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

ESA and backdating

benefitsadviser
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Sunderland West Advice Project

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This should be quick and easy, but I thought I would ask anyway!

I have a client who was sectioned in August 2012 and discharged in August 2013.

He claimed ESA when he was discharged and was given a 3 month backdate to April 2013.

I have tried to explain to the client and his support worker that ESA benefits cannot be backdated beyond 3 months, and i cannot find ANY exceptions in the CPAG bible.

His support worker is adamant that this is grossly unfair (which it is : its a benefits issue!) and wants to know how to get benefits backdated for the other 9 months when he was entitled.

I explained that entitlement can only be in place once the claim is made.

His support worker isnt taking no for an answer and wants every avenue explored.

He wants to appeal but i have informed him that there isnt a legal argument here and his appeal has no merit under law.

I have suggested he puts in a complaint against the hospital, who employ a welfare benefits advice worker to assist service users, as they should have picked up on this when he was originally admitted, and as far as the DWP are concerned I have nowhere to go on this one.

So : Are there any exceptions to the 3 month ESA backdate rules that may apply here??

Thanks, in advance (as always)

[ Edited: 12 Nov 2013 at 03:58 pm by benefitsadviser ]
Paul_Treloar
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I’d tend to agree with Tony on this one.

You could tell the support worker that he’s lucky it’s ESA with automatic 3-month backdate, as under the shiny new mythological Universal Credit, he’d only get 1-month….

benefitsadviser
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The support worker wanted me to write to the NHS trust to make a complaint of negligence against their welfare benefit adviser, and i dont even have all the facts!

I politely declined.

This begs the question : what does a support worker actually DO?
Apparently his “Support” worker is not allowed to help in completing DLA/ PIP, ESA50s or even write to organisations on his clients behalf : he wanted me to do everything! (moan moan whinge rant)

Chances are his partner was getting the couple rate of JSA anyway when he got sectioned, so the benefit was already in payment, and his wife has had his chunk of their benefit when he was in hospital.

Thanks for the replies fellas, as always.

Pete C
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Tony Bowman - 12 November 2013 06:40 PM

I got nothing except hunting around for something that might have been a claim, or ought to have been treated as one.

Give the support worker a copy of the appropriate regulation and tell him to give you a break - you’re just the messenger. Job’s stressful enough thankyouverymuch.

I don’t think it helps this particular case but I seem to remember a case where an extra backdating was allowed because a security guard in the DWP office told the claimant he would not get the benefit and there was no point in applying. The claimant made a successful claim at a later date and a commissioner held that it could be backdated to the day the the claimant first went to the DWP office as that was when the person had intended to make a claim but was deterred from doing so by an employee of the DWP (the security guard) - I can’t seem to find any reference to this case and I am beginning to think I imagined it. Does anyone else remember it or is my memory playing tricks?

Paul_Treloar
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Pete C - 13 November 2013 12:19 PM

I don’t think it helps this particular case but I seem to remember a case where an extra backdating was allowed because a security guard in the DWP office told the claimant he would not get the benefit and there was no point in applying. The claimant made a successful claim at a later date and a commissioner held that it could be backdated to the day the the claimant first went to the DWP office as that was when the person had intended to make a claim but was deterred from doing so by an employee of the DWP (the security guard) - I can’t seem to find any reference to this case and I am beginning to think I imagined it. Does anyone else remember it or is my memory playing tricks?

Is it CIS/610/98? Apparently it is on rightsnet somewhere but can’t seem to find it by searching anyhow, so have attached.

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Pete C
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Paul_Treloar - 13 November 2013 01:11 PM
Pete C - 13 November 2013 12:19 PM

I don’t think it helps this particular case but I seem to remember a case where an extra backdating was allowed because a security guard in the DWP office told the claimant he would not get the benefit and there was no point in applying. The claimant made a successful claim at a later date and a commissioner held that it could be backdated to the day the the claimant first went to the DWP office as that was when the person had intended to make a claim but was deterred from doing so by an employee of the DWP (the security guard) - I can’t seem to find any reference to this case and I am beginning to think I imagined it. Does anyone else remember it or is my memory playing tricks?

Is it CIS/610/98? Apparently it is on rightsnet somewhere but can’t seem to find it by searching anyhow, so have attached.

Thanks Paul, this is definitely the case I remembered, its nice to know that despite increasing age at least some of my memory is intact.

Ros
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hi - not sure CIS/610/98 is on rightsnet - well, if it is, i don’t know where - but thanks to paul for attaching copy - it’s also available on UT website -

http://www.osscsc.gov.uk/Aspx/view.aspx?id=1479

cheers ros

Liz S
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Just a thought, was the client claiming any benefits (for example JSA) prior to admission to hospital? If so, were DWP notified of admission by anyone around that time? Hospital/family/support worker?

If they just closed down previous claim despite such contact being made then the client may have a case for arguing incorrect decision made if entitlement to another benefit existed and they ‘knew’ they were in hospital.

May be worth considering….......