Travelling Expenses and Remission of Charges Regulations (Northern Ireland) 2004
PART IGENERAL AND INTRODUCTION
Citation and commencement1.
These Regulations may be cited as the Travelling Expenses and Remission of Charges Regulations (Northern Ireland) 2004 and shall come into operation on 6th April 2004.
Interpretation2.
In these Regulations –
F1“annuity contract” means a contract that provides for periodic payments starting from a stated or contingent date and continuing for a fixed period or for the life of the annuity;
“appropriate office” means an office of the Department for Social Development;
“capital limit” –
(a)
(b)
F2“child” means a person under the age of 16;
“claimant” means a person who makes a claim for remission, payment or repayment in accordance with regulation 7 or 10;
“couple” means a married couple or unmarried couple as specified under section 133 of the Social Security Contributions and Benefits (Northern Ireland) Act 1992;
“date of claim” means the date on which a claim made under regulation 7 or regulation 10 is received in an appropriate office or by the Department;
F3“dependant child or young person” means any child or young person who is treated as the responsibility of the claimant or his partner, where that child or young person is a member of the claimant’s household;
“doctor” means a medical practitioner;
F4“earnings” has the meaning given in regulations 35 and 37 of the Income Support Regulations
“family” has the meaning assigned to it by section 133(1) of the Social Security Contributions and Benefits (Northern Ireland) Act 1992 as it applies to income support, except that –
(a)
(b)
F5in regulation 5(1) (cc), in relation to a person who is receiving income–related employment and support allowance it has the meaning given in regulation 2 of the Employment and Support Allowance Regulations (Northern Ireland) 2008
(c)
(d)
F6“household” means –
(a)
a group of people who have a common address as their only or main residence and who either share one meal a day or share the living accommodation at that residence; or
(b)
the only or main residence of a single person who does not share either one meal a day or the living accommodation at that residence with another person;
“HS charge” has the meaning given in regulation 4;
“HS travel expenses” has the meaning given in regulation 3;
F7“income–related employment and support allowance” means an employment and support allowance, entitlement to which is based on section 1 (2)(b) of the Welfare Reform Act (Northern Ireland) 2007
“the Income Support Regulations” means the Income Support (General) Regulations (Northern Ireland) 1987;
“Order” means the Health and Personal Social Services (Northern Ireland) Order 1972;
“partner” means where a claimant –
(a)
is a member of a married or an unmarried couple, the other member of that couple;
(b)
is married polygamously to two or more members of his household, any such member;
“pension credit savings credit” shall be construed in accordance with sections 1 and 3 of the State Pension Credit Act (Northern Ireland) 2002;
F9“personal pension scheme” has the meaning given by section 1 of the Pension Schemes (Northern Ireland) Act 1993;
“provider” means the provider of any services mentioned in regulation 3(1)(a);
“relevant date” means –
(a)
in the case of a claim under regulation 7, the date of the claim; and
(b)
in the case of a claim under regulation 10(2), the date when the HS charge or HS travel expenses were paid;
“relevant income” has the same meaning as in section 7(3) of Part I of the Tax Credits Act 2002;
F10“residential care home” has the meaning assigned to it by Article 10 of the Health and Personal Social Services (Quality, Improvement and Regulation) (Northern Ireland) Order 2003.
“severe disability element” means the severe disability element of working tax credit as specified in section 11(6) of the Tax Credits Act 2002;
F11“single person” means a person who does not have a partner and is not responsible for, and is not a member of the same household as, a child or young person;
“trade dispute” has the same meaning as in Article 2(2) of the Jobseekers (Northern Ireland) Order 1995;
“week” means a period of 7 days beginning with midnight between Saturday and Sunday;
F12“young person” has the meaning prescribed in regulation 14 of the Income Support Regulations;
HS travel expenses3.
(1)
In these Regulations “HS travel expenses” means the travelling expenses which a person necessarily incurs –
(a)
in attending –
(i)
a hospital
(ii)
any other establishment managed by a HSS Trust, or
(iii)
any other place in the United Kingdom,
for the provision of any services (except F13primary medical services provided under Part VI of the Order or personal dental services provided under Article 15B of the Order) under the care of a consultant in accordance with the Order.
(2)
HS travel expenses include the travel expenses of a companion in a case where the person to whom the services are provided is either –
(a)
a child; or
(b)
a person whose medical condition is such that, in the opinion of a doctor involved in the provision of the services or, where appropriate, another health care professional so involved, a companion is necessary.
(3)
HS travel expenses include the travel expenses necessarily incurred or to be incurred by a person –
(a)
who is a relative of a person transferred to Great Britain for the purpose of availing himself of accommodation or services arranged under the Order; or
(b)
who is a relative of a person transferred to the Republic of Ireland for the purpose of availing himself of accommodation or services arranged under the Order; or
(c)
who is the relative of a person ordinarily resident in Northern Ireland who requires hospital treatment while in the Republic of Ireland, and in such cases travelling expenses will be payable only where –
(i)
the patient has been certified by the doctor in charge of his case to be dangerously ill; or
(ii)
the patient, because of his medical condition, cannot be transferred to a hospital in Northern Ireland and the doctor in charge of the case certifies that the visit of the relative is necessary or expedient on medical grounds for the success of his treatment.
(4)
A person who wishes to rely on entitlement to HS travel expenses must –
(a)
unless he is a person who by virtue of regulation 5(1) is not required to make such a claim, make a claim to entitlement under regulation 7; and
(b)
make an application for payment of HS travel expenses under regulation 9.
(5)
The amount of any HS travel expenses to which a person is entitled under these Regulations –
(a)
must be calculated by reference to the cost of travelling by the cheapest means of transport which is reasonable having regard to the person’s age, medical condition and any other relevant circumstances; and
(b)
where travel is by private car, may include a mileage allowance and car parking expenses.
Remissible HS charges4.
(1)
In these regulations “HS charge” means any charge which would otherwise be payable –
(a)
in accordance with regulations made under Article 98 of, and Schedule 15 to, the Order, for the supply of drugs, medicines, appliances and pharmaceutical services;
(b)
in accordance with regulations made under Article 61 of the Order, for the supply of dentures and other dental appliances; and
(c)
(2)
A person who wishes to rely on entitlement under these Regulations to remission of a HS charge must –
(a)
unless he is a person who by virtue of regulation 5(1) is not required to make such a claim, make a claim to entitlement under regulation 7 or regulation 10; and
(b)
provide any declaration or evidence of entitlement which is required under the Charges Regulations.
PART IIENTITLEMENT TO PAYMENT OF HS TRAVEL EXPENSES AND REMISSION OF HS CHARGES
Entitlement to full remission and payment5.
(1)
Subject to paragraph (3), a person is entitled, without making a claim under regulation 7 (Claims to entitlement), to the payment in full of HS travel expenses and the full remission of a HS charge if –
(a)
he is receiving income support;
(b)
he is receiving income based jobseeker’s allowance;
(c)
he is receiving pension credit guarantee credit;
F14(cc)
he is receiving income–related employment and support allowance;
(d)
he is a member of the same family as a person who is receiving income support, income based jobseeker’s allowanceF15, income–related employment and support allowance or pension credit guarantee credit; or
(e)
he is a member of a family one member of which is receiving –
(i)
working tax credit and child tax credit,
(ii)
working tax credit which includes a disability element or severe disability element, or
(iii)
child tax credit, but is not eligible for working tax credit,
provided that the relevant income of the member to whom the tax credit is made under section 14 of the Tax Credits Act 2002 is determined at the time of the award not to exceed F16£15,050.
F17(2)
Subject to paragraph (3), the following persons are entitled to the payment in full of HS travel expenses and the remission in full of a HS charge but are required to make a claim for such payment or remission in accordance with regulation 7 (Claims to entitlement)—
(a)
a person who lives permanently in accommodation arranged under Article 15 (General Social Welfare) or Article 36 (Provision of accommodation in premises maintained by voluntary organisations, etc.) of the Order, and who has satisfied the Department that he is unable to pay for that accommodation at the standard rate or, as the case may be, the full rate;
(b)
an asylum-seeker for whom support is provided under Part VI of the Immigration and Asylum Act 1999;
(c)
a member of the same family as an asylum seeker described in sub-paragraph (b);
(d)
a relevant child within the meaning of Article 34B of the Children (Northern Ireland) Order 1995 whom a responsible authority is supporting under Article 34C of that Order;
(e)
any other person who satisfies the Department in accordance with Part V that his capital resources do not exceed the capital limit and that his income resources do not exceed his requirements or exceed his requirements by fifty per cent or less of the amount of the charge specified in regulation 3(1)(b) (supply of drugs and appliances by chemists) of the Charges Regulations; and
(f)
a member of the same family as a person described in sub-paragraph (e).
(3)
A persons entitlement under paragraph (1) or (2) arises only where he is of a description mentioned in either of those paragraphs at the time when –
(a)
the charge is made;
(b)
the HS travel expenses are incurred; or
(c)
in the case of a charge for the supply of a denture or other dental appliance mentioned in regulation 4(1)(b) or for dental treatment mentioned in regulation 4(1)(c), either –
(i)
the arrangements for the treatment or course of treatment are made, or
(ii)
the charge is made.
Entitlement to partial remission and payment6.
(1)
Subject to paragraphs (2) to (4), a person is entitled to the payment in part of any HS travel expenses and remission in part of a HS charge provided that at the time the travel expenses are incurred or the charge is made –
(a)
his capital resources do not exceed the capital limit; and
(b)
either –
(i)
his income resources exceed his requirements by less than a third of the charge or, as the case may be, by less than the travel expenses F18incurred in any week , or
(ii)
he is a member of the family of a person described in sub-paragraph (b)(i),
but is required to make a claim for such remission or payment in accordance with regulation 7 (Claims to entitlement).
(2)
In the case of a HS charge mentioned in regulation 4(1)(a), the entitlement under paragraph (1) to partial remission applies only to a charge for the supply of an appliance specified in Schedule 1 to the Charges Regulations (Charges for Fabric Supports and Wigs) and not to a charge for any other appliance or for drugs, medicines or pharmaceutical services.
(3)
Subject to paragraph (4), the amount to which a person is entitled under paragraph (1) is –
(a)
in the case of a HS charge, the difference between the charge and three times the amount by which his income resources exceed his requirements; and
(b)
in the case of recoverable travel expenses, the difference between the amount of the expenses incurred and the amount by which his income resources exceed his requirements.
(4)
In the case of a HS charge –
(a)
for dental treatment or for the supply of a dental appliance provided as general dental services under Part VI of the Order, or
(b)
for dental treatment provided as personal dental services under Part II of the Health Services (Primary Care) Order (Northern Ireland) 1997,
the charge which is partially remissible under this regulation and which must be used for the purposes of the calculation required under paragraph (3)(a) is the charge made for one course of treatment, including any charge made for a dental appliance supplied in that course of treatment.
Claims to entitlement7.
(1)
Subject to paragraph (3), a person who wishes to claim entitlement under regulation 5 (entitlement to full remission and payment) or regulation 6 (entitlement to partial remission and payment) must make a claim to the Department on a form provided or approved for the purpose by the Department.
(2)
On a claim under paragraph (1), the claimant must provide such evidence and information as the Department may reasonably request within such time as the Department may reasonably request.
(3)
A claim may be made on behalf of another person where that person is unable, by reason of mental or physical incapacity, to make the claim himself.
(4)
Where a claimant does not comply with the Department’s requests in respect of evidence, information and timing mentioned in paragraph (2), the Department may notify the claimant that the claim will not be determined and must be regarded as closed.
Notices of entitlement8.
(1)
Where the Department determines, on a claim made under regulation 7 (Claims to entitlement), that the claimant and any member of his family is entitled to any remission of a HS charge or any payment in respect of HS travel expenses, it must issue a notice of entitlement to the claimant.
(2)
Where a person is entitled to full remission of a HS charge and payment in full of HS travel expenses on the grounds only that he is a member of a family described in regulation 5(1)(d) (tax credit families), the Department must issue a notice of entitlement to that family and in such a case the notice shall apply to all members of that family.
(3)
A notice of entitlement issued under paragraph (1) applies to all members of the claimant’s family and must state –
(a)
whether those persons are entitled to full or partial remission or payment;
(b)
in the case of partial remission or payment, the amount of any HS charge or HS travel expenses for which there is no entitlement to remission or payment.
(4)
A notice of entitlement issued under paragraph (1) or paragraph (2) must state the length of time for which it is valid and the dates on which that time begins and ends.
(5)
A notice of entitlement issued under paragraph (1) is valid for 12 months beginning on the date on which the claim was made except that –
(a)
in the case of a notice issued to a full time student in the final or only year of a course of study, it is valid from the date of the claim until the last day of that course;
(b)
in the case of a notice issued to a person mentioned in regulation 5(2)(b) (asylum seeker), it is valid for 6 months beginning on the date of the claim.
F19(c)
in the case of a notice issued to a person mentioned in paragraph (5A) it is valid for the length of time specified in that paragraph.
F20(5A)
A notice of entitlement issued under paragraph (1) is valid for 5 years beginning on the date of the claim where the claimant is –
(a)
a single person aged not less than 65; or
(b)
one of a couple where one partner is aged not less than 60 and one partner is aged not less than 65;
who does not receive any –
(i)
earnings;
(ii)
payments from an occupational pension scheme;
(iii)
payments from a personal pension scheme; or
(iv)
payments from annuity contracts.
(5B)
Paragraph (5A) does not apply to a person who has a dependant child or young person as a member of his household.
(6)
A notice of entitlement issued under paragraph (2) is valid from such date and for such period as the Department may determine.
(7)
Subject to paragraphs F21(7A), (9) and (10), any change in the financial or other circumstances of a claimant, or of any member of his family, during the life of a notice of entitlement shall not affect its validity in respect of that period or, in the case of partial remission or payment, the amounts referred to in paragraph (3)(b).
F22(7A)
A claimant who is issued with a notice of entitlement which falls under paragraph (5A) must notify the Department of any change in the composition of his family or household during the life of the notice of entitlement and the Department may withdraw the notice of entitlement or vary the amounts referred to in paragraph (3)(b) stated on the notice of entitlement if the claimant no longer meets the requirements of paragraphs (5A) and (5B).
(8)
A claimant who is issued with a notice of entitlement to partial remission may make a further claim in accordance with regulation 7 at any time during the life of the notice if he considers that by reason of a change in his financial circumstances or those of any member of his family the amounts referred to in paragraph (3)(b) should be reduced.
(9)
A claimant to whom a notice of entitlement has been issued under this regulation must return it to the Department in any case where his claim is subsequently found to have been based on a false representation.
(10)
A notice of entitlement issued under this regulation is effective only for the purpose of entitlement to remission of charges and payment of travel expenses in accordance with these Regulations.
PART IIIPAYMENTS AND REPAYMENTS
Payment of HS travel expenses9.
(1)
Subject to paragraphs (2) to (4), where a person is entitled in accordance with regulation 5 or 6 to a payment in respect of HS travel expenses –
(a)
he must make an application for payment to the provider; and
(b)
the provider must calculate the actual amount payable in accordance with these Regulations and make the payment.
(2)
(3)
A person who makes an application for payment in respect of HS travel expenses must sign a declaration of entitlement and provide such evidence of his entitlement and of his travel expenses as the provider, or as the case may be the health service body which made the arrangements, may require.
(4)
Payment of HS travel expenses may be made before the expenses are incurred.
Claims for repayment10.
(1)
A person who is entitled under these Regulations to full or partial remission of a HS charge or to full or partial payment in respect of HS travel expenses and who pays such a charge or such travel expenses without exercising his right to remission or payment, is entitled to be repaid that amount which would have been remitted or paid.
(2)
A person who wishes to exercise his right to repayment under paragraph (1) must make a claim to the Department on a form provided or approved by the Department for this purpose.
(3)
A claim under paragraph (2) must be made within three months of the date on which the payment of the HS charge or the HS travel expenses was made or within such longer period as the Department may for good cause allow.
(4)
Paragraphs (2) to (4) of regulation 7 (Claims to entitlement) apply to a claim under this regulation.
Repayments11.
(1)
Where the Department is satisfied that a claimant is entitled to any repayment under regulation 10, it must –
(a)
in the case of a repayment to be made –
(i)
in respect of a charge made by an HSS trust for an appliance specified in Schedule 1 to the Charges Regulations (Charges for Fabric Supports and Wigs), calculate the amount payable and notify in writing the HSS trust of the claimant’s entitlement and the amount to be paid,
(ii)
in respect of HS travel expenses incurred by a person in attending a hospital or any other place managed by an HSS trust notify in writing the HSS trust of the claimant’s entitlement; or
(b)
in any other case, cause a repayment to be made to the claimant in such manner as appears to the Department to be appropriate in the circumstances of the particular case.
(2)
Where a HSS trust receives notification as mentioned in paragraph (1), it must calculate any amount payable in respect of HS travel expenses in accordance with these Regulations and make any repayment due to a claimant in respect of such travel expenses or HS charge.
(3)
A person who is entitled to repayment in respect of HS travel expenses must sign a declaration of entitlement and provide such evidence of his entitlement and of his travel expenses as the health service body which is making the repayment may require.
Reimbursement of payments made in respect of HS travel expenses12.
Where a provider makes a payment under regulation 9(1) or (2) or a repayment under regulation 11(1)(a), in respect of HS travel expenses incurred by a person who is receiving services from the provider, the amount of the payment or repayment in question may be reimbursed to the provider by the health service body for which those services are provided.
PART IVCALCULATION OF RESOURCES AND REQUIREMENTS
General13.
(1)
Where it is necessary that the resources or requirements of a person should be calculated for the purposes of these Regulations, they must be calculated by the Department according to the provisions of this Part and Schedule 1.
(2)
The resources and requirements of a person must be calculated –
(a)
in the case of a claim made under regulation 7 (Claims to entitlement) by reference to his resources and requirements at the date of claim; or
(b)
in the case of a claim for repayment made under regulation 10(2) (Claims for repayment) by reference to his resources and requirements at the date when the HS charge or HS travel expenses were paid.
(3)
Where a claimant is a member of a family, the resources and requirements of the other members of his family must be calculated in the same manner as those of the claimant and must be taken into account as if they were his resources and requirements, and in this Part and in the provisions referred to in Schedule 1, any reference to the claimant includes the other members of his family.
(4)
In a case where the earnings of any person are to be calculated and those earnings have been affected by a trade dispute, the earnings to be taken into account are the earnings which that person would have received if there had been no trade dispute.
(5)
In the application of the Income Support Regulations as mentioned in regulation 14 and regulation 15, the provisions of those Regulations shall be applied as if –
(a)
references to income support were to the remission of HS charges and the payment of any HS travel expenses,
(b)
references in any of those provisions to any other of those provisions were to that other provision as modified in accordance with regulation 14(4) or, as the case may be, regulation 15(2); and
(c)
Calculation of resources14.
(1)
A claimant’s resources must be calculated in terms of income and capital.
(2)
Income must be calculated on a weekly basis according to the method of calculating or estimating income prescribed by the Income Support Regulations, subject to the modifications referred to in paragraph (4).
(3)
Capital must be calculated according to the method of calculating or estimating capital as prescribed by the provisions of Chapter VI in Part V of, and Schedule 10 to, the Income Support Regulations subject to the modifications referred to in paragraph (4).
(4)
The provisions of the Income Support Regulations apply and those provisions specified in column 1 of Table A in Schedule 1 shall be applied in accordance with the modifications specified in the corresponding entries in column 2.
Calculation of requirements15.
(1)
A claimant’s requirements must be calculated as being the amount referred to in sub-paragraph (a) less, where applicable, the amount referred to in sub-paragraph (b), as follows –
(a)
the amount which represents the aggregate of the weekly applicable amount which would apply to him, including that in respect of any other member of his family, in connection with a claim for income support as specified by the Income Support Regulations, but subject to the modifications referred to in paragraph (2), and
(b)
(2)
The provisions of the Income Support Regulations apply and those provisions specified in column 1 of Table B in Schedule 1 shall be applied in accordance with the modifications specified in the corresponding entries in column 2.
PART VCONCLUSION
Transitional Provisions16.
(1)
(2)
A notice of entitlement to remission of a HS charge or payment of HS travel expenses which has been issued under the Travelling Expenses and Remission of Charges (Northern Ireland) Regulations 1989 remains valid until its expiry in accordance with the provisions of those Regulations.
Repeals17.
The Regulations listed in column 1 of Schedule 2 are repealed to the extent indicated in column 2.
Sealed with the Official Seal of the Department of Health, Social Services and Public Safety on 8th March 2004.
Sealed with the Official Seal of the Department of Finance and Personnel insofar as the foregoing Regulations relate to Travelling Expenses on 8th March 2004.
The Department of Finance and Personnel hereby approves the foregoing Regulations insofar as they relate to Remission of Charges.
Sealed with the Official Seal of the Department of Finance and Personnel on 8th March 2004.
SCHEDULE 1MODIFICATIONS OF THE INCOME SUPPORT (GENERAL) REGULATIONS (NORTHERN IRELAND) 1987
Column 1 | Column 2 |
|---|---|
Regulation 23 | In paragraph (1) for “ F23section 132 of the Contributions and Benefits Act ” substitute “regulation 13(3) of the Travelling Expenses and Remission of Charges Regulations (Northern Ireland) 2004” |
Regulation 25 | As if for the whole of regulation 25 (liable relative payments) substitute –
|
Regulation 25A | Omit this regulation. |
Regulation 28 | In paragraph (1) omit the words “For the purposes” to “income support)”. In paragraph (1)(a) for the “weekly amount of his income” substitute “the normal weekly amount of his income at the relevant date”. |
Regulation 29 | Omit this regulation. |
Regulation 30 | In paragraph (1) omit the words “Except where paragraph (2) applies”. In paragraph (1)(a) at the beginning insert the words “except where sub-paragraph (b) or (c) applies,”. In paragraph (1)(b) at the beginning insert the words “except where sub-paragraph (c) applies,”. After paragraph (1)(b) insert the word “or” and the following sub-paragraph –
After paragraph (1) insert the following new paragraph –
Omit paragraph (2). |
Regulation 31 | Omit this regulation. |
Regulation 32 | As if in paragraph (1) for “ F24regulation 29 (calculation of earnings derived from employed earner’s employment and income other than earnings) ” substitute “regulation 28” and for “subject to paragraphs (2) to (7)” substitute “subject to paragraph (6)”. In paragraph (6) omit “and has changed more than once”. Omit paragraphs (3)-(5), (6A) and (7). |
Regulation 35 | Omit paragraphs (1)(c), (1)(g), (1)(i), (1A) and (2A). In paragraph (1)(d) omit the words after “employment”. In paragraph (2)(a) omit the words “subject to paragraph (2A)”. |
Regulation 36 | In paragraph (1) for “regulation 29 (calculation of earnings of employed earners)” substitute “regulation 28 (calculation of income)”. |
Regulation 38 | In paragraph (3) for “paragraph (9)” substitute “paragraphs (3A) or (9)”. After paragraph (3) insert –
In paragraph (4) after “the net profit of the employment” insert “except where paragraph (3A) or (9) applies,”. |
Regulations 39A-39D | Omit these regulations. |
Regulation 40 | In paragraph (1) for “regulation 29 (calculation of income other than earnings)” substitute “regulation 28 (calculation of income)” and for “ F25paragraphs (2) to (3B) ” substitute “paragraphs (2) and (3)”. Omit paragraphs (3A) to (5). |
Regulation 41 | In paragraph (1) for “on the first day” to “the date of that supersession” substitute “at the relevant date”. F26Omit paragraph (4) . |
Regulation 42 | In paragraph (4) omit the words from “and in any case” to “(trade disputes) applies”. |
Regulation 44 | F27Omit this regulation |
Regulation 45 | For this regulation substitute –
|
Regulation 46 | In paragraph (1) omit the words from “For the purposes” to “income support”. |
Regulation 48 | In paragraph (2) omit the words from “Except” to “applies”. In paragraph (5) omit the words “Subject to paragraph (6),”. Omit paragraphs F30Omit paragraphs (6) and (10)(a). |
Regulation 49 | In sub-paragraph (b)(i) for “first day” to “date of that supersession” substitute “relevant date”. |
Regulation 51 | Omit sub-paragraph (1)(b). |
Regulation 51A | Omit this regulation. |
Regulation 53 | In paragraph (1A) for “£10,000” on each occasion it appears, substitute “ F31£13,500 ” and for “£16,000” substitute “F32£22,250”. For paragraph (1B) substitute –
In paragraph (3) for the references to “48 and 60” substitute “25 and 48.” |
Regulations 54-60E | Omit these regulations. |
Regulation 61 | In paragraph (1) in the definition of “academic year” after “September” insert “or 1st August in the case of a student attending a course in Scotland”. |
Regulation 62 | F33In paragraph (1) for “subject to paragraphs (2) and (2A)” substitute “subject to paragraphs (2), (2A) and (2B)” F34After paragraph (2A) insert—
F35For paragraph (3) substitute—
F36... F37Omit paragraph (3A) . Omit paragraph (3B). In paragraph (4), for “the F38remaining weeks in that period of study. substitute “the remaining weeks in that period”. |
Regulation 63 | In paragraph (2) omit the words “or, if there are 53 benefit weeks (including part-weeks) in the year 53”. |
Regulation 64 | In paragraph (1)(c) omit the words “or if there are 53 benefit weeks (including part-weeks) in the year, 53”. |
Regulation 65 | For the words “No part” substitute “(1) Subject to paragraph (2), no part”. After paragraph (1) insert the following paragraph –
|
Regulation 66A | F39For paragraph (1), substitute—
For paragraph (2) substitute –
After paragraph (2) insert the following paragraphs –
|
Schedule 8 | In paragraph 4(2) after “disability premium” insert “or higher pensioner premium”. In paragraph 4 omit sub-paragraphs (3), (4), and (7). In paragraph 6A(1) for “none of paragraphs 4 to 6 applies” substitute “paragraph 4 does not apply”. In paragraph 7(1) for the words “none of paragraphs 4 to 6B” substitute “none of paragraphs 4 or 5 or 6A or 6B”. In paragraph 8 omit “part-time”. After paragraph 8 insert the following paragraph –
In paragraph 9 for “8” substitute “8A”. Omit paragraphs 6, 10, 13 and 16. |
Schedule 9 | In F41paragraph 15(1) for “sub-paragraph (3)” substitute “sub-paragraphs (1A), (1B) and (3)”. Insert after paragraph 15(1)—
In paragraph 16 for “paragraphs 36 and 37” substitute “paragraph 36”. In paragraph 19(a) for “£4·00” substitute “£20·00” and omit sub-paragraph (b). For paragraph 21(1) substitute “Subject to sub-paragraph (2), any income in kind.”. Omit paragraph 21(3). In paragraph 28 omit the words “Except” to “return to work)”. For paragraph 29(1) substitute the following paragraph –
Omit paragraphs 30, 34 and 37. |
Schedule 10 | In paragraph 17 for the words from “Except” to “payment” substitute the words “Any payment”. |
Column 1 | Column 2 | ||
|---|---|---|---|
Regulation 3 | In paragraph (1) omit the words “or with whom a claimant normally resides”. In paragraph 2B omit the words “subject to paragraph (2C)”. Omit paragraph (2C). | ||
Regulation 17 | In paragraph (1) for the words from “18 to 22A” to “urgent cases)” substitute “18, 19A and 21”. Omit paragraphs (1)(bb) and (g). In paragraph (1)(e) omit the words “mortgage interest payments or” and “other”. | ||
Regulation 18 | In paragraph (1) for the words from “regulations 21 to 22A” to “urgent cases)” substitute “ F43“regulations 19A and 21 (Special Cases)” ”. Omit paragraph (1)(cc) and (h).
| ||
Regulation 19 |
| ||
Regulation 21 | In paragraph (1) omit the words from “Subject to” to “amounts)”. In paragraph (3) omit the definition of “partner of a person subject to immigration control”. In paragraph (3) omit the definition of “person from abroad”. Omit paragraphs (1B), (2), (3A), (3B), (3C), (3D), (4), (4A), (4B) and (5). | ||
Regulations 21A and 22A | Omit these regulations. | ||
Schedule 2 | In column (1) of the Table for sub-paragraphs (1) to (3) substitute –
In column (2) of the Table (amounts) insert –
Omit paragraphs 1A, 2A, 6(2), 9, 9A, 10, 12(1)(c), 12(4), 15(2), 15(2A) and 15(3). In paragraph 2(1) omit “for the relevant period specified in column (1)”. In paragraph 3(1)(a) omit the words from “to whom” to “(3) apply” and omit sub-paragraphs (2) to (7). For paragraph 11(b) substitute the following sub-paragraph –
In cross heading to paragraph 12, omit “Higher Pensioner and”. In paragraph 12(1)(a)(i) for the words “long term incapacity benefit” substitute “incapacity benefit, where that the claimant or his partner has been in receipt of that benefit for at least 28 weeks,” and omit the words from “but, in the case” to “in respect of him”. In paragraph 12(1)(b) after the words “the claimant” insert “or, as the case may be, his partner” and for sub-head (ii) substitute the following sub-head –
In paragraph 12(1)(d)(ii) delete “higher pensioner premium or”. In paragraph 12(6) after “sub-paragraph (1(a)(i)” delete “and (c)(i)” and for “long-term incapacity benefit” substitute “incapacity benefit, notwithstanding the requirement that the claimant or his partner has been in receipt of that benefit for at least 28 weeks,”. In paragraph 13(2)(a)(ii) and 13(2)(b)(iii) for “normally residing” substitute the words “residing with him” and delete “or with whom he is normally residing”. | ||
Schedule 3 | In paragraph 1(1)(b) for “paragraphs 15 to 17” substitute “paragraph 17”. For paragraph 1(2) substitute –
For paragraph 1(3) substitute –
For paragraph 2(1)(c) substitute –
Omit paragraphs 1A, 2(2), 3(7) to (10), 6 to 16 and 18(7)(e). In paragraph 3(12) for “not exceeding” substitute “is not likely to exceed”; For paragraph 4 substitute –
In paragraph 17 –
In sub-paragraph (2) omit head (c) and for “Subject to” to “amounts” substitute “Subject to sub-paragraphs (3), (3A), and (3B), the deductions to be made from the weekly amounts in respect of the housing costs specified in heads (za) and (a) to (c) of sub-paragraph (1)” and in head (a) omit the words from “unless the claimant” to the end of the head. After sub-paragraph (3) insert the following new sub-paragraphs –
For paragraph 18(7)(f) substitute –
| ||
Schedule 3B | After Schedule 3B insert the following Schedule –
| ||
Schedule 7 | Omit the references in paragraph 1 to sub-paragraph (g) of regulation 17(1) and sub-paragraph (h) of regulation 18(1). Omit both columns of paragraphs 6, 7, 10A, 10B, 14A, 15 and 17A. After paragraph 10 insert the following paragraph –
Any amount applicable to the claimant under paragraphs 1(1)(a), and (b) of Schedule 4A, determined as if he were a single claimant plus –
|
SCHEDULE 2REVOCATIONS
Column 1 | Column 2 |
|---|---|
Travelling Expenses and Remission of Charges Regulations (Northern Ireland) 1989 S.R. 1989 No. 348 | The whole regulations |
Travelling Expenses and Remission of Charges Regulations (Northern Ireland) 1990 S.R. 1990 No. 164 | The whole regulations |
Travelling Expenses and Remission of Charges Regulations (Northern Ireland) 1991 S.R. 1991 No. 224 | The whole regulations |
Travelling Expenses and Remission of Charges Regulations (Northern Ireland) 1992 S.R. 1992 No. 234 | The whole regulations |
Travelling Expenses and Remission of Charges Regulations (Northern Ireland) 1993 S.R. 1993 No. 161 | The whole regulations |
Travelling Expenses and Remission of Charges Regulations (Northern Ireland) 1995 S.R. 1995 No. 138 | The whole regulations |
Travelling Expenses and Remission of Charges Regulations (Northern Ireland) 1995 S.R. 1995 No. 361 | The whole regulations |
Travelling Expenses and Remission of Charges Regulations (Northern Ireland) 1996 S.R. 1996 No. 107 | The whole regulations |
Travelling Expenses and Remission of Charges Regulations (Northern Ireland) 1996 S.R. 1996 No. 209 | The whole regulations |
Travelling Expenses and Remission of Charges Regulations (Northern Ireland) 1996 S.R. 1996 No. 425 | The whole regulations |
Travelling Expenses and Remission of Charges Regulations (Northern Ireland) 1997 S.R. 1997 No. 185 | The whole regulations |
Travelling Expenses and Remission of Charges Regulations (Northern Ireland) 1997 S.R. 1997 No. 440 | The whole regulations |
Travelling Expenses and Remission of Charges Regulations (Northern Ireland) 1999 S.R. 1999 No. 16 | The whole regulations |
Travelling Expenses and Remission of Charges Regulations (Northern Ireland) 1999 S.R. 1999 No. 166 | The whole regulations |
Travelling Expenses and Remission of Charges Regulations (Northern Ireland) 1999 S.R. 1999 No. 395 | The whole regulations |
Travelling Expenses and Remission of Charges Regulations (Northern Ireland) 2000 S.R. 2000 No. 102 | The whole regulations |
Travelling Expenses and Remission of Charges Regulations (Northern Ireland) 2000 S.R. 2000 No. 339 | The whole regulations |
Travelling Expenses and Remission of Charges Regulations (Northern Ireland) 2001 S.R. 2001 No. 104 | The whole regulations |
Travelling Expenses and Remission of Charges Regulations (Northern Ireland) 2002 S.R. 2002 No. 46 | The whole regulations |
Travelling Expenses and Remission of Charges Regulations (Northern Ireland) 2002 S.R. 2002 No. 172 | The whole regulations |
Travelling Expenses and Remission of Charges Regulations (Northern Ireland) 2003 S.R. 2003 No. 48 | The whole regulations |
Travelling Expenses and Remission of Charges Regulations (Northern Ireland) 2003 S.R. 2003 No. 170 | The whole regulations |
Travelling Expenses and Remission of Charges Regulations (Northern Ireland) 2003 S.R. 2003 No. 408 | The whole regulations |
These Regulations consolidate, with amendments, the provisions of the Travelling Expenses and Remission of Charges Regulations (Northern Ireland) 1989 (“the 1989 Regulations”). The 1989 Regulations and all subsequent amendments are repealed by regulation 17 and Schedule 2.
The Regulations make provision for people who are either in receipt of certain state benefits or who are on a low income to be reimbursed for travel expenses incurred in obtaining certain HS services (HS travel expenses) and for those same people to be exempt from the payment of certain HS charges which would otherwise be payable. Regulation 3 defines HS travel expenses. Regulation 4 identifies what HS charges can be waived.
The principal changes in relation to travel expenses from the 1989 Regulations are as follows: the expenses of a companion can be claimed only where they are certified to be necessary in the opinion of a doctor or appropriate health care professional (regulation 3(2)); a person’s circumstances may be taken into account in determining the cheapest reasonable form of transport and in the case of car travel, a mileage allowance and parking expenses may be included (regulation 3(5)); and persons who seek to rely on their entitlement are required to sign a declaration of that entitlement and of the travel costs incurred (regulation 9(3)).
Part II contains provision relating to entitlement. Regulation 5 governs entitlement to payment in full of travel expenses and full remission of charges. Regulation 6 makes provision for partial payment and partial remission. Those who are in receipt of certain state benefits or who are entitled to certain tax credits are not required to make a claim for entitlement under these Regulations on the basis that their income and capital resources will already have been assessed for the purposes of their entitlement to the benefit or tax credit. All others who wish to claim entitlement under the Regulations must make a claim under regulation 7. Regulation 8 makes provision for notices of entitlement to be issued to successful claimants. The principal change from the 1989 Regulations is that the provisions about validity have been considerably simplified. All notices of entitlement are now valid for 12 months from the date of the claim although there is provision for different time periods in the case of students and asylum seekers (regulation 8(5)).
Part III contains provision about payment and repayment. Regulation 9 makes provision for payment of travel expenses. Once entitlement is established, the amount due is calculated and paid by the provider of the services. Regulations 10 and 11 contain provision relating to repayment in any case where a person who is entitled to the payment of travel expenses or to the remission of a charge has in fact incurred the expense or paid the charge. Regulation 12 enables a provider of services who has made a payment in respect of some travel expenses to be repaid in cases where the services were provided under an agreement with another body.
Part IV and Schedule 1 concern the method of determining certain people’s entitlement under the Regulations. In the case mainly of those people who are not automatically entitled because they are in receipt of certain state benefits, what is required is a calculation of the claimant and his family’s income, capital and expenditure requirements. This is done by the application of modified provisions of the Income Support (General) Regulations (Northern Ireland) 1987 (“the 1987 Regulations) as set out in Schedule 1. The reason for the disapplication in regulation 16(3)(c) of the State Pension Credit (Consequential, Transitional and Miscellaneous Provisions) Regulations 2002, is that by virtue of those Regulations people over 60 are no longer entitled to income support and are excluded from the 1989 Regulations. In order to preserve their position in relation to the payment of travel expenses and remission of charges, the amendments made to the 1989 Regulations by the 2002 regulations are disapplied.
These Regulations also reflect a number of changes from the 1989 Regulations which are minor or consequential drafting amendments. They include an increase from 6th April 2004 in the threshold for entitlement under the regulations for people receiving tax credits and the capital limit for entitlement under the regulations for people living in care, and maintain the calculation of entitlement under the regulations in respect of people aged 60 and over.