| Statutory Instruments 1999 No. 991 The Social Security and Child Support (Decisions and Appeals) Regulations 1999 - continued |
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Date from which a decision superseded under section 10 takes effect
(ii) in a case where the date a change of circumstances is to take effect falls to be determined in accordance with regulation 26 or 26A[16] of the Claims and Payments Regulations, the date so determined;
(b) where the decision is advantageous to the claimant and the change was notified to an appropriate office more than one month after the change occurred or after the expiry of any such longer period as may have been allowed under regulation 8 -
(ii) in the case of a claimant who is in receipt of income support or a jobseeker's allowance and benefit is paid in advance and the date of notification is the first day of a benefit week from that date and otherwise, from the beginning of the benefit week following the week in which the notification was made; or (iii) in any other case, the date of notification of the relevant change of circumstances; or
(c) where the decision is not advantageous to the claimant -
(ii) in any other case, from the date of the change.
(3) For the purposes of paragraphs (2) and (8) "benefit week" has the same meaning as in regulation 2(1) of the Income Support Regulations or, as the case may be, regulation 1(3) of the Jobseeker's Regulations.
(b) in any other case, from the date of the decision under section 10.
(6) Any decision made under section 10 in consequence of a decision which is a relevant determination for the purposes of section 27 shall take effect as from the date of the relevant determination.
(b) where in accordance with regulation 26A(1) of the Claims and Payments Regulations, a jobseeker's allowance is paid otherwise than fortnightly in arrears, and notwithstanding the provisions of regulation 69 of the Jobseeker's Allowance Regulations, from the day immediately following the end of the last benefit week in respect of which a jobseeker's allowance was paid.
(9) In any case relating to attendance allowance or disability living allowance in which the decision was made under section 10 on the grounds of a relevant change of circumstances by virtue of regulation 6(2)(a)(i) and the decision is advantageous to the claimant, the decision shall take effect as from whichever is the later of -
(b) where more than one change has occurred between the date of the decision to be superseded ("the original decision") and the date of the application, or, as the case may be, the date the Secretary of State determines on his own initiative to supersede the original decision, the date declared by the Secretary of State to be the date on which the most recent change took effect; or (c) where the claimant notifies the change within one month of the date he first satisfies the conditions in, for the period of time specified in, section 65(1)(b) of the Contributions and Benefits Act[17] or, as the case may be, section 72(2)(a) or 73(9)(a) of that Act, following the change or most recent change of circumstances which gave rise to the decision under section 10, the first pay day (as specified in Schedule 6 to the Claims and Payments Regulations) after the requirement is first satisfied.
(10) A decision as to an award of incapacity benefit, which is made under section 10 because section 30B(4) of the Contributions and Benefits Act applies to the claimant, shall take effect as from the date on which he became entitled to the highest rate of the care component of disability living allowance.
(b) where no application is made, the date on which the decision under section 10 is made,
as is reasonable in the particular circumstances of the case.
(ii) paragraph 14 or 15 of Schedule 2 to the Jobseeker's Allowance Regulations; and
(b) that decision could not have been made earlier because information necessary to make that decision, requested otherwise than in accordance with paragraph 10(3)(b) of Schedule 9A to the Claims and Payments Regulations[19] (annual requests for information), had not been supplied to the Secretary of State by the lender.
(14) Subject to paragraph (23), where a claimant is in receipt of income support and his applicable amount includes an amount determined in accordance with Schedule 3 to the Income Support Regulations (housing costs), and there is a reduction in the amount of eligible capital owing in connection with a loan which qualifies under paragraph 15 or 16 of that Schedule, a decision made under section 10 shall take effect -
(b) where the reduction in eligible capital occurred after the first anniversary of the date referred to in sub-paragraph (a), on the next anniversary of that date following the date of the reduction.
(15) Where a claimant is in receipt of income support and payments made to that claimant which fall within paragraph 29 or 30(1)(a) to (c) of Schedule 9 to the Income Support Regulations have been disregarded in relation to any decision under section 8 or 10 and there is a change in the amount of interest payable -
(b) on a loan not so qualifying which is secured on the dwelling occupied as the home to which those payments relate,
a decision under section 10 which is made as a result of that change in the amount of interest payable shall take effect on whichever of the dates referred to in paragraph (16) is appropriate in the claimant's case.
(b) where the change in the amount of interest payable occurred after the date referred to in sub-paragraph (a), on the date of the next alteration in the standard rate following the date of that change.
(17) In paragraph (16), "standard rate" has the same meaning as it has in paragraph 1(2) of Schedule 3 to the Income Support Regulations.
(b) where the reduction in eligible capital occurred after the first anniversary of the date referred to in sub-paragraph (a), on the next anniversary of that date following the date of the reduction.
(19) Where a claimant is in receipt of a jobseeker's allowance and payments made to that claimant which fall within paragraph 30 or 31(1)(a) to (c) of Schedule 7 to the Jobseeker's Allowance Regulations have been disregarded in relation to any decision under section 8 or 10 and there is a change in the amount of interest payable -
(b) on a loan not so qualifying which is secured on the dwelling occupied as the home to which those payments relate,
any decision under section 10 which is made as a result of that change in the amount of interest payable shall take effect on whichever of the dates referred to in paragraph (20) is appropriate in the claimant's case.
(b) where the changes in the amount of interest payable occurred after the date referred to in sub-paragraph (a), on the date of the next alteration in the standard rate following the date of that change.
(21) In paragraph (20), "standard rate" has the same meaning as it has in paragraph 1(2) of Schedule 2 to the Jobseeker's Allowance Regulations.
(b) that claimant's applicable amount includes an amount determined in accordance with Schedule 3 to the Income Support Regulations (housing costs); (c) that claimant is treated as having been awarded a jobseeker's allowance by virtue of regulation 7 of the Jobseeker's Allowance (Transitional Provisions) Regulations 1996[20] (jobseeker's allowance to replace income support and unemployment benefit); and (d) a decision is made under section 10 in consequence of a reduction in the amount of eligible capital owing in connection with a loan which qualifies under paragraph 15 or 16 of Schedule 3 to the Income Support Regulations,
the decision under section 10 referred to in sub-paragraph (d) shall take effect on the next anniversary of the date on which housing costs were first met which occurs after the reduction.
(b) the decision made in consequence of sub-paragraph (a) falls to be superseded by a decision under section 10 because the Secretary of State has subsequently issued a certificate under section 17(4) of the Jobseekers Act with respect to the failure in question,
the decision under section 10 shall take effect as from the same date as the decision made in consequence of sub-paragraph (a) has effect.
(b) be made within 13 months of the date the change occurred.
(4) An application under this regulation shall not be granted unless the Secretary of State is satisfied that -
(b) the change of circumstances notified by the applicant is relevant to the decision which is to be superseded; and (c) special circumstances are relevant to the application and as a result of those special circumstances it was not practicable for the applicant to notify the change of circumstances within one month of the change occurring.
(5) In determining whether it is reasonable to grant the application, the Secretary of State shall have regard to the principle that the greater the amount of time that has elapsed between the date one month after the change of circumstances occurred and the date the application for the purposes of regulation 7(2) is made, the more compelling should be the special circumstances on which the application is based.
(b) that a Commissioner or a court has taken a different view of the law from that previously understood and applied.
(7) An application under this regulation which has been refused may not be renewed. Certificates of recoverable benefits 9. A certificate of recoverable benefits may be reviewed under section 10 of the 1997 Act[21] where the Secretary of State is satisfied that -
(b) the benefit recovered from a person who makes a compensation payment (as defined in section 1 of the 1997 Act) is in excess of the amount due to the Secretary of State; (c) incorrect or insufficient information was supplied to the Secretary of State by the person who applied for the certificate and in consequence the amount of benefit specified in the certificate was less than it would have been had the information supplied been correct or sufficient; or (d) a ground for appeal is satisfied under section 11 of the 1997 Act[22].
Effect of a determination as to capacity for work
(b) whether a person is terminally ill,
that issue shall be determined by the Secretary of State, notwithstanding that other matters fall to be determined by another authority.
(b) whether the claimant has a disease prescribed for the purposes of section 108 of that Act or the extent of any disablement resulting from such a disease; or (c) whether the claimant has a disablement for the purposes of section 103 of that Act or the extent of any such disablement.
(2) In connection with making a decision to which this regulation applies, the Secretary of State may refer an issue, together with any relevant evidence or information available to him, including any evidence or information provided by or on behalf of the claimant, to a medical practitioner who has experience in such of the issues specified in paragraph (1) as are relevant to the decision, for such report as appears to the Secretary of State to be necessary for the purpose of providing him with information for use in making the decision.
(b) the experience, in such of the issues specified in paragraph (1) as are relevant to the decision, of any medical practitioner who has provided a report, including a medical practitioner who has provided a report following an examination required by the Secretary of State under section 19.
Income support and social fund determinations on incomplete evidence
(b) it appears to the Secretary of State that he is not in possession of all of the evidence or information which is relevant for the purposes of such a determination,
he shall make the determination on the assumption that the housing costs to be included in the claimant's applicable amount are those that can be immediately determined.
(ii) for the purposes of regulation 12 of the Income Support Regulations, a person is by virtue of that regulation to be treated as receiving relevant education; or (iii) in relation to any claimant, the applicable amount includes severe disability premium by virtue of regulation 17(1)(d) or 18(1)(e), and paragraph 13 of Schedule 2 to, the Income Support Regulations; and
(b) it appears to the Secretary of State that he is not in possession of all of the evidence or information which is relevant for the purposes of such a determination,
he shall make the determination on the assumption that the relevant evidence or information which is not in his possession is adverse to the claimant.
(b) any protected sum determined in accordance with Schedule 3A or 3B of those Regulations[23]; or (c) any transitional addition, personal expenses addition or special transitional addition applicable under Part II of the Income Support (Transitional) Regulations 1987[24] (transitional protection).
(2) Where section 159 of the Administration Act does not apply to an award of income support by virtue of paragraph (1), a decision under section 10 may be made in respect of that award for the sole purpose of giving effect to any change made by an order under section 150 of the Administration Act.
(ii) for the purposes of regulation 54(2) to (4) of the Jobseeker's Allowance Regulations (relevant education), a person is by virtue of that regulation, to be treated as receiving relevant education; and
(b) it appears to the Secretary of State that he is not in possession of all of the evidence or information which is relevant for the purposes of such a determination,
he shall make the determination on the assumption that the relevant evidence or information which is not in his possession is adverse to the claimant. Suspension in prescribed cases 16. - (1) Subject to paragraph (2), the Secretary of State may suspend payment of a relevant benefit, in whole or in part, in the circumstances prescribed in paragraph (3). (2) The Secretary of State shall suspend payment of a jobseeker's allowance in the circumstances prescribed in paragraph (3)(a)(i) or (ii) where the issue or one of the issues is whether a person, who has claimed a jobseeker's allowance, is or was available for employment or whether he is or was actively seeking employment. (3) The prescribed circumstances are that -
(ii) an issue arises whether a decision as to an award of a relevant benefit should be revised under section 9 or superseded under section 10; (iii) an issue arises whether any amount paid or payable to a person by way of, or in connection with a claim for, a relevant benefit is recoverable under section 71 (overpayments), 71A (recovery of jobseeker's allowance: severe hardship cases[26]) or 74 (income support and other payments) of the Administration Act or regulations made under any of those sections; or (iv) the last address notified to him of a person who is in receipt of a relevant benefit is not the address at which that person is residing; or
(b) an appeal is pending against -
(ii) a decision given in a different case by a Commissioner or a court, and it appears to the Secretary of State that, if the appeal were to be determined in a particular way, an issue would arise as to whether the award of a relevant benefit (whether the same benefit or not) in the case itself ought to be revised or superseded.
(4) For the purposes of section 21(3)(c) an appeal is pending where the Secretary of State certifies in writing that he proposes -
(b) to bring an appeal against the decision; or (c) to bring an appeal against a decision in a different case and, if that appeal were to be allowed, an issue would arise as to whether the award of a relevant benefit (whether the same benefit or not) in the case itself ought to be revised or superseded.
Notes: [16] Regulation 26A was inserted by the Social Security (Claims and Payments) (Jobseeker's Allowance Consequential Amendments) Regulations 1996.back [17] Section 30B was inserted by section 2(1) of the Social Security (Incapacity for Work) Act 1994 (c.18).back [18] S.I. 1995/311; relevant amending instruments are S.I. 1995/987, S.I. 1996/3207 and S.I. 1997/1009.back [19] Schedule 9A was inserted by S.I. 1992/1026.back [21] Section 10 was amended by paragraph 149 of Schedule 7 to the Social Security Act 1998.back [22] Section 11 was amended by paragraph 150 of Schedule 7 to the Social Security Act 1998.back [23] Schedule 3A was inserted by S.I. 1988/1445; Schedule 3B was inserted by S.I. 1989/534.back [25] Section 159A was inserted by section 24 of the Jobseekers Act 1995 (c.18).back [26] Section 71A was inserted by section 18 of the Jobseekers Act 1995 (c.18).back
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