Source: http://www.legislation.gov.uk/nisr/2016/250/made
Timestamp: 2020-01-22 05:21:06
Document Index: 327770808

Matched Legal Cases: ['art 5', 'art 2', 'art 3', 'art 4', 'ART 2', 'ART 3', 'art 2', 'art 2', 'art 2', 'art 2', 'ART 4', 'art 2', 'art 5', 'art 2', 'art 2', 'art 2', 'art 3', 'art 3', 'art 3', 'art 4', 'art 4', 'art 4', 'art 5']

The Department for Communities(1) makes the following Regulations in exercise of the powers conferred on it by Article 137 of the Welfare Reform (Northern Ireland) Order 2015(2).
“daily living activities” and “ mobility activities” have the same meaning as in Part 5 of the 2015 Order;
“decision notice” means the decision notice under regulation 53(3) of the Social Security and Child Support (Decisions and Appeals) Regulations (Northern Ireland) 1999(4);
“disability living allowance” means disability living allowance under section 71 of the Social Security Contributions and Benefits (Northern Ireland) Act 1992(5);
“transitional assessment determination” means the determination, under regulation 4 of the Personal Independence Payment Regulations (Northern Ireland) 2016(6) of a claim for personal independence payment made by a transfer claimant;
“the Transitional Provisions Regulations” means the Personal Independence Payment (Transitional Provisions) Regulations (Northern Ireland) 2016(7).
(2) Welfare supplementary payment is payable under either—
(a)Part 2 (pending appeal against refusal of personal independence payment),
(b)Part 3 (where personal independence payment is awarded at a lower rate than disability living allowance), or
(c)Part 4 (in conflict related injury cases where personal independence payment has been refused).
(3) But a person is not entitled to welfare supplementary payment under more than one Part at a time.
PART 2WELFARE SUPPLEMENTARY PAYMENT PENDING APPEAL AGAINST PERSONAL INDEPENDENCE PAYMENT REFUSAL
(a)the disability living allowance entitlement condition;
(b)the personal independence payment refusal condition, and
(c)the appeal condition.
(2) The disability allowance entitlement condition is that the person is in receipt of disability living allowance on the transition date.
(3) The personal independence payment refusal condition is that following a transitional assessment determination, the person’s claim for personal independence payment is refused.
(4) The appeal condition is that the person has appealed, under Article 13 of the 1998 Order(8), against the decision refusing personal independence payment.
(2) The period during which welfare supplementary payment is payable commences on the day following the day on which the person’s entitlement to disability living allowance terminates in accordance with regulation 17(1) of the Transitional Provisions Regulations.
(a)after the first payment following the date on which the decision notice of the appeal tribunal is received by the Department; or
(4) Where a person is granted leave to make an appeal from a decision of the appeal tribunal to refuse personal independence payment to the Commissioner, the period during which further welfare supplementary payment is payable is set out in paragraphs (5) and (6).
(5) The period during which further welfare supplementary payment is payable commences on the day following the day that leave to appeal to the Commissioner is granted.
(6) The period during which further welfare supplementary payment is payable ends—
(a)after the first payment following the date on which the decision of the Commissioner is received by the Department; or
Effect of changes in personal independence payment following revision or supersession of previous decision
(b)following an event referred to in paragraph (3), the person is awarded personal independence payment.
(2) Welfare supplementary payment must cease to be paid from the day after the first payment of welfare supplementary payment following the decision to award personal independence payment.
(3) The events referred to in paragraph (1)(b) are—
(a)the decision to not award personal independence payment is revised under Article 10 of the 1998 Order,
(b)the decision to not award personal independence payment is superseded under Article 11 of the 1998 Order(9).
PART 3WELFARE SUPPLEMENTARY PAYMENT WHERE PERSONAL INDEPENDENCE PAYMENT IS AWARDED AT LOWER RATE THAN DISABILITY LIVING ALLOWANCE
Eligibility (following termination of welfare supplementary payment under Part 2)
9.—(1) A person is entitled to welfare supplementary payment under this Part if the person meets—
(a)the Part 2 welfare supplementary payment termination condition, and
(b)the lower personal independence payment threshold on appeal, revision or supersession condition.
(2) The Part 2 welfare supplementary payment termination condition is that a person’s entitlement to welfare supplementary payment under Part 2 terminates—
(a)following an appeal, in accordance with regulation 6(3)(a) or 6(6)(a), or
(b)following a revision or supersession, in accordance with regulation 7.
(3) The lower personal independence payment threshold on appeal, revision or supersession condition is that—
(a)on the appeal, revision or supersession, an award of personal independence payment is made to the person,
10.—(1) The amount of welfare supplementary payment payable is equal to 75% of the amount by which the award of disability living allowance exceeded the award of personal independence payment.
(2) Where the amount of welfare supplementary payment would, but for this paragraph, include a fraction of a penny, that fraction must be disregarded.
Effect of changes in personal independence payment following revision, appeal or supersession of previous decision
then welfare supplementary payment must cease to be paid from the day after the first payment of welfare supplementary payment following the decision to change personal independence payment.
(b)the decision to award personal independence payment is appealed under Article 13 or 15 of the 1998 Order(10),
PART 4WELFARE SUPPLEMENTARY PAYMENT WHERE PERSONAL INDEPENDENCE PAYMENT REFUSED (CONFLICT RELATED CASES)
13.—(1) A person is entitled to welfare supplementary payment under this Part if the following conditions are met—
(a)the disability living allowance entitlement condition,
(b)the personal independence payment refusal condition,
(c)the 4 points on assessment condition, and
(d)the conflict related injury condition (see regulation 15).
(4) The 4 points on assessment condition is that the person obtained a score of at least 4 points in relation to either the daily living activities’ category or the mobility activities’ category of the transitional assessment determination.
14.—(1) A person is entitled to welfare supplementary payment under this Part if the person meets—
(a)the Part 2 welfare supplementary payment termination condition,
(b)the disability living allowance entitlement condition,
(c)the personal independence payment refusal on appeal, revision or supersession condition,
(d)the 4 points on appeal, revision or supersession condition, and
(e)the conflict related injury condition (see regulation 15).
(3) The personal independence payment refusal on appeal, revision or supersession condition is that following the appeal, revision or supersession, the person’s claim for personal independence payment is refused.
(4) The 4 points on appeal, revision or supersession condition is that the person obtained a score of at least 4 points in relation to either the daily living activities’ category or the mobility activities’ category on the appeal, revision or supersession.
(5) The 4 points must have been obtained within one year of the day following the day on which the person’s entitlement to disability living allowance terminates in accordance with regulation 17(1) of the Transitional Provisions Regulations.
Meaning of conflict related injury condition
15.—(1) The conflict related injury condition is that the person is or has been physically or psychologically injured as a result of, or in consequence of a violent incident in connection with the affairs of Northern Ireland.
(2) The violent incident must have occurred—
(a)in or after 1966, and
(b)before the person’s entitlement to disability living allowance terminated in accordance with regulation 17(1) of the Transitional Provisions Regulations.
(3) Without prejudice to the generality of paragraph (1), a person may be psychologically injured as a result of or in consequence of—
(a)witnessing a violent incident or the consequences of such an incident; or
(b)providing medical or other emergency assistance to an individual in connection with a violent incident.
Procedure for establishing eligibility
16.—(1) The Department must, of its own initiative, within four weeks of—
(c)the 4 points on assessment condition,
being met in relation to a person, make a request of that person.
(2) The Department must, of its own initiative, within four weeks of—
(d)the 4 points on appeal, revision or supersession condition,
(3) The request under paragraph (1) or (2) must—
(a)state that the Department will make an award of welfare supplementary payment if the conflict related injury condition is met,
(b)request that the person submit evidence (or arrange for evidence to be submitted) that the condition is met.
(4) All evidence submitted must be in the form required by regulation 17.
(5) Unless it is unreasonable in the circumstances, evidence must be submitted within one calendar month of the day the request is made.
(6) In determining whether a person meets the conflict related injury condition, the Department may consult with the Commission for Victims and Survivors.
(7) The Department must consider all evidence and information submitted in accordance with this regulation and regulation 17 and determine if the person is eligible for welfare supplementary payment.
Evidence for establishing conflict related injury condition
17. Evidence that the conflict related injury condition is met can only be submitted if it is in the form of a report from—
(a)a member of the Police Service of Northern Ireland,
(b)a health care professional within the meaning of section 11C(6) of the Welfare Reform Act (Northern Ireland) 2007(11), or
(c)a body providing services and support to victims and survivors which is in receipt of a grant under Article 10 of the Victims and Survivors (Northern Ireland) Order 2006(12).
(b)following an event referred to in paragraph (3), there is a change in entitlement to personal independence payment to the person.
(2) If the person—
(a)is awarded personal independence payment, or
(b)obtains a score of less than 4 points in relation to either the daily living activities’ category or the mobility activities’ category,
(b)the decision to not award personal independence payment is appealed under Article 13 or 15 of the 1998 Order,
(c)the decision to not award personal independence payment is superseded under Article 11 of the 1998 Order.
21.—(1) The Department must establish procedures for reviewing a person’s entitlement to welfare supplementary payment under these Regulations.
22. No account must be taken of entitlement to welfare supplementary payment in considering a person’s entitlement to benefit under a statutory provision relating to social security (irrespective of the name or nature of the benefit).
23. A person is not entitled to welfare supplementary payment unless the person—
(a)is ordinarily resident in Northern Ireland, and
24.—(1) Subject to regulation 25, where a person is temporarily absent from Northern Ireland, the person is treated as present in Northern Ireland for the purpose of these Regulations for the first 4 weeks of absence.
25.—(1) Where a person is temporarily absent from Northern Ireland, the person is treated as present in Northern Ireland for the purposes of these Regulations for the first 13 weeks of that absence, where—
(ii)during the period whilst the person is temporarily absent from Northern Ireland; and
(2) In this regulation “temporarily absent” has the same meaning as in regulation 24(2).
(a)Article 5, 15 or 36 the Health and Personal Social Services (Northern Ireland) Order 1972(13),
(b)the Mental Health (Northern Ireland) Order 1986(14),
(c)section 8 of the Carers and Direct Payments Act (Northern Ireland) 2002(15), or
(i)Articles 50 and 51 of the Education and Libraries (Northern Ireland) Order 1986(16),
(ii)Article 30 of the Education and Libraries (Northern Ireland) Order 1993(17), or
(iii)Article 3 of the Education (Student Support) (Northern Ireland) Order 1998(18).
(i)Article 17(b) of the Children (Northern Ireland) Order 1995(19) applies because the person’s health is likely to be significantly impaired, or further impaired, without the provision of services for the person, or
(b)who is accommodated outside the United Kingdom if the costs of any qualifying services are borne wholly or partly by an education authority pursuant to its powers under Article 11 of the Education (Northern Ireland) Order 1996(20).
“Health and Social Care trust” means a body as established under Article 10 of the Health and Personal Social Services (Northern Ireland) Order 1991(21), and
“the Regional Health and Social Care Board” means the body established under section 7 of the Health and Social Care (Reform) Act (Northern Ireland) 2009(22).
(a)a hospital or similar institution under the Health and Personal Social Services (Northern Ireland) Order 1972 or the Health and Personal Social Services (Northern Ireland) Order 1991(23), or
28. Subject to regulation 29, no welfare supplementary payment is payable under these Regulations for a period during which a person is in prison or detained in legal custody.
29. Regulation 26(1), 27(1) or, as the case may be, regulation 28 does not apply in respect of the first 28 days of any period during which a person is someone to whom any of those regulations apply.
These Regulations introduce welfare supplementary payments to mitigate impacts from implementation of the Welfare Reform (Northern Ireland) Order 2015 (“the Order”) as defined in the document “A Fresh Start the Stormont Agreement and Implementation Plan”.
The Regulations provide for mitigations on the introduction of Personal Independence Payment (as provided for in Part 5 of the Order).
Regulation 2 is an interpretative provision for these Regulations which provides for payments to be made to existing Disability Living Allowance claimants who are financially worse off as a result of transitioning to Personal Independence Payment.
Regulation 3 provides for payments referred to as welfare supplementary payments (Disability Living Allowance).
Part 2 makes provision for those existing Disability Living Allowance claimants who are refused Personal Independence Payment on reassessment and they subsequently appeal this decision.
Regulation 4 stipulates the eligibility criteria for welfare supplementary payments to be made under Part 2.
Regulation 5 provides that the amount of welfare supplementary payment to be made to each claimant is to be equal to the weekly amount of Disability Living Allowance they were receiving at the point of reassessment.
Regulation 6 stipulates welfare supplementary payments under Part 2 are to be paid four weeks in arrears and provides for the duration of payments.
Regulation 7 makes provision for welfare supplementary payments to cease in cases where a claimant is subsequently awarded Personal Independence Payment.
Part 3 makes provision for existing Disability Living Allowance claimants who qualify for Personal Independence Payment but at a rate lower than what they were receiving under Disability Living Allowance.
Regulation 8 stipulates the eligibility criteria for welfare supplementary payments to be made under Part 3.
Regulation 9 makes provision for welfare supplementary payments under this Part where a claimant is subsequently awarded Personal Independence Payment following an initial refusal determination.
Regulation 10 provides that the amount of welfare supplementary payment to be made to each claimant is to be equal to 75% of the amount by which the award of Disability Living Allowance exceeded the award of Personal Independence Payment at the point of reassessment.
Regulation 11 stipulates welfare supplementary payments under Part 3 are to be paid four weeks in arrears and provides for the duration of payments.
Regulation 12 makes provision for welfare supplementary payments to be impacted in the event of the Personal Independence Payment award being changed. In the case where the claimants is no longer entitled to Personal Independence Payment or the difference between the award of Disability Living Allowance and the new award of Personal Independence Payment is no longer at least £10 per week, welfare supplementary payments under this Part will cease. If Personal Independence Payment is increased the amount of welfare supplementary payment will be recalculated to reflect 75% of the financial loss incurred as a result of the new Personal Independence Payment determination. In the event that the Personal Independence Payment award is decreased the amount of welfare supplementary payment will not be recalculated and will continue at the same rate.
Part 4 makes provision for those existing Disability Living Allowance claimants who are refused Personal Independence Payment on reassessment and whose disability is as a result of a conflict related injury.
Regulation 13 stipulates the eligibility criteria for welfare supplementary payments to be made under Part 4.
Regulation 14 makes provisions for welfare supplementary payments under this Part when a claimant is not entitled to Personal Independence Payment but has been awarded between 4 and 7 points under the Personal Independence Payment assessment criteria, in either the daily living or mobility component.
Regulation 15 stipulates that in order to qualify for welfare supplementary payments under this Part the claimant must have been physically or psychologically injured as a result of, or in consequence of a violent incident in connection with the affairs of Northern Ireland. It further provides that the violent incident must have occurred between 1966 and the point of transition to Personal Independence Payment.
Regulation 16 provides that corroborative evidence must be provided by the claimant to confirm that they were involved in the conflict related incident and stipulates that the Department can consult with the Commission for Victims and Survivors where necessary.
Regulation 17 stipulates the sources of evidence from which corroborative evidence should be obtained.
Regulation 18 provides that the amount of welfare supplementary payment to be made under this Part is equivalent to either the standard rate of the daily living or mobility components, whichever is most financially advantageous to the claimant.
Regulation 19 stipulates welfare supplementary payments under Part 4 are to be paid four weeks in arrears and provides for the duration of payments.
Regulation 20 makes provision for welfare supplementary payments to cease in cases where a claimant is subsequently awarded Personal Independence Payment.
Part 5 makes provisions for certain miscellaneous matters that will impact welfare supplementary payments under these Regulations.
Regulation 21 provides for reviewing a person’s entitlement to a welfare supplementary payment.
Regulation 22 ensures entitlement to welfare supplementary payment is to be disregarded in the consideration of entitlement to social security benefits.
Regulation 23 defines entitlement by reference to residency and presence in Northern Ireland.
Regulation 24 allows periods of temporary absence from Northern Ireland to be deemed as presence for 4 weeks provided if at the beginning of the absence period that period was unlikely to exceed 52 weeks.
Regulation 25 allows temporary absence from Northern Ireland to be deemed as presence in Northern Ireland for the first 13 weeks of absence where a person is receiving medical treatment.
Regulation 26 provides that a welfare supplementary payment will not be paid where a person is a resident in a care home and the costs are being paid out of public funds.
Regulation 27 provides that a welfare supplementary payment will not be paid where a person is an inpatient in a hospital or a similar institution and the costs are being paid out of public funds.
Regulation 28 provides that a welfare supplementary payment will not be paid where a person is imprisoned or detained in legal custody.
Regulation 29 provides that in the case of care homes, hospitals and prisons welfare supplementary payments will continue to be paid for the first 28 days before they cease in accordance with Regulations 26, 27 and 28.
S.R. 1999 No. 162; regulation 53(3) was amended by regulation 7(10)(a) of SR 2005 No. 46
1992 c. 7; section 71 was amended by Article 64(1) of the Welfare Reform and Pensions (Northern Ireland) Order 1999 (S.I. 1999/3147 (N.I. (11))
Article 13 was amended by paragraph 19 of Schedule 6 to the Social Security Contributions (Transfer of Functions, etc.) (Northern Ireland) Order 1999 (S.I. 1999/671), Article 4(2) of S.I. 2014/886 and Articles 107(2), (3) and (4) and 109(6) of the Welfare Reform ( Northern Ireland) Order 2015
Article 15 was amended by paragraph 22(1) of Schedule 7 to the Child Support, Pensions and Social Security Act (Northern Ireland) 2000 (c. 4 (N.I.))
2007 c. 2 (N.I.); section 11C is inserted by Article 63(2) of the Welfare Reform (Northern Ireland) Order 2015