Interpretation One: suspension and termination
Interpretation One: suspension and termination
This appears to have been the approach taken by the DWP appeals submission writer at first instance. They sought to make sense of what had happened by stating in the response to the appeal that the Appellant’s claim had been closed “as per regulation 45” of the UC etc (Decisions and Appeals) Regulations 2013. However, for the following reasons this reading cannot be right.
So far as is material, regulation 45 of the UC etc (Decisions and Appeals) Regulations 2013 provides as follows:
Provision of information or evidence
45.—(1) This regulation applies where the Secretary of State requires information or evidence from a person mentioned in paragraph (2) (“P”) in order to determine whether a decision awarding a benefit should be revised under section 9 of the 1998 Act or superseded under section 10 of that Act.
The persons are—
a person in respect of whom payment of any benefit has been suspended in the circumstances set out in regulation 44(2)(a) (suspension in prescribed cases);
a person who has made an application for a decision of the Secretary of State to be revised or superseded;
a person from whom the Secretary of State requires information or evidence under regulation 38(2) (evidence and information in connection with an award) of the Claims and Payments Regulations 2013;
a person from whom the Secretary of State requires documents, certificates or other evidence under regulation 31(3) (evidence and information) of the Jobseeker's Allowance Regulations 2013;
a person whose entitlement to an employment and support allowance or universal credit is conditional on their having, or being treated as having, limited capability for work.
There are two clear reasons why regulation 45 cannot apply in the present case.
The first reason is that, according to paragraph (1), regulation 49 applies only “where the Secretary of State requires information or evidence … in order to determine whether a decision awarding a benefit should be revised under section 9 of the 1998 Act or superseded under section 10 of that Act”. Yet there was no pre-existing decision in this case awarding benefit that was capable of revision or supersession.
The second reason is that the information or evidence has to be required from one of the categories of claimant listed in paragraph (2). However, PHC did not fall into any of the categories (a) to (e). The most promising might appear to be category (c) – “a person from whom the Secretary of State requires information or evidence under regulation 38(2) (evidence and information in connection with an award) of the Claims and Payments Regulations 2013” – but this provision is again predicated on there being an existing award of benefit that is susceptible to revision or supersession (see further below).
Regulation 47 of the UC etc (Decisions and Appeals) Regulations 2013 certainly provides for (as the heading puts it) “Termination for failure to furnish information or evidence” but this only comes into play where payment of benefit has been suspended under (amongst other provisions) regulation 45. If regulation 45 does not bite for the purposes of a suspension, then neither can regulation 47 bite by way of termination (see RA v Secretary of State for Work and Pensions (UC) [2024] UKUT 207 (AAC) at paragraph 25). Furthermore, and in any event, a decision to terminate under regulation 47 falls to be made by way of a supersession (see R(H) 4/08 at paragraphs 28-34), which again presupposes an existing decision.
It follows that regulations 45 and 47 of the UC etc (Decisions and Appeals) Regulations 2013 on suspension and termination cannot logically be invoked as a means of disallowing a new claim for benefit.
- Heading
- The decision of the Upper Tribunal is to allow the appeal. The decision of the First-tier Tribunal made on 14 September 2022 under number SC154/22/01415 was made in error of law. Under section 12(2)(a
- Introduction
- The Appellant’s request for an oral hearing of her Upper Tribunal appeal
- The background
- A summary of the proceedings in the Upper Tribunal
- Making sense of ‘case closure’ in cases where identity is in issue
- Interpretation One: suspension and termination
- Interpretation Two: disallowance as penalty for failing to comply with a request for evidence
- Interpretation Three: claim not in the required manner (version 1)
- Interpretation Four: claim not in the required manner (version 2)
- Interpretation Five: disallowance under SSAA 1992 sections 1(1A) and 1(1B)
- The First-tier Tribunal’s decision in the present appeal
- The approach that the new First-tier Tribunal should take
- The evidence relating to the National Insurance number (NiNo)
- Conclusions
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