In the absence of even the possibility of getting the matter before a tribunal, we will not have case law. In the struggle to deal with the IR in this area of discretion, why not refer to HB guidance and case law (reg 99 of the HB regs refers to official mistakes and claimants not knowing etc). Here is a clip from the HB overpayment guidance:
“2.97 A number of questions need to be asked when reaching a decision, such as from the information the LA has provided, could the claimant have known that an overpayment had occurred? did they receive the decision notices?
2.98 This can be a difficult decision to make. Consider if the claimant is aware of the change of circumstances that need to be notified to the LA? has fully read the decision notices? would expect a change in the amount of benefit, having notified the LA of a change in their circumstances? would expect an overpayment to occur if they had previously had a similar change, which caused a change in the amount of benefit they received?
2.99 The following circumstances, could result in the claimant not realising that an error had occurred it is unlikely that the claimant would have such detailed knowledge of the HB/CTB scheme to realise that, eg gross income and not net income was used for a non-dependant, in the HB/CTB calculation
the claimant would be unlikely to realise that an LA had not processed a change of circumstances, if it coincided with a major scheme change and/or rent increase
2.100 'Reasonably expected to know' can be interpreted in the claimants favour, if Reg 99 HBGR you consider, because of the claimant's age, intelligence, (eg can the claimant read) or mental condition, that the claimant was genuinely unaware of the official error overpayment Reg 84 CTBGR the claimant states they were wrongly advised by an official source; however, the onus of proof will be on the claimant. In such cases, a statement should be taken from all parties concerned and then the evidence will need to be considered and a decision made on the balance of probabilities
2.101 In some cases, an overpayment may need to be split into different classification categories, ie part attributable to 'official error and part claimant error'. In these circumstances determine at what date the error transferred from being the responsibility of one party to the other. 2.102 If, after all these factors have been considered, you are satisfied the overpayment occurred due to official error and the claimant could not reasonably be expected to realise they were being overpaid, then the overpayment should be categorised as 'unrecoverable', these may sometimes be known as 'mandatory adjustments'.”
In addition, there is some useful HB case law. CH/2227/2002 confirms that the test of reasonableness must be seen in the light of payments being made, and/or notices sent to relevant persons (IR notices are famed for their clarity!).
It may be reasonable for a claimant to report a change and assume therefore that all is well with their claim. In terms of reporting changes, CH/4065/2001 concerned a claimant who telephoned the LA to query their award of HB, and was told it was correct. An OP developed. At appeal, the LA stated there was no record of the phone call. The Commissioner took the LA to task, and questioned the efficiency of the operating systems.
As you are probably aware, the whole business of the continuing duty to report changes is a bit of a mess. It came up in CH/2888/2002, when the LA took 6 months to act on a change reported by the claimant. In the meantime, the HB did not change. This led to an OP that the LA decided was recoverable. The Commissioner decided:
The LA had made a mistake
The claimant did not contribute to the mistake
However, the claimant could reasonably know about the mistake. The Commissioner stated that the claimant must have known that the change of circumstances (a rise in income), because he notified in the first place (and his wife phoned at a later point)
The Commissioner decided that the earlier tribunal had erred, possibly because they assumed that they had been applying social security case law, where the “chain of causation is broken once a change has been notified”. The Commissioner said that HB/CTB law differs.
Getting the IR interested in case law that does not apply to Tax Credits, in a situation where they hold all the cards because of their discretion, will be difficult, but the help is there for them.
Steve
|