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Article 18(8)
(1) | (2) |
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Patients1. (1) Subject to paragraphs 2, 2A, 3 and 18, a person who has been a patient for a period of more than six weeks and who is— (a)a single claimant; | 1.—(a) £16.20 plus any amount applicable under regulation 17(1)(e), (f) or (g); |
(b)a lone parent; | (b)£16.20 plus any amounts applicable to him under regulation 17(1)(b), (c), (e), (f) or (g) or under regulation 17(1)(d) because of paragraph 14 of Schedule 2 (applicable amounts); |
(c)a member of a couple— (i)where only one of the couple is a patient or, where both members of the couple are patients but only one has been a patient for that period; | (c)(i)the amount applicable in respect of both of them under regulation 17(1) reduced by £12.95; |
(ii)where both members of the couple have been a patient for that period; | (ii)£32.40 plus any amounts which may be applicable under regulation 17(1)(b), (c), (e), (f) or (g) or under regulation 17(1)(d) because of paragraph 14 of Schedule 2; |
(d)a member of a polygamous marriage— (i)where at least one member of the polygamous marriage is not a patient or has not been a patient for more than that period; | (d)(i)the applicable amount under regulation 18 (polygamous marriages) shall be reduced by £12.95 in respect of each such member who is a patient; |
(ii)where all the members of the polygamous marriage have been patients for more than that period. | (ii)the applicable amount shall be £16.20 in respect of each member plus any amounts applicable under regulation 18(1)(c), (d), (f), (g) or (h), or (e) because of his satisfying the condition specified in paragraph 14 of Schedule 2. |
2. A single claimant who has been a patient for a continuous period of more than 52 weeks, where— (a)the following conditions are satisfied— (i)a person has been appointed to act for him under regulation 33 of the Social Security (Claims and Payments) Regulations 1987(2) (persons unable to act); and (ii)his income support is payable to an administrative officer of the hospital or other institution either as or at the request of the person so appointed; and (iii)a registered medical practitioner treating him certifies that all or part of his income support cannot be used by him or on his behalf; or | 2.—(a) Such amount (if any) not exceeding £12.95 as is reasonable having regard to the views of the hospital staff and the patient’s relatives if available as to the amount necessary for his personal use; |
(b)those conditions are not satisfied. | (b)£12.95. |
2A. (3) A single claimant who is detained under the provisions of the Mental Health Act 1983(4) or the Mental Health (Scotland) Act 1984(5) and who immediately before his detention under either of those Acts was a prisoner. | 2A. £12.95. |
3. (6) Subject to paragraph 18— (a)a claimant who is not a patient and who is a member of a family of which another member is a child or young person who has been a patient for a period of more than 12 weeks; or | 3.—(a) The amount applicable to him under regulation 17(1) or 18 except that the amount applicable under regulation 17(1)(b) or 18(1)(c) in respect of the child or young person referred to in Column (1) of this paragraph shall be £12.95 instead of an amount determined in accordance with paragraph 2 of Schedule 2; or |
(b)where the person is a member of a family and paragraph 1 applies to him and another member of the family who is a child or young person has been a patient for a period of more than 12 weeks. | (b)the amount applicable to him under paragraph 1 except that the amount applicable under regulation 17(1)(b) or 18(1)(c) in respect of the child or young person referred to in Column (1) of this paragraph shall be £12.95 instead of an amount determined in accordance with paragraph 2 of Schedule 2. |
Single claimants temporarily in local authority accommodation10A. (7)A single claimant who is temporarily in accommodation referred to in any of sub-paragraphs (a) to (d) (excluding heads (i) and (ii) of sub-paragraph (d)) of the definition of residential accommodation in regulation 21(3) (special cases). | 10A. £64.70 of which £14.45 is for personal expenses plus any amounts applicable under regulation 17(1)(e), (f) or (g). |
Couples and members of polygamous marriages where one member is or all are temporarily in local authority accommodation10B. — (1) A claimant who is a member of a couple temporarily separated from his partner where one of them is living in the home while the other is in accommodation referred to in any of sub-paragraphs (a) to (d) (excluding heads (i) and (ii) of sub-paragraph (d)) of the definition of residential accommodation in regulation 21(3) (special cases). | 10B. — (1) The aggregate of the amount applicable for the member who remains in the home calculated as if he were a single claimant under regulation 17(1), 19 or 21 and in respect of the other member £64.70 of which £14.45 is for personal expenses. |
(2) A claimant who is a member of a polygamous marriage and who is temporarily separated from a partner of his where one is, or some are, living in the home while one is, or some are, in accommodation referred to in sub-paragraph (1). | (2) The aggregate of the amount applicable for the members of the polygamous marriage who remain in the home, under regulation 18 and in respect of each member not in the home £64.70 of which £14.45 is for personal expenses. |
(3) A claimant who is a member of a couple or a member of a polygamous marriage where both members of that couple or all the members of that marriage are in accommodation referred to in sub-paragraph (1). | (3) For each member of that couple or marriage £64.70 of which £14.45 is for personal expenses plus, if appropriate, the amount applicable under regulation 17(1)(e), (f) or (g) or 18(1)(f), (g) or (h). |
Lone parents who are in residential accommodation temporarily10C (8). A claimant who is a lone parent who has entered residential accommodation temporarily. | 10C. £64.70 of which £14.45 is for personal expenses, plus— (a)in respect of each child or young person who is a member of his family, the amount in respect of him prescribed in paragraph 2(a), (b), (c) or (d) of Schedule 2 or under this Schedule as appropriate; and (b)any amount which would be applicable to the claimant if he were not temporarily living away from the dwelling occupied as his home, under regulation 17(1)(c), (e), (f) or (g). |
Persons in residential accommodation13. — (1) Subject to sub-paragraph (2), a person in or only temporarily absent from residential accommodation who is— (a)a single claimant; | 13. — (1) (9) Any amount applicable under regulation 17(1)(f) or (g) or 18(1)(g) or (h), plus— (a)£64.70 of which £4.45 is for personal expenses; |
(b)a lone parent; | (b)the amount specified in sub-paragraph (a) of this column; |
(c)one of a couple; | (c)twice the amount specified in sub-paragraph (a) of this column; |
(d)a child or young person; | (d)the appropriate amount in respect of him prescribed in paragraph 2 of Schedule 2 (applicable amounts); |
(e)a member of a polygamous marriage. | (e)the amount specified in sub-paragraph (a) of this column multiplied by the number of members of the polygamous marriage in or only temporarily absent from that accommodation. |
(2) A single claimant who has become a patient and whose residential accommodation was provided by and managed by a local authority. | (2) Any amount applicable under regulation 17(1)(f) or (g), plus £14.45. |
Polish Resettlement13A. — (1) A claimant for whom accommodation is provided under section 3 of, and Part II of the Schedule to, the Polish Resettlement Act 1947 (provision of accommodation in camps) where the claimant both requires personal care and is provided with it in the accommodation and— (a)is resident in that accommodation on 31st March 1995 or is temporarily absent on that date; or (b)is first provided with such accommodation and care on or after 1st April 1995; or (c)is re-admitted to such accommodation on or after 1st April 1995 where his absence has been other than temporary. | 13A. — (1) The aggregate of— (a)the weekly charge for the accommodation provided for him, or if he is a member of a family, for him and his family, subject to the maximum determined in accordance with sub-paragraph (2); and (b)a weekly amount for personal expenses for him or, if he is a member of a family, for him and for each member of his family determined in accordance with sub-paragraph (3) or, in the case of a claimant to whom sub-paragraph (1)(b) or (c) of Column (1) applies, determined in accordance with sub-paragraph (3A) below. |
(2) In this paragraph “personal care” means care which a claimant requires by reason of old age, disablement, past or present dependence on alcohol or drugs, past or present mental disorder or a terminal illness. (3) An absence is temporary for the purposes of sub-paragraph (1) where the absent resident with the agreement of the manager of the accommodation intends to return to the accommodation in due course. | |
(2) The maximum referred to in sub-paragraph (1)(a) shall be— (a)in the case of a single claimant, £359.00; (b)in the case of a claimant who is a member of a family the aggregate of the following amounts— (i)in respect of the claimant, £359.00; (ii)in respect of each member of his family who lives in the accommodation aged under 11, 1½ times the amount specified in paragraph 2(a) of Schedule 2; (iii)in respect of each member of his family aged not less than 11 who lives in the accommodation, £359.00; and (iv)where the claimant is a lone parent, in respect of each member of the family who does not live in the accommodation, the amount which would be applicable in respect of that member under Schedule 2. (3) Except where the claimant is a person to whom sub-paragraph (1)(b) or (c) of Column (1) refers, the amount for personal expenses referred to in sub-paragraph (1)(b) shall be— (d)for a young person aged under 18 but over 16, £10.05; (e)for a child aged under 16 but over 11, £8.65; (f)for a child aged under 11, £5.95. (3A) In the case of a claimant to whom sub-paragraph (1)(b) or (c) of Column (1) applies, the amount for personal expenses referred to in sub-paragraph (1)(b) above shall be the aggregate of the amounts which are relevant to him and which are referred to in Schedule 4, paragraph 13. (4) The maximum amount in respect of a member of a family aged under 11 calculated in the manner referred to in sub-paragraph (2)(b)(ii) shall be rounded to the nearest multiple of 5p by treating an odd amount of 2.5p or more as 5p and by disregarding an odd amount of less than 2.5p. | |
Persons in residential care or musing homes who become patients18. (10) A claimant to whom regulation 19 (persons in residential care or nursing homes) applies immediately before he or a member of his family became a patient where— (a)he or any member of his family has been a patient for a period of six weeks or less and the claimant— (i)continues to be liable to meet the weekly charge for the accommodation without reduction in respect of himself or that member of his family who is a patient; (ii)continues to be liable to meet the weekly charge for the accommodation but at a reduced rate; (iii)is a single claimant and is likely to return to the accommodation, but has ceased to be liable to meet the weekly charge for that accommodation; or (iv)is a single claimant who ceases to be liable to meet the weekly charge for the accommodation, and who is unlikely to return to the accommodation; | 18.—(a) (i) the amount which would be applicable under regulation 19 as if the claimant or the member of the family who is a patient were resident in the accommodation to which regulation 19 applies; (ii)the amount which would be applicable under regulation 19 having taken into account the reduced charge, as if the claimant or the member of the family who is a patient were resident in the accommodation to which regulation 19 applies; (iii)the amount applicable to him (if any) under paragraph 2(2) of Schedule 4 (meal allowances) plus the amount in respect of him as an allowance for personal expenses under paragraph 13 of Schedule 4 as if he were residing in the accommodation to which regulation 19 applies plus any amount applicable under regulation 17(1)(f); (iv)the amount which would be applicable to him under regulation 17(1); |
(b)he or his partner has been a patient for a period of more than six weeks and the patient is— (i)a single claimant; | (b)(i)£16.20 plus any amount applicable under regulation 17(1)(f), plus either the amount prescribed in paragraph 16 in respect of any retaining fee he is liable to pay for the accommodation or the amount applicable by virtue of regulation 17(1)(e), but not both; |
(ii)a lone parent; | (ii)where one or more children or young persons remain in the accommodation, the amount applicable to the family as if regulation 19, having taken into account any reduction in charge, continued to apply to all the members of the family except that where the lone parent is the patient no amount shall be applicable in respect of him under paragraph 2(2) of Schedule 4 (meals allowances) and for the amount in respect of the allowance for personal expenses prescribed by paragraph 13 of Schedule 4, there shall be substituted the amount £16.20;
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(iii)one of a couple or polygamous marriage and one of that couple or marriage is not a patient or has been a patient for six weeks or less; | (iii)where the members of the family not patients remain in the accommodation, the amount applicable to the family as if regulation 19 having taken into account any reduction in charge, continued to apply to all the members of the family except that in respect of the member of the couple or polygamous marriage who has been a patient for more than six weeks no amount shall be applicable in respect of him under paragraph 2(2) of Schedule 4 and for the amount in respect of the allowance for personal expenses prescribed by paragraph 13 of Schedule 4 there shall be substituted the amount of £16.20;
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(iv)one of a couple or polygamous marriage where all the members of that couple or marriage are patients and have been so for more than six weeks; | (iv)where there is no child or young person in the family £16.20 in respect of each member of the couple or polygamous marriage, plus any amount applicable under regulation 17(1)(f) or 18(1)(g), plus either the amount prescribed in paragraph 16 in respect of any retaining fee for the accommodation he is liable to pay or the amount applicable by virtue of regulation 17(1)(e) or 18(1)(f), but not both; – where there is a child or young person remaining in the accommodation, the amount which would be applicable in respect of the family as if regulation 19 having taken into account any reduction in charge continued to apply to all the members of the family except that in respect of each member of the couple or polygamous marriage no amount shall be applicable in respect of him under paragraph 2(2) of Schedule 4, and for the amount in respect of the allowance for personal expenses prescribed by paragraph 13 of Schedule 4 in respect of each member there shall be substituted the amount of £16.20;
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(c)a child or young person who has been a patient for a period of more than 12 weeks. | (c)the amount applicable under regulation 19 as if that child or young person was not a member of the family plus an amount of 512.95 in respect of that child or young person. |
Paragraph in Schedule 7 | Specified Sum |
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7. Members of religious orders | Nil |
8. Prisoners | Nil |
13A. (11) Polish Resettlement | (3) (a) for the claimant, £17.35; (b)for his partner, £17.35; (c)for a young person aged 18, £15.55; |
13B. (12) Polish Resettlement: persons temporarily absent from accommodation | 80 per cent. |
16. (13) Persons temporarily absent from a residential care or a nursing home | 80 per cent. |
17. Persons from abroad | Nil |
S.I. 1987/1968.
Paragraph 2A was inserted by S.I. 1990/547.
Relevant amending instrument is S.I. 1988/1445.
Paragraphs 10A and 10B were inserted by S.I. 1988/663; relevant amending instruments are S.I. 1988/2022 and 1445, 1989/534, 1992/3147 and 1993/2119.
Paragraph 10C was inserted by S.I. 1988/2022; relevant amending instruments are S.I. 1990/547, 1992/3147, 1993/2119 and 1996/1803.
Paragraph 13B was inserted by S.I. 1994/2139.