Statutory Instruments 1999 No. 991
The Social Security and Child Support (Decisions and Appeals) Regulations 1999
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Date from which a decision superseded under section 10 takes effect
     7.  - (1) This regulation contains exceptions to the provisions of section 10(5) as to the date from which a decision under section 10 which supersedes an earlier decision is to take effect.

    (2) Where a decision under section 10 is made on the ground that there has been, or it is anticipated that there will be, a relevant change of circumstances since the decision was made, the decision under section 10 shall take effect - 

    (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.

    (4) In paragraph (2) a decision which is to the advantage of the claimant includes a decision specified in regulation 30(2)(a) to (f).

    (5) Where the Secretary of State supersedes a decision made by an appeal tribunal or a Commissioner on the grounds specified in regulation 6(2)(c) (grounds of ignorance of, or mistake as to, a material fact), the decision under section 10 shall take effect - 

    (a) in a case where, as a result of that ignorance of or mistake as to some material fact, the decision was more advantageous to the claimant than it would otherwise have been but for that ignorance or mistake, from the date on which the decision of the appeal tribunal or the Commissioner took, or was to take effect; or

    (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.

    (7) A decision to which regulation 6(2)(e) applies may be made so as to take effect as from the date on which the decision which has been superseded had effect, or at any time thereafter which is reasonable in the particular circumstances of the case.

    (8) A decision to which regulation 6(2)(f) applies may be so as to take effect from - 

    (a) except where sub-paragraph (b) applies, the date immediately following the end of benefit week in which the decision under section 10 was made; or

    (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 - 

    (a) the date declared by the Secretary of State to be the date on which the change of circumstances occurred;

    (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.

    (11) A decision as to an award of incapacity benefit or severe disablement allowance, which is made under section 10 because the claimant is to be treated as incapable of work under regulation 10 of the Social Security (Incapacity for Work) (General) Regulations 1995[18] (certain persons with a severe condition to be treated as incapable of work), shall take effect as from the date he is to be treated as incapable of work.

    (12) Where this paragraph applies, a decision under section 10 may be made so as to take effect as from such date not more than eight weeks before - 

    (a) the application for supersession; or

    (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.

    (13) Paragraph (12) applies where - 

    (a) the effect of a decision under section 10 is that there is to be included in a claimant's applicable amount an amount in respect of a loan which qualifies under - 

      (i) paragraph 15 or 16 of Schedule 3 to the Income Support Regulations; or

      (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 - 

    (a) on the first anniversary of the date on which the claimant's housing costs were first met under that Schedule; or

    (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 - 

    (a) on a loan qualifying under paragraph 15 or 16 of Schedule 3 to those Regulations to which those payments relate; or

    (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.

    (16) The date on which a decision under section 10 takes effect for the purposes of paragraph (15) is - 

    (a) the date on which the claimant's housing costs are first met under paragraph 6(1)(a), 8(1)(a) or 9(2)(a) of Schedule 3 to the Income Support Regulations; or

    (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.

    (18) Subject to paragraph (24) and, except in a case to which paragraph (23) applies, where a claimant is in receipt of a jobseeker's allowance and his applicable amount includes an amount determined in accordance with Schedule 2 to the Jobseeker's Allowance Regulations (housing costs), and there is a reduction in the amount of eligible capital owing in connection with a loan which qualifies under paragraph 14 or 15 of that Schedule, a decision under section 10 made as a result of that reduction shall take effect - 

    (a) on the first anniversary of the date on which the claimant's housing costs were first met under that Schedule; or

    (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 - 

    (a) on a loan qualifying under paragraph 14 or 15 of Schedule 2 to those Regulations to which those payments relate; or

    (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.

    (20) The date on which a decision under section 10 takes effect for the purposes of paragraph (19) is - 

    (a) the date on which the claimant's housing costs are first met under paragraph 6(1)(a), 7(1)(a) or 8(2)(a) of Schedule 2 to the Jobseeker's Allowance Regulations; or

    (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.

    (22) Where - 

    (a) a claimant was paid benefit in respect of 6th October 1996 in accordance with an award of income support;

    (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.

    (23) Where, in any case to which paragraph (14) or (18) applies, a claimant has been continuously in receipt of, or treated as having been continuously in receipt of income support or a jobseeker's allowance, or one of those benefits followed by the other, and he or his partner continues to receive either benefit, the anniversary to which those paragraphs refer shall be the anniversary of the earliest date on which benefit (whether income support or a jobseeker's allowance) in respect of those mortgage interest costs became payable.

    (24) Where - 

    (a) it has been determined that the amount of a jobseeker's allowance payable to a young person is to be reduced under regulation 63 of the Jobseeker's Allowance Regulations because paragraph (1)(b)(iii), (c), (d), (e) or (f) of that regulation (reduced payments under section 17 of the Jobseekers Act) applied in his case; and

    (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.

Effective date for late notifications of change of circumstances
     8.  - (1) For the purposes of regulation 7(2), a longer period of time may be allowed for the notification of a change of circumstances in so far as it affects the effective date of the change where the conditions specified in the following provisions of this regulation are satisfied.

    (2) An application for the purposes of regulation 7(2) shall be made by the claimant or a person acting on his behalf.

    (3) The application referred to in paragraph (2) shall - 

    (4) An application under this regulation shall not be granted unless the Secretary of State is satisfied that - 

    (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.

    (6) In determining whether it is reasonable to grant an application, no account shall be taken of the following - 

    (7) An application under this regulation which has been refused may not be renewed.



CHAPTER III

OTHER MATTERS

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 - 

    (a) a mistake (whether in computation of the amount specified or otherwise) occurred in the preparation of the certificate;

    (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
     10. A determination (including a determination made following a change of circumstances) whether a person is, or is to be treated as, capable or incapable of work which is embodied in or necessary to a decision under Chapter II of Part I of the Act or on which such a decision is based shall be conclusive for the purposes of any further such decision.

Secretary of State to determine certain matters
    
11. Where, in relation to a determination for any purpose to which Part XIIA of the Contributions and Benefits Act applies, an issue arises as to - 

that issue shall be determined by the Secretary of State, notwithstanding that other matters fall to be determined by another authority.

Decision of the Secretary of State relating to industrial injuries benefit
    
12.  - (1) This regulation applies where, for the purpose of a decision of the Secretary of State relating to a claim for industrial injuries benefit under Part V of the Contributions and Benefits Act an issue to be decided is - 

    (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.

    (3) In making a decision to which this regulation applies, the Secretary of State shall have regard to (among other factors) - 

Income support and social fund determinations on incomplete evidence
    
13.  - (1) Where, for the purpose of a decision under section 8 or 10 - 

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.

    (2) Where, for the purpose of a decision under section 8 or 10 - 

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.

Effect of alteration in the component rates of income support and jobseeker's allowance
    
14.  - (1) Section 159 of the Administration Act (effect of alteration in the component rates of income support) shall not apply to any award of income support in force in favour of a person where there is applicable to that person - 

    (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.

    (3) Section 159A of the Administration Act[25] (effect of alterations in the component rates of jobseeker's allowance) shall not apply to any award of a jobseeker's allowance in force in favour of a person where there is applicable to that person any amount determined in accordance with regulation 87 of the Jobseeker's Allowance Regulations.

    (4) Where section 159A of the Administration Act does not apply to an award of a jobseeker's allowance by virtue of paragraph (3), 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.

Jobseeker's allowance determinations on incomplete evidence
     15. Where, for the purpose of a decision under section 8 or 10 - 

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.



PART III

SUSPENSION, TERMINATION AND OTHER MATTERS



CHAPTER I

SUSPENSION AND TERMINATION

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 - 

    (4) For the purposes of section 21(3)(c) an appeal is pending where the Secretary of State certifies in writing that he proposes - 

    (a) to make a request under regulation 53(4) for a statement of reasons for a decision of an appeal tribunal;

    (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

[20] S.I. 1996/2567.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

[24] S.I. 1987/1969.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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