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Forum Home  →  Discussion  →  Work capability issues and ESA  →  Thread

New Claim for ESA then winning appeal on old claim

PCLC
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Benefits Supervisor - Plumstead Law Centre, London

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I guess this is a common situation - client lost appeal on old claim, made new claim as more than 6 months since decision , meanwhile we applied for appeal on point of law against FtT decision on old claim. Has just had re-hearing and won.

My question is; does the old claim now superceed the new claim, or is it more like DLA where it would be a fixed period award?

Many thanks

Paul_Treloar
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Welfare benefits caseworker, Mary Ward Legal Centre

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Usually, the first appeal decision is limited to the date of the new decision on the second appeal (I think it’s “res judicata”).

However, we recently had a case where DWP superseded their own refusal on a later decision and simply started to pay the client ESA with full arrears, which was unusual but very welcome to see, as we’ve had a number of cases similar to yours and it becomes a real headache lodging appeal after appeal.

nevip
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Welfare rights adviser - Sefton Council, Liverpool

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The decision on the new claim merely treats him as having LCFW but the tribunal’s decision means he actually has LCFW.  So, it should be a simple matter for the DWP to just supersede the decision on the new claim based on a change of circumstances.

Sally Robertson
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Barrister - Cloisters Chambers, London

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Have a close read of the footnotes in Bonner et al to reg 147A ESA Regs - but an easy answer doesn’t leap out. It looks as if, subject to any change of circumstances since the date of the decision against which there was eventually a successful appeal, the successful appeal on the earlier decision rules - so that the later claim falls away. That would make sense as it would help prevent the SoS making later decisions that undermine the independence of tribunals; it would further the overriding objective by avoiding the unnecessary cost of further appeals where a tribunal had recently made a decision etc etc. The footnotes also refer to DMG Memo 26/12, which may shed more light, but I haven’t looked at it.

PCLC
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Benefits Supervisor - Plumstead Law Centre, London

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Thanks for responses. Just spoke to ESA as the suspense was killing me. They will action it when they get the decision of the Tribunal, which was only 2 days ago.

They confirmed the Tribunal decision on the old claim will have the effect of superseding the new claim. Client has filled out ESA50 on new claim due to a WCA referral, but this will now be withdrawn.

PCLC
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Benefits Supervisor - Plumstead Law Centre, London

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Just one thing, just to clarify my addled brain - does this only work if, say, she had not had a new medical on the new claim and failed? In that case she would have had a new, negative LCW determination so arrears on the old claim could only have been paid up to then? After that she would have to go through the appeal process again?

Have a good weekend all!

nevip
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Welfare rights adviser - Sefton Council, Liverpool

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“...does this only work if, say, she had not had a new medical on the new claim and failed”?

Yes.