N.I.

Title and commencementN.I.

1. This Order may be cited as the Pneumoconiosis, etc., (Workers' Compensation) (Northern Ireland) Order 1979 -� Commencement -�

InterpretationN.I.

2.-(1) The Interpretation Act (Northern Ireland) 1954 [1954 c.33] shall apply to Article 1 and the following provisions of this Order as it applies to a Measure of the Northern Ireland Assembly.

(2) In this Order-

[F2"the appropriate percentage" means, in the case of any disease, the percentage specified in subsection (1) of section 57 of the Social Security (Northern Ireland) Act 1975 or, if regulations have been made under section 77 of that Act specifying a different percentage in relation to that disease, the percentage specified in the regulations;

"the appropriate period" means, in the case of any disease, the period specified in subsection (4) of the said section 57 or, if regulations have been made under the said section 77 specifying a different period in relation to that disease, the period specified in the regulations;]

Definition rep. by 1986 NI 18

"Department" means the Department of Manpower Services;

"disablement benefit" means disablement benefit under section 76 of the Social Security (Northern Ireland) Act 1975[F3 or section 108 of the Social Security Contributions and Benefits (Northern Ireland) Act 1992] or under any corresponding provision of the former Industrial Injuries Acts;

"former Industrial Injuries Acts" means the National Insurance (Industrial Injuries) Act (Northern Ireland) 1946 [1946 c.21] and the National Insurance (Industrial Injuries) Act (Northern Ireland) 1966 [1966 c.9] ;

"prescribed" means prescribed by regulations under this Order.

(3) Except where the context otherwise requires, any expression to which a meaning is assigned by the Social Security[F3 Contributions and Benefits (Northern Ireland) Act 1992 or the Social Security Administration (Northern Ireland) Act 1992], or by any regulations made under[F3 either of those Acts], has that meaning also for the purposes of this Order.

Payments to persons disabled by pneumoconiosis, etc.N.I.

3.-(1) A person who is disabled by any of the following diseases, that is to say,-

(a)pneumoconiosis,

(b)byssinosis, or

(c)diffuse mesothelioma,[F4 or]

[F4(d)any disease specified by the Department by order under this sub-paragraph;]

may make a claim in accordance with paragraph (2) for a payment under paragraph (3) in respect of the disease.

(2) A claim under paragraph (1) shall be made in the prescribed manner-

(a)within the period of twelve months beginning on-

(i)the date on which disablement benefit first became payable in respect of the disease to the person so disabled, or

[F4(ii)in the case of pneumoconiosis, byssinosis or diffuse mesothelioma, 3rd September 1979 or in the case of a disease specified by order under paragraph (1)(d), the date of the commencement of that order,]

whichever is the later; or

(b)within such further period as the Department may allow.

(3) If, on such a claim, the Department is satisfied-

(a)that disablement benefit is payable in respect of the disease to the person so disabled[F5 or, subject to paragraph (3A), would be payable to him in respect of it but for his disablement amounting to less than the appropriate percentage];

(b)that every person who employed the person so disabled at any time during the period during which he was developing the disease and against whom he might have or might have had a claim for damages in respect of the disablement, has ceased to carry on business; and

(c)that the person so disabled has not brought any action, or compromised any claim, for damages in respect of the disablement,

the Department shall pay the person so disabled the prescribed sum.

No amount is payable under this Article in respect of disablement amounting to less than 1 per cent.]

For the purposes of this Article any action which has been dismissed otherwise than on the merits (as for example for want of prosecution or under any enactment relating to the limitation of actions) shall be disregarded.

Payments to dependants of persons disabled by pneumoconiosis, etc.N.I.

4.-(1) The dependant of a person who, immediately before he died, was disabled by any of the following diseases, that is to say,

(a)pneumoconiosis,

(b)byssinosis, or

(c)diffuse mesothelioma,[F6 or]

[F6(d)any disease specified by the Department by order under Article 3(1)(d),]

may make a claim in accordance with paragraph (2) for a payment under paragraph (3) in respect of the disease.

(2) A claim under paragraph (1) shall be made in the prescribed manner-

(a)within twelve months of-

(i)the date of the death of the deceased, or

[F6(ii)in the case of pneumoconiosis, byssinosis or diffuse mesothelioma, 3rd September 1979 or in the case of a disease specified by order under Article 3(1)(d), the date of the commencement of that order,]

whichever is the later; or

(b)within such further period as the Department may allow.

(3) If, on such a claim, the Department is satisfied-

(a)that no payment under Article 3 in respect of the disease has been made to the deceased;

(b)that death benefit is payable to or in respect of the dependant by reason of the deceased's death as a result of the disease, or that disablement benefit was payable to the deceased in respect of the disease immediately before he died[F7 or, subject to paragraph (3A), would have been so payable to him-

(i)but for his disablement amounting to less than the appropriate percentage; or

(ii)but for his not having claimed the benefit; or

(iii)but for his having died before he had suffered from the disease for the appropriate period]

;

(c)that every person who employed the deceased at any time during the period during which he was developing the disease and against whom the deceased might have had a claim for damages in respect of the disablement, has ceased to carry on business; and

(d)that neither the deceased, his personal representatives, nor any relative of his, has brought any action, or compromised any claim, for damages in respect of the disablement or death,

the Department shall pay the dependant the prescribed sum.

No amount is payable under this Article in respect of disablement amounting to less than 1 per cent.]

Where any payment under paragraph (3) falls to be made to two or more persons, the payment shall be made to one of them or divided between some or all of them as the Department thinks fit.

(5) For the purposes of this Article any action which has been dismissed otherwise than on the merits (as for example for want of prosecution or under any enactment relating to the limitation of actions) shall be disregarded.

Meaning of "dependant"N.I.

5.-(1) In Article 4 "dependant" means-

(a)if the deceased left a spouse[F8 or a civil partner] who was residing with him or who was receiving or was entitled to receive from him periodical payments for the maintenance of that spouse[F8 or that civil partner], that spouse[F8 or that civil partner];

(b)if sub-paragraph ( a) does not apply but the deceased left a child or children falling within paragraph (2), that child or those children;

(c)if neither sub-paragraph ( a) nor sub-paragraph ( b) applies but the deceased left a reputed spouse[F8 or a reputed civil partner] who was residing with him, that reputed spouse[F8 or that reputed civil partner];

(d)if none of the preceding sub-paragraphs applies, any relative or relatives of the deceased who fall within paragraph (2) and who were, in the opinion of the Department, wholly or mainly dependent on the deceased at the date of his death.

(2) A person falls within this paragraph if, at the date of the deceased's death or at[F9 the relevant commencement date], whichever is the later, he was-

(a)under the age of 16;

(b)under the age of 21 and not gainfully employed full-time; or

(c)permanently incapable of self-support.

(3) In this Article-

"adopted" means adopted in pursuance of an adoption order made in any part of the United Kingdom, the Isle of Man or any of the Channel Islands or, subject to sections 5 and 6 of the Adoption (Hague Convention) Act (Northern Ireland) 1969 [1969 c.22] , a foreign adoption as defined by section 4(3) of that Act;

"child" includes posthumous child;

"relative" means brother, sister, lineal ancestor or lineal descendant;

[F9"relevant commencement date" means in the case of pneumoconiosis, byssinosis or diffuse mesothelioma, 3rd September 1979 or in the case of a disease specified by order under Article 3(1)(d), the date of the commencement of that order;]

and for the purposes of this Article a relationship shall be established as if any adopted, illegitimate or step child of a person had been a child born to him in wedlock[F8 or in the course of a civil partnership].

Reconsideration of determinationsN.I.

6.-(1) Subject to paragraph (2), the Department may reconsider a determination that a payment should not be made under Article 3 or Article 4 on the ground-

(a)that there has been a material change of circumstances since the determination was made; or

(b)that the determination was made in ignorance of, or was based on a mistake as to, some material fact;

and the Department may, on the ground set out in sub-paragraph ( b), reconsider a determination that such a payment should be made.

(2) Regulations shall prescribe the manner in which and the period within which-

(a)an application may be made to the Department for reconsideration of a determination; and

(b)the Department may of its own motion institute such a reconsideration.

(3) If-

(a)whether fraudulently or otherwise, any person misrepresents or fails to disclose any material fact; and

(b)in consequence of the misrepresentation or failure a payment is made under Article 3 or Article 4,

the person to whom the payment was made shall be liable to repay the amount of that payment to the Department unless he can show that the misrepresentation or failure occurred without his connivance or consent.

(4) Except as provided by paragraph (3), no payment under Article 3 or Article 4 shall be recoverable by virtue of a reconsideration of a determination under paragraph (1).

Power of inquiryN.I.

7. The Department may, if it thinks fit, before determining any claim under Article 3 or Article 4 or before reconsidering such a determination under Article 6 appoint a person to hold an inquiry into any question arising on the claim, or any matters arising in connection with the claim, and to report on the question, or on those matters, to the Department.

Appeal on question of lawN.I.

8. [F10Section 16 of the Social Security Administration (Northern Ireland) Act 1992] (appeal on question of law to Court of Appeal) shall apply in relation to any question of law arising in connection with-

(a)the determination by the Department of any claim under Article 3 or Article 4, or

(b)the reconsideration of a determination under Article 6,

as it applies in relation to any question of law arising in connection with the determination by the Department of Health and Social Services of any question within[F10 section 15(1)] of that Act; and "Department" in[F10 section 16] as applied by this Article shall have the same meaning as in this Order.

Payment for the benefit of minors, etc.N.I.

9. Where a payment under Article 3 or Article 4 falls to be made to a person who is under the age of 18 or incapable of managing his own affairs, then, subject to Article 4(4), the payment shall be made for his benefit by paying it to such trustees as the Department may appoint to be held by them upon such trusts as may be declared by the Department.

Fraudulent statements, etc.N.I.

10. Without prejudice to [F11 Article 10 of the Perjury (Northern Ireland) Order 1979 [1979 NI 19] ], any person who, for the purpose of obtaining a payment under Article 3 or Article 4 whether for himself or some other person,-

(a)knowingly makes any false statement or representation; or

(b)produces or furnishes or causes or knowingly allows to be produced or furnished any document or information which he knows to be false in a material particular,

shall be guilty of an offence and liable on summary conviction to a fine not exceeding[F12 level 5 on the standard scale].

RegulationsN.I.

11.-(1) The Department may make regulations prescribing anything which, under this Order, is required or authorised to be prescribed.

(2) Regulations prescribing the sum payable under Article 3 or Article 4[F13 and orders under Article 3(1)(d)], shall be subject to affirmative resolution.

(3) Regulations prescribing any other thing which, under any provision of this Order, is required or authorised to be prescribed, shall be subject to negative resolution.

(4) Regulations under this Order may include such incidental, supplementary or transitional provision as the Department thinks fit.