Hello Everyone.
From recent posts on the general chat forum this is becoming a very prominent and controversial isssue.
This is not a academic question because the adverse side of witholding care payments has been highlighted in a number of cases recently on this forum. Nor is it a finger-pointing exercise on wrong advice in the general sense of the word. It isnt a easy question to answer because there are so many factors that must be taken into account. No two cases are the same and different circumstances can alter the answer.
But right at the outset let me make it very clear to withold payments is a very high risk strategy and it is one that I would imagine no solicitor would endorse. It is especially so if a contract to pay has been signed.
Generally in law if you are expected to pay for services, goods etc, and if you fail to do so or refuse to do so and unless you have a valid reason for doing so and one that can be substantiated, you run greatly the risk of being taken to court by the injured party with all that means.
It is no different in witholding care home fees and lets for the moment leave out the question if they are lawful or not.
Before I joined this forum and learnt from the many different people on here I would have said no doubt at all withold paying and let them dare go to court where the law will defeat them. But it isnt that simple.
I am very aware that Steve and many others did withold payments and did so successfully in the past.
I just wonder if something has changed. I have to pay heed to recent examples where people have been taken to court or threatened to be taken to court. I am at a great disadvatage in that I have no figures for cases successful in the past that used this strategy and how that relates to the present. Nor do I have figures for those who have been taken to court neither in their number or as to result one way or the other.
It is pretty clear however, that most cases are settled one way or the other out of court. I need figures so that I can see clearer if it is now very hard to succeed by refusing to pay care costs than it once was. I suspect that it has changed and very much so very the last few years. We are living in a economic climate that is very harsh and money is tighter everywhere. Local Authorities are not exempt from this situation and they are more keen than ever to make sure that all payments and debts are paid.
When faced with a situation like a care fee refusal it seems to me where in the past they might have been more reluctant to take someone to court; today they will. When advising someone we must now I feel be very aware of this position.
Simply put if you have signed a contract to pay for care with a care home you are legally obliged to do so and if you fail to do so then the injured party;ie, the care home will seek to ensure that you do so and that if you do not then they or the local authority will seek redress and this could mean through the courts.
Failure to do the above is a breach of contract on your part. Unless you had a issue with the standard of care at the home, which could constitute a breach of contract on their part and that if they did put this right then legally you could withold fees until they did so.
The contract would have to be legal and it can be made void or voidable by a number of things; which are duress,unfair influence and misrepresentation and something known as economic duress. But this would have to be substantiated and the length of time since it occurred would be relevant.
I know of cases where people where not told about the fact that they could claim CHC funding; just given a list of care homes and told to pick one. This is misrepresentation of a fact and would make the contract if proved voidable.
In these circumstances to withold payment would be I feel justified. But there are always risks.
Again it is possible to withold payments right from the start making very sure that you dont imply agreement with a move into care in some way or the other. Arguing that until the question of CHC fundingm is resolved you have the right to withold it and that it is the NHS duty still to fund and that it would be unlawful for LA/SS to do so until it was settled. Again its still a high risk move and it could go wrong. But it might be useful to make them speed up the process.
But isnt this not a complete picture? Havent I left something out? Something important? The LAW!
The motif at the top of our page and the reason for all our arguments. THE NATIONAL HEALTH SERVICES ACT 1946 and the right to free care at the point of delivery or need. Well yes thats right and we all know the line but hey wait a moment there hasnt really been a totally free NHS since 1951. Theres prescription charges, charges for glasses, dental charges, etc. All of which were brought in by government by the use of amendments and new acts.
In truth the governments ( and that means all of them ; perhaps with the exception of Wilson who at least took away prescription charges for a couple of years ) never kept to the NHS act of 1946.
I want to present three sections from the three health acts ( 1946,1977,2006 ) which I think give the government the legal right to circummnavigate the 1946 health and the core principles of the NHS that were made in the Beveridge report in 1942.
"" Health Service Act 1946
Section 1 ( 2 )
"" The services so provided shall be free of charge, except where any provision of this act expressely provides for the making and recover of charges. ""
NATIONAL HEALTH SERVICE ACT 1977
Section 1 ( 2 )
"" The service so provided shall be free of charge except in so far as the making and recovery of charges is expressly provided for by or under any enactment whenever passed. ""
NATIONAL HEALTH SERVICE ACT 2006
Section 1 ( 3 )
"" The services so provided shall be free of charge in so far as the maing and recovery of charges is expressely provided for by or under any enactment whenever passed ""
The same section has been proposed for the new health bill.
What it has been saying is that yes the NHS is a free service except for these little clauses and note to how the words and depth of meaning changed with each new health act. These clauses in truth mean that the government could bring in anything by way of charges it wanted to and right here is the legal justification for it.
I want to thank Silly Sally who some time ago made reference to this section and I rather and foolishly tended to belittle its possible meaning. That was a very good point you made. Wish to thank Dr David Owen for the above sections layout
This is really worrying because if anyone tries to bring up a question of legality to withold paying care fees on the basis that the 1946 national health act said that all health care was free at the point of need and given that the National Health Act 2006 is the Active ACT in todays world. Then all they need do to counter that argument would be to use that section and that is the question of unlawfulness finished.
But there is still Coughlan and how vital this in my mind now is and bear in mind that it has to be referred to in THE National Framework for Continuing Health Care. Where there is a individual who has a primary health need equal to or greater than Pam Coughlan then it is the NHS who must pay for that care. Because Coughlan is still the law on this particular issue there could be justification from the beginning for witholding care fees and especially where the question of CHC funding has not been resolved. Coughlan is legally sounder than trying to argue the 1946 health act. Its history. On government legislation web-sites it has been omitted along with the 1951 health act. The 1977 NHS act is still there.
I cant even download the 1946 NHS act. I can download the United NATIONS Charter, The Magna Charta, almost everything else.
Right its all yours and lets have plenty of rational debate.
Just spoted one error in the para Failure to do so nt missing from didnt.
Kind regards Ian



