SCHEDULE 1Applicable amount

Regulation 20

PART 1Personal allowances

1

In this Schedule “patient” means a person (other than a person who is serving a sentence of imprisonment or detention in a youth custody institution) 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 M1.

Annotations:
Marginal Citations
M1

S.I. 2005/3360, to which there are amendments not relevant to these Regulations.

2

The amount specified in column (2) below in respect of each person or couple specified in column (1) is the amount specified for the purposes of regulation 20(a) (applicable amount)—

Column (1)

Column (2)

Person, couple or member of a polygamous marriage

Amount

(1) Single applicant or lone parent—

a

aged under 65;

F23£163.00

b

aged 65 or over.

F24£176.40

(2) Couple—

a

both members aged under 65;

F25£248.80

b

one member or both members aged 65 or over.

F26£263.80

(3) If the applicant is a member of a polygamous marriage and none of the members of the marriage have attained the age of 65—

a

for the applicant and one other party to the marriage;

F27£248.80

b

for each additional party to the marriage who is a member of the same household as the applicant.

F28£85.80

(4) If the applicant is a member of a polygamous marriage and one or more members of the marriage is aged 65 or over—

a

for the applicant and one other party to the marriage;

F29£263.80

b

for each additional party to the marriage who is a member of the same household as the applicant.

F30£87.40

3

The amount specified in column (2) below in respect of each person specified in column (1) is, for the relevant period specified in column (1), the amount specified for the purposes of regulation 20(b) (applicable amount)—

Column (1)

Column (2)

Child or young person

Amount

A person in respect of the period—

a

beginning on that person's date of birth and ending on the day preceding the first Monday in September following that person's sixteenth birthday;

F22£83.63

b

beginning on the first Monday in September following that person's sixteenth birthday and ending on the day preceding that person's twentieth birthday.

F22£83.63

F21PART 2Family premium

Annotations:

F214

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

PART 3Disability premiums

5

For the purposes of regulation 20(d), a premium of an amount specified in Part 4 of this Schedule is applicable to an applicant who satisfies the conditions specified in this Part which relate to that premium.

6

1

Subject to sub-paragraph (2), for the purposes of this Part, once a premium is applicable to an applicant under this Part, a person is to be treated as being in receipt of a benefit for—

a

in the case of a benefit to which the Social Security (Overlapping Benefits) Regulations 1979 M2 applies, any period during which, but for the provisions of those Regulations, F9the person would be in receipt of that benefit; and

b

any period spent by a person in undertaking a course of training or instruction provided or approved by Skills Development Scotland, Scottish Enterprise or Highlands and Islands Enterprise under section 2 of the Enterprise and New Towns (Scotland) Act 1990 M3 or the Secretary of State under section 2 of the 1973 Act M4 for any period during which F9the person is in receipt of a training allowance.

2

For the purposes of the carer premium under paragraph 10, a person is to be treated as being in receipt of a carer's allowance by virtue of sub-paragraph (1)(a) only for so long as the person in respect of whose care the allowance has been claimed remains in receipt of attendance allowance, the care component of disability living allowance at the highest or middle rate prescribed in accordance with section 72(3) of the 1992 Act F2, armed forces independence payment or the daily living component of personal independence payment.

Severe disability premium7

1

With regard to severe disability premium the condition referred to in paragraph 5 is that the applicant is a severely disabled person.

2

For the purposes of sub-paragraph (1), an applicant is to be treated as being a severely disabled person if—

a

in the case of a single applicant, lone parent or an applicant who is treated as having no partner under sub-paragraph (3)—

i

the applicant is in receipt of attendance allowance, the care component of disability living allowance at the highest or middle rate prescribed in accordance with section 72(3) of the 1992 Act F3, armed forces independence payment or the daily living component of personal independence payment;

ii

subject to sub-paragraph (6), the applicant has no non-dependants aged 18 or over normally residing with the applicant or with whom the applicant normally resides; and

iii

no person is F11in receipt of a carer’s allowance under section 70 of the 1992 Act, or has an award of universal credit which includes the carer element under regulation 29 of the Universal Credit Regulations 2013, in respect of caring for the applicant; and

b

in the case of an applicant who has a partner—

i

the applicant is in receipt of attendance allowance, the care component of disability living allowance at the highest or middle rate prescribed in accordance with section 72(3) of the 1992 Act F4, armed forces independence payment or the daily living component of personal independence payment;

ii

the applicant's partner is also in receipt of attendance allowance, the care component of disability living allowance at the highest or middle rate prescribed in accordance with section 72(3) of the 1992 Act F5, armed forces independence payment or the daily living component of personal independence payment or, if the applicant is a member of a polygamous marriage, each other member of that marriage is in receipt of such an allowance or payment; and

iii

subject to sub-paragraph (6), the applicant has no non-dependants aged 18 or over normally residing with the applicant or with whom the applicant normally resides,

and either a person is entitled to and in receipt of a carer's allowance F10, or has an award of universal credit which includes the carer element, in respect of caring for only one member of the couple or, if the applicant is a member of a polygamous marriage, for one or more but not all the members of the marriage, or as the case may be, no person is entitled to and in receipt of a carer's allowance F10, or has an award of universal credit which includes the carer element, in respect of caring for either member of the couple or any of the members of the marriage.

3

Where an applicant has a partner who does not satisfy the condition in sub‑paragraph (2)(b)(ii), and that partner is blind or is treated as blind within the meaning of sub‑paragraph (4), that partner is to be treated for the purposes of sub-paragraph (2) as if the partner was not a partner of the applicant.

4

For the purposes of sub-paragraph (3), a person is blind if that person has been certified as blind and in consequence is registered as blind in a register maintained by or on behalf of a local authority in Scotland or is registered as blind in a register compiled under section 29 of the National Assistance Act 1948 M5 (welfare services) F20or is registered as severely sight impaired in a register kept by a local authority in Wales under section 18(1)(a) of the Social Services and Well-being (Wales) Act 2014.

5

For the purposes of sub-paragraphs (3) and (4), a person who has ceased to be registered as blind on regaining eyesight is to be treated as blind for a period of 28 weeks following the date on which the person ceased to be registered as blind.

6

For the purposes of sub-paragraph (2)(a)(ii) and (2)(b)(iii) no account is to be taken of—

a

a person receiving attendance allowance, the care component of disability living allowance at the highest or middle rate prescribed in accordance with section 72(3) of the 1992 Act F6, armed forces independence payment or the daily living component of personal independence payment; or

b

a person who is blind within the meaning of sub-paragraph (4) or is treated as blind within the meaning of sub-paragraph (5).

7

For the purposes of sub-paragraph (2)(b) a person is to be treated—

a

as being in receipt of attendance allowance, the care component of disability living allowance at the highest or middle rate prescribed in accordance with section 72(3) of the 1992 Act or the daily living component of personal independence payment, if the person would, but for being a patient for a period exceeding 28 days, be in receipt of attendance allowance, the care component of disability living allowance at the highest or middle rate prescribed in accordance with section 72(3) of the 1992 Act or the daily living component of personal independence payment, as the case may be; and

b

as being entitled to and in receipt of a carer's allowance F12or as having an award of universal credit which includes the carer element if the person would, but for the person F13being cared for being a patient in hospital for a period exceeding 28 days, be entitled to and in receipt of a carer's allowance F14or would have an award of universal credit which includes the carer element.

8

For the purposes of sub-paragraph (2)(a)(iii) and (2)(b)—

a

no account is to be taken of an award of carer's allowance F15, or of universal credit which includes the carer element, to the extent that payment of that award is back-dated for a period before the date on which the award is first paid; and

b

references to a person being in receipt of a carer's allowance F16or as having an award of universal credit which includes the carer element include references to a person who would have been in receipt of that allowance F17or award but for the application of a restriction under section 6B or 7 of the Social Security Fraud Act 2001 M6 (loss of benefit).

Enhanced disability premium8

1

Subject to sub-paragraph (2), with regard to enhanced disability premium the condition referred to in paragraph 5 is that—

a

the care component of disability living allowance is, or would, but for a suspension of benefit in accordance with regulations under section 113(2) of the 1992 Act or but for an abatement as a consequence of hospitalisation, be payable at the highest rate prescribed under section 72(3) of the 1992 Act in respect of a child or young person who is a member of the applicant's family; or

F7aa

armed forces independence payment is payable in respect of a young person within the applicant’s family;

b

the daily living component of personal independence payment F1at the enhanced rate is, or would, but for a suspension of benefit in accordance with regulations made under section 86(1) of the Welfare Reform Act 2012 M7 or an abatement as a consequence of hospitalisation, be payable in respect of a child or young person who is a member of the applicant's family.

2

Where the condition in sub-paragraph (1) ceases to be satisfied because of the death of a child or young person, the condition referred to in paragraph 5 is that the applicant or the applicant's partner is entitled to child benefit in respect of that child or young person under section 145A of the 1992 Act M8 (entitlement after death of child or qualifying young person).

Disabled child premium9

With regard to disabled child premium the condition referred to in paragraph 5 is that a child or young person for whom the applicant or applicant's partner is responsible and who is a member of the applicant's household—

a

is in receipt of disability living allowance or personal independence payment or is no longer in receipt of that allowance or payment because the child or young person is a patient, provided that the child or young person continues to be a member of the family;

b

is blind within the meaning of paragraph 7(4) or treated as blind in accordance with paragraph 7(5); or

F8ba

is a young person who is in receipt of armed forces independence payment;

c

is a child or young person in respect of whom section 145A of the 1992 Act (entitlement after death of child or qualifying young person) applies for the purposes of entitlement to child benefit but only for the period prescribed under that section, and in respect of whom a disabled child premium was included in the applicant's applicable amount immediately before the death of that child or young person, or ceased to be included in the applicant's applicable amount because of that child or young person's death.

Carer premium10

1

With regard to carer premium the condition referred to in paragraph 5 is that the applicant or the applicant's partner is, or both of them are, entitled to a carer's allowance.

2

Where a carer premium has been awarded but—

a

the person in respect of whose care the carer's allowance was awarded dies; or

b

the person in respect of whom the premium was awarded ceases to be entitled, or ceases to be treated as entitled, to a carer's allowance,

the condition for the award of the premium must be treated as satisfied for a period of 8 weeks from the relevant date specified in sub-paragraph (3).

3

The relevant date for the purposes of sub-paragraph (2) is—

a

where sub-paragraph (2)(a) applies, the Sunday following the death of the person in respect of whose care the carer's allowance was awarded (or beginning with the date of death if the date occurred on a Sunday); and

b

in any other case, the date on which the person who was entitled to a carer's allowance ceases to be entitled to it.

4

For the purposes of this paragraph, a person is to be treated as being entitled to and in receipt of a carer's allowance for any period not covered by an award but in respect of which a payment is made in lieu of an award.

Persons in receipt of concessionary payments11

1

For the purpose of determining whether a premium is applicable to a person under paragraphs 7 to 10, any concessionary payment made to compensate that person for the non-payment of any benefit mentioned in those paragraphs is to be treated as if it was a payment of that benefit.

2

In this paragraph “concessionary payment” means a payment made under arrangements made by the Secretary of State with the consent of the Treasury which is charged to a Departmental Expenditure Vote to which payments of benefit or tax credits under the benefit Acts or the Tax Credits Act 2002 M9 are charged.

Person in receipt of benefit12

For the purposes of this Part of this Schedule, a person is only to be regarded as being in receipt of a benefit if it is paid in respect of that person and is only to be regarded as being in receipt of that benefit for any period in respect of which the benefit is paid.

PART 4Amount of disability premium

Annotations:
Amendments (Textual)

Premium

Amount

13.—(1) Severe disability premium—

a

where the applicant satisfies the condition in paragraph 7(2)(a);

F31£64.30

b

where the applicant satisfies the condition in paragraph 7(2)(b)—

i

in a case where someone is in receipt of a carer's allowanceF18, or who has an award of universal credit which includes the carer element under regulation 29 of the Universal Credit Regulations 2013, or if the applicant or any partner of the applicant satisfies that condition only by virtue of paragraph 7(7);

F31£64.30

ii

in a case where no-one is in receipt of a carer's allowance F19or an award of universal credit which includes the carer element.

F32£128.60

(2) Enhanced disability premium.

F33£25.48 in respect of each child or young person in respect of whom the condition in paragraph 8 is satisfied.

(3) Disabled child premium.

F34£62.86 in respect of each child or young person in respect of whom the condition in paragraph 9 is satisfied.

(4) Carer premium.

F35£36.00 in respect of each person who satisfies the condition in paragraph 10.