Paragraph 13 Additional condition for the disability premiumF19I1
Northern Ireland
Subject to sub-paragraph (2) and paragraph 7, the additional condition referred to in F1paragraph 12 is that either—
the claimant or, as the case may be, his partner—
is in receipt of one or more of the following benefits: F2armed forces independence payment, attendance allowance F3, pension age disability payment, disability living allowance F4, Scottish adult disability living allowance F5, child disability payment, F6personal independence payment, F7adult disability payment the disability element or the severe disability element of working tax credit as specified in regulation 20(1)(b) and (f) of the Working Tax Credit Regulations, mobility supplement, long-term incapacity benefit under Part II of the Act or severe disablement allowance under Part III of the Act but, in the case of long-term incapacity benefit or severe disablement allowance only where it is paid in respect of him;
was in receipt of long-term incapacity benefit under Part II of the Act when entitlement to that benefit ceased on account of the payment of a retirement pension under that Act F8or a state pension under Part 1 of the Pensions Act (Northern Ireland) 2015 and the claimant has since remained continuously entitled to housing benefit and, if the long-term incapacity benefit was payable to his partner, the partner is still a member of the family;
was in receipt of attendance allowance or disability living allowance but payment of benefit has been suspended in accordance with regulations made under section 113(2) of the Act or otherwise abated as a consequence of the claimant or his partner becoming a patient within the meaning of regulation 25(11)(e);
was in receipt of personal independence payment that is no longer payable by virtue of regulations made under Article 91(1) of the 2015 Order (hospital in-patients);
was in receipt of adult disability payment that is no longer payable by virtue of regulation 28 (effect of admission to hospital on ongoing entitlement to Adult Disability Payment) of the Disability Assistance for Working Age People (Scotland) Regulations 2022;
was in receipt of pension age disability payment that is no longer payable by virtue of regulation 20 (effect of admission to hospital on ongoing entitlement to pension age disability payment) of the Disability Assistance for Older People (Scotland) Regulations 2024;
was in receipt of Scottish adult disability living allowance that is no longer payable by virtue of regulation 23 (effect of admission to hospital on ongoing entitlement to Scottish adult disability living allowance) of the Disability Assistance (Scottish Adult Disability Living Allowance) Regulations 2025;
is provided by the Department of Health, Social Services and Public Safety with an invalid carriage or other vehicle under Article 30(1) of the Health and Personal Social Services Order or receives payments by way of grant from that Department under Article 30(3) of that Order, or
is certified as severely sight impaired or blind by a consultant ophthalmologist; or
the claimant—
is, or is treated as, incapable of work in accordance with the provisions of, and regulations made under, Part XIIA of the Act, and
has been incapable, or has been treated as incapable, of work for a continuous period of not less than—
in the case of a claimant who is terminally ill within the meaning of section 30B(4) of the Actf1, 196 days;
in any other case, 364 days.
For the purposes of sub-paragraph (1)(a)(v), a person who has ceased to be certified as severely sight impaired or blind on regaining his eyesight shall nevertheless be treated as severely sight impaired or blind, as the case may be, and as satisfying the additional condition set out in that sub-paragraph for a period of 28 weeks following the date on which he ceased to be so certified.
For the purposes of sub-paragraph (1)(b), once F15... the disability premium is applicable to a claimant by virtue of his satisfying the additional condition specified in that provision, if he then ceases, for a period of 8 weeks or less, to be treated as incapable of work or to be incapable of work he shall, on again becoming so incapable of work, immediately thereafter be treated as satisfying the condition in sub-paragraph (1)(b).
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
For the purposes of sub-paragraph (1)(b), once the disability premium is applicable to a claimant by virtue of his satisfying the additional condition specified in that provision, he shall continue to be treated as satisfying that condition for any period spent by him in undertaking a course of training provided or arranged under sections 2 and 3 of the Disabled Persons (Employment) Act (Northern Ireland) 1945 or section 3 of the 1950 Actf2 or for any period during which he is in receipt of a training allowance.
For the purposes of sub-paragraph (1)(b), where any 2 or more periods of incapacity are separated by a break of not more than 56 days, those periods shall be treated as one continuous period.
For the purposes of this paragraph, a reference to a person who is or was in receipt of long-term incapacity benefit includes a person who is or was in receipt of short-term incapacity benefit at a rate equal to the long-term rate by virtue of section 30B(4)(a) of the Act (short-term incapacity benefit for a person who is terminally ill), or who would be or would have been in receipt of short-term incapacity benefit at such a rate but for the fact that the rate of short-term incapacity benefit already payable to him is or was equal to or greater than the long-term rate.
In the case of a claimant who is a welfare to work beneficiary F17(a person to whom regulation 13A(1) of the Social Security (Incapacity for Work) (General) Regulations (Northern Ireland) 1995 applies, and who again becomes incapable of work for the purposes of Part XIIA of the Act) —
in sub-paragraph (3) the reference to a period of 8 weeks; and
in sub-paragraph (6) the reference to a period of 56 days,
shall in each case be treated as a reference to a period of 104 weeks.
The claimant is not entitled to the disability premium if the claimant has, or is treated as having, limited capability for work.
Annotations
Textual amendments
- F1
Word in Sch. 4 para. 13(1) substituted (19.5.2008) by The Social Security (Miscellaneous Amendments No. 2) Regulations (Northern Ireland) 2008 (S.R. 2008/179), regs. 1(1), 3(8)(d)(ii)
- F2
Words in Sch. 4 para. 13(1)(a)(i) inserted (24.12.2013) by The Armed Forces and Reserve Forces Compensation Scheme (Consequential Provisions: Subordinate Legislation) (Northern Ireland) Order 2013 (S.I. 2013/3021), arts. 1, 26(6)(b)
- F3
Words in Sch. 4 para. 13(1)(a)(i) inserted (21.10.2024) by The Social Security (Scotland) Act 2018 (Disability Assistance) (Consequential Amendments) Order 2024 (S.I. 2024/919), arts. 1(1), 27(6)(b)(i)
- F4
Words in Sch. 4 para. 13(1)(a)(i) inserted (21.3.2025) by The Social Security (Scotland) Act 2018 (Disability Assistance) (Consequential Amendments) Order 2025 (S.I. 2025/227), arts. 1(1), 27(6)(b)(i)
- F5
Words in Sch. 4 para. 13(1)(a)(i) inserted (26.7.2021) by The Social Security (Scotland) Act 2018 (Disability Assistance for Children and Young People) (Consequential Modifications) Order 2021 (S.I. 2021/786), art. 1(2), Sch. 6 para. 6(3)
- F6
Words in Sch. 4 para. 13(1)(a)(i) inserted (20.6.2016) by The Personal Independence Payment (Supplementary Provisions and Consequential Amendments) Regulations (Northern Ireland) 2016 (S.R. 2016/228), regs. 1, 30(7)(b)(i)
- F7
Words in Sch. 4 para. 13(1)(a)(i) inserted (21.3.2022) by The Social Security (Disability Assistance for Working Age People) (Consequential Amendments) Order 2022 (S.I. 2022/177), arts. 1(2), 24(7)(b)
- F8
Words in Sch. 4 para. 13(1)(a)(ii) inserted (6.4.2016) by The Pensions (2015 Act) (Consequential, Supplementary and Incidental Amendments) Order (Northern Ireland) 2015 (S.R. 2015/411), arts. 1(b), 23(4)
- F9
Sch. 4 para. 13(1)(a)(iiia) inserted (20.6.2016) by The Personal Independence Payment (Supplementary Provisions and Consequential Amendments) Regulations (Northern Ireland) 2016 (S.R. 2016/228), regs. 1, 30(7)(b)(ii)
- F10
Sch. 4 para. 13(1)(a)(iiib) inserted (21.3.2022) by The Social Security (Disability Assistance for Working Age People) (Consequential Amendments) Order 2022 (S.I. 2022/177), arts. 1(2), 24(7)(c)
- F11
Sch. 4 para. 13(1)(a)(iiic) inserted (21.10.2024) by The Social Security (Scotland) Act 2018 (Disability Assistance) (Consequential Amendments) Order 2024 (S.I. 2024/919), arts. 1(1), 27(6)(b)(ii)
- F12
Sch. 4 para. 13(1)(a)(iiid) inserted (21.3.2025) by The Social Security (Scotland) Act 2018 (Disability Assistance) (Consequential Amendments) Order 2025 (S.I. 2025/227), arts. 1(1), 27(6)(b)(ii)
- F13
Sch. 4 para. 13(1)(a)(v) substituted (26.11.2014) by The Social Security (Miscellaneous Amendments No. 2) Regulations (Northern Ireland) 2014 (S.R. 2014/275), regs. 1(1), 5(4)(a)(i)
- F14
Sch. 4 para. 13(2) substituted (26.11.2014) by The Social Security (Miscellaneous Amendments No. 2) Regulations (Northern Ireland) 2014 (S.R. 2014/275), regs. 1(1), 5(4)(a)(ii)
- F15
Words in Sch. 4 para. 13(3) omitted (19.5.2008) by virtue of The Social Security (Miscellaneous Amendments No. 2) Regulations (Northern Ireland) 2008 (S.R. 2008/179), regs. 1(1), 3(8)(d)(iii)
- F16
Sch. 4 para. 13(4) omitted (19.5.2008) by virtue of The Social Security (Miscellaneous Amendments No. 2) Regulations (Northern Ireland) 2008 (S.R. 2008/179), regs. 1(1), 3(8)(d)(iv)
- F17
Words in Sch. 4 para. 13(8) substituted (19.5.2008) by The Social Security (Miscellaneous Amendments No. 2) Regulations (Northern Ireland) 2008 (S.R. 2008/179), regs. 1(1), 3(8)(d)(v)
- F18
Sch. 4 para. 13(9) added (27.10.2008) by The Housing Benefit (Employment and Support Allowance Consequential Provisions) Regulations (Northern Ireland) 2008 (S.R. 2008/378), regs. 1, 3(17)(b)
- F19
Words in Sch. 4 para. 13 heading substituted (19.5.2008) by The Social Security (Miscellaneous Amendments No. 2) Regulations (Northern Ireland) 2008 (S.R. 2008/179), regs. 1(1), 3(8)(d)(i)
Commencement
- I1
Sch. 4 para. 13 in operation at 20.11.2006, see reg. 1(1)
Footnotes
- f1
-
Section 30B was inserted by Article 4(1) of the Social Security (Incapacity for Work) (Northern Ireland) Order 1994
- f2
-
Section 3 was amended by Part I of Schedule 4 to the Social Security (Northern Ireland) Order 1980 (S.I. 1980/870 (N.I. 8)) and paragraph 1 of Schedule 3 to the Industrial Training (Northern Ireland) Order 1984 (S.I. 1984/1159 (N.I. 9))
Notes on Schedule 4
Modifications
- C1
Sch. 4 applied (with modifications) (1.4.2007) by The Rate Relief (General) Regulations (Northern Ireland) 2007 (S.R. 2007/204), regs. 1(1), 17(2)