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Joint Committee on Social Protection, Community and Rural Development and the Islands díospóireacht -
Wednesday, 26 Apr 2023

Draft Regulations on the Operation of the Social Welfare Appeals Office: Discussion

We have received apologies from Senator Paul Gavan.

Members participating remotely are required to be within the precincts of Leinster House. I ask members and witnesses to please turn off their mobile phones or ensure they are in silent mode. I ask members participating remotely to please use the raise-hand function on Teams if they wish to contribute.

We are meeting to discuss the new social welfare (appeals) regulations with the Department of Social Protection and the Chief Appeals Officer. The social welfare appeals office was established to provide an independent appeals service to people unhappy with the decisions of deciding officers of the Department of Social Protection regarding their entitlement to a social welfare payment or support. As Members of the Oireachtas, we all deal with the office daily. We have all found it and the staff to be both independent and fair. We all believe this is a vital cog in our social welfare system. On many occasions, access to an oral hearing has led to the righting of a wrong by the Department. In many cases, these wrongs arose through no fault of the Department and were due to difficulties with applicants accurately presenting their cases in written form for desktop consideration. This is none more so the case than in the area of disability.

As members will be aware, if an individual does not agree with the decision made by a deciding officer as to his or her social welfare entitlement, he or she can ask for a review of the decision by the Department. He or she can also appeal the decision to the social welfare appeals office, which can evaluate it. Following both internal and external reviews carried out on the operation of the office, and in light of the new working arrangements brought about through the Covid-19 pandemic, new regulations have been drafted to make changes to the operation of the office. While the committee expressed reservations last November with regard to the then forthcoming regulations and has received correspondence in this regard, it is hoped that the regulations will give people who make appeals more certainty about the time periods that will apply for their appeals, allow people who make appeals to get more information about how their appeals are being dealt with, improve the operation of the social welfare appeals office and improve the quality of decisions both by the Department's deciding officer and the appeals officers.

We are joined by the Secretary General of the Department of Social Protection, Mr. John McKeon, and the new chief appeals officer, Mr. Brian Molloy. They are both very welcome here this morning.

Before we begin, I wish to explain some limitations to parliamentary privilege, and the practice of the Houses with regard to references the witnesses may make to other persons in their evidence. The evidence of witnesses physically present or who give evidence from within the parliamentary precincts is protected, pursuant to both the Constitution and statute, by absolute privilege. Witnesses are reminded of the long-standing parliamentary practice that they should not criticise or make charges against any person or entity, by name or in such a way as to make him, her or it identifiable, or otherwise engage in speech that might be regarded as damaging to the good name of the person or entity. Therefore, if the witnesses' statements are potentially defamatory in relation to an identifiable person or entity, they will be directed to discontinue their remarks. It is imperative that witnesses comply with any such direction. Members are reminded of the long-standing parliamentary practice to the effect that they should not comment on, criticise, or make charges against a person inside or outside the House or an official, by name or in such a way as to make him or her identifiable.

I now call on Mr. McKeon to make his opening statement.

Mr. John McKeon

I thank the Chairman and the committee for inviting us here today to discuss the draft regulations relating to the operation of the social welfare appeals office. I am joined by Mr. Brian Molloy, who has recently taken up the role of Chief Appeals Officer in succession to Ms Joan Gordon who the committee met last November and who has now retired following a long career of public service. When we met on 9 November, Joan and I summarised the key points and set out the background to the proposed changes in the regulations. We also indicated that the draft regulations had not been finalised but were with the Minister for her consideration and, given they had not been finalised, that we would welcome observations and comments from committee members. In the interest of saving time I do not propose to repeat this summary in full or to set out the background in further detail but, with the permission of the Chair, I may rely on the opening statement from the 9 November, a copy of which we submitted to committee members for their convenience.

However, I wish to repeat and emphasise the point I made in November that in developing these draft regulations the Department, working with the Chief Appeals Officer, is concerned to preserve the independent administrative nature of the appeals decision making process, to ensure that it does not become overly legalised or unnecessarily adversarial but instead, as far as possible and in the interests of clients, to ensure that it is simple, informal and speedy, as emphasised by the Commission on Social Welfare. Towards this end the draft regulations restate and emphasise the de novo approach provided for in the governing legislation. They also provide additional rights to appellants and impose a greater responsibility on the appeals office and the Department to meet publicly committed and legislatively required timelines.

These measures are intended to improve customer service, reduce appeals processing times and provide greater transparency both with regard to the appeals process itself and to ensuring appellants have a clear understanding of the reasons for appeals officers' decisions. While acknowledging that some of the improvements proposed, for example the facility to request an oral hearing, are already a feature of general practice within the appeals office, they are not guaranteed to appellants as a matter of law. The intention of these regulations is to remedy this situation and provide for additional rights over and above those already a feature of general practice. It is worth reiterating that none of the changes reduce in any way the independence of the appeals decision-making function. As I highlighted in November, appeals officers, like deciding officers, act independently in their decision-making function and cannot be directed as to the decision that they are required to take.

The regulations also provide for additional management oversight and reporting responsibility for the Chief Appeals Officer, including in relation to quality assurance and the provision of feedback to the Department. A key purpose of these measures is to improve the quality both of appeals decisions and of first instance decisions by deciding officers and reflects recommendations made by the Comptroller and Auditor General. The introduction of these additional rights and management processes will, of course, require some changes in processes, systems and work practices for the staff of the Department and the appeals office. The Department and the Chief Appeals Officer fully understand the changes required, and we can assure the committee that we will undertake the necessary programme of change and will continue to engage with staff and their representatives through the normal employee relations processes and frameworks.

At the meeting on 9 November, the committee Chair inquired as to whether the committee could have sight of the draft regulations prior to their finalisation. In response I indicated my understanding that it was not normal practice, nor was it provided for in standing orders for Oireachtas committees to have a role in reviewing ministerial regulations but, subject to not offending any procedural rules, that the Department had no difficulty in sharing the draft regulations and neither did I believe that the Minister would have any such difficulty. I am pleased therefore, and having consulted with the Minister, that we were able to share the draft regulations with you and that we now have the opportunity to discuss them in some more detail. We very much welcome any observations or recommendations committee members may have either here today or by way of a later submission or report to the Minister. In parallel and for information of the committee, the Department has published the draft regulations a week or two ago for public consultation and has notified the various advocacy groups who have an interest in these matters seeking their input and observations.

It may be of value, subject to the guidance of the Chair and agreement of the committee, for Mr. Molloy and I to talk through each of the changes to the regulation that are of interest to the committee, using the tabular comparison sent to the committee last week. If this is acceptable to the committee Mr. Molloy and I will be pleased to take any questions that members may have as we work through the table. We are of course at the disposal of the committee if it wishes to take an alternative approach.

I thank the Secretary General for his opening statement. I will open it up to the floor now. Does Deputy Collins wish to start?

I thank the Cathaoirleach. I thank the Secretary General and Mr. Molloy for attending the meeting. I have some questions. I do not know whether the new general agreement has come into play. A letter was sent in from Fórsa and the Association of Higher Civil and Public Servants, AHCPS, in regard to the last meeting we had in November and the issues they had with some of the statements made at that meeting. One of them was on the question of the independence of the social welfare appeals office. In reply to a question I tabled to the Minister last month, the Minister stated that the office is independent in its decision making functions. There has been no change in Government policy in regard to the operation of the social welfare appeals office. How then did the Department respond to the AHCPS and Fórsa submission which raised concerns about independence and improper control due to their assertion that their proposed changes are of an internal Department design and have no known input from independent or external stakeholders.

The AHCPS and Fórsa submission raised significant concerns over a lack of information to appellants on their ability to request an oral hearing. I welcome the addition of regulation 13 with regard to an appeals officer having to provide a rationale for declining an oral hearing but this does not quite resolve the fact that some appellants may not be aware that they could receive an oral hearing. In reply to a question I put to the Minister last month, she stated that the matter of providing an updated hard copy information leaflet is being kept under review by the appeals office at this stage. Why has the Department not chosen to include a requirement to inform appellants of their ability to request an oral hearing in the proposed regulations?

My third question relates to oral hearings and disability. In their submission the AHCPS and Fórsa raised concerns about the Department’s assertion that a reduction in positive outcomes from appeals was related to the availability of oral hearings. Previously in this committee the Department asserted that whether or not an appeal related to disability received an oral hearing had nothing to do with this reduction. In the reply to the question I tabled to the Minister last month, she provided statistics on appeals related to disability allowance, invalidity allowance and domiciliary care allowance schemes. The two sets of statistics I received related to a number of decisions with regard to these three schemes that were made through oral hearings and were totally upheld or partially upheld. Will the Department provide statistics on the difference in decisions that were either allowed or partially allowed, broken down by whether they were made as a result of an oral hearing or not? The Minister also asserted in replies that in regard to these three schemes, there was no causal link between the decline in oral hearings and the decline in positive outcomes. Will the Department provide evidence that this decline was due to any other factor? How would the Department reply to the assertion in the AHCPS and Fórsa submission that appellants who are disadvantaged, vulnerable or have a disability may not be able to articulate or express their reasons for appeal or point of view as effectively in writing?

These are three areas I wanted to raise at the meeting today, and hopefully I will get a reply.

Before Mr. McKeon comes back in, I want to say that in my experience here in this House over a long number of years, I have not received as many representations from civil servants in my life on any issue. Quite a number of pieces of correspondence have been received, or concerns have been expressed to many members, regarding the very points that Deputy Collins has articulated. I would like if Mr. McKeon could address these thoroughly.

Mr. John McKeon

Absolutely, Chair, I will address the issues that Deputy Collins has raised. I do not want to address them specifically in the context of the Fórsa-AHCPS letter, because the long-standing practice is that there is an industrial relations process and that issues of dispute between Civil Service management and unions are dealt with through that process and are not politicised. That goes back to the idea that the Minister is the corporation sole of civil servants. We work for the Minister, and we cannot simultaneously work for the Minister and protest about issues to do with the Minister in a political environment. It is somewhat unusual that the letter has come in, but nevertheless, we will deal with the issues rather than the letter, if I can put it that way, because I do want to address the issues.

With regard to the independence of the social welfare appeals office, there is nothing in the regulations changing that independence. There may have been a misunderstanding. Before I go on, I want to reassure the members that we have had a lot of engagement with the Civil Service unions on this, and we continue to engage with them on it. As members and Deputy Collins in particular will know - she has a background in industrial relations I think, but I may be wrong - there is a process by which unions can bring matters forward. There can be a disagreed report, and it can go to conciliation and arbitration. None of that has happened. There is no disagreed report, or anything like that. We have had a number of meetings. Only a week or two ago, Mr. Molloy had a meeting with the union on these things. We are making progress, so I would like to give that reassurance.

There is nothing in the regulations that changes the independence of an appeals officer in making their decision. The Chair raised the question the last day, and this may have been a misunderstanding. It is one which I can understand, because we have since changed the regulations to clarify it. There was a provision in the regulations that appeals officers who are deciding to hold an oral hearing would consult with a deputy chief appeals officer. It was written to say that would have to happen before they decide to have an oral hearing. We have now changed the regulations so that it is after. Its only purpose, as Ms Joan Gordon explained at the time she was here, was that managers in the office would know where their staff were when allocating appeals to be dealt with; they would have a visibility of people's diaries, schedules and agendas. From a quality assurance perspective, it ensured they had visibility of the instances which are giving rise to oral hearings. It is about management, rather than impacting the independence.

The draft regulations have actually been changed to take on that feedback. The regulations now say that the appeals officer decides whether or not there is an oral hearing. Once they decide it and notify it, they then tell their superior that they are having these oral hearings. It is as simple as that. There is no role for the deputy chief appeals officer in telling them to stop that. It is purely about management oversight. That should address that issue, I think. It is important that managers have visibility of the work their staff is doing, and we have appeals officers all over the country. The appeals office originally comprised 16 to 18 appeals officers, and it is now 44. Processes that worked when there was a small team need to be operationalised when there is a bigger team. I am okay with that.

Regarding requests for an oral hearing, the Department writes to people with decisions with advice on the right to an appeal hearing, the right to seek review or the right to an appeal. It provides a link to the appeals office website, which includes all the information on the right to an oral hearing, and so on. There was, previously, a leaflet, which is considerably out of date, and whether we update the leaflet is something we need to look at. We have got feedback saying that the website is all fine and good, there is a good link, one can give members a copy of all the material, and it points out the right to request an oral hearing, and so on. However, for a small minority of clients, having a link that they then click to read it might not be as convenient as getting it expressed. We will take that on board, Deputy, and we will do that.

With regard to the impact of the oral hearing and other factors, the incidence of oral hearings has dropped dramatically since Covid-19. There is no pressure on appeals officers not to have oral hearings. There was, in May and June 2020, an instruction which went out in the middle of Covid-19, and it went out also to the courts. It said not to have oral hearings and in-person hearings due to social distancing and all of that. We have reverted to normal practice, but the number of oral hearings that are being scheduled by appeals officers has not increased to the point where it was. That, to be honest, gives rise to some concerns for me, but I think we need to be careful in reading too much into it.

Overall, appeals outcomes, and specifically positive appeals outcomes, have gone from about 60% positive to about 55% positive. The question that arises is, is that linked to oral hearings? It is something we need to keep a close eye on. At this stage, we cannot identify a causal link, and the Minister is correct because other things have happened in that period. For example, the proportion of claims that are being appealed has dropped, particularly illness and disability claims, because we put a lot of effort into communicating better with people. The proportion of appeals, when they are received, which are settled at the review stage rather than the appeal stage, has gone up. There are a couple of moving parts. A lower proportion of claims are being appealed, and a higher proportion of those are being dealt with at refuse stage rather than appeal stage. When one does get to appeal, whether the fact there is a lower number of successful appeals is related to those factors, or an oral hearing, is difficult to separate. However, I can tell the Deputy as well that the Minister shares the concern about oral hearings. We do not think they should recover, but we think that they should probably be a bit higher than they currently are. That is something that Mr. Molloy is looking at.

This is at the discretion of the appeals officer; one of the things we are doing in these regulations to strengthen the oral hearing is to effectively give the person a legislative right to request and oral hearing, and to get a reason if an oral hearing is not granted. We hope that will deal with it. We are aware of the issue around oral hearings dropping. It is too early to say whether it is having an impact, but we are keeping an eye on it. Overall, positive outcomes are still in that 55-60% ballpark. They are more towards 55% now than 60%, so we need to keep a careful eye on that.

When one looks at the outcome of oral hearings, what is actually happening is that the percentage of successful summary appeals, or those which are dealt with through correspondence, has dropped. That is the issue. By definition, when one has a lower number of appeals coming through per claim and per award, and when one has more being dealt with and granted at the review stage, that automatically means that the number which can be positive at the formal appeal stage reduces. We need to keep an eye on it, and we will. We do not have any instructions to appeals officers telling them not to hold oral hearings, or anything like that. We are clearly saying that it is a matter for individual appeals officers.

They are the three issues, Deputy, unless there is something I have missed.

Deputy Collins is on mute, and it is not too often she is mute.

Apologies. That is true. I thank the Secretary General. I welcome him addressing those concerns about the independence of the social welfare appeals officer, SWAO, and the fact that it will now be given to the chief appeals officer after the social welfare appeals officer has made a decision. That was a concern, and I would still have a concern that there would be pressure on-----

Mr. John McKeon

To be fair, Deputy, I can understand why that was the case. It was not the intention, and I think Ms Gordon said that the last day. Looking at the way it was drafted, I can understand why people read it that way.

I also welcome the fact that Mr. McKeon will take it on board the need to update the leaflet, so that there is a hard copy information leaflet. That is important, because while a lot of people are savvy on computers and so on, there are people who are not, and who depend on the word, as such, in leaflet form. I would appeal to the Department to do that.

It was said the rise in appeals has not gone up to the level it would have been at. However, can the Department provide statistics on the difference in decisions that were either allowed or partially allowed, broken down by whether they were made as a result of an oral hearing or not? Is that possible?

Mr. John McKeon

We can do that. The annual appeals office report is being finalised at present. That report breaks down all those statistics. The annual appeals office report is normally published in May or June. We will make sure to circulate a copy to the committee at that stage. It breaks it out by scheme and all the statistics are there.

Okay. I am also concerned about training. I used to work in HR in An Post. We had staff who were there for 30 or 35 years. The experience they could bring to newer recruits or people who came to the section was invaluable. As regards the role of social welfare payments officers in particular, it was always the case their training gave them the ability to be able to make independent decisions. I hope those kind of decisions will remain the same and there is a clear message in the Department in that regard.

I agree with what the Minister and Department said about the trade union movement. Unless we get feedback from both sides so that we can come to a decision ourselves, there will be questionable situations from the point of view of the trade union and workers. It is very important we bring that to these sort of meetings. I will leave it at that but I might come back in.

Mr. John McKeon

I will ask Mr. Molloy to comment on training.

Mr. Brian Molloy

On the training piece, two new appeals officers have joined in the past number of weeks so I probably have greater visibility than I would have had otherwise. I completely agree with the Deputy that it is very important to have a knowledge transfer from the experienced appeals officers. We have a very rigorous process for training of new appeals officers when they come in. We have a series of training modules that are delivered by the experienced appeals officers across the social welfare appeals office over a period. There is then a process after that completes. The phrase used is "sit by Nellie". New officers sit beside an appeals officer as they are making decisions to get experience and, when they start to draft their decisions, senior appeals officers keep an eye on what they produce before they get to a point where they are issuing any decisions. Training is something the social welfare appeals office and I take very seriously. We put many resources into it because some of my senior resources are pulled out to conduct that training, which is very important.

Separately, we also have the academic learning piece. That is a separate piece, in addition to the on-the-job training and knowledge transfer that goes from the senior appeals officers to the more junior people to make sure we maintain that knowledge.

Mr. John McKeon

I will say one more thing. One of the issues that has probably been raised with the Deputy is the level of turnover of staff. That is an issue for the Civil Service and Department generally. Many people were recruited into the Civil Service, as I was, in the late 1970s. We are all of an age. We are seeing many retirements, which gives rise to staff turnover. In general, our practice in the appeals office is to try to assign the more experienced assistant principals in so, by definition, they are older to begin with when they join the appeals office, which means we then have a higher level of retirement. Obviously, staff also continue to have rights to promotion and mobility. We have to deal with the churn. We cannot stop it but we try to assign people into the appeals office through an expression of interest process, with more experienced assistant principals, APs. It is not always possible. We end up taking people from promotion panels and so on although that has a benefit because, generally, the people on promotion panels tend to be younger so the likelihood of them churning out on retirement reduces. There is a balance to be achieved.

Yes. I understand that. I hope there will be a continuation of good relations between trade unions and the Department. The letter we got from the trade unions was quite concerning about how the changes were going. I welcome the fact the Department met with them recently. I hope that will continue.

Mr. John McKeon

There is an opportunity for anybody, including the trade unions if they want, to make a formal submission about the policy aspects, separate to the industrial relations aspects, through the public consultation. I wanted to make that clear.

Mr. Brian Molloy

I will add to that. Mr. McKeon referenced the fact I had a meeting with both trade unions a number of weeks ago and a number of the staff representatives. All on the call were very happy that it was a very positive meeting. Did we resolve everything? No, of course not. It was, however, a very positive meeting and they were very happy that the level of engagement they had sought was now happening as far as they were concerned. We would say the engagement was there beforehand but, at the end of the meeting, they were very comfortable they were getting the level of engagement they want and getting the opportunity to contribute to the review process on the regulations. The engagement piece is there now and the trade unions seem to be significantly happier that that process is operating properly.

I see a change in the approach of the Department. The Oireachtas will have to bring in legislative change to deal with that change in approach as regards invalidity, especially illness payments, where a question of judgment is involved. We have a problem with the invalidity pension. We are talking about appeals today, which I will come to in a minute, but we have a problem with invalidity pension in that somebody has to be unable for any work. Technically speaking, the person who got a primary education now has to be able to prove they cannot become a nuclear physicist because that is the way it is being interpreted. We are getting refusals on that basis whereas, in practice, up until now in these cases, both at departmental level and certainly at appeals level, a much more practical and pragmatic view was taken, which was if people were at that level of education they were unlikely to get a desk-type job. Therefore, if they were not physically fit, they got invalidity pension. There is a change in the way that has been approached. The argument will be made that we now sticking to the letter of the law and maybe did not do so previously. If that is the way, we should change the law. That is our job. We are the Oireachtas and we make the laws. Maybe the flaw is on our side. We now have to look at some of these laws because patently different results are being got from the same laws than those we got in the past. Which is the right result? I do not know.

We have not had too many appeals recently for which we got oral hearings. I do not know about anybody else. There is a problem with appeals. If you get a social welfare case involving somebody who needs 520 contributions but has 519, it is a mathematical certainty that those will never make 520 and that is the end of it. Unless you can find a missing contribution, that is it. I know people who state in written appeals that they cannot live on that money because they are not getting enough. As Teachtaí Dála, we know that might be true but it is not a grounds for appeal. If we are working on a contributions basis, people either have the contributions or they do not. I get most of my appeals on cases to do with illness or that kind of thing, including domiciliary care allowance, DCA, invalidity pension, carer's allowance, disability allowance and so on.

There are a number of challenges. Most of these schemes depend significantly on experts' letters. The thing is doctors are doctors but not lawyers. They are under massive pressure, as we all know. We debate endlessly in the House on getting an appointment with a doctor. They do their best and, often, they think when they write to say a person needs full-time care and attention, and give a medical or technical breakdown of the condition, that will suffice. In other cases, they are so busy they have not read the legislation and do not know what the criteria are. They state what is wrong with the person but do not make the call on whether the person can or cannot work, or whether they need constant care and attention and so on. This is where appeals come in. The appeals office often used to translate, in the oral hearing, the reality from the medical condition.

I will give an example.

I know a young lad who took time off from work to look after his mother who had cancer. He applied for carer’s allowance in June. This eventually went for review and appeal because it was refused. In December, we got even stronger letters from the hospice and the doctor saying she was dying. The appeal was refused in March and she died in April. That is scary. It is a case of a little bit of generosity and little bit of reality. It was a reasonable proposition since she was that beyond. Consequently and unfortunately, in this tragic case, he never got carer’s allowance to care for his dying mother who had cancer the whole time. It was said from the very beginning that she had cancer. This upsets me deeply. I have no doubt that it would have been different had there been an oral hearing in that case. I was a bit surprised that even when the evidence was provided as part of the appeal – extra, stronger and irrefutable evidence – their response was that was not given in June. I think it was a reasonable extrapolation that if she was that bad by December, she was that bad in June, progressive care was going to be needed and she could not be left on her own. Obviously, the dependency increased over time. She was mentally totally dependent once she got that kind of prognosis.

This is where I think the system is becoming legalistic, removed from the people and non-interactive. Part of it is probably up to us to start changing the laws, and this committee will be making budget submissions. The other part of it is that I have no doubt that if there had been an oral appeal hearing face to face in that case and they had questioned what it was like last June, it would have confirmed the medical evidence. The one thing the doctor does not know, because he or she is not living in the house with a person, is how much care and attention is needed in terms of what the witnesses measure, such as if they can be got out of bed or if can they get out of bed themselves, whether can they feed themselves and so on. It is hard for the doctor to make an exact call on that. Some cases are black and white but others are not.

As I often said about life, some cases are black and white. Some are black and some are white. However, it is the grey areas and the percentage in them that we need to care for. We should not now be erring on the side of harshness, as is what happened in this case, instead of on the side of generosity. In the greater scheme of the social welfare budget, we are not talking about anything significant here. We are talking about a small but sensitive percentage of cases.

I do not want to go into case after case but I am finding it is a massive loss for us not to have the oral hearings in these cases. As I said, I do not look for an oral hearing where it is a black-and-white case where somebody does not have contributions and so on. Sometimes people appeal on grounds that just do not stand up and I accept that. However, the ones dependent on a certificate are judgment calls by the office and depend hugely on the ability, knowledge and expertise of the medical people a person is dealing with to write the right things.

I had a domiciliary care allowance, DCA, case recently as well. I was a bit surprised and we are appealing it. When I sat down with the mother, it is black and white that care is needed for this child way and beyond any other child of the same age. The term "profound" was put in the columns multiple times by the medical people but it was still refused. It was profound, not significant or moderate. Still, it was refused. We will appeal this until the end.

In the whole system, there seems to be a change of approach. I do not think the Department is saving any money, by the way. I am convinced of that. As I said, most cases are fairly black and white and it is only these ones in the middle that are a small but very sensitive percentage where we are now erring on the side of harshness. The biggest thing I would be looking for is speedy appeal. In the case of the mother and son, for example, it was submitted in June. They said to reapply in March, and she was dead at the beginning of the April.

Mr. John McKeon

The Deputy raised a couple of issues and I will take them in order. I know the last issue is the one of most concern to him and I will go back to it.

On the invalidity pension issue and the requirement to be unfit for any type of work, there are two things. First, the Deputy gave an example of how the person who left school early cannot be a rocket scientist. That is not the case. The question, for example, is if you were doing physical work and got an ailment that makes you unable to continue doing that physical work but you were well capable or doing office or another type of work such as retail, you should be taking that work. That is what the law says and what we have to apply.

We need to change the law.

Mr. John McKeon

That is the law and there has been no change in approach by the Department or in the assessment of claims. That is the law and we have to apply it.

Sorry, there has been a change. I think all of us would testify to that fact and we are on the front edge of that. If Mr. McKeon went around Dáil Éireann and asked the people who deal with social welfare queries if they have seen a change in the way that-----

Mr. John McKeon

I will come to that.

As I said, I am not arguing they are not right, but there has been a change.

Mr. John McKeon

I will come to that.

We will hear from Mr. McKeon without interruption.

Mr. John McKeon

I will come to that. On the future for the invalidity pension scheme, it was in the programme for Government and the Minister is committed. We are currently working on a consultation paper, or straw man, about a reform of all long-term disability payments. For example, the criteria for disability allowance are different from the criteria for invalidity pension. The arrangements for supporting people in work when they have a disability differ between disability allowance and invalidity pension. We are working on a paper that will go to consultation fairly soon. That would then be the vehicle through which the law might be changed. The committee will certainly have an opportunity to comment on all of that.

Regarding what the Deputy perceives is a change of approach, the Department’s job is not to frustrate people’s entitlement to a benefit. Our job is to try to make sure people get the entitlement to which they are due. That is why there is a review process and we have medical assessors who are expert in assessing the impact of different ailments and illnesses. That is why there is an appeals process; it is not to frustrate it. The fact the Deputy is getting an increasing number of these cases is not that the percentage of these cases has changed. The reality is that the number of claims for these disability and DCA schemes has grown dramatically – exponentially – over the past ten years. We have more than doubled the number of people on disability allowance from when I joined the Department under the Deputy’s ministership back in 2010. We have gone from 4,000 to, I think, 25,000 or 26,000 people on DCA. The number of claims we are dealing with has increased. As the number of claims we are dealing with is increasing year on year by about 5%, obviously, the number of cases that are then refused and the Deputy then sees is increasing. The increase is the increase in volume. It is not a change in attitude; I would absolutely challenge that. It is not a change in attitude.

As I said, we do our best for people. I do not want to comment on specific cases because I do not have the detail. The Deputy outlined some cases and if he wants to send them to me, I will have a look at them.

Mr. John McKeon

There is a process. One of the things the Deputy will see in the regulations, and he mentioned oral hearings, is the right to request an oral hearing and the right to get a reason if an oral hearing is not granted. That is an improvement. The other thing in the regulations is that where new medical evidence is brought forward, the appeals officer will have recourse to getting a medical assessor to advise them on that new medical evidence.

When the Office of the Comptroller and Auditor General carried out its review in May 2019 to 2020, it highlighted that 70% of appeals contained significant additional information that was not there at decision stage. At the moment, it is down to a lay appeals officers to consider whether that additional evidence has merit. We are saying they will have access to a medical assessor who will tell them whether it has merit.

On medical appeals general, the attitude of our medical assessor is not to deny people their entitlement but to look for bona fide reasons. They are looking for reasons to grant it rather than reasons not to. They will say that a doctor in the initial case might say that everything is profound or significant. When the treatment plan, which we also ask for, is looked at, it does not stack up with the idea an issue is profound. Although the doctor says the health issue is profound, the treatment is not material or does not stack up. That will obviously cause a doubt. There must be a level. That is why we have medical assessors who can interpret the information rather than lay people looking at it. Medical doctors and GPs see their role as being advocates. If I ask my personal GP to give an assessment for a social welfare claim, there must be some independent verification of that. It must be independently done by someone who has the medical experience to determine whether the treatment plan is consistent with the diagnosis. They look at those kinds of issues and do not always jump to the idea that because the GP said something, as a consequence, is it not as plain as the spot on your face that this is the reality.

There is no change in attitude. I would challenge that assertion. The role of the Department, and we do our best to carry it out, is to get people over the line. As there is an increase in the prevalence of these claims, there is an increase in fallout, but the percentage fallout is probably about the same. There will always be hard cases. That is why there is a review and appeal mechanism and why I or Mr. Molloy will always accept a representation from a public representative asking us to have another look at an application. We are not perfect. Appeals officers and medical assessors are not perfect. Mistakes will be made but I genuinely hope they are made in a very small minority of cases. I would not like an impression to go out from this meeting that there is a huge number of denials when there is not.

I thank the Chair and welcome Mr. McKeon and Mr. Molloy to the meeting this morning. I wish Mr. Molloy the best in his new role. I spent 20 years working on appeals in social welfare. I have always found them to be fair. I have also always found that it is an important mechanism for public representatives working on social welfare payments. However, since the Covid-19 pandemic, I have had the same experience as Deputy Ó Cuív. I believe oral hearings are not being granted to the same extent as they were before the pandemic. I have a serious problem with that. I also have a problem with how public representatives are currently being viewed as regards making an appeal. I ask again, and my colleague Deputy Smith asked a parliamentary question on this recently, whether public representatives are allowed to request an oral hearing. Is that a good enough reason for an oral hearing to be granted? It seems to me that when a public representative requests a public hearing, further information is then requested from the individual. That is a problem for me because many of the people I deal with and who I am sure colleagues deal with are not in a position to deal with the mechanism of the appeals process. That is the reason they come to us in the first place. They find it very difficult. It is a huge problem for me and for many of the people I talk to. It is a concern for me. Perhaps the witnesses might comment on that.

The other huge issue I have relates to the way the number of online hearings is perceived to be growing versus in-person hearings. I could speak about a number of cases I have been involved with in recent years but one sticks out. It relates to the overpayment of a guardian's payment. In the more than 20 years I have been involved in appeals, it is probably one of the most horrific cases I have come across. I honestly believe the only way it will be overturned is through an oral hearing and I cannot get to that stage, unfortunately. Every time I submit information, further requests are made and the person is getting frustrated by the requests coming from the appeals office and, previously, from social welfare. In the 20 years and before the Covid-19 pandemic, I found that when I sat in front of appeals officers, they were fair. They listened to what I had to say and, more importantly, listened to the appellants who were there to present their cases. That was very important because all the doctors' letters in the world will not show how the person is affected daily, and this is the problem Deputy Ó Cuív has just said. If a change in legislation is needed, then we need to do that. There is an appeals mechanism, and for carer's allowance and illness benefits, the in-person hearing was always the issue. My concern, which is shared by many others, is that we are not getting the oral hearings that used to make a difference. Perhaps the witnesses could also comment on that.

The question to be asked, and it is a matter for the individual appeals officers, is whether Mr. Molloy is requesting that they grant an oral hearing when it is requested? What is the mechanism appeals officers have to go through to grant an oral hearing? It is very important for public representatives to get the chance to represent the people who come to our offices. Many people are telling me that they are being directed to online hearings. I stress again today that people are coming to me, including three cases that will come to my clinic on Friday, because of their fear of going online. They fear what that means for them. They are coming to their public representative to help them to fill in the forms and submit the case for appeal. Will the witnesses comment on that and on the role of the public representative in appeals?

Mr. John McKeon

I will ask Brian to come in if I may. On a general point the Senator is correct. As I said earlier to Deputy Collins, the number of appeals hearings that are dealt with through oral hearings has reduced significantly. That is a concern for both the chief appeals officer and the Department. We must keep an eye on it. It is not necessarily always a bad thing. The speed with which appeals are turned around now is much quicker as a consequence of many appeals being dealt with on a summary basis. It has gone from an average of approximately 25 or 26 weeks to approximately 15 weeks. We must be careful not to throw the baby out with the bathwater. We have all learned from the Covid-19 pandemic. Things that were done previously in person can now be done through correspondence or online. We need to keep the benefits of that without damaging the genuine cases. We must get the balance right. If the Senator asked me whether the balance was right, I would have similar questions to the ones he has. The Department does not have any malign intent. We are probably going through an adjustment period. We need to look at what the consequences are. Overall, the proportion of successful appeals is broadly in the same ballpark as previously. It is 55% now versus 60% prior to the pandemic. There is a drop. We are conscious of that and we need to be careful. We are paying attention to it. Mr. Molloy can confirm that no direction has been given to appeals officers not to hold oral hearings. They are entitled, however, to make a decision as to whether an oral hearing is necessary. As I said, we are changing the regulations to make it absolute that people have a right to an oral hearing or to be given a reason if it is not granted.

Mr. John McKeon

At the moment when appeals officers give their summary decisions they generally, say why they made the decision on a summary basis rather than holding an oral hearing. However, that is after the fact as opposed to letting the appellant know they will make a summary decision and why.

Regarding public representatives, as I understand it and Mr. Molloy might confirm this, the appeal must be made in the name of the appellant, but that does not mean a public representative cannot assist in the preparation of the appeal or cannot attend an oral hearing if one is held. That is the mechanism.

Mr. Brian Molloy

There should not be anything blocking a public representative making a request for an oral hearing. Ultimately, going back to the points made by Deputy Collins, there is a balance to be struck with the independence of the appeals officers' decision-making function. I understand from talking to Ms Gordon that there was no direction from her previously to the appeals officers about not holding oral hearings. The only time a direction was given, and it was referenced in the union letter, was in 2020 in the middle of the Covid-19 pandemic when the officers were directed not to have in-person engagement with people because of the public health concerns. That was subsequently rescinded and we moved on from it. There has been no direction from my predecessor nor is there any direction from me. The decision is made by the appeals officer based on the merits of the case. As the Secretary General stated earlier, we are keeping an eye on it because there has been a substantial reduction in the number of oral hearings that are held.

As regards in-person versus online, in my previous role I was co-chair of the disability consultative forum. Some of the feedback from that was that it is great for some people to be able to access an online oral hearing. I note that the Senator is rolling his eyes but that is not me saying that we prefer oral hearings-----

I was just looking to come back. I was not rolling my eyes.

Mr. Brian Molloy

That is no problem. That is not me saying that I prefer one over the other but there are people who have transportation issues or mobility issues and it gives them an opportunity to get in front of the appeals officer using that technology. That is a benefit that has come from that. There is no direction from me or my predecessor telling people that they are not to do in-person hearings or to do one over the other. There is no direction on that. We are providing the facility for people to be able to access the oral hearing through a multiplicity of different platforms, with some online or by phone, which also suits some people, and some in person. As the Secretary General said and I reiterate, there is no direction from me and nor would there be because fundamentally the decision is made by the appeals officers. They are the ones, under the regulations, who have authority.

One of the changes the Secretary General referenced, which is a very positive change, is that the regulations now make it abundantly clear that an appeals officer cannot just put a line into the report saying someone asked for an oral hearing but did not get it and this is what they have done. They now have to expressly reply to a request for oral hearing if they have not granted it and outline the reasons. That gives a greater degree of protection and comfort from a public representative's point of view but also from the person's point of view as they will be told specifically why is not a requirement. I again reiterate that it is not all bad news. We are improving the processing times of the appeals. It has been a big complaint for years that appeals take six, nine or 12 months from commencement to completion whereas summary decisions have gone from 25 or 26 weeks to 14 or 15 weeks, which is a substantial improvement. My job over the next period is to try to improve that further and become more operationally efficient.

I was not rolling my eyes. I was trying to catch the Cathaoirleach's attention. I am also a member of the Joint Committee on Autism and we get this day in, day out. This question is probably more for Mr. McKeon than Mr. Molloy with regard to documents and their complexity but it feeds into the appeals process as well and the concerns people have. If a person can handle online, I am all for it. There is absolutely no problem there but in the majority of cases I deal with, unfortunately, and where I come from, people are not up to that speed yet. We have a problem, and the Cathaoirleach will be aware of this, with broadband and feeds, etc. That is ongoing in this case.

I have two subsequent questions. How many online appeals were there versus in-person ones over the past couple of years? I ask the witnesses to provide us with that information and maybe come back to committee on that. That is important for us all. This is a very important process for public representatives. We can only say what is happening with us on the ground. That is all we are doing today. That is the feedback I am getting. Social welfare queries comprise a lot of the work I do day in and day out. As Deputy Ó Cuív said, this is what we are being told. We can outside case after case of problems in the system at the moment. Maybe we should be changing legislation.

I very much welcome the fact that the appeals officer, through the Department, will now have to give a reason for not holding an oral hearing. That is a very positive step forward but I would encourage the in-person oral hearings to continue as much as possible. I have always found them, in 20 years, to be a very fair system. Deputy Ó Cuív is correct. There are black-and-white cases when it comes to invalidity pension contributions that we all know that were never going to win. However, there are cases like that of the guardian payments I mentioned, which need to be in front of an appeals officer. That is the difference and that is what we are trying to get across.

Before answering Senator Wall's question on oral hearings being in-person or online, I have some figures in response to a parliamentary question for 2021 and the first ten months of 2022. In 2021, 9% of hearings were held in person, 40% over the phone and 50% online. In the first ten months of 2022, 6.5% were held in person, 32% over the phone and 61% online. Those are the figures from the Department.

Coming back to Senator Wall's point regarding the request, I believe there is a flaw in the statutory instrument, as drafted. The proposed wording states: "Where an appellant or any other party who stands to be directly affected by the appeal decision requests a hearing of the appeal (such request to be provided in writing)". That does not give a Member of the Oireachtas or an advocate on behalf of the person the right to make that request. That wording needs to be redrafted to include someone who is advocating on behalf of that person, whether it is a Member of the Oireachtas or, unfortunately, a solicitor on the rare occasion solicitors get involved. A solicitor's request could be refused based on the wording that is there. I accept the assurances the witnesses have provided us that that is not what is proposed in the statutory instrument. However, I hope the statutory instrument is amended to reflect the comments being made here.

Mr. John McKeon

We will bring that back to the Office of the Parliamentary Counsel but I think it is probably okay. Most legislation refers to the party making the appeal. That does not preclude an advocate or solicitor making the appeal on their behalf. That is the case across legislation generally. It is probably okay but we will bring the point back and if it is a real block, we will certainly consider it. As it is drafted, it probably enables that-----

I accept the point. In practice, that is the practice at the moment. The difficulty is, and we heard this with regard to the points made by Deputy Ó Cuív on the invalidity pension, the letter of the law is the letter of the law. We have all had experiences where a more rigid interpretation of the law has been taken. I will come back to this later in my contribution. In that context this regulation does not, as drafted, give us that right. It should include "or a representative". That needs to be included in it.

Mr. John McKeon

We will consider it. I may be wrong, and if I am wrong, I am wrong, but I suspect that when we go back to our legal advisers in the Office of the Parliamentary Counsel they will tell us that the regulation does incorporate what the Cathaoirleach said. I may be wrong. As the committee knows, parliamentary counsel are always loath to flesh out law that does not need to be fleshed out. They like to keep it tight. I may be wrong and if I am wrong, so be it. We will take those comments on board and we will look at that. There is no issue there.

With regard to the issues Senator Wall raised about people with disabilities and so on, I would say one thing. I often say this and have said it at the Committee of Public Accounts, for example. The Department deals with close to 4 million claims of different types every year. Illness and disability cases are probably in the hundreds of thousands. Mr. Molloy can talk about that better than I can. We have to remember that the cases that come before representatives or ombudsmen are a very small minority of the overall number. It is wrong to characterise the overall system based on the exceptions.

On the format of claim forms and so on and the information that has to be provided, I will ask Mr. Molloy to talk to this. We work quite hard with advocacy groups and different representative groups to continuously revise and change claims forms and forms for submitting appeals and so on. There is always a balance to be struck because, on the one hand, people want them simple and, on the other, they want to be signposted through all the different questions. If you signpost all the different questions, you end up with a very long form but if you keep it simple, you end up with something that is simple but not comprehensive. Mr. Molloy did a lot of work in his former role with groups and he might want to comment on this.

Mr. Brian Molloy

I was previously the principal officer over the disability allowance, invalidity pension, partial capacity and disablement schemes.

I was also on the disability consultative forum. When redesigning the disability allowance form, we gave it out to forum members, something that had not been done historically. They were impressed that we had asked them to give us their input into how the questions should be framed. We reduced the form from, I believe, 32 pages to 21 pages to make it simpler and more straightforward. This has had an impact. To be honest with the committee, though, an error made in the first version of the revised document meant, it did not have an immediate impact, so we needed a second iteration to fix it.

We are engaged with users and advocacy groups on trying to make forms easier. I was not the principal officer over it, but we undertook a similar process with the carer's allowance form. There was a great deal of engagement with Family Carers Ireland and, on the doctors' side, the Irish Medical Organisation, IMO, to get their input on the questions, how they were framed and the information we were requesting.

As the Secretary General said, it is about a balance. A great deal of complex information needs to be gathered, but we are trying to do it as simply and easy as possible for the form's user and to make it non-complex. On an ongoing basis, we are trying to make the forms and the entire process easier for people. As principal officer over the areas in question, my direction to the deciding officers – I cannot direct them with regard to decision-making no more than I can on appeals – was that, if a case was close, they should award. If it is 50:50, they should award. Even if it is 51:49 against the claimant, they should award. The process is to try to ensure that everyone gets access to his or her entitlement. Ultimately, however, officers must operate within the legislation. The Secretary General mentioned how a large reform process of the long-term disability schemes was ongoing.

In terms of invalidity pension, there is the one year back, one year forward rule as well as the permanently incapable provision. If someone has been out of work for a year, is likely to be out of work for another year and has made the contributions, he or she can get the invalidity pension. It is not just for people who are permanently incapable and never going to work again. There are two definitions in the invalidity pension regulations.

I was going to pick up on the same point that Mr. McKeon referenced. My understanding is that, as with an applicant when a decision is being made in the first instance, we have always operated on the basis that someone can act on behalf of an appellant.

That has always been the case, but this is the first time we are putting it in writing. My concern is that what has been the practice to date is not what is in the text of the document in front of us. I have dealt with a case where a member of my staff was questioned by an appeals officer about being present at an oral hearing. My staff are well used to this and the oral hearing went ahead, but I would hate to see that happening. It should not, which is why I am making the point.

I welcome the witnesses. I agree with what most members have said. I will not go over ground that has been discussed by Deputy Ó Cuív and Senator Wall, but the Deputy was correct when he said that most of the appeals related to health issues. I would like to raise the matter of medical cards for people with cancer going to appeal. There is no great need for them to go to appeal. If the people have been diagnosed with cancer, they are traumatised, so starting an appeals process because they have been refused at the first instance is making them go through further trauma. I would like it to be clarified that there should be no appeals.

That would be a matter for the Joint Committee on Health rather than for us.

Is the Department of Health dealing with that issue completely?

Yes. The Department of Health deals with medical cards.

Okay. I am sorry. I am finished now.

I have a couple of questions, and Deputy Ó Cuív wishes to contribute again. My first question relates to my last comment, the review of this statutory instrument and attendance at an oral hearing. Section 15(1) states: "The appellant shall ordinarily appear at the hearing in person and he or she may be accompanied by any member of his or her family, or, with the consent of the appeals officer, by any other person." In practice, an Oireachtas Member or an advocate working on behalf of the person can attend. I understand that the intention of the proviso that has been included about the consent of the appeals officer is not to restrict an advocate, but the wording should go beyond the family. In many cases, the family are not in a position to advocate on behalf of the person. I have encountered disability allowance cases involving mental health issues where those issues were not confined to the person who was before the Department for consideration. I accept that there is a far more proactive approach to the medical assessment of mental health issues now than when I started in politics, but if there are mental health issues in the family, having a family member advocating is not necessarily in the best interests of the appellant. Will the Department consider how this provision is worded to ensure that, importantly, there is an advocate working on behalf of the individual?

I am making this point because, although it does not happen often, the social welfare inspector also attends the oral hearing. Many people who go before an appeals officer at an oral hearing do not understand that the social welfare appeals office is independent of the Department of Social Protection. Their perception is that the appeals officer is a departmental official. Sometimes, the social welfare inspector is also present and can be quite forceful in getting his or her point across because he or she is effectively being challenged in the appeal and is making a case to the appeals officer. On the other side of the hearing may be someone who is quite vulnerable, and being joined by a family member who is not a strong advocate does not benefit the appellant. Previously, the presence of a member of my staff was challenged by an appeals officer. The appeal went ahead and there was no issue with the staff member's presence, but that challenge should not have happened.

I have raised the question of who can make the written request for an oral appeal. I hope that this matter will be examined.

I wish to address the new section 15 on the decision taken by the appeals officer about whether a hearing is required. Mr. McKeon has provided us with assurances that the appeals officer will make this decision and then inform the deputy Chief Appeals Officer. That is a welcome change. However, the feedback that we are now getting is that the practice is along the lines of what happened in 2020 and that the culture, particularly among newer members of the appeals office, is not to go ahead with oral hearings. Positive comments have been made at this meeting about how the witnesses, as senior management within the Department, are concerned about the number of oral hearings being heard and that they will monitor the situation closely.

It is important this is communicated clearly to every single member in Mr. Molloy's office. This is vital so we do not have what took place in 2020 and 2021 spilling forward as being custom and practice when that is not the intention in relation to it.

It comes back to the point Deputy Ó Cuív made, that when you are actually meeting people in person, you get a greater appreciation of the issues. It is not just physically meeting them but that it is easier to elaborate and get the detail relating to the particular circumstances. Part of the problem in the context of the concerns raised by Deputy Ó Cuív and Senator Wall is not that there has not been a change within the Department or within the appeals office, and the witnesses are correct in that, but because appeals officers are not meeting as many people face to face and they are not getting a full appreciation of a person's particular circumstances as the person is not articulating them in a way he or she can and should do, circumstances that can be far more obvious when the person is there in front of the appeals officer.

This also comes back to the statistics I read out earlier. Except in 2021, and no more than in 2020, the situation was that we were in the middle of the pandemic and restrictions had to be made around it. What really concerns me is that, in 2022, the number of in-person oral hearings has gone down by one third between 2021 and 2022. This is according to the Department's own statistics. The number of online oral hearings has gone up by one fifth. This should not happen post the relaxation of the restrictions. The numbers should have gone the other way and we should have had more in-person oral hearings and fewer online oral hearings. The statistics are going the wrong way. That, along with the reduction in the overall number of oral hearings taking place, is a concern to me because I believe it will lead to more instances such as Deputy Ó Cuív and Senator Wall have outlined because appeals officers are not meeting people face to face.

We have all come across cases. I had a case recently relating to disability claim. I spoke to the people in question over the phone. I honestly felt they were full of the proverbial regarding the claim they were putting forward, but when I actually met them in person and went through the case, it was a black-and-white situation. I am a person who has been dealing with this type of thing for years and I was really surprised by the conversation I had with the individual. The in-person engagement I had with them was so stark in relation to the detail of the case. It is not always easy to do this remotely or through a screen because many people are not used to that way of engaging and particularly people who are within the social welfare system. I put it to Mr. McKeon and Mr. Molloy that absolutely we could have this engagement online and we would probably have a very similar engagement, but if a person has been out of work for five or six years and has never sat in front of a computer and spoken to a computer, it can be very disconcerting for a person to do that.

With regard to advocating online, we have all dealt with cases where we are trying to explain something to someone. For example, I recall a carer's allowance case during the middle of the pandemic where I spoke to an individual. He was absolutely apoplectic with the fact that his application for carer's allowance had been refused. We actually got the medical records from the Department. I sat down and went through them with him, first of all orally over the phone and then in person. At the end of the conversation over the phone he was still apoplectic. I then sat down with him face to face and I went through it with him and explained to him that the medical assessor had no choice but to refuse it based on what was in front of them. I also said that I would not have granted it, and I knew the circumstances of the case. I would not have granted based on what was on the desk in front of the Department. He could understand it then as I sat down and went through it with him

It is not always the best example and the best template to use and what really worries me is that in 2022 we have seen a one third reduction in the number of face-to-face hearings when it should be going the other way. There has been a 20% increase in the number of remote online hearings. It should be going the other way. It is concerning and is leading to the problems such as those we have heard from Senator Wall and Deputy Ó Cuív today. There has not been a policy change but the application of the regulations is different in a very dramatic way. This can store up trouble for us all and this is trouble none of us want.

Mr. John McKeon

I thank the Chairman. On the first point the Chair made about the attendance at appeal hearings, I will certainly take that point on board and look at it. We may be able to change the language. It is certainly not the intent. We may be able to add in language including, for example, an elected public representative or other authorised advocate or something like that. The text and the new regulation are exactly the same as the existing regulation so we are not doing anything there. We can certainly look at that.

Reference was made to inspectors at the meetings. One of the things we are trying to do in the regulations is try to reduce the adversarial nature. I am aware this is a cause of concern, even within the Department, where we are saying deciding officers will not provide a counter submission to the appeals. They will provide the facts of the case to the appeals office and the appeals office on a de novo basis will look at all of the facts and determine it, which is what it is meant to do. I am trying to get away from the situation where a deciding officer or an inspector feel they have to defend the decision they took. That is not their role. The role is for the appeals officer to look at it afresh. We are trying to get away from that, which I believe is a positive change. It does come with concerns, both within the appeals office and among our own staff, but we are trying to take away that adversarial bit of it. I believe this will help.

With regard to the oral hearings, we have already acknowledged that the oral hearings are at a level, but there is a balance to be struck. We are definitely keeping a close eye on it. The intention is not to diminish in anyway the effectiveness of the appeals process. During the Covid pandemic when appeals officers started doing an increasing amount by summary decision or online, they found those to be as effective, in many cases, as the oral hearings. The question that arises is whether we want to go back to the situation where upwards of 40% of appeals were heard orally. Now it is less than 10%. Upwards of 40% was probably too high and 10% is probably too low. We need to get back to something in between, but that will be determined by experience. We are keeping a close eye on it and we will continue to pay attention to it. Ultimately, it is in the hands of the appeals officers to determine and consider the complexity of an appeal, if there is a dispute as to facts or impacts, or whether they believe it requires an oral hearing.

Mr. John McKeon

We will take the message back. It was like Mr. Molloy said, that when it is 50:50, or even 51:49 against, it is granted. The mindset needs to be, when in doubt, include it.

I accept that, and the statistics are going the wrong way, but the point I am trying to make is that there probably should be a minimum threshold of oral hearings. I say this because it actually protects against the likes of examples raised by Deputy Ó Cuív and Senator Wall. Even purely from a training point of view there should be a minimum threshold of oral hearings. You get a far greater appreciation of the cases and circumstances you are dealing with. It is absolutely the case that ultimately the appeals officer can end up refusing those or granting them or partially granting them, but there should be a minimum threshold. There is a learning and educational aspect of having that face-to-face engagement and an appreciation that this has a direct impact on people's lives and people's circumstances.

Mr. John McKeon

Absolutely. I agree. We are keeping a close eye on it. I think the change we are making, to give a person a right to request and a right to get a reason, will act to increase the number. An appeals officer will think that he or she will need a good reason for refusing Deputy Naughten's request.

That is dead right. There had better be a good reason for refusing me, anyway.

Mr. John McKeon

I think it will lead to an increase. The Chair is right when he says that we will need to monitor it. It is difficult to set a specific target because we are coming out of a period. Maybe we will be able to do so in a year's time. We need to watch the data and the evidence. I think most appeals officers would probably support me in this regard, although I might be wrong. In the days when we did between 40% to 50% by means of oral hearing, we were probably over-egging that approach. In the days when we did less than 10%, we were probably under-egging it. It is about getting the balance. We are probably now in a transition situation. I fully accept the point the Chair has made. Appeals officers need experience of oral hearings if they are to conduct them. The tap has to be kept turned on because if it is turned off and it freezes, we are in trouble when we need the water to flow again. We need to ensure it is at a level which will support the competency development of the appeals officer but also at a level that is appropriate. It would probably be wrong to go back to 40% or 50% - and taking six to nine months to get through all of our appeals, compared to 15 weeks today - but maybe we have gone too far in the other direction after coming out of Covid. However we will keep an eye on it and take the points on board.

Mr. Brian Molloy

I agree with the Secretary General's comment that is it difficult to set a specific target for individuals. If I told appeals officers that they had to do a certain number of appeals every year in a particular manner, that would be seen as me encroaching on the independent decision-making of those officers. It would mean that they would be making decisions to satisfy me as distinct from decisions that are based on the individual circumstances of the case. I can look into making sure all the appeals officers are exposed to a certain number of in-person hearings to get over the issue of them not being aware of the impact of it.

I will also pick up on a point the Chair made at the start of his questions around feedback he has received. Although we have made it clear that the appeals officer does not need to seek permission to have an oral hearing - that communication happens after the determination - I appreciate that this is not necessarily what the Chair has heard is happening in practice. All I can do is give an undertaking that we have made it clear that they are not to ask for permission. I can restate that back in the office, particularly to the newer ones. The Chair has made this point. I can make sure it is very clear to the newer appeals officers that it is their decision to hold an oral hearing or not and that the communication with their superior is simply part of a resource management process.

I appreciate that.

I would like to reinforce what has been said by the Chair regarding the role of public representatives. It is very interesting to stand back and look at life in the round. If I go down the main street of any town, I will find solicitors, tax consultants and accountants. Very few people who have big tax issues make the appeals themselves or deal with their own taxes. It is normally signed off by tax consultants. When I walk down the street, I do not see anybody who specialises on a commercial basis in social welfare advice. The only people providing such a service are the citizens advice centres and ourselves as public representatives. I think that as public representatives, we play a very important role. The vast majority of public representatives - no more than solicitors, accountants or anyone else - have informed themselves of how these schemes work in order to assist those who come into them. If a person has no case, the public representative will tell them that they have no case. Sometimes you have to go around in circles to prove there is no case for the doubting Thomases, but that is what you do. There is no point in fooling them because it will bounce back to you eventually and you will have put a lot of time into nothing.

The people among the population who are dealing with the Department's schemes can have significant mental, physical and intellectual disabilities. We are talking about people in all sorts of situations. It is fair to say that we probably deal with a higher number of people who are illiterate, and cannot read or write, than the tax consultant who deals with someone who turns over €5 million per year. This is the reality we face. We get people of all shapes, makes and sizes in our clinics. In the generality, they are not the well heeled or the well educated, although some of them are. We try to explain the thing to them. We ask them to get this bit of paper or that bit of paper together. It has gotten a lot worse. We advise them to tell their doctor what things are needed to meet the criteria. We say, "I do not know if it is true or not, but that is what the doctor has to measure". We try to explain it to them. We do everything at one remove. Therefore, it is perfectly valid for public representatives to write the appeals. We do what a tax consultant would do, which is to submit the appeal. We need to make sure they sign it before it is sent out. They either send it back to us or send it into the Department. It is only when we are doing these clinics, and I do not know if everyone else's constituents are as mixed a bunch as mine are, that-----

This is the reality. I think we need to state specifically that recognised advocacy organisations or public representatives can represent people. I think it is in the interests of the appeals office and the Department that this would be a recognised reality.

I have found from going to appeals in person, or sending a staff member in person, that we can relax in the presumption that we have a reasonably good idea of the criteria of the appeals officer. We understand how they work and we know they are independent. We can meet the person we are representing 20 minutes beforehand and get them relaxed by saying that the appeals officer is fair-minded, is not here on the behalf of the Department and is a friend. Some people are more hyper than others. As we sit there, I might have to put out my hand and say, "Hang on a second now". I might have to explain what is not relevant in case they go into all sorts of things that are not relevant to the case or germane to the law.

I suppose I am making two points. The first point is that it is vital that public representatives have a specific and clear right to represent. I will come back to that in a minute. The second point is that if we revert to calls, we have to offer people the choice. The Department might say that it can offer an online hearing in six weeks or an in-person hearing in nine or 12 weeks - so be it. The choice as to which is the preference should not rest with the Department. There was a very interesting Irish-language case in which Judge Hardiman went into the fact that the State puts quite a burden on the public and therefore the State cannot complain when the public puts a bit of a burden on the State in terms of providing services. That case involved services through Irish, but in this case we are talking about providing services to people to give them the best chance of making their case. As the Chair has said, we do a lot of our business online via email and so on. In a lot of other cases, I make a judgment call every week and say to staff, "Abair leo teacht chuig an gclinic" or "Tell them to come to the clinic". I will explain why I do that. The vast majority of these people may be able to read and write, but there are a number who cannot. Literacy skills are on two levels. Literacy skills in terms of official jargon, and literacy skills in terms of being able to read a newspaper or Facebook, are two different things. What exactly does it mean? In a lot of cases I find it is easier to explain these matters in person. One might need one meeting and subsequently do a lot of it online or by correspondence afterwards.

It is easier to go through it and explain the situation. It is, in many cases, easier for them to explain the realities of life when they are face to face and relaxed and so on. This should be the most humane of humane systems. The Department is not up against the big and powerful in society but against the most vulnerable people in society. The system has to be user friendly. A public representative should be involved and the choice of preference should clearly lie with the applicants as to whether they want an oral hearing or an online hearing, taking into account that for physical and practical reasons, the online hearing might be quicker. It goes back to how dependent people are on advocacy. If people are well able to do it themselves, why not have an online meeting? However, if people are very dependent on an advocate and there is a need for a human reaction among three people, or four people if the deciding officer from the Department is present in the room, it is a judgment call that needs to rest with the applicant to ensure fair play. If that means extra work for the Department and extra staff, so be it. That is not going to break the bank. That is the way I see the situation. As I said, we must never forget that what we are doing is filling in what commercial people do for massive sums of money for everybody else .

I will make a final point. I accept it is two-sided. I accept that change is being driven by the legal profession and many other forces in society. Robert Putnam wrote a very interesting book about the fact that the number of barristers in America skyrocketed over the past 40 or 50 years. There is a somewhat similar situation here, which is fair enough. That is the law. However, if someone were to ask me what has been the biggest change in my time, I would reply that we are much less about judgment calls and much more about a legalistic approach to everything. That is just the way it is but the problem is it is often hard to write statute law in such a way as to meet all human conditions and situations. That is the problem. Somebody has to make a call. That is the problem. As we all find out when we try to do it, we think we have written a law that covers most eventualities and the next thing, somebody wanders in the door with a case no one ever thought of before. We are then left to ask what we do now.

Those are some comments and two specifics. There is a right for a representative to attend an appeal and a right to an advocacy group or solicitor. I accept that there must be a right. It would be different if people were going in to cause an obstruction. I believe the choice in respect of the type of hearing, taking time constraints into account, should be the choice of the applicant.

To add to what the Deputy has said, giving that right to a public representative or advocate will lead to more of these cases being dealt with online. People will be more comfortable dealing the cases online when they have an advocate who knows the law and regulations inside out and upside down. Having the online version is a big positive development but, as Deputy Ó Cuív says, the appellant should choose what format a hearing takes.

Mr. John McKeon

I take on board everything the Deputy has said. He is repeating many of the points that have already been raised and we have indicated we will have a look at the role of the public representative and whether we can make it explicit. If we can, we certainly will.

The Deputy made a point about the legalistic nature of matters and I fundamentally agree with everything he said. We are seeing it in the Department. There are a number of legal firms who seem to specialise in taking cases and operating on the basis that they only have to be lucky once. We are seeing that a lot. They are insisting, for example, that appeals officers sit almost as judges. Witness statements have to be sworn and there must be cross-examination. If we get into that space - and the Deputy mentioned deciding officers - it will have a chilling effect. Most of our deciding officers are clerical officers. If they were to be put on a bench and cross-examined by a barrister about every decision, it would have a chilling effect on how decisions are made and the speed at which they are made. That is one of the reasons we emphasise in the regulations a de novo approach. Appeals officers treat a case as if it is being looked at for the first time and on the basis of all the facts and evidence, rather than trying to challenge the decision the Department took or the medical assessor originally recommended. Appeals officers are looking at cases with fresh eyes. They are not looking to prove that the Department or the appellant were wrong. The appeals officers are looking at cases afresh, which will help to reduce this legalistic type of stuff that is beginning to go on and is of concern to me. There are definitely some legal firms that are operating on the basis that they only have to be lucky once. They are not winning any cases. They dragged Mr. Molloy and his predecessor to the High Court but very few, if any, cases have been won. Those firms are operating on the basis that if they win one case, it will mean a big payday. That is not where we want to be. It would be detrimental.

It is not where we want to be.

Mr. John McKeon

That is where having the public representative as the advocate has obvious benefits. We take on board all that has been said. We will take it back. The public consultation will be open until the end of May. We will be revising the draft regulations to some extent on the basis of the feedback today, subject to advice from the Parliamentary Counsel and so on. I think we have most of the committee's recommendations but it could provide a report or written communication. That is entirely a matter for the committee. I do not think we have any huge difficulty with anything that has been recommended by committee members today. The Minister, if she were here, would be cheerleading much of what the committee has been saying.

Damn right she would be.

Mr. John McKeon

We will see what we can do.

Mr. McKeon mentioned a straw man. If that approach is taken, when might legislative change take place, with the whole rigmarole involved in the changes?

Mr. John McKeon

That is, in some respects, asking how long is a piece of string, as the Deputy knows.

Might it take three years?

Mr. John McKeon

We hope to get the straw man published in the next couple of months. It obviously has to be seen by the Minister and the Government before it is published. There must be a consultation period, which normally lasts a few months. After the consultation period, there is then another report to go to Government, recommending which changes, if any, we will proceed with. That, in turn, gives the authority to draft the heads of a Bill and the legislation. In truth, as the Deputy knows far better than I, it might be during the next Dáil and not the current one that the law is changed. Perhaps that is not the case and we will be able to fast-track it.

What happens in the meantime back at the ranch? Perfection has become the absolute enemy of the good. In the meantime, back at the ranch, it would be possible for the Oireachtas to change the wording of the invalidity pension criteria to make it the same as the disability allowance criteria as a holding operation until the Department gets all its work done on the legislation.

Mr. John McKeon

I would prefer not to do that because I would prefer to do it properly.

That is what they always tell us.

Mr. John McKeon

As Mr. Molloy said, those are not the only criteria. He made a point about the year forward and the year back. We can take the message back to the Department. It does not always have to be black and white.

I will make one point. Mr. Rónán Hession was before the committee last week. At the end of the engagement, I asked him about the commitment the Minister have given regarding designating long Covid as an occupational illness. Mr. Hession updated us on that point and, disappointingly, we are still awaiting responses back from the Department of Health. It is the staff of the Department of Health who will benefit from that designation. The point I made to Mr. Hession was that the emerging medical evidence in terms of the management and care for people with long Covid recommends incremental return to work. The difficulty is that the illness benefit does not facilitate that at present.

Invalidity pension does, where you have the partial capacity benefit, etc., but illness benefit does not. While I accept the points the Department has made regarding the straw man about looking in the more medium term on the issues related to disability and invalidity, this is an issue in the short term that needs to be addressed. We are bringing forward regulations here because of the changes that have been thrust upon us because of the pandemic. We have brought forward the previous straw man on pay-related benefits because it has been thrust upon us because of the pandemic. Here is a real problem in terms of disability that has been thrust upon us because of the pandemic and it cannot wait for the next Minister in the next Administration to bring forward legislation in this area. These are people who are suffering today where their medical advice is to go back for a couple of hours a day or one day a week but they will lose their illness benefit if they do that. This delays their recovery and rehabilitation and leads to the Department ultimately paying out more in disability payments. I would ask Mr. McKeon to take that point back and to look at that specific point in the interim based on the motivation for what is before us here today and what was before us here last week, which are the changing circumstances arising from the pandemic; long Covid is a condition only associated with this pandemic.

Mr. John McKeon

We will certainly take it back. Mr. Rónán Hession, who was here last week, is also the assistant secretary with responsibility in this area. We will consider it.

The one point I would make - I am not saying that this will be a problem - is the nomination of an illness as being an occupational illness lies with the Minister for Health rather than with ourselves and that is an issue. Also, one needs to be a little careful in picking out one illness which is debilitating and separating it out from all other illnesses that are debilitating and saying that this person, because he or she has long Covid, gets this treatment while another person, who might have another debilitating condition, is being treated in a particular way. We have to be careful around that. I am not saying it is an issue that will stop anything. I am only saying we need to be aware of it.

Mr. Brian Molloy

If I could add one point on that, as the Cathaoirleach mentioned, the invalidity pension allows you to go on to partial capacity. Illness benefit is also a gateway to partial capacity. Once you are on illness benefit for more than six months, you can apply for partial capacity of illness benefit. If that is the issue that is causing the difficulty, people will not necessarily lose their illness benefit because they can apply for partial capacity off that in the same way as they can off invalidity pension.

I thank Mr. Molloy for that.

I thank Mr. McKeon and Mr. Molloy for their engagement here with the committee this morning. In particular, I thank Mr. McKeon for the support that he and his officials are providing to this committee on an ongoing basis. I also thank both of them for the Department's and the appeals office's constructive engagement with all Members of the Oireachtas on an ongoing basis. In fairness, all of us, right across both Houses, would say that if other Departments and Government agencies dealt with public representatives and with the issues that they raise in a similar manner to the Department of Social Protection we would have a far more effective public administration in this country. I merely want to put that formally on the record. While we must advocate on behalf of our constituents, we acknowledge and respect the fact that this Department is very much a proactive Department in terms of the engagement it has on a day-to-day basis with us and with our staff. I thank them for their time here this morning.

Mr. John McKeon

I thank the Chair for that.

The committee will now go into private session. Is that agreed? Agreed.

The joint committee went into private session at 11.24 a.m. and adjourned at 11.39 a.m. until 9.30 a.m. on Wednesday, 3 May 2023.
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