MESOTHELIOMA, etc., bill
Explanatory and financial memorandum
Introduction
- This Explanatory and Financial Memorandum relates to the Mesothelioma, etc., Bill. It has been prepared by the Department for Social Development in order to assist the reader in understanding the Bill and to help inform debate on it. It does not form part of the Bill and has not been endorsed by the Assembly.
- The Memorandum needs to be read in conjunction with the Bill. It does not, and is not meant to be, a comprehensive description of the Bill. So where a clause or part of a clause does not seem to require any explanation or comment, none is given.
Background and policy objectives
- The Bill makes provision for Northern Ireland corresponding to provision contained in Part 4 of the Westminster Child Maintenance and Other Payments Bill.
- The Bill makes provision to enable a lump sum payment to be made to those suffering from diffuse mesothelioma (or their dependant if the person is deceased). In effect, the proposed scheme will mean that sufferers of diffuse mesothelioma will be eligible for a payment regardless of their employment status provided they have not already received a compensation payment through a civil claim or under specified statutory provisions. For example, a sufferer who had been exposed to asbestos from a relative’s clothing would be eligible for a payment.
- The Bill also amends the Social Security (Recovery of Benefits) (Northern Ireland) Order 1997 (“the Recovery of Benefits Order”) to provide the Department with the power to recover payments made under the Pneumoconiosis, etc., (Workers’ Compensation) (Northern Ireland) Order 1979 (“the 1979 Order”) or the new scheme, where a person then goes on to receive compensation from a civil claim.
Consultation
- On 20 July 2006, the Secretary of State for Work and Pensions announced a number of interim measures to speed up claims handling for people with mesothelioma. He also confirmed that long-term measures would be introduced to improve support for sufferers to ensure that, where possible, they could receive compensation and benefit from it while knowing that their families would be secure in the future. On 1 September 2006, as part of a UK-wide consultation, the Department consulted interested parties in Northern Ireland for their views on improving support to those with mesothelioma.
- At the UK-wide mesothelioma summit held on 13 March 2007 proposals to provide faster compensation to all those diagnosed with diffuse mesothelioma were announced.
OPTIONS CONSIDERED
- Details of all of the options considered are set out in the Regulatory Impact Assessment for the Bill (see paragraphs 16 et seq).
Overview
- The Bill contains 13 clauses—
- Mesothelioma lump sum payments
- - Lump sum payments
- - Conditions of entitlement
- - Determination of claims
- - Reconsideration
- - Appeal to appeal tribunal
- - Appeal to Social Security Commissioner
- - Minors and persons who are incapable
- Recovery of mesothelioma and other lump sum payments
- - Amendment of Social Security (Recovery of Benefits) (Northern Ireland) Order 1997
- General
Commentary on clauses
Mesothelioma lump sum payments
Clause 1: Lump sum payments
Clause 1provides for the Department to make a lump sum payment to either a person with diffuse mesothelioma, or to their dependant if the person with diffuse mesothelioma is deceased.
Subsection (2)provides that entitlement to a lump sum payment is dependent on satisfying certain conditions which are specified in clause 2.
Subsection (3) provides that regulations may—
- set out the amount that should be paid as a lump sum; and
- set the amount at different levels for different people. This may be based on factors such as, for example, whether they are a person with diffuse mesothelioma or a dependant of a person with diffuse mesothelioma .
Subsection (4) provides that where more than one dependant may claim, the Department will decide whether the payment is paid to one or more of them. This could happen, for example, when a person with diffuse mesothelioma does not have a wife or husband, or civil partner, who was living with them, but has three children under the age of 16.
“Dependant” attracts the same meaning as it is given in the 1979 Order (see clause 11). Dependants are—
- a wife or husband or civil partner who was living with the person with diffuse mesothelioma;
- children under 16 years of age;
- children under 21 years of age who are not receiving wages from full-time employment;
- children of any age who are permanently incapable of supporting themselves;
- a person living with the person with diffuse mesothelioma as if they were husband and wife or as if they were civil partners;
- any other relatives who are completely or mostly dependent on the person with diffuse mesothelioma immediately before their death and who are also under the age of 16, under the age of 21 and not receiving wages from full-time employment, or permanently incapable of supporting themselves.
Clause 2: Conditions of entitlement
Clause 2sets out the conditions that must be satisfied by persons with diffuse mesothelioma, and by a dependant of a person who, immediately before their death, suffered from diffuse mesothelioma in order for a lump sum payment to be made.
Subsection (1)(a)provides that to be entitled to a lump sum payment a person with diffuse mesothelioma must not have already received a payment in respect of diffuse mesothelioma as set out in subsection (3).
Subsection (1)(b)provides that to be entitled to a lump sum payment a person must not be eligible, in respect of diffuse mesothelioma, for a payment of a type prescribed by regulations.
Subsection (1)(c)provides that there may be a requirement for the person to have links with the United Kingdom. Any links would be prescribed by regulations.
Subsection (2)(a)provides that a dependant will not be entitled to a lump sum payment, if the dependant, the deceased person, the deceased person’s estate or any other dependant, has already received a payment in respect of diffuse mesothelioma as set out in subsection (3).
Subsection (2)(b)provides that a dependant will not be entitled to a lump sum payment, if the dependant or the deceased person is or was eligible, in respect of diffuse mesothelioma, for a payment of a type prescribed by regulations.
Subsection (2)(c)provides that there may be a requirement for the deceased person to have links with the United Kingdom. Any links would be prescribed by regulations.
Subsection (3)provides that the payments mentioned in subsections (1)(a) and (2)(a)are—
- a payment under this Bill;
- a payment under Part 4 of the corresponding Westminster provision;
- a payment under the 1979 Order or the corresponding Great Britain provision;
- an extra-statutory payment made following the rejection of a claim made under the 1979 Order; or
- a payment of a type prescribed by regulations.
Subsection (4)provides that—
- a payment under clause 4;
- a payment under the corresponding Westminster provision;
- a payment under the 1979 Order or the corresponding Great Britain provision;
- an extra-statutory payment made following the rejection of a claim made under the 1979 Order; or
- a payment of a type prescribed by regulations,
will not disqualify a person from receiving a lump sum payment if that payment was or is liable to be, repaid.
Clause 3: Determination of claims
Clause 3 sets out how a claim for a lump sum payment is to be decided.
Subsection (1) provides that a claim for a lump sum payment as made under clause1 will be made in the manner and within the period prescribed by regulations.
Subsection (2) sets out that the lump sum payment can be set at different levels for different people based on different factors.
Subsection (4) provides that, if any questions concerning the claim arise before the claim is decided, the Department may appoint someone to inquire into the issues or to request answers to those questions. The person appointed will then report their findings to the Department.
Clause 4: Reconsideration
Clause 4 enables the Department to reconsider a decision not to make a lump sum payment where there is a change in circumstances that may affect the claim since the decision was taken, or a decision to make or not to make a lump sum payment if the original decision was made in ignorance of, or based on error about a material fact of, the case.
Subsection (2) provides that regulations must prescribe how and within what timescale, a person may apply to the Department for a decision to be reconsidered, or for the Department to reconsider a decision without an application to do so being made.
Subsection (3) provides that clause 3(4) will apply to any reconsideration of a decision under this clause, in the same way as it applies to the decision on a claim.
Subsections (4) and (5)provide that where a person, either fraudulently or otherwise, provides misleading or false information, or does not disclose relevant information, and a lump sum payment for diffuse mesothelioma is paid to them as a result of this, they will be liable to repay any lump sum payment they receive. This liability to repay would not apply if the person can show that they had not given permission or had not been involved in the failure to disclose, or the provision of misleading or incorrect, information.
Subsection (6)provides that a lump sum payment can not be recovered where a decision has been reconsidered, unless the payment was obtained by providing misleading or false information, or because relevant information was not properly disclosed.
Clause 5: Appeal to appeal tribunal
Clause 5provides that a person who has made a claim for a payment under clause 1will have a right of appeal to an appeal tribunal against a decision made by the Department on the claim, or a decision made following a reconsideration under clause 4.
Subsection (2)provides that, subject to regulations under subsection (4)(c),the Department must refer any appeal to an appeal tribunal constituted under Chapter 1 of Part 2 of the Social Security (Northern Ireland) Order 1998.
Subsection (3)provides the tribunal with the power to substitute a decision on matters decided in accordance with this Bill.
Subsection (4)provides that regulations may make provision—
- as to the manner in which, and the time within which, an appeal may be brought;
- as to the procedure to be followed if an appeal is made; and
- for the purposes of enabling an appeal to be treated as an application for a reconsideration under clause 4.
Clause 6: Appeal to Social Security Commissioner
Clause 6provides for a right of appeal to a Social Security Commissioner against any decision of an appeal tribunal under clause 5, on the ground that the decision was wrong in law.
Subsection (2)provides that an appeal to a Commissioner may be made by the Department or by the person who brought the appeal under clause 5.
Subsection (3)provides that Article 15(7) to (13) of the Social Security (Northern Ireland) Order 1998 applies to an appeal under this section, as it applies to an appeal under that Article.
Clause 7: Minors and persons who are incapable
Clause 7 concerns how lump sum payments are to be made to persons under the age of 18 or incapable of managing their own affairs.
Subsection (2) provides for a lump sum payment in respect of these persons to be made to any trustees appointed by the Department.
Subsection (3) provides for those trustees to hold the lump sum payment on such trusts as the Department may declare.
Recovery of mesothelioma and other lump sum payments
Clause 8: Amendment of Social Security (Recovery of Benefits) (Northern Ireland) Order 1997
Clause 8inserts a new Article 3A into the Recovery of Benefits Order, which provides the Department with the power to make regulations providing for the recovery of the lump sum payments set out in paragraph (2) of Article 3A.
Paragraph (1) of Article 3A sets out that the Department may by regulations make provision about the recovery of a lump sum payment to which paragraph (2) applies, where—
- a compensation payment is made to, or in respect of a person to whom, or in respect of whom, a lump sum payment has been made or is likely to be made; and
- the compensation payment is made in respect of the same disease as the lump sum payment.
Paragraph (2) applies to—
- a payment made in accordance with the 1979 Order;
- an extra-statutory payment following the rejection of a claim made under the 1979 Order; or
- a payment made under the new scheme.
Paragraph (3) sets out that regulations made under Article 3A may in particular—
- make provision about the recovery of the lump sum payment made to or in respect of a dependant of the person with diffuse mesothelioma;
- make provision enabling the recovery of a lump sum payment from a compensation payment (including provision enabling the recovery of an amount that reduces the compensation payment to nil);
- enable the amount of lump sum payment made before commencement to be recovered from a compensation payment made after commencement;
- make provision about certificates in respect of lump sum payments; and
- apply any provision of the Recovery of Benefits Order, with or without modifications.
Paragraph (4) provides that references in paragraph (1) to a payment in consequence of a disease are references to a payment made by or on behalf of a person who is, or is alleged to be, liable to any extent in respect of the disease.
Clause 9: Regulations
Clause 9provides the Department with the power to make regulations, which includes power to make such incidental, supplementary, consequential or transitional provision as the Department thinks fit and provides for a person to exercise a discretion in dealing with any matter.
Clause 10: Assembly control
Clause 10provides that any regulations made under clause 1 and the first regulations made underclause 2are subject to the confirmatory procedure and that any other regulations made under any other provision of this Bill are subject to the negative resolution procedure.
FINANCIAL EFFECTS OF THE BILL
- The proposals would not create additional administrative costs for the Social Security Agency as this work can be subsumed within existing resources.
- Payments under the new scheme will be charged to the Departmental Expenditure Limit budget. It is anticipated that the total amount for claim payments administered under the Bill will be approximately £824k for the initial first year and increase to approximately £1,034k over the following six years. It is envisaged that some of the initial costs will be offset by recoveries from compensation awards and in the longer term would be cost neutral.
Human Rights Issues
- The provisions of the Bill are compatible with the provisions of the Human Rights Act 1998.
Equality Impact assessment
- In accordance with its duty under section 75 of the Northern Ireland Act 1998, the Department has conducted an Equality Impact Assessment. The consultation period ran from 1 February 2008 until 28 March 2008. The Department has concluded that the proposals do not have significant implications for equality of opportunity.
- Copies of this Assessment have been laid in the Business Office and placed in the Library of the Northern Ireland Assembly and can be accessed at www.dsdni.gov.uk/index/consultations.
- The proposals make provision corresponding to provision contained in Part 4 of the Westminster Child Maintenance and Other Payments Bill and are in line with the long-standing principle of parity between Great Britain and Northern Ireland in child support, pensions and social security matters.
Summary of the regulatory impact assessment
- A Regulatory Impact Assessment is published alongside the Bill. Copies are available from the Assembly Business Office and the Department for Social Development, Social Security Policy and Legislation Division, Level 1, James House, 2-4 Cromac Avenue, Gasworks Business Park, Ormeau Road, Belfast BT7 2JA.
- The proposals mean that employers and their insurers will no longer be able to deduct the 1979 Order payments from their settlements of civil compensation, as the Department will now be able to recover those payments from civil compensation, in line with the existing arrangements for the recovery of other benefits.
- The total cost to employers and insurers across the United Kingdom is about £12m per year. The present value of the cost of the proposal over 10 years at 2005 prices is around £100m. This cost can be taken in the context of the Employers’ Liability Compulsory Insurance market of about £1 billion per year.
Legislative Competence
- The Minister for Social Development had made the following statement under section 9 of the Northern Ireland Act 1998:
“In my view the Mesothelioma, etc., Bill would be within the legislative competence of the Northern Ireland Assembly.”
SECRETARY OF STATE CONSENT
- A statement is required under section 10(3)(b) of the Northern Ireland Act 1998, on Secretary of State consent:
“The Secretary of State has consented under section 10(3)(b) of the Northern Ireland Act 1998 to the Assembly considering this Bill.”