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England and Wales Court of Appeal (Civil Division) Decisions |
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You are here: BAILII >> Databases >> England and Wales Court of Appeal (Civil Division) Decisions >> Mercy Global Consult Ltd v Adegbuyi-Jackson & Ors [2023] EWCA Civ 1073 (04 October 2023) URL: http://www.bailii.org/ew/cases/EWCA/Civ/2023/1073.html Cite as: [2023] EWCA Civ 1073 |
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ON APPEAL FROM THE HIGH COURT OF JUSTICE, BUSINESS AND PROPERTY COURTS OF ENGLAND AND WALES, BUSINESS LIST (ChD)
Mr Justice Richards
Strand, London, WC2A 2LL |
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B e f o r e :
(Vice-President of the Court of Appeal (Civil Division))
LORD JUSTICE ARNOLD
and
LORD JUSTICE PHILLIPS
____________________
MERCY GLOBAL CONSULT LIMITED (IN LIQUIDATION) |
Claimant/Respondent |
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- and - |
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(1) ABAYOMI ADEGBUYI-JACKSON (3) MICHAEL OSEMWEGIE (6) FUNMILAYO OJUOLAPE ADEGBUYI- JACKSON (7) CORNERSTONE GLOBAL SYSTEM UK LIMITED (8) MERCY GLOBAL PROPERTIES SOLUTIONS LIMITED (9) DOMINION PAYROLL SOLUTIONS LIMITED (10) OLUGBENGA TITUS JONES SOMADE (11) OJUOLAPE ARCADE LIMITED (13) DMO CONSULTANCY & ACCOUNTING SERVICES LIMITED (14) PURPOSE IP CONSULT LIMITED (15) HANSTAL CONSULTING LIMITED |
Defendants/Appellants |
____________________
Rupert Baldry KC, Clara Johnson and Quinlan Windle (instructed by Wedlake Bell LLP) for the Respondent
Hearing date : 20 September 2023
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Crown Copyright ©
Lord Justice Arnold:
Introduction
The background to the applications
i) MGC employed healthcare professionals such as doctors and nurses and entered into contracts of service with those employees.
ii) MGC seconded the services of its employees to recruitment agencies ("Secondees") and had contractual relationships with those Secondees.
iii) The Secondees in turn sub-seconded the services of MGC's employees to "End Users", in most cases an NHS Trust. The Secondees had contractual relationships with these End Users.
iv) When sub-seconded to End Users, MGC's employees provided services consisting of "medical care" or "care or medical or surgical treatment" within the meaning of Items 1 and 4 of VATA Schedule 9 Group 7.
v) MGC did not control the services provided by healthcare professionals that it employed. Thus, when providing "medical care" or "care or medical or surgical treatment", MGC's employees discharged their professional duties within the framework set by the End Users.
vi) MGC's secondment of employees to Secondees and the Secondees' sub-secondments to End Users were on a "back-to-back" basis, so that, in particular:
a) MGC would not second an employee to a Secondee unless the Secondee would in turn sub-second the employee to an End User.
b) MGC seconded its employees to Secondees as healthcare professionals. The Secondees in turn sub-seconded the employees to End Users as healthcare professionals. End Users did not require MGC's employees to perform duties other than those of a healthcare professional.
vii) MGC charged Secondees a fee for the provision of a particular employee. MGC also charged its employees a "commission" consisting of a flat-rate weekly amount which MGC justified by the fact that it provided certain administrative and payroll services.
viii) On receipt of a fee from a Secondee, Mercy would deduct PAYE and employees' national insurance contributions ("NICs") and its commission, and then pay the balance over to the employee concerned.
The legislative framework
"Member States shall exempt the following transactions:
...
(b) hospital and medical care and closely related activities undertaken by bodies governed by public law or, under social conditions comparable with those applicable to bodies governed by public law, by hospitals, centres for medical treatment or diagnosis and other duly recognised establishments of a similar nature;
(c) the provision of medical care in the exercise of the medical and paramedical professions as defined by the Member State concerned;
…"
"GROUP 7— HEALTH AND WELFARE
Item No.
1. The supply of services consisting in the provision of medical care by a person registered or enrolled in any of the following—
(a) the register of medical practitioners;
(b) either of the registers of ophthalmic opticians or the register of dispensing opticians kept under the Opticians Act 1989 or either of the lists kept under section 9 of that Act of bodies corporate carrying on business as ophthalmic opticians or as dispensing opticians;
(c) the register kept under the Health Professions Order 2001;
(ca) the register of osteopaths maintained in accordance with the provisions of the Osteopaths Act 1993;
(cb) the register of chiropractors maintained in accordance with the provisions of the Chiropractors Act 1994
(d) the register of qualified nurses, midwives and nursing associates maintained under article 5 of the Nursing and Midwifery Order 2001.
…
4. The provision of care or medical or surgical treatment and, in connection with it, the supply of any goods, in any hospital or state-regulated institution.
…
Notes:
…
(2) Paragraphs (a) to (d) of item 1 and paragraphs (a) and (b) of item 2 include supplies of services made by a person who is not registered or enrolled in any of the registers or rolls specified in those paragraphs where the services are wholly performed or directly supervised by a person who is so registered or enrolled."
The VAT Defence
i) The Appellants argue that there is no distinction for VAT purposes between a supply of staff and a supply of the services performed by those staff. Rather, a supply of staff where the staff are to perform services of a given description is a supply of services of that description.
ii) Accordingly, for the purposes of Items 1 and 4 of Schedule 9 Group 7 VATA, the character of the supplies that MGC made was the same as the character of the services that the relevant employees provided.
iii) Therefore, to fall within Item 1, read together with Note 2, all that was required was that MGC should have seconded the services of employees falling within paragraphs (a) to (d) of Item 1, in order that those employees should provide "medical care".
iv) Similarly, MGC's services fell within Item 4 to the extent that it was seconding healthcare professionals. Those healthcare professionals would all be providing "care", even if they were not necessarily providing "medical or surgical treatment", and would be doing so on behalf of their employer, MGC. Item 4 does not impose any condition as regards the person to whom MGC made its supplies. Therefore, the requirements of Item 4 are satisfied in circumstances where MGC made its supplies to a Secondee, just as much as if MGC made its supplies to an NHS Trust.
Mainpay
"… whether the consultants come under the control, direction and supervision of the NHS Trusts. If so, that would be a supply of staff by Mainpay. If not, then it would be a supply of medical care by Mainpay. We will consider that test taking into account the objective of the exemption and the EU law principle of fiscal neutrality."
The FTT answered that question at [119] as follows:
"… In our view the consultants engaged by Mainpay carried out their work within the framework of the NHS Trust, in the sense that they operated within the remit of local policies laid down by the NHS Trust. Mainpay's consultants were incorporated into the organisation of the NHS Trust in the same way as a consultant who might have been employed directly by the NHS Trust. Mr Firth described the question in terms of 'what is the essence of the supply'. Based on the evidence as a whole we regard the essence of the supply as being that of staff, rather than medical services."
"To be clear, our task is only to determine whether Mainpay's supplies fell within Article 132(1)(c). Contrary to the tenor of some of the submissions made to us by [counsel for Mainpay], it is not necessary for us to determine whether those supplies constituted a supply of staff – a term used in the context of the exemption for hospital and medical care neither by the domestic legislation nor by the Directive – or to define the hallmarks of such a supply."
The UT went on to conclude that the FTT had not erred in law on any of the grounds alleged, and dismissed the appeal.
"[Counsel for HMRC] argued … that the sole issue before this Court was whether Mainpay's services came within the medical exemption; if they did, the appeal succeeded; if they did not, then the appeal failed and it was not necessary to define Mainpay's services, whether as a supply of staff or anything else, because by operation of s 4 VATA those services would be taxable at the standard rate. On that footing, much of the FTT's and the UT's analysis of what amounted to a supply of staff was, strictly speaking, unnecessary, and Mainpay's arguments that this was not a taxable supply of staff 'missed the mark' (to quote [5(d)] of HMRC's skeleton)."
"The focus of this appeal has undoubtedly shifted. Before turning to the cases about the scope of Article 132(1)(c), which are now centre stage on [counsel for Mainpay]'s argument, it is necessary to clear the decks of two preliminary points raised in challenge to the approach adopted by the FTT."
"51. I accept the point made by the UT at [93] and now by [counsel for HMRC] in their skeleton argument, that the issue of law is whether Mainpay's services are exempt. [Counsel for Mainpay] saw that as a significant change in HMRC's case. I am not convinced that it did represent a change of anything more than emphasis. But in any event, I am quite satisfied that there is nothing wrong, conceptually, in approaching the issue in the way the FTT did, by asking whether this was a supply of staff or a supply of medical services. Those two analyses are mutually exclusive. If there is a supply of staff, that necessarily means that the supplies are taxable and not exempt.
52. The reason the FTT and the UT approached the issue in that way was because that is how HMRC framed their decision in the first place. The review letter was dated 25 June 2015 and it referred to Notice 700/34, which contains HMRC's policy on the supply of staff and staff bureaux. HMRC's statement of case in the FTT asserted that Mainpay was making a supply of staff, noting that the NHS Trusts directed and controlled the activities of the consultants ….
53. The distinction between a supply of staff on the one hand and a supply of the services of those staff on the other is reflected in case law and accords with ordinary principles of VAT. …"
"These cases make clear that there is a distinction between supplies of staff on the one hand, and supplies of services comprising what the staff actually do, on the other. HMRC based its decision on that distinction. The FTT considered Mainpay's appeal by addressing that distinction. That remains a valid distinction in determining this appeal."
"I accept [counsel for HMRC]'s answer on the CJEU cases. None of them carries Mainpay home. The facts of each are important to the CJEU's confirmation that the medical exemption applied (or, in the case of Klinikum Dortmund, did not). It is the facts of this case, judged through the lens of commercial and economic reality, which determines whether Mainpay was making supplies of medical care, or not. It is to that issue which I now turn."
"79. Mainpay argued that it had control over the consultants in a number of different ways. I have already dealt with its argument in the FTT that it retained control over clinical decision-making, an argument that the FTT rejected by looking instead at the framework of control over the consultants, finding that was operated by the NHS Trusts (see above at paragraphs 58-60).
80. Other variants of Mainpay's case on control resurfaced during the course of argument in this Court. …
82. Thirdly, and for the first time in this Court, Mainpay submitted that Mainpay's services were the same as and were constituted by the services provided by the consultants. This argument runs close to the Article 10 argument which I have rejected in the preceding paragraph. It was advanced as part of the argument based on Kügler [27], which I have also rejected. But in any event, this argument fails in its own right. As a matter of principle, it wrongly conflates a supply of staff with a supply of the services provided by those staff; but these are conceptually distinct types of supply (see paragraphs 51-57 above). Further, this argument is not tenable on the facts as found, because the FTT has determined that the consultants provided their services to the NHS Trusts who used them as part and parcel of their own supplies to patients (FTT [115]). The consultants did not, on the FTT's findings, provide medical services to Mainpay, for onward supply to the NHS Trust.
83. I return to the findings by the FTT. The FTT concluded, based on the contractual arrangements and the circumstances in which the consultants worked, that the consultants were under the control, direction and supervision of the NHS Trusts for the duration of the assignment; they effectively became part and parcel of the NHS Trusts which themselves provided medical care to patients (FTT [115]). In consequence, and after detailed consideration of Mainpay's submissions, it found that the essence of the supply was that of staff, rather than medical services (FTT [119]). The UT held that that was a conclusion to which the FTT was entitled to come, on the evidence before it and on the facts as found; as a matter of commercial and economic reality, Mainpay provided consultants (staff) to A&E, which consultants were on-supplied by A&E to the NHS Trusts, which Trusts used the consultants to provide medical care to their patients (UT [115]). I can find no fault in the approach of either the FTT or the UT. The short answer to Mr Firth's case is that it does not fit the facts as they have been found by the FTT. The commercial and economic reality is that Mainpay provides supplies of staff, not medical care, to A&E. …"
"It is not necessary to deal with the different or additional grounds relied on by HMRC in their Respondents' Notice. Broadly, they are all facets of HMRC's overarching contention, accepted by the FTT and the UT, that Mainpay was making taxable supplies of staff, not exempt supplies of medical services."
The judge's reasoning
The appeal
Mere assumption?
"Like all exceptions to, and modifications of, the strict rule of precedent, this rule must only be applied in the most obvious of cases, and limited with great care. The basis of it is that the proposition in question must have been assumed, and not have been the subject of decision. That condition will almost always only be fulfilled when the point has not been expressly raised before the court and there has been no argument upon it … . And there may of course be cases, perhaps many cases, where a point has not been the subject of argument, but scrutiny of the judgment indicates that the court's acceptance of the point went beyond mere assumption. Very little is likely to be required to draw that latter conclusion: because a later court will start from the position, encouraged by judicial comity, that its predecessor did indeed address all the matters essential for its decision."
Manifestly wrong?
"As a general rule the only cases in which decisions should be held to have been given per incuriam are those of decisions given in ignorance or forgetfulness of some inconsistent statutory provision or of some authority binding on the court concerned: so that in such cases some part of the decision or some step in the reasoning on which it is based is found, on that account, to be demonstrably wrong. This definition is not necessarily exhaustive, but cases not strictly within it which can properly be held to have been decided per incuriam must, in our judgment, consistently with the stare decisis rule which is an essential feature of our law, be, in the language of Lord Greene M.R., of the rarest occurrence. In the present case it is not shown that any statutory provision or binding authority was overlooked, and while not excluding the possibility that in rare and exceptional cases a decision may properly be held to have been per incuriam on other grounds, we cannot regard this as such a case. As we have already said, it is, in our judgment, impossible to fasten upon any part of the decision under consideration or upon any step in the reasoning upon which the judgments were based and to say of it: 'Here was a manifest slip or error.' In our judgment, acceptance of the Attorney-General's argument would necessarily involve the proposition that it is open to this court to disregard an earlier decision of its own or of a court of co-ordinate jurisdiction (at least in any case of significance or complexity) whenever it is made to appear that the court had not upon the earlier occasion had the benefit of the best argument that the researches and industry of counsel could provide. Such a proposition would, as it seems to us, open the way to numerous and costly attempts to re-open questions now held to be authoritatively decided. Although, as was pointed out in Young v. Bristol Aeroplane Co. Ld., a 'full court' of five judges of the Court of Appeal has no greater jurisdiction or higher authority than a normal division of the court consisting of three judges, we cannot help thinking that, if the Attorney-General's argument were accepted, there would be a strong tendency in cases of public interest and importance, to invite a 'full court' in effect to usurp the function of the House of Lords and to reverse a previous decision of the Court of Appeal. Such a result would plainly be inconsistent with the maintenance of the principle of stare decisis in our courts."
"… the concept of VAT supply is not coterminous with the concept of contractual duty, contracts which fully distribute the latter may be silent about the former. So it is here. In fact I would incline to accept [counsel for Reed]'s argument that taken as a whole the documents indicate that Reed was supplying nurses, not nursing services. However for the reasons I have given the case is not resolved in [counsel for Reed]'s favour, any more than in [counsel for the Commissioners'], simply upon the correct construction of [the] contracts. Although the contracts fully distribute [the] parties' private law duties and rights, they do not put beyond question the nature of the supplies made by Reed, nor was it their function to do so. What those supplies were was accordingly a matter of fact for the Tribunal. That being the case, there is no proper basis on which this court should interfere with the Tribunal's conclusions. On one reading of those conclusions … it may be thought that the Tribunal determined the case as a matter of construction of the documents, and I have held that their true construction is not determinative of the issue falling for decision. But I do not believe that that is the correct interpretation of the decision. Certainly they relied on the contracts; but in the end their decision rested on their overall view of the facts, which was that Reed supplied the nurses, who in turn supplied their services to the hospitals. That is a conclusion which cannot be faulted on Wednesbury grounds."
Conclusion
Lord Justice Phillips:
Lord Justice Underhill: