LH v SSWP (ESA)
Employment and support allowance (ESA) - claim for ESA is formally a claim for both income-related ESA and contributory ESA – award of support component gave rise to entitlement to income-related ESA
Summary
The claimant became entitled to contributory ESA in 2009. That award was terminated from 26 August 2011 following a decision that she did not have limited capability for work. The claimant appealed against that decision, got an award of contributory ESA pending the appeal, and on 22 March 2012 a First-tier Tribunal (‘the first tribunal’) allowed that appeal, which held both that she had limited capability for work and limited capability for work-related activity – ie, was entitled to the support component of ESA. In April 2012 the DWP (apparently unaware of the decision of the first tribunal) notified the claimant that her award of contributory ESA would terminate on 30 April 2012, because of the time-limiting provisions. The claimant ‘claimed’ income-related ESA using the enclosed Form ESA 3 but, although her contributory ESA was reinstated when it was acknowledged that she was in the support group, arrears of income-related ESA were awarded only from 30 April 2012.
The claimant appealed, on the basis that ESA was one benefit, and that the requirement to make separate ‘claims’ of the income-related and contributory allowances was merely an administrative convenience. The First-tier Tribunal (‘the second tribunal’) dismissed that argument and held that entitlement to income-related ESA arose only from the date of the alleged ‘claim’ of 30 April 2012.
Judge Rowland allowed the claimant’s further appeal. The second tribunal had erred in law in holding that ESA was not a single benefit, holding that separate claims for income-related and contributory ESA were necessary, and in not recognising that the decision of the first tribunal meant that the claimant’s award of ESA should have been increased so as to award income-related ESA from 26 August 2011 (paragraphs 12–17). Specifically, held the judge, ‘if a claimant is entitled to both a contributory allowance and an income-related allowance, there is still only one amount of employment and support allowance payable…’ (paragraph 12); also, the practice of giving claimants an opportunity to ‘claim’ either both or only one allowances merely provided the opportunity (if only one were chosen) to waive the need to consider both allowances, and ‘the legislation does not actually contemplate there being a claim for only one element of the allowance’ (paragraph 13). In this case, the effect of the decision of the first tribunal on 22 March 2012 was that the claimant was entitled to the support component in both contributory and income-related ESA, and regarding the latter, that meant she was entitled to an enhanced disability premium (paragraph 20). As that decision was effective from 26 August 2011, the inclusion of the premium had the effect that she was entitled to income-related ESA as well as contributory ESA from that date (paragraphs 18 and 21).