Social Security,
Health Insurance and Income Support (Miscellaneous Provisions) (Jersey) Order
2015
Made 5th March 2015
Coming into force 6th
March 2015
THE MINISTER FOR SOCIAL SECURITY, in pursuance of Articles 29, 33. 34, 34AA and 51 of the Social Security (Jersey) Law 1974[1], Article 28 of the Health
Insurance (Jersey) Law 1967[2] and Articles 9 and 18
of the Income Support (Jersey) Law 2007[3], orders as follows –
1 Social Security (Determination of
Disablement Questions) (Jersey) Order 1974 amended
(1) The
Social Security (Determination of Disablement Questions) (Jersey) Order 1974[4] is amended as follows.
(2) For
Article 1(1) there shall be substituted the following paragraph –
‘Law’ means the
Social Security (Jersey) Law 1974[5];
‘Registrar’ means
the Registrar appointed under Article 4 of the Social Security
(Determination of Claims and Questions) (Jersey) Order 1974[6];
‘Tribunal’ means
the Social Security Medical Appeals Tribunal.”.
(3) In Article 2
the words “constituted in accordance with Article 34 of the
Law” shall be deleted.
(4) In Article 5(5)
after the word “findings” there shall be inserted the words
“and information about the claimant’s right to appeal against the
decision in accordance with Article 7”.
(5) For
Articles 6, 7 and 8 there shall be substituted the following Articles –
“6 Constitution
of Social Security Medical Appeal Tribunal
(1) There shall be constituted a Social Security
Medical Appeal Tribunal, which shall comprise the following categories of
members –
(a) a chairman and one
or more deputy chairmen, being persons holding a qualification in law; and
(b) a panel of up to 8 members
who are medical practitioners.
(2) The members shall each be appointed by the
States on the recommendation of the Minister made after consulting the Jersey
Appointments Commission established by Article 17 of the Employment of
States of Jersey Employees (Jersey) Law 2005[7].
(3) A member of the Tribunal shall hold office
for such period as is specified in his or her appointment and after expiry of
such period is eligible for re-appointment for such period as is specified in
his or her new appointment.
(4) A member may continue in office, after the
expiry of his or her term of office, for the purposes of completing any
proceeding that the member has begun to hear before the expiry of the term of
office.
(5) A member of the Tribunal shall cease to hold
office on resigning in writing delivered to the Minister.
(6) Any member of the Tribunal shall cease to
hold office –
(a) on becoming
bankrupt;
(b) on the appointment
of a curator of the member’s property and affairs under the Mental Health (Jersey) Law 1969[8];
(c) on being received
into guardianship under the Mental Health
(Jersey) Law 1969;
(d) on ceasing to be
qualified for membership in the category for which the member was appointed; or
(e) on being removed
from office by the Royal Court, if the member is guilty of misconduct or has
been unable to carry out his or her duties because of ill-health or other
commitments for a continuous period exceeding 6 months.
(7) A member of the Tribunal shall not be removed
from office for any other reason.
(8) For the purposes of hearing any appeal or
reference to it under Article 34B or 34C of the Law the Tribunal shall consist of one person
from the category of members mentioned in paragraph (1)(a) and two persons
from the category of members mentioned in paragraph (1)(b), selected by
the Registrar.
(9) However, a person shall not hear any case if
he or she –
(a) was involved in an
earlier determination of the case;
(b) is a doctor who has
regularly attended the appellant or a member of the appellant’s
household; or
(c) has any personal or
pecuniary interest, whether direct or indirect, in the outcome.
(1) An appeal by a claimant against a decision
of a medical board under Article 34B of the Law shall
be brought by giving notice of appeal to the Registrar within 14 days of
receiving notice of that decision under Article 5.
(2) However, a notice of appeal given more than 14 days
after, but within 28 days of, receiving notification of the decision of
the medical board, may be allowed with the consent of the chairman or a deputy
chairman of the Tribunal.
(3) A reference by the Minister to the Tribunal
under Article 34C of the Law shall be brought by
giving notice of the reference to the Registrar.
(4) Every notice of appeal or reference given
under this Article shall be made in writing to the Registrar on a form approved
by the Registrar for that purpose, or in such manner as the Registrar may
accept as sufficient in the circumstances of the case.
(1) The parties to the hearing shall be the
applicant and the Minister and each party or any person acting on behalf of
that party may make representations to the Tribunal.
(2) The Tribunal shall sit in public unless the
Tribunal considers it necessary to sit in private.
(3) However, no person other than the Registrar
shall be present while the Tribunal is considering its decision.
(4) The Tribunal may adjourn the hearing from
time to time as it thinks fit.
(5) The Tribunal may, if it thinks fit, admit
any duly authenticated written statement or other material as prima facie evidence of any fact or facts in any case
in which it thinks it just and proper to do so.
(6) The Tribunal may, if it thinks fit, call for
such documents and examine such witnesses as appear to it likely to afford
evidence relevant and material to the issue, although not tendered by either
the applicant or the Minister.
(7) If, after notice of the hearing has been
duly given, the applicant or the Minister fails to appear at the hearing, the
Tribunal may proceed to determine the matter notwithstanding the absence of
both or either of them, or may give such directions with a view to the determination
of the application as the Tribunal thinks just and proper.
(8) The Tribunal may require any party to
proceedings before the Tribunal under this Order or any witness in the
proceedings to give evidence on oath and, for that purpose, the chairman or
deputy chairman presiding over the Tribunal shall have power to administer an
oath.
(9) Where, in connection with the determination
of any claim or question, there is before the Tribunal medical advice or
medical evidence relating to the applicant that has not been disclosed to the applicant
and, in the opinion of the chairman or deputy chairman, the disclosure to the
applicant of that advice or evidence would be harmful to the applicant’s
health, such advice or evidence shall not be required to be disclosed to the
applicant, but the Tribunal shall not by reason of such non-disclosure be
precluded from taking it into account for the purpose of the review.
(10) On hearing any matter under this Article, the
Tribunal may confirm, reverse or vary the decision of the medical board and
shall give its decision in public.
(11) The decision of the majority of the members of the
Tribunal shall be the decision of the Tribunal and there shall be a written
record of the decision signed by the chairman or deputy chairman as the case
may be which –
(a) includes the names of
the Tribunal members;
(b) includes the
reasons for the decision; and
(c) records any dissent
and the reasons for such dissent,
and the Registrar shall send a copy of such written record to the parties
as soon as practicable after the review has taken place.
(12) Where the Tribunal has made a decision adverse to
the applicant, the applicant shall be advised that the decision on the facts is
final.
(13) Subject to this Article, the Tribunal may regulate
its own procedure.”.
2 Social
Security (Determination of Claims and Questions) (Jersey) Order 1974
amended
(1) The
Social
Security (Determination of Claims and Questions) (Jersey) Order 1974[9] is amended as follows.
(2) For
Article 14 of the Social Security (Determination of Claims and Questions)
(Jersey) Order 1974 there shall be substituted the following Article –
“14 Appeals
and references to Royal Court
(1) A person aggrieved by a decision of the
Tribunal may, on a point of law only, appeal to the Royal Court.
(2) An appeal under paragraph (1) may be
made –
(a) in the first
instance, only with leave of the Tribunal; or
(b) in the second
instance, only with leave of the Royal Court where the Tribunal has in the
first instance refused leave to appeal.
(3) The Tribunal shall, if it is unable to reach
a decision as to whether or not to grant leave to appeal, refer the application
for leave to appeal, to the Royal Court.
(4) Subject to paragraph (5), an
application for leave to appeal under paragraph (2)(a) must be made before
the end of the period of 4 weeks beginning with the date of the
Tribunal’s decision or order.
(5) The Tribunal may vary the period specified
in paragraph (4) if, in the circumstances of the case, the Tribunal is
satisfied it would be fair and just to do so.
(6) An application for leave to appeal under paragraph (2)(b) shall be made within such period as may be specified by
Rules of Court (within the meaning of Article 13 of the Royal Court
(Jersey) Law 1948[10]).
(7) An application for leave to appeal under paragraph (2)
may include an application to stay a decision or order of the Tribunal pending
the appeal.
(8) No appeal shall lie from a decision of the
Tribunal refusing leave for the institution or continuance of, or for the
making of an application in, proceedings by a person who is the subject of an
order under Article 1 of the Civil Proceedings (Vexatious Litigants)
(Jersey) Law 2001[11].
(9) The Tribunal or a determining officer may
refer any point of law to the Royal Court for the Royal Court to give a ruling
on the point.”.
(3) In Article 17(1)(b)
after the words “long term incapacity allowance” there shall be
inserted the words “(other than a decision relating to the determination
of any question for which provision is made by Articles 34A to 34D of the Law)”.
(4) In Article 19 –
(a) the existing text shall be numbered paragraph (1);
(b) after paragraph (1) (as numbered by sub-paragraph (a))
there shall be added the following paragraph –
“(2) In this Article
‘Tribunal’ includes the Social Security Medical Appeals Tribunal.”.
3 Health
Insurance (Determination of Claims and Questions) (Jersey) Order 2008
amended
For Article 6 of the Health Insurance (Determination of Claims
and Questions) (Jersey) Order 2008[12] there shall be substituted
the following Article –
“6 Appeals
and references to Royal Court
(1) A person aggrieved by a decision of the Social
Security Tribunal may, on a point of law only, appeal to the Royal Court.
(2) An appeal under paragraph (1) may be
made –
(a) in the first
instance, only with leave of the Tribunal; or
(b) in the second
instance, only with leave of the Royal Court where the Tribunal has in the
first instance refused leave to appeal.
(3) The Tribunal shall, if it is unable to reach
a decision as to whether or not to grant leave to appeal, refer the application
for leave to appeal, to the Royal Court.
(4) Subject to paragraph (5), an
application for leave to appeal under paragraph (2)(a) must be made before
the end of the period of 4 weeks beginning with the date of the
Tribunal’s decision or order.
(5) The Tribunal may vary the period specified
in paragraph (4) if, in the circumstances of the case, the Tribunal is
satisfied it would be fair and just to do so.
(6) An application for leave to appeal under paragraph (2)(b) shall be made within such period as may be specified by
Rules of Court (within the meaning of Article 13 of the Royal Court
(Jersey) Law 1948[13]).
(7) An application for leave to appeal under paragraph (2)
may include an application to stay a decision or order of the Tribunal pending
the appeal.
(8) No appeal shall lie from a decision of the
Tribunal refusing leave for the institution or continuance of, or for the
making of an application in, proceedings by a person who is the subject of an
order under Article 1 of the Civil Proceedings (Vexatious Litigants)
(Jersey) Law 2001[14].
(9) The Tribunal or a determining officer may
refer any point of law to the Royal Court for the Royal Court to give a ruling
on the point.”.
4 Income
Support (General Provisions) (Jersey) Order 2008 amended
For Article 18 of the Income Support (General Provisions)
(Jersey) Order 2008[15] there shall be substituted
the following Article –
(1) A person aggrieved by a decision of the Medical
Appeal Tribunal or the Social Security Tribunal under this Part may, on a point
of law only, appeal to the Royal Court.
(2) An appeal under paragraph (1) may be
made –
(a) in the first
instance, only with leave of the Tribunal; or
(b) in the second
instance, only with leave of the Royal Court where the Tribunal has in the
first instance refused leave to appeal.
(3) The Tribunal shall, if it is unable to reach
a decision as to whether or not to grant leave to appeal, refer the application
for leave to appeal, to the Royal Court.
(4) Subject to paragraph (5), an
application for leave to appeal under paragraph (2)(a) must be made before
the end of the period of 4 weeks beginning with the date of the
Tribunal’s decision or order.
(5) The Tribunal may vary the period specified
in paragraph (4) if, in the circumstances of the case, the Tribunal is
satisfied it would be fair and just to do so.
(6) An application for leave to appeal under paragraph (2)(b) shall be made within such period as may be specified by
Rules of Court (within the meaning of Article 13 of the Royal Court
(Jersey) Law 1948[16]).
(7) An application for leave to appeal under paragraph (2)
may include an application to stay a decision or order of the Tribunal pending
the appeal.
(8) No appeal shall lie from a decision of the
Tribunal refusing leave for the institution or continuance of, or for the
making of an application in, proceedings by a person who is the subject of an
order under Article 1 of the Civil Proceedings (Vexatious Litigants)
(Jersey) Law 2001[17].”.
5 Citation
and commencement
This Order may be cited as the Social Security, Health Insurance and
Income Support (Miscellaneous Provisions) (Jersey) Order 2015 and shall
come into force the day after it is made.
deputy s.j. pinel of st. clement
Minister for Social Security