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England and Wales High Court (Administrative Court) Decisions |
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You are here: BAILII >> Databases >> England and Wales High Court (Administrative Court) Decisions >> South Tyneside Care Home Owners Association & Ors, R (on the application of) v South Tyneside Council [2013] EWHC 1827 (Admin) (28 June 2013) URL: http://www.bailii.org/ew/cases/EWHC/Admin/2013/1827.html Cite as: [2013] EWHC 1827 (Admin) |
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QUEEN'S BENCH DIVISION
ADMINISTRATIVE COURT
LEEDS DISTRICT REGISTRY
Oxford Row, Leeds |
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B e f o r e :
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THE QUEEN (on the application of (1) South Tyneside Care Home Owners Association (2) Helen McArdle Care Limited (3) Executive Care Group) |
Claimants |
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- and - |
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South Tyneside Council |
Defendant |
____________________
Mr Philip Engelman (instructed by South Tyneside Council Legal Services) for the Defendant
Hearing dates: 2 and 3 May 2013
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Crown Copyright ©
Her Honour Judge Belcher :
i) In deciding on the level of the Fees, the Council failed to take into account return on capital/return on equity as a cost of care, and took a flawed approach to the concept of profit.ii) In setting the Fees on the basis of "bands" the Council failed to pay due regard to the actual costs of care.
iii) In providing an uplift to the Fees for elderly mentally infirm ("EMI") residents, the Council failed to pay due regard to the actual costs of care.
iv) The Council failed to properly consult before reaching the Fees decision.
v) The financial analysis undertaken by the Council for the purpose of determining the Fees is vitiated by a number of identifiable errors.
vi) The Council failed to comply with its "public sector equality duty" pursuant to Section 149 Equality Act 2010.
References to the trial Bundles will be by capital letter A, B or C, Tab number where appropriate, and page number. References to the bundles of authorities will be AB and SAB to denote respectively the authorities bundles and the supplementary authorities bundle, followed by Tab and page number.
The Law
The National Assistance Act 1948
"…residential accommodation for persons aged 18 or over who by reason of age, illness, disability or other circumstances are in need of care and attention which is not otherwise available to them." [AB, Tab 1, page 1]
In March 1993 that power was converted into a duty by Paragraph 2(1)(b) of Circular LAC (93)(10) [AB, Tab 6]. By Section 26 (1) of the 1948 Act, local authorities may make arrangements for the provision of residential accommodation with external providers and Section 26(2) provides that the local authority shall make payments for such provision [AB, Tab 1, page 4].
The Local Authority Social Services Act 1970
"…while "guidance" does not compel any particular decision….especially when prefaced by the word "general", in my view Parliament by section 7(1) has required local authorities to follow the path charted by the Secretary of State's guidance, with liberty to deviate from it where the local authority judges on admissible grounds that there is good reason to do so, but without freedom to take a substantially different course." [AB, Tab 16, page 71]
The National Assistance Act 1948 (Choice of Accommodation) Directions
"3…the local authority shall only be required to make or continue to make arrangements for a person to be accommodated in his preferred accommodation if –
(a) the preferred accommodation appears to the authority to be suitable in relation to his needs as assessed by them;
(b) the cost of making the arrangements for him at his preferred accommodation would not require the authority to pay more than they would usually expect to pay having regard to his assessed needs;
(c) the preferred accommodation is available;
(d) the persons in charge of the preferred accommodation provide it subject to the authority's terms and conditions, having regard to the nature of the accommodation, for providing accommodation for such a person under Part III of the National Assistance Act 1948." [AB, Tab 5]
The cost referred to in paragraph 3(b) of these Directions is generally known as the "usual cost". It is the basis on which local authorities set the fees they will normally be prepared to pay to care homes.
Circular LAC (2004) 20
"2.5.4…[The usual cost] should be set by councils at the start of a financial or other planning period, or in response to significant changes in the cost of providing care, to be sufficient to meet the assessed care needs of supported residents in residential accommodation…In setting and reviewing their costs, councils should have due regard to the actual costs of providing care and other local factors. Councils should also have regard to Best Value requirements under the Local Government Act 1990.
2.5.7 Councils should not set arbitrary ceilings on the amount they expect to pay for an individual's residential care. Residents and third parties should not routinely be required to make up the difference between what the council will pay and the actual fees of the home. Councils have a statutory duty to provide residents with the level of service they could expect if the possibility of resident and third party contributions did not exist.
3.3 When setting its usual cost(s) a council should be able to demonstrate that the cost is sufficient to allow it to meet assessed care needs and to provide residents with the level of care services that they could reasonably expect to receive if the possibility of resident and third party contributions did not exist." [AB, Tab 8]
The Building Capacity and Partnership in Care Agreement
"This Agreement provides a framework for future working relationships between providers and commissioners locally, geared to delivering the services that people need and expect. Its aim is to promote the establishment of close and harmonious working relationships, good communication and to foster constructive co-operation between all parties involved in providing care and support services for adults" [AB, Tab 7, page 5]
"This means that commissioners must have up-to-date information about prices (to them) and costs (to the provider) of services to ensure that the demands of best value are met." [AB, Tab 7, page 10]
"Providers have become increasingly concerned that some commissioners have used their dominant position to drive down or hold down fees to a level that recognises neither the costs to the providers nor the inevitable reduction in quality of service provision that follows. This is short-sighted and may put individuals at risk. It is in conflict with the Government's Best Value policy. And it can destabilise the system causing unplanned exits from the market. Fee setting must take into account the legitimate current and future costs faced by providers as well as factors that affect those costs, and the potential for improved performance and more cost effective ways of working. Contract prices should not be set mechanistically but should have regard to providers' costs and efficiencies, and planned outcomes for people using services, including patients." [AB, Tab 7, page 16]
The Facts
"Whilst the Council did initially set out to reduce spending on social care along with many other areas I would note that when I became involved with the process upon joining the Council in September 2010 I clearly advised that there was a duty to take into account the true costs of care in setting fee levels and that it was not possible or legal to take [the initial] approach….As a result I instructed that the fee levels pay proper regard to the information collected from the operators and was involved in the proper assessment of those fees right up to the final offer which was made in relation to the new contract which has been in use for most operators since July 2012." [C, Tab 6, page 113, Paragraph 25]
"In determining the fees to be offered, the Council has sought to achieve a level of fees that will enable the homes to continue to be viable, enable the Council to continue to fulfil its duty in relation to the provision of residential accommodation and will not put too great a strain on the council's already stretched budget.
The Council's approach to this was to endeavour to understand the financial position of each of the homes, and the effect any proposed new fees may have upon them.
The process adopted was….
- The Council requested details of income sources, establishment costs, central costs, care types, occupancy and other relevant factors from all providers on multiple occasions the latest occurring in October 2011. A significant proportion of providers returned this data.
- These details were then used by the Council to perform an analysis to determine the potential effects on the profitability and viability on the homes with them being on any of the bands proposed in respect of the proposed fees in the draft contract to ensure that no home would be subject to the threat of long term non-viability.
- The analysis was carried out as detailed below:
- Based on the income and cost data supplied by the homes, the profit for each home was calculated.
- Using the occupancy figures supplied by the homes for Council residents, and the proposed rates, the income from the Council at the proposed rates was estimated.
- To this was added the data supplied by the homes for income from private residents and other Local Authorities
- Using this total income and the data on costs supplied by the homes, the revised profit was estimated.
- The changes in profit were analysed to check that the revised profit was not reduced to an unacceptable level."
"The council did not apply any judgment on "acceptable profitability" as it believes that is a matter for the individual owners to decide on the level of acceptable profitability, and accept or reject the fees offered on that basis.
In its analysis the council was keen simply to ensure that based on the home's own figures, the projected income even at the Band 2 level did not place the homes in a position that would be unsustainable."
The letter then addresses cost of capital in the following terms;
"The council did not consider the "cost of capital" as a separate item, as this was included in the costing information requested and provided."
"I can only assume that this is intended to indicate that Providers will be unable to continue to provide care to EMI residents at the contracted rates…. I can only continue to say that the Council regards the EMI uplift on the globally calculated fee as being sufficient to provide care to such clients." [Joanne Moore, A, Tab 12, page 238, paragraph 108]
No basis is offered to support the latter part of that statement.
"We did not make a decision that we would not take into account a return on capital funds invested by providers themselves. We left it to individual providers to specify any further cost of care that they felt was relevant. In the event none of those who returned the spreadsheets did so identify. None of the claimants provided any financial information which could have led us to a different conclusion."
The Grounds
i) Negotiations between a local authority and providers are commercial in character and should be viewed as such.ii) The Council's duty is to "pay due regard" to the actual costs of care, but the court is not to prescribe how that exercise is to be undertaken.
iii) Where a local authority has paid due regard to the actual costs of care, then the decision as to what fees it will pay to providers is a matter for it and it may take into account its financial circumstances in coming to that decision.
iv) Provided a local authority has taken into account all relevant matters, the weight it attaches to each is a matter for it and not the Court.
v) The Court should be astute to avoid becoming involved in financial debates and/or micromanagement.
Ground 1
Is return on equity/return on capital an actual cost of providing care?
"The more complex issue is whether the rates offered in the letter of 19 June represent the fair cost of the provision of accommodation. The determination of a fair cost is by no means straightforward. Assumptions have to be made as to occupancy rates and returns on capital. …..Where there is no finance charge incurred by the home, the fair return on the value of the property itself may be controversial, given that in current economic conditions its capital growth may provide a substantial return of itself."
Mr Purchase submitted that Stanley Burton J clearly accepted that return on capital is an element of cost. He submitted that any debate is as to how much the capital cost is, but that there is no doubt it is a cost. He submitted that it is a cost which may be met by capital growth but that it would still need to be considered. A rational decision would be needed to exclude it from any calculation of costs on the basis that it is met by capital growth, but it is something that due regard must be paid to. This highlights, he submitted, the difference between whether return on capital was taken into account (i.e. the proper decision making process with which the court is concerned) as opposed to how such a cost was taken into account which would go to the fee structure and would properly be a decision for the Council.
"Although the valuation of capital costs is based on business set up or acquisition, as I have explained, the inclusion of "capital costs" in the assessment of a provider's costs is to ensure that a return on capital is properly reflected. The better the PE [physical environment] standards (whether as a result of new build, or older homes that in fact comply with the new standards), the higher the assumed capital costs should be. Such costs are real, if only because, if money was not invested in care homes, it could be invested elsewhere."
At paragraph 114, Hickinbottom J found that the approach of the council in that case was based on a misunderstanding of capital costs and consequently it lacked rationality.
Has the Council paid due regard to return on capital in this case?
"That sentence must be read in context. Mr Giffin submits, and I agree, that as such it means no more than that, when determining what they are usually prepared to pay for residential care, authorities should bear in mind, amongst other matters, the providers' need to recover their costs. Usual fee rates should not be set by authorities without any consideration being had to the question of whether it is viable to provide care at those rates. However, even if "having due regard to the actual costs of providing care" should be understood as requiring a more specific consideration of actual costs, the Circular does not require authorities to calculate or ascertain the actual cost of care."
The Profit Approach.
Ground 2
Ground 3
Ground 4
"…whether or not consultation of interested parties and the public is a legal requirement, if it is embarked upon it must be carried out properly. To be proper, consultation must be undertaken at a time when proposals are still at a formative stage; it must include sufficient reasons for particular proposals to allow those consulted to give intelligent consideration and an intelligent response…"
i) The mere fact that information is "significant" does not mean fairness necessarily requires its disclosure to consultees.ii) Nevertheless the degree of significance of the undisclosed material is obviously a highly material factor.
iii) What fairness requires depends on the context and the particular circumstances
iv) By reference to the speech of Lord Diplock in Bushell v Secretary of State for the Environment [1981] AC 75 at page 96, that "…"fairness" also requires that the objectors should be given sufficient information about the reasons relied on….as justifying the draft scheme to enable them to challenge the accuracy of any facts and the validity of any arguments upon which the ….reasons are based…." and at page 95 "….what is a fair procedure is to be judged in the light of the practical realities as to the way in which administrative decisions involving forming judgments based on technical considerations are reached"". [Paragraphs 26-28 of the Judgment of Richards LJ]
"As mentioned numerous times before, we were not looking to see individual homes' financial figures, just total average results and how they were arrived at. No detailed information was given to us about how the Council determined the extent to which downgrading of homes would affect "profits" or, for that matter, what they calculated that the original "profit" figures were. The Council's projection doesn't mean anything without information as to the starting point."
Ground 5
"I accept that the analysis did not take inflation into account but it was unnecessary to do so. The work undertaken did not directly lead to a computation of fees but sought to set a base line for the same. In reality the final offer made included inflationary increase and this is borne out by the increases demonstrated in the table of rates set out in Joanne Moore's witness statement"
Ground 6
"(1) A public authority must, in the exercise of its functions, have due regard to the need to-
(a) eliminate discrimination, harassment, victimisation and any other conduct that is prohibited by or under this Act;
(b) advance equality of opportunity between persons who share a relevant protected characteristic and persons who do not share it;
(c) foster good relations between persons who share a relevant protected characteristic and persons who do not share it.
(3) Having due regard to the need to advance equality of opportunity between persons who share a relevant protected characteristic and persons who do not share it involves having due regard, in particular, to the need to –
(a) remove or minimise disadvantages suffered by persons who share a relevant protected characteristic that are connected to that characteristic;
(b) take steps to meet the needs of persons who share a relevant protected characteristic that are different from the needs of persons who do not share it;
(c) encourage persons who share a relevant protected characteristic to participate in public life or in any other activity in which participation by such persons is proportionately low.
(7) The relevant protected characteristics are age; disability;….."
Relief
"It is well settled that "the grant or refusal of the remedy sought by way of judicial review is, in the ultimate analysis, discretionary"….But the discretion must be exercised judicially and in most cases in which a decision has been found to be flawed, it would not be a proper exercise of discretion to refuse to quash it."