DN v SSWP (DLA)
Disability living allowance (DLA) - disabled child - attention at school - night-time attention and 'substantially in excess' test
Summary
The claimant was a child aged four years. He had cerebral palsy, developmental co-ordination delay, dyspraxia and hypertonia; he also had problems with faecal leakage and medically recognised 'absences' which required intervention from an adult to rouse him to avert danger, in particular when walking outdoors. His claim for DLA (made via an appointee) was refused, a decision that was upheld by the First-tier Tribunal.
Judge Lane allowed the claimant's further appeal and remitted the case to a new tribunal. The tribunal had erred in a number of ways. Firstly, it omitted to deal with the claimant's need for extra attention at school under his statement of special educational needs. It was well established that extra attention a child receives of this sort may qualify as attention in connection with bodily functions, and that cognition was an aspect of the working of the brain (paragraph 5). The Secretary of State had submitted a rough calculation that this extra attention amounted to about 43 minutes per day [inadvertently stated as 43 minutes per week in the transcript]. The judge held it was possible the claimant may qualify for the care component. Regarding the low rate and care for a 'significant portion of the day', the judge pointed out that 'it is not enough following R(DLA) 5/05 for a Tribunal simply to say that 'an hour' is a significant portion of the day' (paragraphs 7-8).
Regarding the claimant's 'absences', the tribunal also failed to apply authority (ROLA 4/01) that attention out of doors could also amount to supervision or guidance and count for the lower rate of the mobility component. Attention in connection with bodily functions may arise indoors or outdoors, and while walking (paragraphs 9-10). Regarding faecal leakage, the tribunal found that the problems mostly arose during the day, were infrequent at night and that the child could wear nappies to minimise the need for attention. The judge could see nothing wrong with those findings. However, the tribunal also said that any night-time needs were not, as required, 'substantially in excess' of a non-disabled child of the same age and sex, as any four-year-old child would need help in dealing with incontinence. That was the wrong approach, as it missed the fundamental point that only a small percentage of four-year-old children were faecally incontinent: the 'real question to ask' was whether the child's needs from faecal incontinence at night were 'substantially in excess', not the actual need for the changing of clothes and bedding (paragraphs 17-19). However, on the facts of this case, that was not a material error, as the judge accepted that the facts meant that the 'incidents of night-time incontinence were simply insufficient to qualify for benefit and could be offset by using nappies (paragraph 20).
Comment from CPAG
This is a useful restatement of the relevance of attention needs at school, and the correct application of the 'substantially in excess' test. See also the article on p8.