" for the purposes of the income disregard, even though she was paid nil for those [assessment periods]. It was therefore incorrect for [Ipswich] to regard her as "not entitled" or "not in receipt of" UC and there was no legal basis for [Ipswich] to assess her household income during the [five assessment periods] in which she was not paid any UC or thereby to reduce the amount of her HB.
15. In conclusion, if my analysis is correct, the outcome is that because [the claimant] was at all material times on UC, this was an automatic passport to full HB since all of her household income was ignored, and for these purposes, she is treated as being on UC on any day she is entitled to it, whether or not it was being paid to her.
16. There is therefore no overpayment to be recovered and the appeal succeeds."
"….Ipswich's representative told me [at the hearing] that his local authority had been treating claimants on Universal Credit in the same way for years, and it is possible other local authorities have also done so. I therefore grant permission to appeal for the reasons given below.
Permission to appeal to the Upper Tribunal is allowed. I consider there are issues of general importance arising on this appeal, which would benefit from consideration, guidance and clarification from the Upper Tribunal, concerning the correct approach to the treatment of Housing Benefit claimants who are on UC and whose UC claims have not been terminated, but who are receiving nil payments for some assessment periods, under the [HB Regs]."
The Upper Tribunal proceedings
"3. The central issue on the appeal, and on which the oral hearing focused, was the legal scope of regulation 2(3B) of the Housing Benefit Regulations 2006 ("the HB Regs"). This provides that for the purposes of the HB Regs "a person ("P") is on universal credit on any day in respect of which P is entitled to universal credit (whether it is in payment or not)". If a person is 'on universal credit' in this sense then their income and capital is ignored for the purposes of calculating entitlement to housing benefit: see, for example, paragraph 4 in Schedule 5 to the HB Regs.
4. The First-tier Tribunal found…that [the claimant] was 'on universal credit', and so was entitled to housing benefit and had not been overpaid housing benefit, because she had received nil payments of universal credit at the relevant time… The First-tier Tribunal's reasoning proceeded on the basis that [the claimant] was entitled to a nil award of universal credit for the relevant periods. This was seemingly based on the DWP evidence on pages 39 and 40 showing what is said to be awards of universal credit of £0.00
5. The arguments before me largely proceeded on the basis of whether [the appellant] could be accepted by the housing benefit authority as being entitled to universal credit if her income was too high for her to qualify. The arguable difficulty with that argument, assuming pages 30-40 show entitlement decisions of the Secretary of State (albeit for £0.00), is that, absent fraud (for which no allegation or basis arises in this case), the local authority is effectively bound by the Secretary of State's entitlement decision and cannot go behind it: see R v Penwith DC ex parte Menear (1991) 24 HLR 115. The guidance on which Ipswich relied (see page 5 of the UT part of the bundle) would seem to support this view as it only allows the housing benefit authority to reassess the housing benefit "If a claimant has their UC reduced to nil due to earnings and is no longer entitled to UC…" (my underlining added for emphasis).
6. However, on considering this appeal after the oral hearing, it seems to me that an arguable issue arises about whether in law [the claimant] could be entitled to a 'nil' award of universal credit. That in turn may undermine the view the First-tier Tribunal took of the evidence on pages 39 and 40 (as showing a nil entitlement to universal credit). The reason why, arguably, there cannot be an entitlement to £0.00 of universal credit is because sections 3(1)(b) and 5(1)(b) of the Welfare Reform Act 2012, when read with regulation 17 of the Universal Credit Regulations 2013, would appear to preclude that eventuality. On the face of those provisions, the minimum entitlement is one pence.
7. What then, if what has been said immediately above is correct, of the £0.00 awards of universal credit on pages 39 and 40?
8. I was struck in the hearing that both Mr Callaby (for Ipswich BC) and [the claimant] referred to being able to have 6 months of 'nil awards' of universal credit before "being taken off it". What that would appear to refer to is that there is no need to reclaim universal credit for 6 months in such circumstances: see what was regulation 6, and now is regulation 32A, of the Universal Credit, Personal Independence Payment, Jobseeker's Allowance and Employment and Support Allowance (Claims and Payments) Regulations 2013 ("the UC Claims Regs") .
9. These provisions seemingly remove for 6 months the general rule found in section 1 of the Social Security Administration Act 1992 that in order to be entitled to most benefits, including universal credit, a claim must be made for the benefit. However, taken with the terms of section 8(2) of the Social Security Act 1998 (a claim for benefit ceases to subsist after the Secretary of State has made a decision on it) the law would appear, at least arguably, to point to the Secretary of State having superseded and removed [the claimant's] entitlement to universal credit for the assessment period 25 December 2019 to 24 January 2020. [The claimant] was not then required to reclaim universal credit for the next four assessment periods, given what was regulation 6 of the UC Claims Regs, but for each of those four subsequent assessment periods she was, arguably, not entitled to universal credit. It may be it is this state of affairs which pages 39 and 40 are seeking to address, although the language of 'award' is usually associated with entitlement.
10. If the above is correct then it has implications not just for [the claimant] or 'passported HB claimants" more generally but also others who rely on being passported to other benefits (e.g. free prescriptions) because they are 'on universal credit'. If a claimant's income fluctuates over the monthly assessment periods, and so takes them in and out of entitlement to universal credit for those assessment periods, this could have very significant effects on their ability to obtain passported benefits for free. For example, it might require universal credit claimants to plan, if they can, when to renew their prescriptions.
11. It is for these reasons that I am making these directions seeking the view, first, of the Secretary of State for Work and Pensions as to (a) whether he wishes to be joined to this appeal, and (b) if he wishes to be joined to these appeal proceedings, to set out in writing submissions on the points I have raised above. Those points concern (i) [the claimant's] entitlement to universal credit in the relevant assessment periods when pages 39 and 40 say she had awards of £0.00, and (ii) more generally, issues that may arise in securing passporting to other benefits if entitlement to universal credit fluctuates over consecutive assessment periods.
12. If the Secretary of State agrees (as I hope he will) to be joined to this appeal, he will automatically become the second respondent on the appeal. This is the effect of paragraph 8(2)(a) of the Child Support, Pensions and Social Security Act 2000 when read with definition (a)(iii) of "respondent" in rule 1(3) of the Tribunal Procedure (Upper Tribunal) Rules 2008.
13. In terms of the practical steps taken to obtain the Secretary of State's views, this will involve the Upper Tribunal (AAC)'s office copying to the Secretary of State a copy of the Upper Tribunal appeal bundle on this appeal together with a copy of these directions. The Secretary of State will then have one month to indicate (i) if he wishes to be joined as a respondent to this appeal, and (ii) if he does, to make his written submissions on the two issues set out in paragraph 11 above.
14. The directions below then cater for [the claimant] making a written submission in reply, followed by the Ipswich BC; in both cases on the issues identified in paragraph 11 above."
"3. I submit that by virtue of section 3(2)(b) of the Welfare Reform Act 2012, it is a condition of entitlement to Universal Credit that joint claimants "meet the financial conditions for joint claimants." Section 5(2)(b) provides that one of the financial conditions for joint claimants is "their combined income is such that, if they were entitled to universal credit, the amount payable would not be less than any prescribed minimum." Regulation 17 off the Universal Credit Regulations 2013 then provides that the prescribed minimum for this purpose is one penny. In the case at hand, the evidence at pages 40 and 49 of the bundle shows that from the couple's income was such that the amount of UC payable to them from 25 December 2019 was nil. Accordingly, they did not meet the financial conditions of entitlement, and therefore they ceased to be entitled to UC, from that point on.
4. I further submit that it is well established that a decision generally does not take legal effect until it is notified. However, where a notification is only belatedly issued, any supersession decision that ends entitlement to UC would nonetheless take effect (retrospectively) from whatever the legislation specifies as its effective date.
5. With regard to the point in paragraph 8 of the Judge's Observations, the administrative action of keeping a claimant's UC computer account open can be done so as to allow the operation of regulation 32A of the Claims and Payments Regulations, under which the claimant could be treated as reclaiming UC if the earnings later fell or ended.
6. Here the income exceeded the UC elements so UC was reduced to nil. As this was below the prescribed minimum of 1p the award of UC was terminated. Regulation 32A was in play so that UC could be re-started should the earnings change with the result that the claimant became entitled to at least 1p. But that does not mean that there was something in the nature of underlying entitlement before that event. The claim is kept open only in a technical sense. It recognises that claimants may have fluctuating earnings and so entitlement may fluctuate. Regulation 32A helps manage repeat claims in this circumstance. In UC the decision notification is effectively the assessment period statement which set out the change that reduced UC to nil – that includes the dispute rights. But even if there was a gap here, that does not compromise the fundamental issue around actual entitlement to UC.
7. With regard to the general principle of passporting, so long as there is a financial award of UC, maximum Housing Benefit (HB) is awarded. Where no passporting benefit is in payment, HB is assessed as a standard claim and is subject to the usual means test. This principle mirrors the treatment of the legacy DWP benefits (IS, JSA(IB), ESA(IR)) and their relationship to HB.
8. Consequently, we support the appeal."
"6. Part of the reason I am directing a further oral hearing is a concern that the points I raised in paragraphs 10 and 11 of my observations in the directions of 20 February 2023 have not yet been adequately addressed. I hope the oral hearing will enable these points to be more fully, and properly, addressed
7. Those concerns arise from the premise that a claimant cannot have a nil award of, or nil entitlement to, universal credit; a premise which may arguably be supported by the most recent submissions on this appeal. The concern is that if a claimant's income fluctuates over the monthly assessment periods, and so takes them in and out of entitlement to universal credit for those assessment periods, this could have very significant effects on their ability to obtain passported benefits for free. For example, it might require universal credit claimants to plan, if they can, when to renew their prescriptions. It was this concern which in part led me to ask the Secretary of State for Work and Pensions to become a party to these appeal proceedings.
8. The Secretary of State's written submission of 4 April 2023 addresses whether [the claimant] could have been entitled to a nil award universal credit in the relevant assessment periods (per what is said on pages 39 and 40 about her having a universal credit award of £0.00), and says she was not in law entitled to (nil) universal credit during those assessment periods. However, I do not consider his submission fully addresses the general issues that may arise in securing passporting to housing benefit and other benefits if he is correct on the entitlement point, and I remain concerned that the effect of the nil award letters on pages 39 and 40 may be misleading and have unnecessary adverse effects.
9. If further written arguments are to be relied upon, they must be provided to the Upper Tribunal no later than seven days before the date fixed for the hearing."
Key statutory provisions
"Entitlement
3.-(1) A single claimant is entitled to universal credit if the claimant meets—
(a) the basic conditions, and
(b) the financial conditions for a single claimant.
(2) Joint claimants are jointly entitled to universal credit if—
(a) each of them meets the basic conditions, and
(b)they meet the financial conditions for joint claimants."
"Financial conditions
5.-(1) For the purposes of section 3, the financial conditions for a single claimant are that—
(a) the claimant's capital, or a prescribed part of it, is not greater than a prescribed amount, and
(b) the claimant's income is such that, if the claimant were entitled to universal credit, the amount payable would not be less than any prescribed minimum.
(2) For those purposes, the financial conditions for joint claimants are that—
(a) their combined capital, or a prescribed part of it, is not greater than a prescribed amount, and
(b) their combined income is such that, if they were entitled to universal credit, the amount payable would not be less than any prescribed minimum."
(the underlining in both places is mine and has been added for emphasis)
"Basis of awards
7.-(1) Universal credit is payable in respect of each complete assessment period within a period of entitlement.
(2) In this Part an "assessment period" is a period of a prescribed duration.
(3) Regulations may make provision—
(a) about when an assessment period is to start;
(b) for universal credit to be payable in respect of a period shorter than an assessment period;
(c) about the amount payable in respect of a period shorter than an assessment period.
(4) In subsection (1) "period of entitlement" means a period during which entitlement to universal credit subsists."
(the underlining is again mine and has bene made for emphasis)
"Minimum amount
17. For the purposes of section 5(1)(b) and (2)(b) of the [Welfare Reform Act 2012] (financial conditions: amount payable not less than any prescribed minimum) the minimum is one penny."
"1.-(1) Except in such cases as may be prescribed ….no person shall be entitled to [universal credit] unless, in addition to any other conditions relating to that benefit being satisfied-
(a) he makes claim for it in the manner, and within the time, prescribed in relation to that benefit….; or
(b) he is treated by virtue of…regulations as making a claim for it."
"Claims not required for entitlement to universal credit in certain cases
6.—(1) It is not to be a condition of entitlement to universal credit that a claim be made for it where all the following conditions are met—
(a) a decision is made as a result of the change of circumstances, whether as originally made or as revised, that the person ("former claimant") is not entitled to universal credit in a case where, but for the receipt of earned income, the former claimant would have continued to be entitled to an amount of universal credit;
(b) at the date of notification to an appropriate office of the change of circumstances referred to in sub-paragraph (a), the former claimant was in receipt of earned income;
(c) not more than six months have elapsed since the last day of entitlement to universal credit;
(d) the former claimant provides such information as to their income at such times as the Secretary of State may require and the Secretary of State is satisfied that the former claimant has provided such information as may be required by the Secretary of State to determine whether an award may be made and if so, the amount;
(e) since the last day of entitlement to universal credit the former claimant's circumstances have changed such that, if the former claimant were entitled to universal credit, the amount payable would not be less than the minimum amount in regulation 17 of the Universal Credit Regulations.
(2) It is not to be a condition of entitlement to universal credit that a claim be made for it where all the following conditions are met—
(a) the former claimant made a claim for universal credit and a decision is made, whether as originally made or as revised, that the former claimant is not entitled to universal credit in a case where, but for the receipt of earned income, the former claimant would have been entitled to an amount of universal credit;
(b) at the time the decision referred to in sub-paragraph (a) was made, the former claimant was in receipt of earned income;
(c) not more than six months have elapsed since the date of that claim;
(d) the former claimant provides such information as to their income at such times as the Secretary of State may require and the Secretary of State is satisfied that the former claimant has provided such information as may be required by the Secretary of State to determine whether an award may be made and if so, the amount;
(e) the former claimant's circumstances have changed such that, if the former claimant were entitled to universal credit, the amount payable would not be less than the minimum amount in regulation 17 of the Universal Credit Regulations.
"Reclaims of universal credit after nil award due to earnings
32A.—(1) This regulation applies where—
(a) a claim is made for universal credit, but no award is made because the condition in section 5(1)(b) or 5(2)(b) of the 2012 Act (condition that the claimant's income, or joint claimants' combined income is such that the amount payable would not be less than the prescribed minimum) is not met; or
(b) entitlement to an award of universal credit ceases because that condition is not met.
(2) The Secretary of State may, subject to any conditions the Secretary of State considers appropriate, treat the claimant (or joint claimants) as making a claim on the first day of each subsequent month, up to a maximum of 5, that would have been an assessment period if an award had been made or, as the case may be, if the award had continued."
"Current award
The payment of £0.00 started on 25 March 2020
This is a single claim
The maximum amount of Universal that can be awarded is £1057.38 which has been adjusted to £0.00…..
Previous awards
There are 5 previous awards form this assessment
25 Feb 2020 – 24 March 2020 | £0.00 |
25 Dec 2019 – 24 Feb 2020[1] | £0.00 |
25 Nov 2019 – 24 Dec 2019 | £247.49 |
25 Oct 2019 – 24 Nov 2019 | £122.64 |
25 Sep 2019 – 24 Oct 2019 | £247.49" |
"Payments
Assessment period: 25 December 2019 to 24 January 2020
Your payment this month is
£0
What you're entitled to
Total entitlement before deductions £962.23
What we take off (deductions)
Total deductions [which covers the claimant's and her partners' pay]
-£1,244.56"
"Eligibility criteria
You qualify for help with health costs if, on the date you claim, you either:
- receive Universal Credit and either had no earnings or had net earnings of £435 or less in your last Universal Credit assessment period
- receive Universal Credit, which includes an element for a child, or you (or your partner) had limited capability for work (LCW) or limited capability for work and work-related activity (LCWRA), and you either had no earnings or net earnings of £935 or less in your last Universal Credit assessment period
If you're part of a couple, the net earnings threshold applies to your combined net earnings.
You should present a copy of your Universal Credit award notice to prove your entitlement."
Approved for issue by Stewart Wright
Judge of the Upper Tribunal
On 11 April 2024
Note 1 I cannot account for why this is a two month assessment period, though nothing turns on this. [Back]