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The Social Security Act 1998 (Commencement No. 8, and Savings and Consequential and Transitional Provisions) Order 1999

Status:

This is the original version (as it was originally made).

Article 4(7)

SCHEDULE 7AMENDMENT OF THE PNEUMOCONIOSIS, BYSSINOSIS AND MISCELLANEOUS DISEASES BENEFIT SCHEME 1983

1.  In article 1(2) (citation, commencement and interpretation)—

(a)after the definition of “the Act” the following definition shall be inserted—

“the 1998 Act” means the Social Security Act 1998;;

(b)for the definition of “the appropriate determining authority” there shall be substituted the following definition—

“the appropriate determining authority” means the Secretary of State or, as the case may be, an appeal tribunal or Commissioner within the meaning of section 39 of the 1998 Act;;

(c)for the definition of “claimant” there shall be substituted the following definition—

“claimant” means a person claiming an allowance or death benefit under this scheme and includes, in relation to the revision or supersession of a decision, a person affected by that decision;;

(d)after the definition of “foundry” the following definition shall be inserted—

“medical practitioner” means a medical practitioner who has experience in the issues specified in regulation 12(1) of the Social Security and Child Support (Decisions and Appeals) Regulations 1999;.

2.  In article 2(2)(c) (benefit payable under this scheme), for the words “certified as provided in article 14” there shall be substituted the words “decided by the Secretary of State”.

3.  In article 4(1) (allowances payable under this scheme) for the words “to the date certified by a medical board” there shall be substituted the words “to the date decided by the Secretary of State”.

4.  For article 12 there shall be substituted the following article—

Questions arising under the scheme

12.  Subject to the provisions of Part IV, any question relating to any allowance or benefit under this scheme shall be determined as if it had arisen under Part V of the Social Security Contributions and Benefits Act 1992 and, except where the scheme otherwise provides, the provisions of the 1998 Act and of the Social Security (General Benefit) Regulations 1982, the Social Security (Claims and Payments) Regulations 1987, the Social Security (Payments on Account, Overpayments and Recovery) Regulations 1988, the Social Security and Child Support (Decisions and Appeals) Regulations 1999 and the Social Security Commissioners (Procedure) Regulations 1999 which are specified in Schedule 3 shall, with the necessary modifications, apply for the purposes of this scheme..

5.  For article 13 (reference of questions in respect of pneumoconiosis or byssinosis to medical authorities) there shall be substituted the following article—

MEDICAL REPORT

Report of a medical practitioner

13.(1) Subject to the provisions of paragraph (3), the Secretary of State, on consideration of a claim for an allowance in respect of pneumoconiosis or byssinosis, shall refer the case to a medical practitioner for advice.

(2) The Secretary of State need not refer the case as provided in paragraph (1), but may determine that an award cannot be made on the claim if the claimant fails to satisfy him—

(a)that he fulfils the conditions relating to the allowance;

(b)that there is reasonable cause for suspecting that he is totally or partially disabled within the meaning of this scheme as a result of pneumoconiosis or byssinosis or, where he has previously been awarded an allowance in respect of partial disablement and claims that he has become totally disabled, that he is totally disabled.

(3) For the purposes of determining whethere there is reasonable cause for suspecting that the claimant is totally or partially disabled by pneumoconiosis, the Secretary of State shall have power, in any case where he considers necessary, to obtain a radiological report on the case..

6.  In article 14 (issue of certificate by medical board)—

(a)for the heading “Issue of certificate by medical board” there shall be substituted the following heading: “Provision of a report by a medical practitioner”;

(b)in paragraph (1) for the words—

(i)“the medical board” in the first place where they occur, there shall be substituted the words “a medical practitioner”;

(ii)“the medical board” in the second place where they occur, there shall be substituted the words “the medical practitioner”;

(iii)“give a certificate” there shall be substituted the words “provide a report”;

(c)for paragraph (2) there shall be substituted the following paragraph—

(2) For the purposes of the last foregoing paragraph of this article, in the case of a claimant disabled as a result of byssinosis, the medical practitioner shall not make a report as provided in this paragraph unless satisfied that the disablement is likely to be permanent, in which event he shall include in his report a statement to that effect, together with his opinion as to the degree of disablement;

(d)for paragraph (3) substitute the following paragraph—

(3) The medical practitioner may provide a report in accordance with the provisions of paragraph (1) without examining the claimant, if satisfied that such examination can be dispensed with, having regard to any medical reports available as a result of any previous medical examination of the claimant carried out by a medical board or a specially qualified medical practitioner or a medical practitioner, whether in accordance with this scheme or otherwise, or if the claimant has died after having claimed the allowance but before having been examined by a medical board or a medical practitioner on the reference under article 13(1).;

(e)in paragraph (4)—

(i)for the word “certificate” there shall be substituted the word “report”; and

(ii)for the words “the medical board”, in both places where they appear, there shall be substituted the words “the medical practitioner”;

(f)in paragraph (5) for the words—

(i)“adjudication officer” there shall be substituted the words “Secretary of State”; and

(ii)“the medical board, who shall determine the question and shall give a certificate accordingly” there shall be substituted the words “a medical practitioner who shall provide a report to the Secretary of State”;

(g)paragraph (6) shall be omitted;

(h)for paragraph (7) there shall be substituted the following paragraph—

(7) A decision of the Secretary of State following the provision of a report provided under paragraph (5) stating that the deceased did not suffer from pneumoconiosis, or from pneumoconiosis accompanied by tuberculosis, may, to the extent mentioned in that paragraph, be revised by the Secretary of State..

7.  In article 16 (obligation to undergo medical examination)—

(a)in paragraph (1) for the words “medical authority (as defined in paragraph (4))” there shall be substituted the words “medical practitioner”;

(b)in paragraph (2) for the words “medical board” there shall be substituted the words “medical practitioner”;

(c)paragraph (4) shall be omitted.

8.  For article 26 there shall be substituted the following article—

Review of decisions of the Administrative Board

26.(1) The Secretary of State may at any time and from time to time revise or supersede any decision given by the Administrative Board under provisions of the Pneumoconiosis, Byssinosis and Miscellaneous Diseases Benefit Scheme 1966 in force immediately before 1st July 1977, if—

(a)the decision was erroneous in view of new facts which have been brought to his notice since the date on which the decision was given or by reason of some mistake being made with respect to the facts or the law; or

(b)there has been any relevant change of circumstances since the decision was given.

(2) A decision of the Administrative Board may be revised or superseded by the Secretary of State on his own initiative or by application in writing to him for the purpose.

(3) Where it appears to the Secretary of State that an issue has arisen whether the decision as to an award of an allowance to which this article relates ought to be revised or superseded in accordance with the provisions of paragraph (1), he may decide that payment of the allowance shall be suspended in whole or in part until that issue has been determined.

(4) Repayment of sums by way of an allowance in pursuance of the original decision shall not be required under this article in any case where it is shown to the satisfaction of the Secretary of State that in the obtaining and receipt of the benefit the beneficiary, and any person acting for him, has throughout used due care and diligence to avoid overpayment.

(5) For the purposes of this article a decision given under any scheme made under the Industrial Diseases (Benefit) Acts shall be treated as if it had been a decision given under the Pneumoconiosis, Byssinosis and Miscellaneous Diseases Benefit Scheme 1966 as in force immediately before 1st July 1977.

(6) On a revision or supersession of a decision given by the Administrative Board under any scheme made under the Industrial Diseases (Benefit) Acts in force before 1st March 1966 the Secretary of State may determine any issue referred to him arising under the scheme.

9.  For Schedule 3 there shall be substituted the following Schedule—

Articles 11 and 12

SCHEDULE 3PROVISIONS OF THE 1998 ACT OR REGULATIONS APPLICABLE (WITH THE NECESSARY MODIFICATIONS) TO THIS SCHEME

Provisions of the 1998 Act or of RegulationsSubject matter
Social Security Act 1998—
  • Section 8

Decisions by Secretary of State
  • Sections 9 and 10

Revisions, and supersession of decisions
  • Section 11

Regulations with respect to decisions.
  • Section 12

Appeal to an appeal tribunal
  • Section 14

Appeal from an appeal tribunal to Commissioner
The Social Security (General Benefit) Regulations 1982—
  • Regulation 3

Suspension of payment of benefit during imprisonment etc.
The Social Security (Claims and Payments) Regulations 1987—
  • Regulation 4

Making a claim for benefit
  • Regulation 5

Amendment and withdrawal of claim
  • Regulation 6

Date of claim
  • Regulation 16

Date of entitlement under an award for the purpose of payability of benefit and effective date of change of rate
  • Regulation 17

Duration of awards
  • Regulation 20

Time and manner of payment: general provision
  • Regulation 20A

Payment on presentation of an instrument for benefit payment
  • Regulation 21

Direct credit transfer
  • Regulation 22

Long term benefits
  • Regulation 25

Payment of attendance allowance and constant attendance allowance at a daily rate
  • Regulation 28

Fractional amounts of benefit
  • Regulation 30

Payments on death
  • Regulation 33

Persons unable to act
  • Regulation 38

Extinguishment of right to payment where not obtained within prescribed period
  • Regulation 47

Instruments of payment
Social Security (Payments on Account, Overpayments and Recovery) Regulations 1988—
  • Regulation 5

Offsetting prior payment against subsequent award
The Social Security and Child Support (Decisions and Appeals) Regulations 1999—
  • Regulation 3

Revision of decisions
  • Regulation 4

Late application for a revision
  • Regulation 5

Date from which a decision revised under section 9 takes effect
The Social Security and Child Support (Decisions and Appeals) Regulations 1999—
  • Regulation 6

Supersession of decisions
  • Regulation 7

Date from which a decision superseded under section 10 takes effect
  • Regulation 8

Effective date for late notification of change of circumstances
  • Regulation 12

Decisions of the Secretary of State relating to industrial injuries benefit
  • Regulation 16

Suspension in prescribed cases
  • Regulation 17

Provision of information or evidence
  • Regulation 18

Termination in cases of failure to furnish information or evidence
  • Regulation 19

Suspension and termination for failure to submit to medical examination
  • Regulation 20

Making of payments which have been suspended
  • Regulation 25

Other persons with a right of appeal
  • Regulation 26

Decisions against which an appeal lies
  • Regulation 27

Decisions against which no appeal lies
  • Regulation 28

Notice of decision against which appeal lies
  • Regulation 30

Appeal against a decision which has been revised
  • Regulation 31

Time within which an appeal is to be brought
  • Regulation 32

Late appeals
  • Regulation 33

Making of appeals and applications
  • Regulation 34

Death of a party to an appeal
  • Regulation 35

Persons appointed to the panel
  • Regulation 36

Composition of appeal tribunals
  • Regulation 37

Assignment of clerks to appeal tribunals: function of clerks
  • Regulation 38

Consideration and determination of appeals and referrals
  • Regulation 39

Directions concerning oral hearings
  • Regulation 40

Withdrawal of appeal or referral
  • Regulation 41

Medical examination required by appeal tribunal
  • Regulation 42

Non-disclosure of medical advice or evidence
  • Regulation 43

Summoning of witnesses and administration of oaths
  • Regulation 46

Appeals which may be struck out
  • Regulation 47

Reinstatement of struck out appeals
  • Regulation 48

Misconceived appeals
  • Regulation 49

Procedure at oral hearings
  • Regulation 50

Manner of providing expert assistance
  • Regulation 51

Postponement and adjournment
  • Regulation 52

Physical examination at oral hearings
  • Regulation 53

Decisions of appeal tribunals
  • Regulation 54

Late applications for a statement of reasons of tribunal decision
The Social Security and Child Support (Decisions and Appeals) Regulations 1999—
  • Regulation 55

Record of tribunal proceedings
  • Regulation 56

Correction of accidental errors
  • Regulation 57

Setting aside decisions on certain grounds
  • Regulation 58

Application for leave to appeal to a Commissioner from an appeal tribunal
The Social Security Commissioners (Procedure) Regulations 1999—
  • Regulation 5

General powers of a Commissioner
  • Regulation 7

Delegation of functions to authorised officers
  • Regulation 8

Manner of and time for service of notices, etc.
  • Regulation 9

Application to a Commissioner for leave to appeal
  • Regulation 10

Notice of application to a Commissioner for leave to appeal
  • Regulation 12

Notice of appeal
  • Regulation 13

Time limit for appealing after leave obtained
  • Regulation 16

Acknowledgement of a notice of appeal or a reference and notification to each respondent
  • Regulation 18

Respondent’s written observations
  • Regulation 19

Written observations in reply
  • Regulation 20

Directions
  • Regulation 22

Non-disclosure of medical evidence
  • Regulation 23

Requests for oral hearings
  • Regulation 24

Hearings
  • Regulation 25

Summoning of witnesses
  • Regulation 26

Withdrawal of applications for leave to appeal, appeals and references
  • Regulation 27

Irregularities
  • Regulation 28

Determinations and decisions of a Commissioner
  • Regulation 30

Correction of accidental errors in decisions
  • Regulation 31

Setting aside of decisions on certain grounds
  • Regulation 32

Provisions common to Regulations 30 and 31
  • Regulation 33

Application to a Commissioner for leave to appeal to the Appellate Court

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