Select Committee on Treasury Sixth Report


3  Recovery of overpayments

Concerns about operation of recovery process

52. Much of the evidence we received focussed on the difficulties which recovery of overpayments has caused to claimants. Two key points were raised by representatives from the voluntary sector. Citizens Advice pointed out that "it is entirely left up to the claimant to challenge" HMRC's decision to recover an overpayment—if a claimant does nothing, the overpayment will be recovered in full, even if it was the case that the overpayment would have been written off, had the claimant disputed it.[85] Consequently, Citizens Advice believed it was "really important" for HMRC to give claimants the clear message that, unless they challenge an overpayment, it will automatically be recovered from them in full.[86]

53. OPF explained that, at present, when an overpayment occurs, "people are not being informed as to why they have been overpaid … [given that there is] no standard way of informing people by explaining what is happening, it is scandalous that overpayments continue to be recovered with no explanation".[87]

A 'PAUSE' BEFORE RECOVERY COMMENCES

54. One of the Ombudsman's key findings was that, where HMRC recovers an overpayment to the detriment of a customer before considering Code of Practice 26, a "fundamental unfairness" has arisen:

Effectively, the Revenue has fettered its own discretion by making an initial determination to commence recovery action, before it has considered the full facts of the case. That is maladministration. Unless customers are alerted to the existence of the provisions of COP 26 and then take steps to request that the Revenue apply its Code, they may end up wrongly paying back tax credits which should not, in fact, be recoverable.

The Ombudsman therefore recommended that HMRC "should not seek to recover either an excess payment made in the current year, or an overpayment from the previous year until it has come to a decision, based on all the relevant facts, as to whether or not the excess amount paid should be recovered in accordance with COP 26."[88]

55. The evidence we took from the voluntary sector was strongly supportive of the Ombudsman's recommendation for a 'pause' before recovery of an overpayment commences. For example, the CPAG told us:

I think all of our organisations would say very clearly that, whilst we welcome the fact that the Paymaster General has said that she will consider this, it seems to us to be absolutely essential that it is considered as a matter of urgency.[89]

CPAG believed that introducing a pause before recovery was in fact a legal requirement.[90]

56. In its response to the Ombudsman's report, the Government appeared to accept her recommendation with regard to introducing a 'pause':

HMRC are working on how to suspend the recovery of overpayments in disputed cases while they consider whether there is a good reason not to pursue recovery. They are looking to put these arrangements in place at the earliest opportunity for both new cases and those where an overpayment has already been disputed.[91]

However, the recommendation is yet to be implemented. In her evidence to us, the Paymaster General referred to "considerations" which she was "still pursuing with regard to whether or not there should be a pause."[92] She indicated that, although implementing the 'pause' was one of a number of improvements which she was currently considering, all of which required IT changes and legislative changes, it was not one to which she felt able to give the highest priority.[93] When we suggested to Sir David that implementation of the package of reforms announced in PBR 2005 appeared to have delayed implementation of other improvements, he responded:

I am not sure it is delay, but there is always a choice and there is so much you can do. We had, I think, a very good discussion with the Ombudsman about the technical problems of delay, of creating a pause, and she accepted that this was not a lightly entered into judgment.[94]

57. Sir David has also given evidence on this point to the Public Administration Committee. He told the Committee that the Ombudsman's finding of maladministration had caused him "real difficulty not because I dispute the right of the Parliamentary Ombudsman to make such a finding but because I cannot accept that it is maladministration to operate a system in the only practical way that will provide an efficient service to protect the public purse."[95] The Committee expressed concern that HMRC was "presuming to define what constitutes maladministration. Moreover the Revenue seems to suggest that protection of the public purse overrides other considerations, including fairness. Public services cannot be designed or delivered without regard to costs but an unfair system, while it may well be cost-effective, cannot be said to constitute good public administration."[96]

OUR CONCLUSIONS

58. We endorse the Ombudsman's recommendation that HMRC should not seek to recover either an excess payment made in the current year, or an overpayment from the previous year, until it has come to a decision, based on all the relevant facts, as to whether or not the excess amount paid should be recovered in accordance with COP 26. We are pleased that the Government appears to have accepted this recommendation. However, we are concerned by the apparent lack of urgency in seeking to implement the 'pause' before recovery of an overpayment, and seek an explanation from the Government for the reasons for this delay.

59. We understand that implementing such a pause may well be technically difficult, and that it is only one of a number of improvements which the regime requires. However, it is crucial, in the interests of natural justice, that excess payments and overpayments are not automatically recovered without due regard first being given to the principles set out in COP 26. It is unfortunate that implementation of this essential improvement appears to have been sidelined by the package of reforms announced in PBR 2005. We recommend that the Government reassess the priority which it appears to have assigned to this improvement.

Application of the reasonableness test

60. Where a claimant disputes the recovery of an overpayment, the case is considered by the disputed overpayments team at the TCO in HMRC. In considering whether to write off the overpayment, the TCO applies a two-stage test:

i.  Did HMRC make a mistake?

ii.  If so, was it reasonable for the claimant to think that his or her payments were right?

This test is set out in HMRC's code of practice 26, What happens if we have paid you too much tax credit? (COP 26). The relevant sections are given below:[97]
Extracts from COP 26, What happens if we have paid you too much tax credit?
In which circumstances will you write off an overpayment?

For us to write off an overpayment you must be able to show that the overpayment happened because:

  • we made a mistake, and

  • it was reasonable for you to think your payments were right.

This means that you must have checked your award notice when you received it.

Checking award notices and payments.

We expect you at least to have checked that the following details on your award notices (whether at the start of the award period, during the year or when the final award notice comes) were correct:

  • whether the award is for you as an individual or as part of a couple,

  • the hours you work,

  • whether you receive Income Support or income-based Jobseeker's Allowance or Pension Credit,

  • whether you, or anyone in your household, has a disability element,

  • the number and age of any children in your household, childcare costs,

  • your total household income for the period shown on the award notice.

You should also have checked the amounts going into your bank account. We would expect you to tell us if you received any payments that did not match what was shown on the award notices during the period that the overpayment arose.

We expect you to contact us to let us know about any incorrect information for your circumstances on the day the notice was issued. If you have a change to your circumstances or income, we expect you to contact us again.

We expect you to check that your final award notice correctly shows the details for that tax year.

If there is a dispute regarding an overpayment, we may check our call records to make sure that you contacted us to let us know of any changes or mistakes.

I misunderstood my award notice.

We will normally ask you to pay back the overpayment. If you had received an award notice that you did not understand, we would normally expect you, or someone on your behalf, to ask for advice.

I couldn't check my award notice or the payments going into my bank account.

Unless there were exceptional circumstances—for example a bereavement of a close relative or you were in hospital—we expect you to check that the personal details on your award notice are correct and that the payments you receive in your bank account match those shown on the award notice.

61. In the course of our inquiry, concern was expressed both about the substance of the reasonableness test and, in particular, the way in which HMRC applies it.

SUBSTANCE OF THE REASONABLENESS TEST

62. In her report to the House on tax credits, the Ombudsman also recommended that the reasonableness test be replaced with a statutory test "consistent with the test that is currently applied to social security benefits … In general, an overpayment of a social security benefit must be repaid [only] if the claimant has misrepresented or failed to disclose a material fact."[98] The basis for her recommendation was as follows:

… I am not convinced that the current test properly reflects the weight of obligation there should be on the Revenue to give prompt, accurate and reliable awards to its customers … I am conscious of the fact that, within the benefits system, a statutory test for the recovery of overpayments has been applied for many years. In general, an overpayment of a social security benefit must be repaid if the claimant has misrepresented or failed to disclose a material fact … Tax credits resemble benefits, in that they are income-related cash payments paid by a government department, intended to help people on modest incomes with their daily living expenses. Indeed, they have replaced previous benefits paid for the same purpose. This test seems to strike the right balance between the obligations on the part of the administrators and those on the part of the recipients.[99]

63. In October 2005, Sir David told us that Government was still considering whether to accept the Ombudsman's recommendation.[100] We sought an update from Sir David on this matter on 19 April. He indicated that the point was still under consideration, and said that HMRC officials were "in discussion with ministers and giving advice on an ongoing basis".[101] Mr Paul Gray, Deputy Chairman of HMRC, told us that the Department was considering "a range of issues", including:

… whether or not it is necessary and appropriate to give that particular form of right to a claimant in order to generate the right kind of outcomes for them … consistency with other parts of the tax system and with the benefits system, … the administrative and cost implications of introducing an appeal right on disputed overpayments and putting that into the whole mix … of the pressures and competing priorities on our resources.[102]

In relation to HMRC's timescale for reaching a decision on this matter, Mr Gray said that the Department has "not fixed a particular point at which we say we must reach a decision on this" and that the timescale "is something we are keeping under review".[103]

64. The Ombudsman's call for the reasonableness test to be replaced by a test parallel to that applied for recovery of overpaid benefits did not, on the whole, appear to be taken up by our witnesses representing the voluntary sector. Citizens Advice acknowledged that the tax credits regime "is a different system" from the benefits regime, and made it clear that they would not argue that claimants "who receive random amounts of, say, £5,000—which has happened—into their bank accounts should get to keep it", as that would not be a good use of resources.[104] CPAG took a slightly different approach, advocating the abandonment of the second part of the reasonableness test altogether, until such time as better award notices were introduced.[105] CPAG commented that there were "a number of stages we could be working through on the way, in the long term, to recognising that of course there will have to be some sort of test that takes account of what the claimant knew".[106]

Application of the reasonableness test

65. Many of our witnesses argued strongly that the way in which HMRC applies the reasonableness test is unduly harsh and exacting. The Ombudsman considered that the HMRC's "internal system for determining whether sums should be repaid" did not operate "in a fair and transparent manner".[107] OPF stated that, based on its current experience, it had "no confidence whatsoever" in HMRC's ability to apply the test fairly.[108] OPF suggested that, in applying the second limb of the test, HMRC used an unduly high standard of 'reasonableness':

For example, we do not think that anyone independent looking at the award notices at the moment would say that it was reasonable for you to have believed your award was correct, because you just would not know; but when the Revenue looks at it, they think, "You should have read that."[109]

66. A similar point was made by the Low Income Tax Reform Group (LITRG)), which considered that "the problem with the way in which the reasonableness test has been applied … is that it is a very objective reasonableness test and it is a very high standard of understanding that is imposed upon people.[110] LITRG believed that HMRC should be taking into account the capability of individual claimants: "for example … a lot of their claimants maybe have a reading age of 11, say, and … it is simply not reasonable for them to be able to understand a lot of this stuff".[111] A representative from Citizens Advice argued that "a reasonableness test for myself would be totally different from a reasonableness test for possibly one of my physically or mentally disabled clients—more often the mentally disabled".[112]

67. Representatives from the voluntary sector pointed to examples of cases in which HMRC appeared to have applied the reasonableness test unfairly. Citizens Advice Northern Ireland referred to a case in which a particular computer error, known as the 'Red A' computer error, which occurred in June 2004, caused the miscalculation of hundreds of thousands of award notices:

… Having fought many of those cases for clients who disputed the overpayment and the recovery of it, every single case was dealt with differently. Although they were caused by exactly the same computer error at exactly the same time and the reason for the overpayment was the same … every case was dealt with differently. Some were remitted fully at stage one of the process, others had gone all the way up to the Adjudicator because they had gone through every stage of the four stages of the Inland Revenue decision saying, "No, it is fully recoverable. It was not reasonable for you to think your award was correct"."[113]

68. Advice NI told us that it had written to HMRC in January or February 2005, making a request under the Freedom of Information Act 2001 relating to "the issue of people disputing recovery and the outcomes of that":

… over 3,600 claimants had looked to have their overpayment looked at again and, as a result of that, 39 cases were remitted in terms of Child Tax Credit and 15 were remitted in terms of Working Tax Credit. A total of 50 cases were remitted out of 3,600 who applied … [114]

69. We took up the issue of the way in which HMRC applies the reasonableness test in the course of our visit to the TCO in Preston, on 13 March. We requested a written note from the TCO on the processes it has in place to ensure that the test is applied consistently by all the 1,000 or so staff working on disputed overpayments. More than two months later, and shortly before agreeing this report, we received a response from HMRC to our request. The Department said that the "vast majority" of overpayments made were "properly recoverable".[115] Beyond the criteria set out in COP 26, the Department appears to have no further written guidance in place for staff considering disputed overpayments. If the claimant has checked all the details listed in COP 26, "HMRC would normally agree that the claimant could have reasonably assumed their payments were right".[116]

Our conclusions

70. We recommend that, as a minimum, HMRC ensure it has written guidelines in place to assist staff in determining whether it was reasonable for a particular claimant to have thought his or her payments were right, in all the circumstances. The reasonableness test cannot be applied as a stringent objective test, but must take account of a claimant's circumstances, the clarity of the award notices issued to him or her and, where appropriate, any limitations on the claimant's capacity to understand an award notice. No doubt these requirements could place a heavy investigative burden on HMRC in certain cases. However, it seems to us that this is the price HMRC must pay if it is to continue applying a reasonableness test, rather than a test along the lines of the social security test, where overpayment of a benefit can be recovered only where the claimant has misrepresented or failed to disclose a material fact.

Calls for an independent right of appeal

71. Claimants may appeal to an independent tribunal a decision by HMRC about the amount of tax credit to which they are entitled. Claimants do not have a comparable right to appeal a decision by HMRC to recover an overpayment, once the claimant has disputed it—in other words, to appeal the way in which HMRC has applied the reasonableness test. The claimant's position is set out in COP 26, the relevant sections of which are given below:[117]Extracts from COP 26, What happens if we have paid you too much tax credit?
What will you do when I dispute?

We will suspend recovery of the overpayment … We will decide whether you must pay back all or only part of the overpayment … If we decide that part or all of the overpayment should be recovered after reviewing the information that you provide, we will start recovery again.

What can I do if you still think that the overpayment should be recovered?

If you are unhappy with a decision to recover the overpayment, and there is some new relevant information that you can provide, please write to us at the address at the back of this booklet, as soon as possible. We will suspend recovery of the overpayment again while we review the information you give us.

If you are still unhappy with the decision, or if there is no new relevant information, you may wish to contact a professional adviser or an organisation like Citizens Advice to consider what options are open to you to dispute the recovery, including any through the courts.

[…]

Appeal rights

You cannot appeal against our decision to recover an overpayment although you may have other options available to you, see the section 'What can I do if you still think that the overpayment should be recovered?' [this is, the section set out immediately above].

72. Consequently, if a claimant is unhappy with HMRC's decision not to write off a disputed overpayment, but has no new relevant information to submit, COP 26 suggests that they "contact a professional adviser or an organisation like Citizens Advice to consider what options are open to you to dispute the recovery, including any through the courts". We assume the reference to the courts here is to the theoretical possibility that a claimant could seek judicial review of a Departmental decision, as there is no right of appeal through the courts from HMRC's decision.

73. Representatives from the voluntary sector were strongly in favour of introducing a right of appeal to an independent tribunal against HMRC's decision on a disputed overpayment. Citizens Advice argued that, without such a right of appeal, HMRC was "judge and jury on making decisions about what claimants know and do not know" and was able to "pay people and claim it back" whenever it wanted to.[118] The CIOT also called for claimants to be able to seek an "independent review" of the application of the reasonableness test.[119] OPF believed establishing a right of appeal to an independent tribunal was "the really critical thing", because "then you might get some case law established about what 'reasonable' means … that is why we think it is the independent right of appeal, as opposed to the nature of the [reasonableness] test, that is the really important factor."[120] OPF believed that, at this stage, it would be better not to try to define what constituted 'reasonable', "because there are going to be exceptional circumstances that would fall outside" any such definition; allowing a definition to develop over time, through case law, would be preferable.[121]

COMPARABLE RIGHT OF APPEAL IN THE BENEFIT REGIME

74. The need for claimants to have the right to appeal to an independent tribunal was also central to the Ombudsman's recommendation that the Government consider introducing a statutory test. The Ombudsman commented that, within the benefits regime, there was:

… long and established case law on how [the existing statutory test] should be interpreted. A claimant who is unhappy about a decision on recovery can appeal to an independent tribunal … It is therefore difficult to understand why this model of a statutory test should not be applied in tax credits cases, with a right of appeal to an independent tribunal.[122]

75. Mr Gray commented specifically on this element of the Ombudsman's recommendation. Although he did not frame his comments as such, he appeared to contradict the Ombudsman's account of the right of appeal in the benefits regime:

There is a right of appeal in the benefits system in relation to awards of benefit, just as within the tax credit system we have a right of appeal in relation to award decisions on tax credits. In the benefits system in DWP there is not a statutory right of appeal in relation to recovering overpayments generated by official error, which is the closest parallel to the specific recommendation which the Ombudsman made. It is not about the right of appeal on awards, where we are lined up with the benefits system, it is a question of right of appeal in relation to overpayments, where also our current practice is very close to the benefits system.[123]

76. In the social security regime, the right of appeal is set out in the Social Security Act 1998, as follows:

  • section 12 provides that a benefit claimant has a right to appeal to an appeal tribunal against any decision of the Secretary of State made under section 8 of the 1998 Act;
  • a section 8 decision includes a decision made by the Secretary of State under section 71 of the Social Security Administration Act 1992;
  • section 71 of the 1992 Act provides that the Secretary of State may recover payment of a benefit where a claimant, fraudulently or otherwise, misrepresented or failed to disclose any material fact.

Our conclusions

77. The relevant statute law would appear to directly contradict HMRC's Deputy Chairman's statement that, in the benefits regime "there is not a statutory right of appeal in relation to recovering overpayments generated by official error". Such a right of appeal appears to be precisely what section 12 of the Social Security Act 1998 is intended to provide. For the removal of doubt, section 12(4) of the 1998 Act states that "Where the Secretary of State has determined that any amount is recoverable under or by virtue of section 71 [of the 1992 Act], any person from whom he has determined that it is recoverable shall have the same right of appeal to an appeal tribunal as a claimant." By contrast, the Tax Credits Act 2002 provides no such right of appeal. Section 38 of the Act lists the decisions made under the Act against which an appeal may be brought. The section 38 list does not include decisions made under section 28, the section which empowers HMRC to recover overpayments. We are bemused by the account of the law given by HMRC's Deputy Chairman, which appears to directly contradict the relevant statutory provisions. We invite the Government to clarify what it understands to be the rights of people receiving social security benefits to an independent appeal of a decision to recover an overpayment.

APPEALING DISPUTED OVERPAYMENTS TO THE ADJUDICATOR

78. The HMRC Adjudicator, currently Dame Barbara Mills QC, operates under a service level agreement with HMRC, under which she investigates and helps to resolve complaints from individuals and businesses who remain unhappy about the way their affairs have been handled by HMRC. HMRC must itself have first investigated a complaint thoroughly before the matter can be referred to the Adjudicator. The Adjudicator can look at:

The Adjudicator cannot consider disputes about departmental policy or matters of law.[124]

79. The Paymaster General told us that, in order to "supplement the revised [COP 26] and help build confidence in the decision-making, and in line with exploring all options with regard to an appeals procedure", she was considering "with the Adjudicator" whether "a fast-track, independent review of decisions to recover overpayments in disputed cases" could be provided through the Adjudicator's office.[125] Mr Gray confirmed that HMRC was looking at this possibility, "which would fall short of a formal statutory right of appeal", in order to "try to address the underlying point the Ombudsman has raised".[126]

Our conclusions

80. We strongly support the calls from the voluntary sector and the Ombudsman for the introduction of a right of appeal to an independent tribunal against a decision by HMRC on a disputed overpayment. The current situation, whereby a claimant's only comeback is to seek judicial review, is highly unsatisfactory: judicial review is hardly a realistic option for the vast majority of tax credits claimants. We recommend that the Government introduce whatever legislation is necessary to enable claimants to exercise such a right of appeal, as a matter of priority. If the Government intends to delay still further on this matter, we recommend that it explain its reluctance to allow tax credits claimants access to justice, and that it report on the practical implications of introducing an independent right of appeal.

81. We note that HMRC is considering, with the HMRC Adjudicator, if the Adjudicator might be able to provide a fast-track, independent review of decisions on disputed overpayments. Although it is unclear from the Paymaster General's statement, we assume that introducing such a regime would require the Adjudicator's remit to be extended. The point on which claimants require a right of independent appeal is not the way in which HMRC dealt with a disputed overpayment—claimants already have a means of pursuing such matters through the complaints procedure, within which the Adjudicator is already the final port of call. Rather, claimants require a right of independent appeal against the substance of any decision by HMRC about a disputed overpayment.

82. Even if the Adjudicator's remit were to be extended, we do not accept that such a review procedure is an adequate substitute for a right of appeal to an independent tribunal. A tribunal operates under a set of rules laid down by law, and within the context of precedent and case law; its members are drawn from a community of experts, and it manifestly operates separately and independently from the body whose decision it is reviewing. We will continue to follow this issue closely, and will examine with interest any detailed proposals which may be forthcoming from HMRC and the Adjudicator.



85   Q 47 Back

86   Ibid. Back

87   Q 10 Back

88   Parliamentary and Health Services Ombudsman, Tax Credits: Putting Things Right, para 5.17 Back

89   Q 45 Back

90   Ibid. Back

91   Letter from the Paymaster General to the Ombudsman, 29 July 2005; available at www.ombudsman.org.uk. Back

92   Q 360 Back

93   Ibid. Back

94   Q 520 Back

95   Public Administration Committee, Tax credits: putting things right, para 18 Back

96   Public Administration Committee, Tax credits: putting things right, para 19 Back

97   HMRC code of practice 26, What happens if we have paid you too much tax credit?, March 2006; available at www.hmrc.gov.uk. Back

98   Parliamentary and Health Services Ombudsman, Tax credits: putting things right, recommendation 11 and para 5.64 Back

99   Parliamentary and Health Services Ombudsman, Tax credits: putting things right, paras 5.63-5.65 Back

100   Oral evidence taken before the Treasury Sub-Committee on Wednesday 12 October 2005, HC (2005-06) 524-i-ii, Qq 94, 96-97 Back

101   Qq 586-588 Back

102   Q 579 Back

103   Ibid. Back

104   Q 40 Back

105   Q 41 Back

106   Ibid. Back

107   Parliamentary and Health Services Ombudsman, Tax credits: putting things right, para 5.63 Back

108   Q 43 Back

109   Ibid. Back

110   Q 98 Back

111   Q 99 Back

112   Q 44 Back

113   Q 124 Back

114   Ibid. Back

115   Ev 193 Back

116   Ibid.; see the box in paragraph 60 for the details listed in COP 26. Back

117   HMRC code of practice 26, What happens if we have paid you too much tax credit?, March 2006 Back

118   Q 40 Back

119   Q 100 Back

120   Q 41 Back

121   Q 42 Back

122   Parliamentary and Health Services Ombudsman, Tax credits: putting things right, paras 5.64-5.65 Back

123   Q 580 Back

124   Ev 92 Back

125   Q 307 Back

126   Q 584 Back


 
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