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The Social Security (Hospital In-Patients) Regulations 2005

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Statutory Instruments

2005 No. 3360

SOCIAL SECURITY

The Social Security (Hospital In-Patients) Regulations 2005

Made

6th December 2005

Laid before Parliament

12th December 2005

Coming into force in accordance with regulation 1

The Secretary of State for Work and Pensions makes the following Regulations in exercise of the powers conferred upon him by sections 113(1)(b), 123(1)(a), (d) and (e), 124(5), 130(4), 131(10), 135(1), 136(3), 137(1), 138(2) and (4) and 175(1), (3) and (4) of the Social Security Contributions and Benefits Act 1992 F1, sections 5(1)(p), 73(1)(b) and 189(1), (4) and (5) of the Social Security Administration Act 1992 F2, sections 4(5) and 36(1), (2) and (4)(a) of the Jobseekers Act 1995 F3 and sections 2(3), (6) and (9), 3(8), 17(1) and 19(1) of the State Pension Credit Act 2002 F4.

The Social Security Advisory Committee has agreed that the proposals to make these Regulations should not be referred to it.

F11992 c. 4; sections 123(e) and 131 were substituted by the Local Government Finance Act 1992 (c. 14), Schedule 9, paragraphs 1(1) and 4 respectively; sections 137(1) and 138(4) are cited for the definition of “prescribed”.

F42002 c. 16; section 17(1) is cited for the definition of “prescribed”.

Citation and commencementE+W+S

1.  These Regulations may be cited as the Social Security (Hospital In-Patients) Regulations 2005 and shall come into force for the purposes of—

(a)this regulation and regulations 2, 5, 7 and 8, on 10th April 2006,

(b)regulation 3—

(i)in so far as it relates to a particular beneficiary other than a beneficiary in receipt of incapacity benefit or severe disablement allowance, on 10th April 2006 if it is his day for payment or, if not, on his day for payment next following 10th April 2006 (“day for payment” has the same meaning as in regulation 22(3) of, and Schedule 6 to, the Social Security (Claims and Payments) Regulations 1987 F5),

(ii)in so far as it relates to a particular beneficiary in receipt of incapacity benefit or severe disablement allowance, on 10th April 2006,

(c)regulation 4, in so far as it relates to a particular beneficiary, on the first day of the first benefit week to commence for that beneficiary on or after 10th April 2006 (“benefit week” has the same meaning as in the Income Support (General) Regulations 1987 F6),

(d)regulation 6, in so far as it relates to a particular beneficiary, on the first day of the first benefit week to commence for that beneficiary on or after 10th April 2006 (“benefit week” has the same meaning as in the Jobseeker's Allowance Regulations 1996 F7), and

(e)regulation 9—

(i)in so far as it relates to a beneficiary specified in paragraphs (b) to (d), on the dates specified in those paragraphs for that beneficiary, and

(ii)otherwise, on 10th April 2006.

Hospital in-patients entitled to an increase in benefit for a dependantE+W+S

2.—(1) Paragraphs (2) and (3) apply where a beneficiary is entitled to an increase in benefit for an adult or child dependant under Part IV of the Social Security Contributions and Benefits Act 1992 F8.

(2) Where the beneficiary has received free in-patient treatment for a period of not less than 52 weeks, the increase shall not be payable unless the beneficiary applies to the Secretary of State to pay the increase on behalf of the beneficiary to—

(a)the dependant, or

(b)some other person who is approved by the Secretary of State and who satisfies the Secretary of State that he will apply the increase for the benefit of the dependant.

(3) Where both the beneficiary and the dependant are in-patients and each has received free in-patient treatment for a period of not less than 52 weeks, the increase shall not be payable unless the beneficiary applies to the Secretary of State to pay the increase on behalf of the beneficiary to—

(a)the dependant, or

(b)some other person who is approved by the Secretary of State and who satisfies the Secretary of State that he will apply the increase for the benefit of a child [F9of the beneficiary].

(4) For the purposes of this regulation, a person shall be regarded as receiving or having received free in-patient treatment for any period for which he is or has been maintained free of charge while undergoing medical or other treatment as an in-patient—

(a)in a hospital or similar institution under the National Health Service Act 1977 F10, the National Health Service (Scotland) Act 1978 F11 or the National Health Service and Community Care Act 1990 F12, or

(b)in a hospital or similar institution maintained or administered by the Defence Council,

and such a person shall for the purposes of sub-paragraph (a) be regarded as being maintained free of charge in a hospital or similar institution unless his accommodation and services are provided under section 65 of the National Health Service Act 1977, section 57 of the National Health Service (Scotland) Act 1978 F13 or paragraph 14 of Schedule 2 to the National Health Service and Community Care Act 1990.

(5) For the purposes of paragraph (4), a period during which a person is regarded as receiving or having received free in-patient treatment shall be deemed to begin on the day after the day on which he enters a hospital or similar institution referred to in that paragraph and to end on the day on which he leaves such a hospital or similar institution.

(6) For the purposes of this regulation—

(a)where an increase in a person's benefit is payable in respect of an adult or child dependant the increase shall be treated as a separate benefit, and

(b)where a beneficiary's spouse or civil partner (“dependant”) is temporarily absent from Great Britain for the purpose of being treated for incapacity which commenced before he left Great Britain the absence shall be disregarded for the purpose of determining whether the beneficiary is residing with the dependant and is entitled to an increase in benefit for him.

F8Part IV provisions for increases in benefit for child dependants were revoked by the Tax Credits Act 2002 (c. 21), section 1(3)(e) and Schedule 6, subject to savings and transitional provisions under section 62.

F13Section 57 was substituted for sections 57 and 58 by the Health and Medicines Act 1988 (c. 49), section 7(11).

Amendment of the Social Security (General Benefit) Regulations 1982E+W+S

3.  In the Social Security (General Benefit) Regulations 1982 F14, in regulation 2 (exceptions from disqualifications from imprisonment etc.)—

(a)in paragraph (3) F15 for sub-paragraphs (a) and (b) substitute—

(a)he is detained or liable to be detained under section 45A of the Mental Health Act 1983 F16 (hospital and limitation directions) or section 59A of the Criminal Procedure (Scotland) Act 1995 F17 (hospital direction); or

(b)he is detained or liable to be detained under section 47 of the Mental Health Act 1983 F18 (removal to hospital of persons serving sentences of imprisonment, etc.) or section 136 of the Mental Health (Care and Treatment) (Scotland) Act 2003 (transfer of prisoners for treatment for mental disorder).,

(b)in paragraph (4)—

(i)for “each of the conditions specified in paragraph (3)(a) and (b)” substitute “ paragraph (3)(a) or (b) ”, and

(ii)for “for the Home Department or the Secretary of State for Scotland and furnished to the Secretary of State for Social Services” substitute “ or Scottish Ministers ”, and

(c)in paragraph (8) omit sub-paragraphs (e) and (f).

F15Paragraph (3) was amended by S.I. 2005/2878.

F171995 c. 46; section 59A was inserted by the Mental Health (Care and Treatment) (Scotland) Act 2003 (asp13), Schedule 4, paragraph 8(6).

F18Section 47 was amended by the Crime (Sentences) Act 1997, section 49(3).

Amendment of the Income Support (General) Regulations 1987E+W+S

4.—(1) The Income Support (General) Regulations 1987 are amended as follows.

(2) In regulation 21 (special cases)—

(a)omit paragraph (2) (periods for which a person has been a patient), and

(b)in paragraph (3) (interpretation) in the definition of “patient”, for “the Social Security (Hospital In-Patients) Regulations 1975” substitute “ regulation 2(4) and (5) of the Social Security (Hospital In-Patients) Regulations 2005 F19.

(3) In Schedule 2 (applicable amounts), in paragraph 12(1) (additional condition for the Higher Pensioner and Disability Premiums)—

(a)in sub-paragraph (b)(ii)(bb) F20 before “364 days” insert “ subject to paragraphs 2A and 2B of Schedule 7, ”, and

(b)in sub-paragraph (d) F21 for “1(a), (b), (c)(ii) or (d)(ii)” substitute “ 2A or 2B ”.

(4) In Schedule 3 F22 (housing costs), in paragraph 18(7) (non-dependant deductions) in sub—paragraph (g) F23 for heads (i) and (ii) substitute—

(i)patient” has the meaning given in paragraph 3(13)(b) and “prisoner” has the meaning given in regulation 21(3); and

(ii)in calculating a period of 52 weeks as a patient, any two or more distinct periods separated by one or more intervals each not exceeding 28 days shall be treated as a single period; or.

(5) In Schedule 7 (applicable amounts in special cases)—

(a)under the heading “Patients”, omit paragraphs 1 and 2 in columns (1) and (2),

(b)for paragraph 2A F24 substitute—

(i)in column (1)—

2A.  A claimant who is detained, or liable to be detained, under—

(a)section 45A of the Mental Health Act 1983 F25 (hospital and limitation directions) or section 59A of the Criminal Procedure (Scotland) Act 1995 F26 (hospital direction); or

(b)section 47 of the Mental Health Act 1983 F27 (removal to hospital of persons serving sentences of imprisonment, etc.) or section 136 of the Mental Health (Care and Treatment) (Scotland) Act 2003 (transfer of prisoners for treatment for mental disorder),

but not if his detention continues after the date which the Secretary of State certifies or Scottish Ministers certify would have been the earliest date on which he could have been released in respect of, or from, the prison sentence if he had not been detained in hospital., and

(ii)in column (2) “2A. Nil.”, and

(c)after paragraph 2A—

(i)in column (1) insert 2B. Subject to paragraph 2A, a single claimant who has been a patient for a continuous period of more than 52 weeks or, where the claimant is one of a couple, the other member of the couple has been a patient for a continuous period of more than 52 weeks. ”, and

(ii)in column (2) insert 2B. The amount applicable under regulation 17(1) less any amount applicable by virtue of paragraphs 10 or 11 and 12, or paragraph 13A of Schedule 2. ”.

(6) In Schedule 9 (sums to be disregarded in the calculation of income other than earnings) omit paragraph 38 F28 (transitional resettlement benefit for patients).

F20Sub-paragraph (b) was substituted by S.I. 1995/482 and amended by S.I. 1995/2303.

F21Sub-paragraph (d) was amended by S.I. 2002/3019 and 2004/1141.

F22Schedule 3 was substituted by S.I. 1995/1613.

F23Sub-paragraph (g) was amended by S.I. 2003/1195 and 2004/2327.

F24Paragraph 2A was inserted by S.I. 1990/547 and amended by S.I. 1998/563 and 2005/522.

F261995 c. 46; section 59A was inserted by the Mental Health (Care and Treatment) (Scotland) Act 2003 (asp13), Schedule 4, paragraph 8(6).

F27Section 47 was amended by the Crime (Sentences) Act 1997, section 49(3).

[F29Amendments relating to housing benefit and council tax benefit]E+W+S

[F295.(1) In regulation 22(5) of the Housing Benefit (Persons who have attained the qualifying age for state pension credit) Regulations 2006 and regulation 12(5) of the Council Tax Benefit (Persons who have attained the qualifying age for state pension credit) Regulations 2006 (applicable amounts) in the definition of “patient” for “the Social Security (Hospital In-Patients) Regulations 1975” substitute “ regulation 2(4) and (5) of the Social Security (Hospital In-Patients) Regulations 2005 ”.

(2) In regulation 28(11)(e) of the Housing Benefit Regulations 2006 and regulation 18(11)(e) of the Council Tax Benefit Regulations 2006, (treatment of child care charges) for “the Social Security (Hospital In-Patients) Regulations 1975” substitute “ regulation 2(4) and (5) of the Social Security (Hospital In-Patients) Regulations 2005 ”.]

Amendment of the Jobseeker's Allowance Regulations 1996E+W+S

6.—(1) The Jobseeker's Allowance Regulations 1996 F30 are amended as follows.

(2) In regulation 85 (special cases)—

(a)omit paragraph (3) (periods for which a person has been a patient), and

(b)in paragraph (4) (interpretation), in the definition of “patient”, for “the Social Security (Hospital In-Patients) Regulations 1975” substitute “ regulation 2(4) and (5) of the Social Security (Hospital In-Patients) Regulations 2005 F31.

(3) In regulation 86C F32 (joint-claim couples: special cases) omit paragraph (3) (periods for which a person has been a patient).

(4) In Schedule 2 (housing costs) in paragraph 17(7) (non-dependant deductions) in sub-paragraph (g) F33 for heads (i) and (ii) substitute—

(i)patient” has the meaning given in paragraph 3(13)(b) and “prisoner” has the meaning given in regulation 85(4), and

(ii)in calculating any period of 52 weeks as a patient, any two or more distinct periods separated by one or more intervals each not exceeding 28 days shall be treated as a single period; or.

(5) In Schedule 5 (applicable amounts in special cases)—

(a)omit paragraph 1 in columns (1) and (2) and the heading to paragraph 1 “Person other than claimant who is a patient”, and

(b)after paragraph 1—

(i)insert the heading “Claimant who is a patient”,

(ii)in column (1) insert “1A. A claimant who has been a patient for a continuous period of more than 52 weeks.”, and

(iii)in column (2) insert “ 1A. The amount applicable under regulation 83 less any amount applicable by virtue of paragraphs 12 or 13 and 14, or paragraph 15A of Schedule 1. ”.

(6) In Schedule 5A F34 (applicable amounts of joint-claim couples in special cases)—

(a)omit paragraph 1 in columns (1) and (2), and

(b)under the heading “Patients”—

(i)in column (1) insert “ 1A. A claimant who has been a patient for a continuous period of more than 52 weeks. ”, and

(ii)in column (2) insert “ 1A. The amount applicable under regulation 86A less any amount applicable by virtue of paragraphs 20F or 20G and 20H, or paragraph 20IA of Schedule 1. ”.

F30S.I. 1996/ 207.

F32Regulation 86C was inserted by S.I. 2000/1978 and amended by 2004/565.

F33Sub-paragraph (g) was amended by S.I. 2003/1195 and 2004/2327.

Amendment of the Social Fund Winter Fuel Payment Regulations 2000E+W+S

7.  In the Social Fund Winter Fuel Payment Regulations 2000 F35, in regulation 1(2) (interpretation), in the definition of “free in-patient treatment” for “2(2) of the Social Security (Hospital In-Patients) Regulations 1975” substitute “ 2(4) and (5) of the Social Security (Hospital In-Patients) Regulations 2005 F36.

Amendment of the State Pension Credit Regulations 2002E+W+S

8.—(1) The State Pension Credit Regulations 2002 F37 are amended as follows.

(2) In regulation 1(2) (interpretation), for the definition of “patient” substitute— “ “patient”, except in Schedule II, means a person (other than a prisoner) who is regarded as receiving free in-patient treatment within the meaning of regulation 2(4) and (5) of the Social Security (Hospital In-Patients) Regulations 2005 F38; ”.

(3) In regulation 15 (income for the purposes of the Act), in paragraph (4), for sub-paragraph (b) substitute—

(b)regulation 2 of the Social Security (Hospital In-Patients) Regulations 2005 F39;.

(4) In Schedule 2 (housing costs)—

(a)in paragraph 1(2)(a), in the definition of “disabled person”, in sub-paragraph (iii)(bb) F40 for “any provision of the Social Security (Hospital In-Patients) Regulations 1975” substitute “ suspension or abatement because the person becomes a patient ”, and

(b)in paragraph 14(7)(e) F41 (persons residing with the claimant: non-dependant deductions), for “a patient” substitute “ an in-patient residing in a hospital or similar institution ”.

(5) In Schedule 3 (special groups), under the heading “further provisions in the case of patients” for paragraph 2 substitute—

2.(1) Sub-paragraph (2) applies in the case of a claimant who is detained, or liable to be detained, under—

(a)section 45A of the Mental Health Act 1983 F42 (hospital and limitation directions) or section 59A of the Criminal Procedure (Scotland) Act 1995 F43 (hospital direction); or

(b)section 47 of the Mental Health Act 1983 F44 (removal to hospital of persons serving sentences of imprisonment, etc.) or section 136 of the Mental Health (Care and Treatment) (Scotland) Act 2003 (transfer of prisoners for treatment for mental disorder),

but not if his detention continues after the date which the Secretary of State certifies or Scottish Ministers certify would have been the earliest date on which he could have been released in respect of, or from, the prison sentence if he had not been detained in hospital.

(2) In the case of a claimant to whom paragraph (1) applies—

(a)section 2(3) has effect with the substitution of a reference to a nil amount for the reference to the standard minimum guarantee in paragraph (a); and

(b)the maximum amount of savings credit shall be taken to be nil..

F40Head (iii) was amended by S.I. 2002/3197.

F41Sub-paragraph (e) was amended by S.I. 2003/1195.

F431995 c. 46; section 59A was inserted by the Mental Health (Care and Treatment) (Scotland) Act 2003 (asp13), Schedule 4, paragraph 8(6).

F44Section 47 was amended by the Crime (Sentences) Act 1997, section 49(3).

Revocation of the Social Security (Hospital In-Patients) Regulations 1975 and other regulationsE+W+S

9.—(1) The Social Security (Hospital In-Patients) Regulations 1975 F45 shall be revoked.

(2) The provisions in the subordinate legislation set out in the Schedule shall be revoked.

Signed by authority of the Secretary of State for Work and Pensions.

Stephen C. Timms

Minister of State,

Department for Work and Pensions

Regulation 9

SCHEDULEE+W+SRevocations

Subordinate legislation revokedReferencesExtent of revocation
The Social Security (Hospital In-Patients) Amendment Regulations 1977S.I. 1977/1693The whole of the Regulations
The Social Security (Hospital In-Patients) Amendment Regulations 1979S.I. 1979/223The whole of the Regulations
The Social Security (Abolition of Injury Benefit) (Consequential) Regulations 1983S.I. 1983/186Regulation 4
The Social Security (Severe Disablement Allowance) Regulations 1984S.I. 1984/1303In Schedule 2, the entry relating to the Social Security (Hospital In-Patients) Regulations 1975
The Social Security (Dependency, Claims and Payments and Hospital In-Patients) Amendment Regulations 1984S.I. 1984/1699Regulation 2
The Social Security (Claims and Payments, Hospital In-Patients and Maternity Benefit) Amendment Regulations 1986S.I. 1986/903Regulation 3
The Social Security (Hospital In-Patients) Amendment Regulations 1987S.I. 1987/31The whole of the Regulations
The Social Security (Hospital In Patients) Amendment (No. 2) Regulations 1987S.I. 1987/1683The whole of the Regulations
The Income Support (General) Amendment No. 4 Regulations 1988S.I. 1988/1445Regulation 23(a)
The Income Support (General) Amendment Regulations 1990S.I. 1990/547Regulation 21(a) and (b)
The Social Security (Miscellaneous Provisions) Amendment (No. 2) Regulations 1992S.I. 1992/2595Regulation 11
The Child Benefit, Child Support and Social Security (Miscellaneous Amendments) Regulations 1996S.I. 1996/1803Regulation 40(a)
The Social Security (Miscellaneous Amendments) Regulations 1998S.I. 1998/563Regulation 8(2)(c)(ii) and (3)
The Social Security (Hospital In-Patients, Attendance Allowance and Disability Living Allowance) (Amendment) Regulations 1999S.I. 1999/1326Regulation 2
The Social Security (Benefits for Widows and Widowers) (Consequential Amendments) Regulations 2000S.I. 2000/1483Regulation 2
The State Pension Credit (Consequential, Transitional and Miscellaneous Provisions) Regulations 2002S.I. 2002/3019Regulation 23(m)(ii)
The State Pension Credit (Consequential, Transitional and Miscellaneous Provisions) (No. 2) Regulations 2002S.I. 2002/3197In the Schedule, paragraph 10(b)
The Social Security (Working Tax Credit and Child Tax Credit) (Consequential Amendments) Regulations 2003S.I. 2003/455In Schedule 1, paragraph 21(a) to (c)
The Social Security (Hospital In-Patients and Miscellaneous Amendments) Regulations 2003S.I. 2003/1195Regulations 2 to 6 and 8 to 10
The Social Security (Third Party Deductions and Miscellaneous Amendments) Regulations 2003S.I. 2003/2325Regulation 3(b)
The Social Security (Hospital In-Patients) Amendment Regulations 2004S.I. 2004/101The whole of the Regulations
The Social Security (Miscellaneous Amendments) Regulations 2004S.I. 2004/565Regulation 6(2)(c)
The Civil Partnership (Pensions, Social Security and Child Support) (Consequential, etc. Provisions) Order 2005S.I. 2005/2877In Schedule 3, paragraph 3

Explanatory Note

(This note is not part of the Regulations)

These Regulations revoke the Social Security (Hospital In-Patients) Regulations 1975 (“the 1975 Regulations”) and amend other regulations so that, except in specified cases, a person's benefit is no longer adjusted when the person has been receiving free medical treatment as a hospital in-patient for 52 weeks.

Regulation 2 saves provisions in the 1975 Regulations which remove or transfer any increase in benefit for an adult dependant if the beneficiary, or the beneficiary and dependant, have received free medical treatment as a hospital in-patient for 52 weeks or more.

Regulation 3 extends provisions in the Social Security (General Benefit) Regulations 1982 which disqualify claimants from receiving certain contributory and non-contributory benefits if they are sentenced to a period of imprisonment and during that period they are detained in hospital under mental health legislation. It updates the references to mental health legislation.

Regulation 4 amends the Income Support (General) Regulations 1987. Paragraph (2) abolishes, for most purposes, the rule that absences from hospital of up to 28 days are ignored when calculating a 52 week period as an in-patient; but paragraph (4) maintains the rule for stopping non-dependant deductions when the non-dependant has been a hospital in-patient for 52 weeks. Paragraph (5)(a) abolishes, for most cases, the adjustment of income support when a claimant has received free medical treatment as a hospital in-patient for 52 weeks. But if the claimant is entitled to a disability premium, enhanced disability premium or higher pensioner premium, paragraph (5)(c) removes entitlement to the premium after 52 weeks as such an in-patient. Paragraph (5)(b) provides for a nil applicable amount of income support in the circumstances specified by regulation 3 for other benefits.

Regulation 5 makes consequential amendments to the Housing Benefit (General) Regulations 1987 and the Council Tax Benefit (General) Regulations 1992.

Regulation 6 mirrors for jobseeker's allowance the provisions made for income support by regulation 4(2), (4) and (5)(a) and (c).

Regulation 7 makes a consequential amendment to the Social Fund Winter Fuel Payment Regulations 2000.

Regulation 8 makes consequential amendments to the State Pension Credit Regulations 2002 and mirrors the provisions made for income support by regulation 4(2) and (5)(a) and (b).

Regulation 9 revokes the 1975 Regulations and other regulations.

A full regulatory impact assessment has not been provided for this instrument as it has no impact on the costs of businesses, charities and voluntary bodies.

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