Other Awards in Respect of Disablement

AuthorAndrew Bano
Pages67-80

Chapter 9


Other Awards in Respect of Disablement

CONSTANT ATTENDANCE ALLOWANCE AND ASSOCIATED BENEFITS
Constant attendance allowance
Entitlement and rates of allowance
9.1 Prior to 2001, the SPO 1983 provided for entitlement to constant attendance allowance at two rates, but in the exercise of his discretion1the Secretary of State paid the benefit at one of four rates, depending on the level of attendance which was required. Following consultation, the position was formalised by amendments to the SPO 19832providing for payment of constant attendance allowance at four rates, thus giving a right of appeal in respect of any decision concerning the allowance. Article 8 of the SPO 2006 now provides that a claimant whose disablement has been assessed at 80% or more and who requires constant attendance on account of the disablement is entitled to constant attendance allowance3at one of four rates:4

(i) the part day rate where the necessary attendance consists of frequent or regular attendance for periods during the daytime which total not less than 4 and not more than 8 hours per day;

(ii) the full day rate where the necessary attendance consists of:

1See para 1.9.

2By the Naval, Military and Air Forces Etc. (Disablement and Death) Service Pensions

Amendment Order 2001 (SI 2001/409).

3SPO 2006, art 8.

4The amount of each rate of constant attendance allowance is set out in SPO 2006, Sch 1, Pt IV.

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(a) frequent or regular attendance for periods during the daytime which total not less than 8 and not more than 16 hours per day; or

(b) frequent or regular attendance for periods during the daytime which total less than 8 hours per day and attendance on two or more occasions per night;

(iii) the intermediate rate where the necessary attendance consists of:

(a) frequent or regular attendance for periods during the daytime which total not less than 8 hours per day and attendance on two or more occasions per night; or

(b) frequent or regular attendance for periods at night which total not less than 8 hours and during the daytime for periods which total not less than 4 hours per day;

(iv) the exceptional rate where the necessary attendance consists of continual attendance throughout the day and night.

In Secretary of State for Defence v CM (WP),5Judge Rowland held (at [107]) that, while article 8 did not directly address dual causation in relation to constant attendance allowance, consideration of whether the accepted disablement was the main factor in the overall need for attendance was an approach which was capable of taking into account the extent to which different disabilities might interact with one another. By an amendment to the SPO 2006 introduced in 2009,6a claimant with a terminal illness7is deemed to satisfy the conditions of entitlement to constant attendance allowance at the intermediate rate for any period of the illness after the date of claim.

Satisfying the attendance requirements
9.2 In MC v Secretary of State for Defence,8Judge Levenson held that for the purposes of constant attendance allowance, ‘attendance’ can include supervision which is precautionary or anticipatory, as well as actual attention to a claimant and, following the leading social security case of Secretary of State v Fairey,9the judge held that attention is ‘necessary’ if it is reasonably required to

5[2017] UKUT 8 (AAC), [2017] AACR 27.

6By Naval, Military and Air Forces Etc. (Disablement and Death) Service Pensions (Amendment)
Order 2009 (SI 2009/706), art 3(b).

7Defined in SPO 2006, Sch 6, para 58A as ‘a progressive disease where, in consequence of that disease, death can reasonably be expected within 6 months’.

8[2009] UKUT 173 (AAC).

9[1997] 1 WLR 799, 806.

enable a severely disabled person to lead as far as reasonably possible a normal life. Neither the word ‘constant’ nor the word ‘continual’ means literally non-stop or uninterrupted, and ‘constant’ is not an independent condition, but a reference to the more detailed provisions in the conditions of entitlement to each of the various rates of constant attendance allowance. The same judge held in CAF/1268/201110that an award of constant attendance allowance cannot be based on problems other than those accepted for the purposes of the war pension disablement assessment. In WS v Secretary of State for Defence (WP),11Judge

Knowles QC (as she then was) held that point (iii) (a) in para 9.1 is only satisfied if a claimant requires attendance on two or more occasions each night, together with frequent or regular attendance for periods during the daytime totalling not less than 8 hours each day, i.e. that attendance which is required on two or more occasions on some nights is not enough.

Exceptionally severe disablement allowance
9.3 Claimants with a permanent disablement who are in receipt of constant attendance allowance at either the intermediate rate or the exceptional rate, or would be if they were not in a hospital or similar institution,12are entitled to exceptionally severe disablement allowance,13payable at the same rate as the full day rate.

Severe disablement occupational allowance
9.4 Claimants who receive constant attendance allowance at either the intermediate rate or the exceptional rate and who are ordinarily employed in a gainful occupation are entitled to severe disablement occupational allowance14

except during periods when they are:

(i) eligible to receive a personal unemployability allowance;15

(ii) in receipt of a ‘personal benefit’ under Part 2 or Part 3 of the Social Security Contributions and Benefits Act 1992 or the corresponding benefits in Northern Ireland, i.e. retirement pension and certain other

10Unreported.

11[2015] UKUT 0557 (AAC).

12See para 11.9 regarding the suspension of benefit during periods while a claimant is in hospital or in an institution.

13SPO 2006, art 9.

14SPO 2006, art 10.

15See para 9.7.

70 War Pensions and Armed Forces Compensation – Law and Practice

category A or B retirement pensions,16incapacity benefit, severe disablement allowance, carer’s allowance, and employment and support contributory allowance;17

(iii) in receipt of a state pension under Part 1 of the Pensions Act 2014;18

(iv) in receipt of a non-UK benefit similar to a personal benefit.

Constant attendance allowance under earlier schemes
9.5 Article 71(4) of the SPO 2006 provides for recipients of constant attendance allowance under previous schemes to be paid at the rates specified by Part IV of Schedule 1.

CLOTHING ALLOWANCE
9.6 Recipients of retired pay or a pension are entitled to clothing allowance19

if either:

(i) they are in receipt of retired pay or pension in respect of an amputation and regularly wear an artificial limb; or

(ii) as a result of the disablement which gives rise to an award there is exceptional wear and tear of the claimant’s clothing.

In CAF/656/2006,20Judge Bano held that the matters for the tribunal to decide in considering a claim for clothing allowance under article 11(2) of the SPO 2006 were: (i) whether an accepted disablement and any other condition which resulted from that...

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