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England and Wales Court of Appeal (Civil Division) Decisions |
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You are here: BAILII >> Databases >> England and Wales Court of Appeal (Civil Division) Decisions >> Fryer-Kelsey v Secretary of State for Work & Pensions [2005] EWCA Civ 511 (21 April 2005) URL: http://www.bailii.org/ew/cases/EWCA/Civ/2005/511.html Cite as: [2005] EWCA Civ 511 |
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IN THE COURT OF APPEAL (CIVIL DIVISION)
ON APPEAL FROM THE SECURITY COMMISSIONER
Strand London, WC2 |
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B e f o r e :
LORD JUSTICE RIX
LORD JUSTICE JACOB
____________________
JOHN FRYER-KELSEY | Appellant | |
-v- | ||
THE SECRETARY OF STATE FOR WORK AND PENSIONS | Respondent |
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Smith Bernal Wordwave Limited
190 Fleet Street, London EC4A 2AG
Tel No: 020 7404 1400 Fax No: 020 7831 8838
(Official Shorthand Writers to the Court)
MR DAVID FORSDICK (instructed by Messrs Marshall Sutton Jones) appeared on behalf of the Appellant
MR DANIEL KOLINSKY (instructed by Solicitor to Department for Work and Pensions) appeared on behalf of the Respondent
____________________
Crown Copyright ©
"5. ICB is a non-means tested benefit payable to persons who are incapable of work: s30A Social Security Contributions and Benefits Act 1992 ("SSCBA 1992").
6. A claim for ICB is treated as made for an indefinite period: reg 17(1) of the Social Security (Claims and Payments) Regulations 1987 ("the 1987 Regs"). An indefinite award will be subject to a condition that on days subsequent to the date of claim the claimant satisfies the requirements for eligibility (reg 17(4)). It is clear law that this provision does not introduce an independent basis for supercession of awards and the only basis for such supercession is under the Social Security Act 1998.
7. S.10 of the Social Security Act 1998 ("the SSA 1998") provides that the SoS may supercede any decision made to award benefit in prescribed circumstances. Circumstances are prescribed in regulation 6 of the Social Security and Child Support (Decisions and Appeals) Regulations 1999 ("the 1999 Regulations"). Reg 6(2)(g) was introduced to reverse the effect of cases such as R v Social Security Commissioner ex parte Chamberlain (unreported CO/1988/1999) and Cooke v Secretary of State [2001] EWCA Civ 734 to the effect that a new doctor's report reaching a different view as to the claimant's condition did not constitute a change in circumstances justifying a review of an indefinite award of benefit.
8. Reg 6(2)(g) provides that one basis for supercession will arise where there is an ICB decision but since the decision was made, the Secretary of State has received further medical evidence in accordance with regulations. Consequently, it is now possible to supercede an indefinite award of benefit on the basis of medical evidence received since the award was made.
9. The key test for ICB is 'incapacity for work' - S.30A Social Security Contributions and Benefits Act 1992 ("the SSCBA 1992"). A day of incapacity for work means a day on which a person is incapable of work (S.30C)(1)(a).
10. S.171C(2)(a) of the SSCBA and Part III of the Social Security (Incapacity for Work)(General) Regulations 1995 as amended provided for a personal capability assessment ("the PCA") to assess whether a person is capable of work. The PCA is an assessment of the extent to which a person who has some specific disease or bodily or mental disablement is capable of performing the activities prescribed in the schedule or is incapable by reason of such disease or bodily or mental disablement of performing those functions - regulation 24.
11. If a person scores 15 points for physical descriptors or 15 points in respect of physical and mental descriptors combined they shall be deemed incapable of work."
"i. Properly understand the relevant evidence;
ii. put into the weighing exercise all the relevant evidence;
iii. direct itself to the objective test set by the PCA - what can this claimant do;
iv. ask itself the right questions under the test and demonstrate that it has done so;
v. put its mind to work on the principle controversial issues raised by the claimant whether orally or in writing;
vi. reach conclusions which were open to it on the evidence; and
vii. give sustainable reasons for its conclusions."
"Mr Fryer-Kelsey's doctor comments on page 75 that he could not return to work as a plumber but the assessment is not related to any particular occupation or former occupation but simply to functional ability in every day life. We infer that at page 85 Dr Gatland is also referring to the possibility of Mr Fryer-Kelsey returning to work as a plumber. We note the diagnosis in that letter but apart from stating that the right shoulder cannot be abducted beyond 90% there is no other indication of functional limitation."
"This gentleman, in my opinion, is not fit for work. He has suffered from chronic tension and anxiety symptoms, also associated with pain in the cervical spine. He also has an ongoing problem with his right shoulder and is unable to abduct the shoulder beyond 90 degrees."
This is a letter written "to whom it may concern" at the Department of Health and Social Security.
"Mr Fryer-Kelsey feels that he would be able to return to work had it not been for his injury to his shoulder, but I do not believe he would be able to return to work as a plumber."
It is said that the Tribunal misconstrued the letter on page 85 as being a reference to work as a plumber. Well, I am far from satisfied that is so. The doctor knew he was a plumber. It was suggested the doctor would have had in mind all the regulations and rules about what you need to show to get disability benefit. I see no reason to suppose that the doctor was thinking about that sort of thing at all. Certainly, it is the sort of matter with which a Tribunal, such as the Appeal Tribunal, is much more familiar with than this court. It is the very sort of thing which seems to me to be precluded from consideration by the Commissioner and this court by the fact that appeals are appeals only on questions of law. Hale LJ's reasoning indicates precisely why this is not a matter suitable for this court.
"We note that Mr Fryer Kelsey was unwilling to remove his jacket for the purpose of the examination, apparently because the doctor was a stranger. Mr Fryer-Kelsey was aware that he was attending a medical examination and we consider that he would have been aware of what was involved or could have taken steps to make enquiries to see if he could be accompanied if he felt it necessary. Where there is a conflict between Mr Fryer-Kelsey's evidence and that of the examining doctor we prefer that of the doctor as it is based upon the clinical findings of a doctor acting as an expert for the purpose of the Personal Capability Assessment who is disinterested in the outcome of the claim. For that and the following reasons we do not allow the appeal."
"At the hearing Mr Fryer-Kelsey was wearing a surgical belt, outside his clothing, which in our experience is unusual. We find no evidence that this has been recommended by his doctors and we do not accept that it indicated that he has functional limitations which necessitates its use."
That was a matter which they were entitled to make a finding upon, and is in no way an error of law.
"Normal hearing today. He could answer all questions put to him."
The form had said "no problem with hearing" and was put in by the wife. What is said is that, in the circumstances, that was not good enough because the relevant test is whether he could hear persons speaking normally in conditions of busy traffic -- a test which I am bound to say sounds pretty woolly. Many of us cannot hear things in busy traffic; most people cannot if it is busy enough. But, given that it had been said on the form that he could hear, given that he could hear when the doctor assessed him, given that the Tribunal itself heard him and he heard them and engaged in discussion with them, it was perfectly open to the Tribunal to give no points on a suggested hearing deficiency.
Order: appeal dismissed.