LS v SSWP (CPIP)
Personal independence payment (PIP) - supersession on ‘planned review’ – ability make an award beyond the expiry date of the original award
Summary
The claimant was entitled to the standard rate of the daily living component and the standard rate of the mobility component for a fixed period from 27 June 2013 to 14 January 2017. On 16 January 2016 she was notified of a ‘planned review’ of her award. Following completion of a form and a medical, a decision was made on 31 May 2016 superseding the award and removing all entitlement from the date of the supersession decision. Following an unsuccessful mandatory reconsideration, the claimant appealed. The First-tier Tribunal held that there were ‘no grounds’ for the supersession and reinstated the award up to the expiry date of 14 January 2017. But it also decided to make a reduced award beyond the expiry date, awarding only the standard rate of the daily living component.
Judge Bano held that the tribunal had erred on holding that there were no grounds for a supersession on 31 May 2016. Under regulation 26(1)(a) of the Universal Credit, Personal Independence Payment, Jobseeker's Allowance and Employment and Support Allowance (Decisions and Appeals) Regulations 2013, No.381, a supersession ground always exists where the Secretary of State has received medical evidence from a healthcare professional (or other approved person), and it was not necessary to establish a change of circumstances or any other ground for the supersession. That did not of course relieve tribunals in such cases from the need to give an adequate explanation of their decision where they had decided to part from an earlier award (paragraph 7).
There had been no error in also making an award beyond the expiry date of the original decision. Apart from the usual ability only to take into account circumstances down to the date of the supersession decision which is under appeal, the powers of the tribunal in an appeal against a regulation 26(1)(a) supersession decision were ‘not fettered in any way by the terms of the of the decision which has been superseded’. If the original award was for a fixed period which has come to an end prior to the determination of the appeal and the claimant has not made a new claim, there was ‘nothing to prevent a tribunal from making a supersession decision awarding whatever benefit it considers the claimant to be entitled to for a period extending beyond the expiry date of the original award’ (paragraph 8). On the facts of the present case, there was no dispute about the claimant’s lack of entitlement to the mobility component and, given the availability of a supersession ground from 31 May 2016, there was no reason not to remove it from that date, even though the tribunal had not erred in awarding the daily living component for a further period.
Comment from CPAG
It is worth emphasising that although receipt of a new official medical report is in itself a ground for supersession and (where the claimant has not claimed again) tribunals can revisit expiry dates in a decision, tribunals are still obliged to explain why they consider that entitlement should be changed.