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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 >> B, R (on the application of) v Cornwall Council & Anor [2010] EWCA Civ 55 (09 February 2010) URL: http://www.bailii.org/ew/cases/EWCA/Civ/2010/55.html Cite as: (2010) 13 CCL Rep 117, [2010] EWCA Civ 55 |
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ON APPEAL FROM THE QUEEN'S BENCH DIVISION
ADMINISTRATIVE COURT
Mr Justice Hickinbottom
Strand, London, WC2A 2LL |
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B e f o r e :
Vice-President of the Court of Appeal, Civil Division
LORD JUSTICE HOOPER
and
LORD JUSTICE MOORE-BICK
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The Queen on the Application of B |
Respondent |
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- and - |
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Cornwall Council & Anr |
Appellant |
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WordWave International Limited
A Merrill Communications Company
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Nathalie Lieven QC and Nick Armstrong (instructed by Cornwall Council) for the Appellant
Hearing date : 8th December 2009
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Crown Copyright ©
Lord Justice Waller :
"Once a person's care needs have been assessed and a decision has been made about the care to be provided, an assessment of ability to pay charges should be carried out promptly, and written information about any charges assessed as payable, and how they have been calculated should be communicated promptly."
"35. Therefore, by 4 June (about a week after B's May assessment):
(i) The Authority had identified a major problem in the assessment to charging of those service users who had transferred over from the Trust. The levels of assessment were much lower than the levels for those service users who were already being provided similar services by the Authority.
(ii) Two reasons for this discrepancy had been identified by the Authority. First, the assessors had allowed as DRE items which could not fall within that category of expenditure. Second, the assessors had allowed as DRE items which could fall within that category but which were not evidenced as the Authority required from other users. Evidence was lacking in respect of both the identification of expenditure as reasonable DRE, and also quantum (receipts and bills).
(iii) Concern was expressed over the content of the care plans: as to what should fall within the care plan, and what should not.
(iv) In the circumstances, it was proposed that there be transitional arrangements to enable the Authority to do further work on the care plans, and also do further work on ensuring that DRE was properly evidenced.
36. It was agreed that every assessment would be reviewed as a paper exercise - and a letter would go out to all service users affected informing them that there would be no contribution before October 2008, and that assessed charges would be communicated by the end of July 2008.
37. That letter was sent out on 30 June, in the following terms:
"You have recently been visited, or very soon will be, by a person from the [DASC]. This person will look at how much you will need to pay towards your support.
Not long ago we met in Adult Social Care to think about how much money you may need to pay towards the cost of your support. You will not need to pay any money at all until October 2008.
We will send you another letter at the end of July to explain how much you will have to pay and how this will work.""
"38. Mr & Mrs B say that they never received this letter. In any event, had they received it, they would not have been discomforted by it nor gained much from it. They had been seen by Ms Colliver at the end of May: they considered her to be competent in making financial assessments: and B's contribution had been assessed at nil. In this letter there was nothing to suggest that that assessment was wrong - as the Authority considered it to be by this time - or that a fundamental review of the assessments was under way, or that the assessment might shortly change dramatically upwards. This letter was, at best, unhelpful: and at worst positively misleading as to the then current position. Had it been received, it would have done nothing to alert Mr & Mrs B as to what might be on the way."
"64. First, in my judgment, the Authority acted unlawfully in failing to engage with Mr & Mrs B as they ought to have done, and as the Community Care Assessments Directions 2004 and 2003 Guidance in particular required them to do. As Ms Colliver at least apparently sought to do in May 2008, with Mr & Mrs B, they ought to have identified B's needs and the actions that they proposed to take to alleviate those needs, and then considered the question of whether the costs of such steps were properly DRE. The May assessment form indicated that Ms Colliver (an experienced Senior Financial Officer, used to making such assessments) was satisfied that the expenses identified in the form were reasonable DRE and were expenses that had been or were going to be incurred. She came to that view with the benefit of having met both Ms Curnow and Mr & Mrs B, and discussed the relevant needs and steps with them. In July/August, the Authority were in breach of the relevant Directions and guidance in performing an assessment without engaging with Mr & Mrs B at all, particularly as the reassessment increased the charges considerably. In the light of the May assessment - and Ms Colliver's views on what of B's expenditure constituted DRE - that breach cannot be considered immaterial. To be fair to Dr Armstrong, he did not seek to defend this lack of engagement. His submission went to the steps the Authority took after the decision, which (he submitted) rescued them in terms of merits. The Authority quickly realised that they had not done enough to communicate with service users in relation to the charges, and they sent out a statement from Mr Fripp apologising and arranged a meeting to address concerns (see Mr Fripp Statement 11 February 2009, Paragraph 12). But those post-decision steps cannot make valid an unlawful decision. In any event, I do not accept that B has not suffered prejudice, for the reasons I give below.
65. Second, there is no doubt that the Authority's approach to their decision of 8 August was, at least in part, defective. Although Dr Armstrong said that the Authority's view now was that they merely required evidence that expenditure in each of the claimed categories was DRE and they would allow it, that was not their approach at the time. In his letter of 1 October 2008 to B's solicitors, Mr Fripp said this of the holiday item:
"As you will see from our [DRE] guidance, holidays and trips out are not specifically mentioned. This is because the Department does not consider either as essential expenditure needed for independent living and is treated as a discretionary purchase."
That is of course a reference to the pre-December 2008 guidance of the Authority, (referred to in Paragraph 15 above). In this letter, Mr Fripp was clearly referring to the additional costs of a holiday as the result of a service user's requirement for a carer (i.e. the costs of a carer's travel, accommodation, food, etc, and a charge relating to that carer's wages), and not the service user's own costs of travel, accommodation, food etc - because he was responding to the letter of 11 September from B's solicitors which made clear that the former were the only holiday costs being claimed.
66. Mr Fripp's letter betrays a number of errors of approach. First, as the Authority accepted through their Counsel Dr Armstrong at the hearing before me, additional expenses of a holiday (such as those of an accompanying carer) which are all that B claims, may be DRE: and before me Dr Armstrong accepted that there was probably enough evidence in this case so to classify them Certainly it is not correct to say, as Mr Fripp did, that such expenses are incapable of being DRE, irrespective of the evidential basis. Second, the Authority's guidance is only guidance. As I indicate above (Paragraphs 15-16), the Authority's guidance before December 2008 had no reference to holidays: after November 2008, there was reference to one week and a maximum cost of £500. But each of these guides can be no more than that: they must be capable of being overridden if (for example) a service user has evidence, perhaps from a medical practitioner, that two weeks of holiday is necessary for a particular individual as needed for independent living. The discretion - and proper judgment - that lies in the Authority cannot be bound by the guidelines, as Mr Fripp suggests. Third, the indication that holidays can never be regarded as DRE at least heavily suggests that Mr Fripp's approach to the parameters of "essential expenditure needed for independent living" is flawed - because on any proper view such expenditure must be capable of being DRE.
67. Third, I do not consider that the Authority's approach to B's care plans, in context, was lawful. Care plans cannot be viewed in isolation, as Mr Coppel invited me to do. They have to be viewed in the whole context of a case. That is what Sedley J referred to in Rixon (see Paragraph 12 above), and there are reflections of the same point in the judgment of Hallett LJ in (e.g. at Paragraph 72). Mr Coppel is of course right that, with the benefit of hindsight, the care plan documents could have been fuller. Indeed, they do not fully comply with the guidance in terms of content. Ms Harvey appears to have recognised that the relevant care plans needed work doing on them, before a full charges assessment could be made, e.g. (see her email to Mr Fripp of 6 June 2008 quoted at paragraph 36 above). The responsibility for doing that further work fell upon the Authority. Whilst I appreciate - and endorse - the comments of Hallett LJ about the caution with which adverse judgment should be passed upon a particular care plan (Ireneschild, Paragraph 71), in my judgment it was not open to the Authority in this case to refuse to accept expenditure as DRE on the basis that the required need was not evidenced in B's care plan, whilst at the same time identifying defects in that plan and failing in their duty to consult Mr & Mrs B who may have been able to provide the evidence lacking in the care plan itself.
68. Fourth, it is for the Authority to assess eligible needs. That is their statutory duty under Section 47 of the 1990 Act. Of course, if requested to do so, a service user must provide evidence that DRE has actually been expended (by the provision of receipts, bills etc), and that is the specific reference to the provision of evidence in the 2003 Guidelines (see Paragraph 13(ix) above). Furthermore, it is right that the views of the service user and family carers are sought as to his needs and the steps the authority propose to take in respect of those needs. The relevant guidance requires that. The user may of course also be able to produce evidence of a particular need. But the authority cannot avoid its obligation to assess needs etc by failing to make an appropriate assessment themselves, in favour of simply requiring the service user himself to provide evidence of his needs. In this case, so far as the August assessment is concerned, I am afraid the Authority appears to have abrogated its obligation in that way. Ms Harvey appears to have accepted that the care plan fell short. In any event, I consider the Authority acted unlawfully by disallowing expenditure as DRE on the basis that B had failed to evidence the expenditure as DRE to their satisfaction whilst they gave B (effectively Mr & Mrs B) no opportunity to make good that perceived evidential deficit. In the Authority's own guidance, it is suggested that, if evidence is not forthcoming, then the Finance Officer should ask for it to be produced at the next charges review. Whilst that appears to be concerned with evidence of expenditure (receipts, bills etc), there is no suggestion in that guidance that a failure to produce evidence should be fatal, and that no opportunity should be allowed to correct evidential deficits.
69. Fifth, even looking at the care plan documents alone - i.e. without the benefit of any input from Mrs & Mrs B, or Ms Curnow - I do not accept that there is no evidence supporting the relevant heads of expenditure as DRE. Homestay costs is the largest item (£32.31 per week). The Authority's own guidance presupposes claims will be made by family carers (see Paragraphs 15-16 above). The care plan documents are replete with indications that B's family is important to him with regard to relationships: and also that he needs 24 hour support (for example, in the October 2007 document, see Paragraph 26 above: and the February 2008 Care Plan makes clear that: "Other than when he needs medical treatment [B] needs a support worker with him"). There is evidence that the money payments are indeed made to Mr & Mrs B. Whilst I appreciate that weight of evidence is for the Authority as decision maker, it is not right to say there is no evidence in support of this item in the care plan documents: and they have not indicated why this evidence is inadequate and what further evidence they require before accepting this item as DRE. That is why engagement with Mr & Mrs B, required by the guidance, is so important.
70. I accept that the evidence in the care plan documents in relation to some of the other items is not as strong. However, for example, in the April 2008 document, there is reference to his swimming 1-3 times per week, under the heading "Details of changes/progress" in relation to his physical well-being. Whilst there does not seem to be any written evidence from medical practitioners about the benefits of reflexology and aromatherapy, one does not know what evidence Mr & Mrs B or Ms Curnow may be able to give, particularly if as presaged in the care plan documents Ms Curnow has seen B's medical practitioner about his depression. These are enquiries the Authority ought to have made before making their August 2008 assessment.
71. For these reasons, I find that the charging decision in the letter of 8 August 2008 was unlawful.
72. That takes me on to appropriate relief.
73. I will certainly hear submissions in relation to relief, if and when appropriate, and in relation to directions in the meantime. However, the most important and urgent thing is for a proper charging assessment to be made by the Authority in relation to B, on the basis of the legal guidance contained in this judgment. That should not be difficult for them, because during the course of these proceedings, they appear to have recognised at least some of their deficiencies in making the August assessment. They will need to engage properly with Mr & Mrs B, who will, I am confident, cooperate with the Authority in the exercise. If necessary, I can give directions to ensure that that engagement is productive. However, I understand that meetings have already been arranged between Mr & Mrs B and the Authority. In the circumstances, subject to any further submissions, I would propose to stay this claim until 1 May 2009 with permission to apply, to allow those discussions to proceed. I reserve any further application in relation to this matter to me."
Lord Justice Hooper :
Lord Justice Moore-Bick :