The Disability Assistance (Scottish Adult Disability Living Allowance) Regulations 2025
Made: 9th January 2025
Coming into force: 21st March 2025
In accordance with section 97(2) of that Act, the Scottish Ministers have informed the Scottish Commission on Social Security of their proposals, notified the Scottish Parliament that they have done so and made their proposals publicly available by such means as they consider appropriate.
PART 1 — Introductory and interpretation
Citation and commencement
1
These Regulations may be cited as the Disability Assistance (Scottish Adult Disability Living Allowance) Regulations 2025 and come into force on 21 March 2025.
Interpretation
2
In these Regulations—
- “the 2018 Act” means the Social Security (Scotland) Act 2018,
- “Adult Disability Payment” means disability assistance for adults given in accordance with the Disability Assistance for Working Age People (Scotland) Regulations 2022[^f00002],
- “armed forces independence payment” means the disability benefit paid in accordance with article 24A of the Armed Forces and Reserve Forces (Compensation Scheme) Order 2011[^f00003],
- “Attendance Allowance” means an attendance allowance under— section 64 of the Social Security Contributions and Benefits Act 1992[^f00004], or section 64 of the Social Security Contributions and Benefits (Northern Ireland) Act 1992[^f00005],
- “authorised provider of vehicles” means a supplier of vehicles for persons with disabilities approved under an accreditation scheme run by the Scottish Ministers,
- “award” means that a determination has been made that an individual is entitled to be given assistance under section 24 of the 2018 Act in accordance with these Regulations, and cognate expressions are to be construed accordingly,
- “bodily functions” means the normal actions of any organ of the body, including the brain, or of a number of organs acting together,
- “care component” means the care component of Scottish Adult Disability Living Allowance within the meaning of regulation 6,
- “care home” means an establishment which provides a care home service as defined in paragraph 2 of schedule 12 of the Public Services Reform (Scotland) Act 2010[^f00006] and includes a residential educational establishment,
- “date of transfer” means the date when a transferring individual’s entitlement to Scottish Adult Disability Living Allowance begins by virtue of a determination made under paragraph 7 (determination without application of entitlement to Scottish Adult Disability Living Allowance) of schedule 1,
- “determination” and “determination of entitlement” have the meaning of “determination of entitlement” in section 25 of the 2018 Act,
- “Disability Living Allowance” means a disability living allowance under— section 71 of the Social Security Contributions and Benefits Act 1992[^f00007], or section 71 of the Social Security Contributions and Benefits (Northern Ireland) Act 1992[^f00008],
- “immigration rules” means the rules laid before the United Kingdom Parliament under section 3(2) of the Immigration Act 1971[^f00009],
- “legal detention” means detention in legal custody within the meaning of section 295 of the Criminal Procedure (Scotland) Act 1995[^f00010],
- “Local Health Board” means a body established under section 11 of the National Health Service (Wales) Act 2006[^f00011],
- “mobility component” means the mobility component of Scottish Adult Disability Living Allowance within the meaning of regulation 7 or 8,
- “NHS Trust” means a body established under section 18 of the National Health Service (Wales) Act 2006,
- “Pension Age Disability Payment” means disability assistance for older people given in accordance with the Disability Assistance for Older People (Scotland) Regulations 2024[^f00012],
- “Personal Independence Payment” means personal independence payment under— Part 4 of the Welfare Reform Act 2012[^f00013], or article 82 of the Welfare Reform (Northern Ireland) Order 2015[^f00014],
- “qualifying services” means accommodation, board and personal care,
- “relevant age” means— pensionable age (within the meaning given by the rules in paragraph 1 of schedule 4 of the Pensions Act 1995[^f00015]), or if higher, 65,
- “relevant EU Regulation” means— one of the following Regulations— Council Regulation (EC) No 1408/71 of 14 June 1971[^f00016] on the application of social security schemes to employed persons, to self-employed persons and to members of their families moving within the Community, Regulation (EC) No 883/2004 of the European Parliament and of the Council of 29 April 2004[^f00017] on the coordination of social security systems, or in relation to an individual to whom the agreement constituted by the exchange of letters set out in the schedule of the Family Allowances, National Insurance and Industrial Injuries (Gibraltar) Order 1974[^f00018], or the agreement constituted by the exchange of letters set out in the schedule of the Social Security (Gibraltar) Order 2024[^f00019] applies, a Regulation mentioned in paragraph (a) of this definition as it forms part of domestic law by virtue of section 3 of the European Union (Withdrawal) Act 2018[^f00020],
- “residential educational establishment” means a care home which provides education or training except for one where the costs of any qualifying services are borne wholly or partly out of public or local funds by virtue of— section 485 of the Education Act 1996[^f00021] or section 14 of the Education Act 2002[^f00022] (which relate to grants in aid of educational services), sections 49 or 73 of the Education (Scotland) Act 1980[^f00023] (which relate respectively to the power of education authorities to assist persons to take advantage of educational facilities and the powers of the Secretary of State to make grants to educational authorities and others), section 65 of the Further and Higher Education Act 1992[^f00024], sections 39 or 40 of the Higher Education and Research Act 2017[^f00025] or sections 4 or 11 of the Further and Higher Education (Scotland) Act 2005[^f00026] (which relate respectively to the funding of further education and the administration of funds), or section 22 of the Teaching and Higher Education Act 1998[^f00027] (new arrangements for giving financial support to students),
- “Scottish Adult Disability Living Allowance” means disability assistance for adults given in accordance with these Regulations,
- “short-term assistance” means short-term assistance given in accordance with Part 1 of schedule 1,
- “transfer determination” means a determination under paragraph 7(1) of schedule 1,
- “transferring individual” is an individual on whom the Scottish Ministers have served a notice of intention to transfer in accordance with paragraph 6(1) of schedule 1,
- “vehicle scheme beneficiary” means an individual— who is in a class specified in section 74(2)(a), (c) or (d) of the Social Security Contributions and Benefits Act 1992 or in the class specified in section 74(2)(b) of that Act whose application was approved on or after 1 January 1976, for whom an invalid carriage or other vehicle was provided or as the case may be applied for, where that vehicle was— propelled by a petrol engine or by an electric motor, supplied for use on a public road, and to be controlled by the occupant, and whose physical condition has not improved to such an extent that they no longer satisfy the conditions which it was necessary to satisfy in order to fall within paragraphs (a) and (b), and
- “week” means a period of 7 days.
PART 2 — Scottish Adult Disability Living Allowance
Overview
3
- (1) An individual is entitled to Scottish Adult Disability Living Allowance in accordance with these Regulations if the individual meets the eligibility rules in—
- (a) regulation 4 (relevant status),
- (b) regulation 5 (entitlement to other benefits),
- (c) regulations 10 to 17 (residence and presence conditions),
- (d) regulation 18 (age criteria), and
- (e) one or more of the following—
- (i) regulation 6 (care component criterion: lowest, middle or highest rate care component),
- (ii) regulation 7 (mobility requirements: lower rate mobility component),
- (iii) regulation 8 (mobility requirements: higher rate mobility component),
- (iv) regulation 20 (entitlement under special rules for terminal illness),
- (v) regulation 21 (entitlement to middle rate of care component when undergoing dialysis).
- (2) Scottish Adult Disability Living Allowance is to consist of a care component and a mobility component.
- (3) There are 3 weekly rates of the care component and 2 weekly rates of the mobility component and those rates are specified in regulation 29 (amount and form of Scottish Adult Disability Living Allowance).
Relevant status
4
An individual may only be entitled to Scottish Adult Disability Living Allowance if the individual is an individual—
- (a) in respect of whom the Scottish Ministers are to make a determination under paragraph 7(1) (determination without application of entitlement to Scottish Adult Disability Living Allowance) of schedule 1,
- (b) in respect of whom the Scottish Ministers are to make a determination under regulation 47(2) (individuals in respect of whom Disability Living Allowance is paid in another part of the United Kingdom immediately before moving to Scotland) or regulation 47A(2) (individuals in respect of whom Disability Living Allowance is paid before 23 February 2026),
- (c) to whom paragraph 12 (reinstatement of entitlement to Scottish Adult Disability Living Allowance within a year) or paragraph 13 (request for Scottish Adult Disability Living Allowance when an award of Disability Living Allowance has ended) of schedule 1 applies, or
- (d) who has received a determination under regulation 47, or paragraph 7(1), 12 or 13 of schedule 1, who continues to satisfy the eligibility rules at regulation 3(1)(b) to (e).
Entitlement to other benefits
5
An individual is not entitled to Scottish Adult Disability Living Allowance while they are entitled to—
- (a) Adult Disability Payment,
- (b) armed forces independence payment,
- (c) Disability Living Allowance,
- (d) Personal Independence Payment,
- (e) Attendance Allowance, or
- (f) Pension Age Disability Payment.
PART 3 — Eligibility: care component and mobility component
Care component criterion: lowest, middle or highest rate care component
6
- (1) An individual satisfies the care component criterion in respect of any period throughout which at least one of the following conditions is satisfied—
- (a) the individual is so severely disabled physically or mentally that they require in connection with their bodily functions attention from another person for a significant portion of the day (whether during a single period or a number of periods),
- (b) the individual is so severely disabled physically or mentally that they cannot prepare a cooked main meal for themselves if they have the ingredients,
- (c) the individual is so severely disabled physically or mentally that they require from another person—
- (i) frequent attention throughout the day in connection with their bodily functions, or
- (ii) continual supervision throughout the day in order to avoid substantial danger to the individual or others, or
- (d) the individual is so severely disabled physically or mentally that they require—
- (i) prolonged or repeated attention from another person at night in connection with their bodily functions, or
- (ii) another person to be awake for a prolonged period or at frequent intervals for the purpose of watching over the individual at night in order to avoid substantial danger to the individual or others.
- (2) An individual who satisfies at least one of the conditions for the care component criterion in paragraph (1) before reaching the relevant age is not entitled to the care component unless—
- (a) throughout the period of 13 weeks immediately preceding the date on which the award of that component would begin, the individual has satisfied or is likely to satisfy at least one of the conditions mentioned in paragraph (1), and
- (b) the individual is likely to continue to satisfy at least one of those conditions throughout the period of 26 weeks beginning with that date.
- (3) An individual who satisfies at least one of the conditions for the care component criterion in paragraph (1) after reaching the relevant age, where they did not satisfy that criterion before reaching the relevant age, is not entitled to the care component unless throughout the period of 26 weeks immediately preceding the date on which the award of that component would begin, the individual has satisfied or is likely to satisfy at least one of the conditions mentioned in paragraph (1).
- (4) The amount of the care component that an individual is entitled to be given for each week in the period for which they are awarded that component is—
- (a) the highest rate (see regulation 29(1)(c) (amount and form of Scottish Adult Disability Living Allowance)), if the individual satisfies both of the conditions mentioned in paragraph (1)(c) and (d)—
- (i) throughout both the period mentioned in paragraph (2)(a) and the period mentioned in paragraph (2)(b) if the individual satisfied or was likely to satisfy both the conditions mentioned in paragraph (1)(c) and (d) before reaching the relevant age,
- (ii) throughout the period mentioned in paragraph (3) if the individual only satisfied those conditions after reaching the relevant age,
- (b) the middle rate (see regulation 29(1)(b)), if the individual satisfies one of the conditions mentioned in paragraph (1)(c) or (d)—
- (i) throughout both the period mentioned in paragraph (2)(a) and the period mentioned in paragraph (2)(b) if the individual satisfied or was likely to satisfy that condition before reaching the relevant age,
- (ii) throughout the period mentioned in paragraph (3) if the individual only satisfied that condition after reaching the relevant age,
- (c) except where paragraph 5 applies, in any other case, the lowest rate (see regulation 29(1)(a)).
- (5) Where an individual has reached the relevant age and would otherwise be entitled to the lowest rate of the care component under paragraph (4)(c), they are not entitled to that rate unless immediately before they reached the relevant age, they satisfied and continue to satisfy the condition mentioned in paragraph (1)(a) or the condition mentioned in paragraph (1)(b).
- (6) For the purposes of paragraph (1), the individual does not satisfy paragraph (1)(a), paragraph (1)(c)(i) or paragraph (1)(d)(i) unless the attention the individual requires from another person is required to be given in the physical presence of the individual.
- (7) In this regulation—
- “attention” means the provision of personal care, prompting or motivation in relation to bodily functions or assistance with communication needs,
- “day” and “night” are to be construed in relation to the ordinary domestic routine of the household in which the individual lives,
- “supervision” means the continual presence of another person for the purpose of reducing the real risk of harm to the individual and to others.
- (8) In this regulation and regulations 7 and 8, “require” means reasonably require and cognate expressions are to be construed accordingly.
Mobility requirements: lower rate mobility component
7
- (1) An individual is entitled to the mobility component at the lower rate (see regulation 29(2)(a)) if the individual satisfies the condition set out in paragraph (2).
- (2) The condition referred to in paragraph (1) is that the individual, though able to walk, cannot move around outdoors without requiring guidance or supervision from another person most of the time as a result of a physical or mental impairment.
- (3) When determining whether the individual satisfies the condition in paragraph (2), no account is to be taken of any ability which the individual has to use routes with which they are familiar, without guidance or supervision from another person.
- (4) An individual who satisfies or is likely to satisfy the condition set out in paragraph (2) is not entitled to the lower rate of the mobility component unless—
- (a) throughout the period of 13 weeks immediately preceding the date on which the award of that component would begin, the individual has satisfied or is likely to satisfy the condition mentioned in paragraph (2),
- (b) the individual is likely to continue to satisfy the condition mentioned in paragraph (2) throughout the period of 26 weeks beginning with that date, and
- (c) where the individual satisfies the condition set out in paragraph (2) after reaching the relevant age, the individual satisfied that condition immediately before reaching the relevant age and has continually satisfied that condition since.
- (5) In this regulation—
- “guidance” means direction or leading by physical means or verbal suggestion or persuasion,
- “supervision” means the precautionary or anticipatory presence of another person to monitor an individual’s physical, mental or emotional health including monitoring for obstacles or dangerous places or situations.
Mobility requirements: higher rate mobility component
8
- (1) An individual is entitled to the mobility component at the higher rate (see regulation 29(2)(b)) if the individual satisfies at least one of the conditions mentioned in paragraph (2).
- (2) The conditions referred to in paragraph (1) are—
- (a) taking account of the individual’s physical condition as a whole, the individual’s condition is such that, without having regard to the nature of the location where the individual resides—
- (i) the individual is unable to walk,
- (ii) the individual’s ability to walk out of doors is so limited, as regards the distance over which or the speed at which or the length of time for which or the manner in which the individual can make progress on foot without severe discomfort, that the individual is virtually unable to walk, or
- (iii) the exertion required to walk would constitute a danger to the individual’s life, or would be likely to lead to a serious deterioration in the individual’s health, from which there would be no recovery, or from which recovery would take a significant period of time,
- (b) the individual has no legs or no feet (regardless of the use of artificial limbs),
- (c) the individual has a severe visual impairment and has been certified as severely sight impaired or blind by a consultant ophthalmologist,
- (d) the individual is blind and deaf,
- (e) the individual has a severe mental impairment and severe behavioural difficulties and satisfies both of the conditions mentioned in regulation 6(1)(c) and 6(1)(d) (care component criterion: lowest, middle or highest rate care component).
- (3) Where paragraph (2)(a) applies in relation to an individual, the test of being unable or virtually unable to walk is not met where the individual—
- (a) is not unable or virtually unable to walk with the use of an artificial limb or artificial aid which the individual normally wears or uses, or
- (b) would not be unable or virtually unable to walk if the individual wore or used an artificial aid which is suitable for the individual’s circumstances.
- (4) Paragraph (3) is not relevant for the purpose of determining whether an individual is to be taken to satisfy the conditions set out in paragraphs (2)(b) to (e).
- (5) An individual is to be taken to have a severe visual impairment, for the purposes of paragraph (2)(c), if the individual—
- (a) has visual acuity, with appropriate corrective lenses if necessary, of less than 3/60,
- (b) has visual acuity of 3/60 or more, but less than 6/60, with appropriate corrective lenses if necessary, a complete loss of peripheral visual field and a central visual field of no more than 10 degrees in total, or
- (c) does not fall into sub-paragraph (a) or (b) but has insufficient vision to enable the individual to be independently mobile in familiar places outdoors.
- (6) In paragraph (5)—
- (a) references to visual acuity are to be read as references to the combined visual acuity of both eyes in cases where a person has both eyes,
- (b) references to measurements of visual acuity are references to visual acuity measured on the Snellen Scale or a Snellen equivalent,
- (c) references to visual field are to be read as references to the combined visual field of both eyes in cases where a person has both eyes.
- (7) An individual is taken to be blind and deaf, for the purpose of paragraph (2)(d), if the individual is—
- (a) blind where the loss of vision amounts to an absolute loss of vision,
- (b) deaf where the loss of hearing when using any artificial aid which the individual habitually uses or which is suitable in their case amounts to not less than 80% on a scale where 100% represents absolute deafness, and
- (c) unable, without the assistance of another person, to walk to any intended or required destination while out of doors.
- (8) An individual is to be taken to have a severe mental impairment, for the purpose of paragraph (2)(e), if the individual has a severe impairment of intelligence and social functioning resulting from—
- (a) a state of arrested development as a result of a failure of the individual’s brain to grow or develop in the way normally expected, or
- (b) a deficiency in the functionality of the brain as a result of its incomplete physical development.
- (9) An individual is to be taken to have severe behavioural difficulties, for the purpose of paragraph (2)(e), if the individual exhibits disruptive behaviour which—
- (a) is extreme,
- (b) regularly requires another person to intervene in order to prevent or reduce the likelihood of physical injury to the individual or another person, and
- (c) is so unpredictable that another person requires to be awake and watching over the individual while the individual is awake.
- (10) In paragraph (9)(b), reference to another person intervening relates to the provision of care and support of, or treatment provided to, the individual.
- (11) An individual who satisfies or is likely to satisfy at least one of the conditions set out in paragraph (2) is not entitled to the higher rate of the mobility component unless—
- (a) throughout the period of 13 weeks immediately preceding the date on which the award of that component would begin, the individual has satisfied or is likely to satisfy one of the conditions mentioned in paragraph (2),
- (b) the individual is likely to continue to satisfy one of those conditions throughout the period of 26 weeks beginning with that date, and
- (c) where the individual satisfies the condition set out in paragraph (2) after reaching the relevant age, the individual satisfied that condition immediately before reaching the relevant age and has continually satisfied that condition since.
- (12) A vehicle scheme beneficiary is to be treated as satisfying the conditions at—
- (a) paragraph (2)(a), and
- (b) paragraph (11)(a) and (11)(b).
- (13) Paragraph 11(c) does not apply to an individual where the individual—
- (a) is a vehicle scheme beneficiary, or
- (b) has had an invalid carriage or other vehicle made available to them under section 46(1) of the National Health Service (Scotland) Act 1978[^f00028], paragraph 9 of schedule 1 of the National Health Service Act 2006[^f00029] or paragraph 9 of schedule 1 to the National Health Service (Wales) Act 2006[^f00030] which is—
- (i) propelled by a petrol engine or an electric motor,
- (ii) provided for use on a public road, and
- (iii) controlled by the occupant.
Exclusion of entitlement to mobility component
9
An individual is not entitled to the mobility component of Scottish Adult Disability Living Allowance for a period unless, during most of that period, the individual’s physical or mental condition is such that they are able, from time to time, to benefit from assistance for movement.
PART 4 — Residence and Presence Conditions
Residence and presence conditions
10
- (1) An individual satisfies the residence and presence conditions where on any day that individual—
- (a) is ordinarily resident in Scotland,
- (b) is habitually resident in the common travel area,
- (c) is not a person subject to immigration control within the meaning of section 115(9) of the Immigration and Asylum Act 1999[^f00031],
- (d) is present in the common travel area, and
- (e) has been present in the common travel area for a period of, or for periods amounting in the aggregate to, not less than 26 weeks in the 52 weeks immediately preceding that day.
- (2) In this Part, “common travel area” has the meaning given in section 1(3) of the Immigration Act 1971[^f00032].
- (3) The residence condition set out in paragraph (1)(a) does not apply in relation to the care component where on any day the individual—
- (a) is habitually resident in Ireland,
- (b) has a genuine and sufficient link to Scotland, and
- (c) is an individual—
- (i) to whom the Convention on Social Security between the Government of the United Kingdom of Great Britain and Northern Ireland and the Government of Ireland signed at Dublin on 1 February 2019[^f00033], as modified from time to time in accordance with any provision of it, applies, and
- (ii) in respect of whom the United Kingdom is, as a result, competent for payment of long term care benefits.
- (4) The reference in paragraph (3)(b) to an individual’s link to Scotland being sufficient is to it being sufficiently close that if the individual were not entitled to Scottish Adult Disability Living Allowance, paragraph (3) would be incompatible with Convention on Social Security between the Government of the United Kingdom of Great Britain and Northern Ireland and the Government of Ireland signed at Dublin on 1 February 2019.
- (5) Paragraph (1)(c) does not apply to a person subject to immigration control within the meaning of section 115(9) of the Immigration and Asylum Act 1999 where the person—
- (a) is lawfully working in the United Kingdom and is a national of a state with which the United Kingdom has concluded an agreement which replaces in whole or in part an agreement under Article 217 of the Treaty on the Functioning of the European Union[^f00034] which has ceased to apply to, and in, the United Kingdom, providing, in the field of social security, for the equal treatment of workers who are nationals of the signatory state and their families,
- (b) is a member of the family of, and living with, a person specified in sub-paragraph (a), or
- (c) has been given leave to enter, or remain in, the United Kingdom by the Secretary of State upon an undertaking by another person or persons pursuant to the immigration rules, to be responsible for their maintenance and accommodation.
- (6) The past presence condition in paragraph (1)(e) does not apply where an individual—
- (a) has a terminal illness within the meaning of regulation 20(8), or
- (b) is a vehicle scheme beneficiary.
- (7) The residence and presence conditions set out in paragraphs (1)(b) and (1)(e) do not apply where an individual is a person who—
- (a) has leave to enter or remain in the United Kingdom granted under the immigration rules by virtue of—
- (i) the Afghan Relocations and Assistance Policy, or
- (ii) the previous scheme for locally-employed staff in Afghanistan (sometimes referred to as the ex-gratia scheme),
- (b) has been granted discretionary leave outside the immigration rules as a dependant of a person referred to in sub-paragraph (a),
- (c) has leave granted under the Afghan Citizens Resettlement Scheme,
- (d) has leave to enter or remain in the United Kingdom granted under or outside the immigration rules, has a right of abode in the United Kingdom within the meaning given in section 2 of the Immigration Act 1971 or does not require leave to enter or remain in the United Kingdom in accordance with section 3ZA of that Act, where the individual—
- (i) was residing in Ukraine immediately before 1 January 2022, and
- (ii) left Ukraine in connection with the Russian invasion which took place on 24 February 2022,
- (e) has leave to enter or remain in the United Kingdom granted under or outside the immigration rules, has a right of abode in the United Kingdom within the meaning given in section 2 of the Immigration Act 1971 or does not require leave to enter or remain in the United Kingdom in accordance with section 3ZA of that Act, where the individual—
- (i) was residing in Sudan before 15 April 2023, and
- (ii) left Sudan in connection with the violence which rapidly escalated on 15 April 2023 in Khartoum and across Sudan, ...
- (f) has leave to enter or remain in the United Kingdom granted under or outside the immigration rules, has a right of abode in the United Kingdom within the meaning given in section 2 of the Immigration Act 1971 or does not require leave to enter or remain in the United Kingdom in accordance with section 3ZA of that Act, where the individual—
- (i) was residing in Israel, the West Bank, the Gaza Strip, East Jerusalem, the Golan Heights or Lebanon immediately before 7 October 2023, and
- (ii) left Israel, the West Bank, the Gaza Strip, East Jerusalem, the Golan Heights or Lebanon in connection with the Hamas terrorist attack in Israel on 7 October 2023 or the violence which rapidly escalated in the region following the attack ,
- (g) has leave to enter or remain in the United Kingdom granted under or outside the immigration rules, has a right of abode in the United Kingdom within the meaning given in section 2 of the Immigration Act 1971 or does not require leave to enter or remain in the United Kingdom in accordance with section 3ZA of that Act, where the individual—
- (i) was residing in Israel, the Occupied Palestinian Territories (the West Bank, including East Jerusalem, and Gaza) or the occupied Golan Heights immediately before 13 June 2025,
- (ii) left Israel, the Occupied Palestinian Territories or the occupied Golan Heights in connection with the escalation of violence between Israel and Iran that began on that date, and
- (iii) arrived in the United Kingdom on or before 13 December 2025, or
- (h) has been granted, or is deemed to have been granted, leave outside the immigration rules.
- (8) For the purposes of paragraph (7), “the Afghan Citizens Resettlement Scheme” means the scheme announced by the United Kingdom Government on 18 August 2021[^f00035].
Temporary absence from the common travel area
11
- (1) Where an individual is temporarily absent from the common travel area, the individual is to be treated as present in the common travel area for—
- (a) the first 13 weeks of that absence for any reason, or
- (b) the first 26 weeks of that absence where—
- (i) after the first 13 weeks, the absence is in connection with arrangements made for the medical treatment of the individual for a disease or bodily or mental disablement which commenced before leaving the common travel area, and
- (ii) the arrangements relate to medical treatment—
- (aa) outside the common travel area,
- (bb) during the period when the individual is temporarily absent from the common travel area, and
- (cc) by, or under the supervision of, a person appropriately qualified to carry out that treatment.
- (2) For the purposes of paragraph (1)—
- (a) an individual is “temporarily absent” if, at the beginning of the period of absence, that absence is unlikely to exceed 52 weeks, and
- (b) “medical treatment” means medical, surgical, psychological or rehabilitative treatment (including any course, diet or regimen).
- (3) Where an individual is temporarily absent from the common travel area on the date of transfer, the period at paragraph (1)(a) or (b) is to commence on the date Scottish Ministers identify as the commencement of the temporary absence from the common travel area.
Serving members of His Majesty’s forces, civil servants and their family members
12
- (1) A relevant individual is treated as meeting the residence and presence conditions set out in regulation 10(1)(a), (b) and (d) where on any day that individual is outside the common travel area—
- (a) by reason of their capacity mentioned in paragraph (3)(a) provided that the individual satisfied the residence and presence conditions set out in regulation 10(1)(a), (b) and (d) immediately prior to the start of their employment mentioned in paragraph (3)(a), or
- (b) by reason of being a person mentioned in paragraph (3)(b) living with an individual to whom paragraph (3)(a) applies.
- (2) The past presence condition set out in regulation 10(1)(e) does not apply to a relevant individual.
- (3) A “relevant individual” in paragraph (1) and (2) means an individual who is—
- (a) outside the common travel area in their capacity as a—
- (i) serving member of His Majesty’s forces, or
- (ii) civil servant, or
- (b) living with a person mentioned in sub-paragraph (a) and—
- (i) is the child, step-child or child in care of that person,
- (ii) is the parent, step-parent or parent-in-law of that person, or
- (iii) is married to or in a civil partnership with that person, or is living together with that person as if they were married or in a civil partnership.
- (4) In this regulation—
- “child in care” means— under the law of Scotland, a child in respect of whom a relevant individual listed in paragraph (3)(a)— is a foster carer within the meaning of regulation 2 of the Looked After Children (Scotland) Regulations 2009[^f00036], is a kinship carer within the meaning of regulation 2 of the Looked After Children (Scotland) Regulations 2009, has a kinship care order within the meaning of section 72 of the Children and Young People (Scotland) Act 2014[^f00037], or under the law of England and Wales and Northern Ireland, a child in respect of whom a person listed in paragraph (3)(a) has a relationship equivalent to those listed under the law of Scotland,
- “civil servant” has the meaning given by section 1(4) of the Constitutional Reform and Governance Act 2010[^f00038],
- “serving member of His Majesty’s forces” means a member of a regular force or a reserve force (“M”) as defined, in each case, by section 374 (definitions applying for purposes of the whole Act) of the Armed Forces Act 2006[^f00039], unless— M is under the age of 16, M is committing an offence under section 8 of the Armed Forces Act 2006 (desertion), the force concerned is one of His Majesty’s naval forces which M locally entered at an overseas base without— previously being an insured person under the National Insurance Act 1965[^f00040], or paying or having previously paid one or more of the following classes of contributions under the Social Security Act 1975[^f00041] or the Social Security Contributions and Benefits Act 1992[^f00042]— primary Class 1, Class 2, or Class 3, or the force concerned is one of His Majesty’s military forces or His Majesty’s air forces which M entered, or was recruited for, outside the United Kingdom and— where that force is one of His Majesty’s military forces, the depot for M’s unit is outside the United Kingdom, or where that force is one of His Majesty’s air forces, M is liable under the terms of M’s engagement to serve only in a specified area outside the United Kingdom.
Aircraft workers, mariners and continental shelf operations
13
- (1) An individual is to be treated as meeting the presence conditions set out in regulation 10(1)(d) and (e) for any period where that individual is—
- (a) outside the common travel area in their capacity as an aircraft worker or a mariner, or
- (b) in employment prescribed for the purposes of section 120 (employment at sea (continental shelf operations)) of the Social Security Contributions and Benefits Act 1992[^f00043] in connection with continental shelf operations.
- (2) In this regulation—
- “aircraft worker” means a person who is, or has been, employed under a contract of service either as a pilot, commander, navigator or other member of the crew of any aircraft, or in any other capacity on board any aircraft where— the employment in that other capacity is for the purposes of the aircraft or its crew or of any passengers or cargo or mail carried on that aircraft, and the contract is entered into in the United Kingdom with a view to its performance (in whole or in part) while the aircraft is in flight, but does not include a person so far as that employment is as a serving member of His Majesty’s forces, and
- “mariner” means a person who is, or has been, in employment under a contract of service either as a master or member of the crew of any ship or vessel, or in any other capacity on board any ship or vessel where— the employment in that other capacity is for the purposes of that ship or vessel or its crew or any passengers or cargo or mail carried by the ship or vessel, and the contract is entered into in the United Kingdom with a view to its performance (in whole or in part) while the ship or vessel is on voyage, but does not include a person in so far as that employment is as a serving member of His Majesty’s forces.
Persons residing in the United Kingdom to whom a relevant EU regulation applies
14
The past presence condition set out in regulation 10(1)(e) does not apply where on any day the individual is—
- (a) ordinarily resident in Scotland,
- (b) habitually resident in the United Kingdom,
- (c) an individual—
- (i) to whom the rules set out in a relevant EU regulation apply by virtue of—
- (aa) Title III of Part 2 of the EU withdrawal agreement,
- (bb) Part 3 or Article 23(4) of the Swiss citizens’ rights agreement (as defined in section 39(1) of the European Union (Withdrawal Agreement) Act 2020 (“the 2020 Act”))[^f00044],
- (cc) Title III of the EEA EFTA separation agreement (as defined in section 39(1) of the 2020 Act),
- (dd) the agreement constituted by the exchange of letters set out in the schedule of the Family Allowances, National Insurance and Industrial Injuries (Gibraltar) Order 1974[^f00045], or
- (ee) the agreement constituted by the exchange of letters set out in the schedule of the Social Security (Gibraltar) Order 2024[^f00046], and
- (ii) in respect of whom the United Kingdom is, as a result, competent for payment of sickness benefits in cash.
Persons residing outside the United Kingdom to whom a relevant EU regulation applies
15
- (1) The residence and presence conditions set out in regulation 10(1) do not apply in relation to the care component where on any day the individual satisfies the conditions in paragraph (2).
- (2) The conditions referred to in paragraph (1) are that the individual must—
- (a) be an individual—
- (i) to whom the rules set out in a relevant EU regulation apply by virtue of—
- (aa) Title III of Part 2 of the EU withdrawal agreement,
- (bb) Part 3 of Article 23(4) of the Swiss citizens’ rights agreement (as defined in section 39(1) of the European Union (Withdrawal Agreement) Act 2020 (“the 2020 Act”)),
- (cc) Title III of the EEA EFTA separation agreement (as defined in section 39(1) of the 2020 Act),
- (dd) the agreement constituted by the exchange of letters set out in the schedule of the Family Allowances, National Insurance and Industrial Injuries (Gibraltar) Order 1974, or
- (ee) the agreement constituted by the exchange of letters set out in the schedule of the Social Security (Gibraltar) Order 2024, and
- (ii) in respect of whom the United Kingdom is, as a result, competent for payment of sickness benefits in cash,
- (b) be habitually resident in—
- (i) Switzerland,
- (ii) an EEA state, or
- (iii) Gibraltar, and
- (c) have a genuine and sufficient link to Scotland.
- (3) The reference in paragraph (2)(c) to an individual’s link to Scotland being sufficient is to it being sufficiently close that if the individual were not entitled to Scottish Adult Disability Living Allowance, paragraph (2) would be incompatible with the applicable agreement mentioned in sub-paragraph (a)(i) of that paragraph.
- (4) In this regulation, “EEA State” means—
- (a) any member state of the European Union, or
- (b) any other state that is party to the agreement on the European Economic Area signed at Oporto on 2 May 1992[^f00047], together with the Protocol adjusting that Agreement signed at Brussels on 17 March 1993[^f00048], as modified or supplemented from time to time.
No entitlement to care component where UK is not competent state
16
An individual to whom a relevant EU Regulation applies is not entitled to the care component for a period unless during that period the United Kingdom is competent for payment of sickness benefits in cash to the individual for the purposes of the relevant EU Regulation in question.
Refugees
17
The residence and presence conditions set out in regulation 10(1)(b) and (e) do not apply where an individual has—
- (a) been granted refugee status or humanitarian protection under the immigration rules, or
- (b) leave to enter or remain in the United Kingdom as the dependant of a person granted refugee status or humanitarian protection under the immigration rules.
PART 5 — Entitlement under rules relating to age
Age criteria
18
- (1) Scottish Adult Disability Living Allowance may be paid in respect of an individual who is at least 18 years of age.
- (2) Where an individual was born on 29 February, their birthday is to be taken to fall on 28 February in a year which is not a leap year.
Determination of an award after the person has reached the relevant age
19
- (1) This regulation applies where—
- (a) the individual has—
- (i) reached the relevant age,
- (ii) an ongoing entitlement to Scottish Adult Disability Living Allowance (the “original award”), and
- (b) the Scottish Ministers are under a duty to make a determination of their entitlement by way of a determination without an application under regulations 42 to 45.
- (2) The restrictions in paragraph (3) apply in relation to the determination referred to in paragraph (1)(b) where the determination is being made in relation to—
- (a) a change of circumstances which occurred after the person reached the relevant age, or
- (b) a material fact which the Scottish Ministers were not previously aware of which relates to circumstances which began after the individual reached the relevant age.
- (3) The restrictions referred to in paragraph (2) are—
- (a) where the original mobility component award is for the lower rate then, regardless of whether the award would otherwise have been for the higher rate, the Scottish Ministers—
- (i) may only make an award for the lower rate of that component, and
- (ii) may only make such an award where entitlement results from substantially the same condition or conditions in respect of which the mobility component in the original award was given,
- (b) where the original mobility component award is for the higher rate, the Scottish Ministers may only award the higher rate of that component where entitlement results from substantially the same condition or conditions in respect of which the mobility component in the original award was given,
- (c) where the original award did not include an award of the mobility component, the Scottish Ministers may not award that component at either the lower or higher rate.
- (4) Where the original award does not include an award of the mobility component but the individual had—
- (a) a previous award of—
- (i) the mobility component of Scottish Adult Disability Living Allowance, or
- (ii) the mobility component of Disability Living Allowance, and
- (b) the previous award of the component under sub-paragraph (a) ceased no more than 1 year prior to the date on which the determination referred to in paragraph (1)(b) takes or would take effect,
for the purpose of this regulation, entitlement under that previous award is to be treated as if it were under the original award.
- (5) Paragraph (2)(b) does not include medical evidence in the form of a clinical judgement which was made in accordance with regulation 20(8) and (9) before the individual reached the relevant age.
PART 6 — Entitlement under special rules for terminal illness and when undergoing dialysis
Entitlement under special rules for terminal illness
20
- (1) An individual who has a terminal illness is to be treated as satisfying the conditions for the highest rate of the care component in regulation 6(4)(a).
- (2) An individual who has a terminal illness—
- (a) before reaching the relevant age is to be treated as satisfying the conditions for the higher rate of the mobility component in regulation 8,
- (b) after reaching the relevant age is to be treated as satisfying the conditions for—
- (i) the higher rate of the mobility component in regulation 8 only if—
- (aa) the individual was entitled to that rate immediately before they reached the relevant age, and
- (bb) the entitlement results from substantially the same condition or conditions in respect of which the mobility component was previously given, or
- (ii) the lower rate of the mobility component in regulation 7 only if—
- (aa) the individual was entitled to that rate immediately before they reached the relevant age, and
- (bb) the entitlement results from substantially the same condition or conditions in respect of which the mobility component was previously given.
- (3) Paragraphs (1) and (2) apply regardless of the period of time for which the individual has had the terminal illness.
- (4) An individual who had reached the relevant age when they became terminally ill is to be treated as satisfying the conditions referred to in regulations 7(4)(c) and 8(11)(c).
- (5) Subject to paragraphs (6) and (7), the individual’s entitlement to the rates referred to in paragraphs (1) and (2) begin on the date on which—
- (a) the Scottish Ministers become aware of the individual’s terminal illness (whether as a result of the individual notifying a change in circumstances or otherwise), where the individual was previously awarded, and has an ongoing entitlement to, Scottish Adult Disability Living Allowance, on the basis of a determination that the individual was entitled to the care component or mobility component or both in relation to a condition other than terminal illness, or
- (b) the clinical judgement was made in accordance with paragraphs (8) and (9) (“the judgement”),
whichever is the earlier.
- (6) Where the judgement mentioned in paragraph (5)(b) is dated not more than 26 weeks earlier than the date in paragraph (5)(a) (“the applicable date”), the Scottish Ministers have the power, when making their determination, to specify that an individual’s entitlement begins—
- (a) up to a maximum of 26 weeks prior to the applicable date, and
- (b) on or after the day these Regulations come into force.
- (7) Where the judgement mentioned in paragraph (5)(b)—
- (a) is dated more than 26 weeks earlier than the applicable date, and
- (b) an appropriate healthcare professional confirms that the judgement is still accurate by making a judgement in accordance with paragraphs (8) and (9),
an individual’s entitlement can only begin—
- (c) up to a maximum of 26 weeks prior to the applicable date, and
- (d) on or after the day these Regulations come into force.
- (8) For the purposes of these Regulations, an individual is to be regarded as having a terminal illness for the purpose of determining entitlement to Scottish Adult Disability Living Allowance if it is the clinical judgement of an appropriate healthcare professional that the individual has a progressive disease that can reasonably be expected to cause the individual’s death.
- (9) Subject to paragraph (10), an appropriate healthcare professional exercising the judgement described in paragraph (8) must have regard to the guidance prepared and made publicly available by the Chief Medical Officer of the Scottish Administration in accordance with paragraph 1(3) of schedule 5 of the 2018 Act[^f00049].
- (10) Where regulation 15 (persons residing outside the United Kingdom to whom a relevant EU regulation applies) applies to the individual, an appropriate healthcare professional mentioned in paragraph (7)(b) need not have regard to the guidance mentioned in paragraph (9) where it would not be reasonable in the circumstances to insist on the judgement being formed with regard to that guidance.
- (11) In this regulation, “an appropriate healthcare professional” means—
- (a) a registered medical practitioner or a registered nurse who is—
- (i) involved in the diagnosis or care of the individual, and
- (ii) acting in their professional capacity, or
- (b) where regulation 15 applies to the individual, a person who—
- (i) has equivalent qualifications to a registered medical practitioner or a registered nurse in an EEA state, Gibraltar or Switzerland,
- (ii) is a member of the professional body equivalent to the General Medical Council or Nursing and Midwifery Council in that EEA state, Gibraltar or Switzerland, and
- (iii) meets the requirements of sub-paragraph (a)(i) and (ii).
- (12) Where an individual has previously received Scottish Adult Disability Living Allowance or a benefit listed in paragraph (14)(a) for a period and a determination is subsequently made that the individual is entitled to Scottish Adult Disability Living Allowance at a higher rate for that period by virtue of this regulation, the individual will be entitled to the difference between the value of entitlement to Scottish Adult Disability Living Allowance under the subsequent determination and the value of Scottish Adult Disability Living Allowance or the benefit listed in paragraph (14)(a) to which that individual was previously entitled for that period.
- (13) Where the individual has received Scottish Adult Disability Living Allowance and Disability Living Allowance for the same period in the circumstances described in paragraph 8(1)(b) of schedule 1, any Disability Living Allowance payable to the transferring individual for that period is to be disregarded for the purposes of paragraph (12).
- (14) For the purpose of paragraph (12)—
- (a) the benefits are—
- (i) Adult Disability Payment
- (ii) armed forces independence payment,
- (iii) Attendance Allowance,
- (iv) Disability Living Allowance,
- (v) Personal Independence Payment, or
- (vi) Pension Age Disability Payment.
- (b) regulation 5 (entitlement to other benefits) and section 71(7) (disability living allowance) of the Social Security Contributions and Benefits Act 1992[^f00050] are treated as omitted.
Entitlement to middle rate of care component when undergoing dialysis
21
- (1) Except as provided in paragraph (3), an individual who suffers from renal failure and who is undergoing the treatment specified in paragraph (2) is treated as meeting the condition—
- (a) in regulation 6(1)(c) where they undergo renal dialysis by day,
- (b) in regulation 6(1)(d) where they undergo renal dialysis by night,
- (c) in either paragraph (1)(c) or paragraph (1)(d) of regulation 6, but not both, if they undergo renal dialysis by day and by night.
- (2) The treatment referred to in paragraph (1) is the undergoing of renal dialysis—
- (a) two or more times a week, and
- (b) which either—
- (i) is of a type which normally requires the attendance of or supervision by another person during the period of dialysis, or
- (ii) because of the particular circumstances of their case, in fact requires another person, during the period of dialysis, to attend in connection with the bodily functions of the individual undergoing renal dialysis or to supervise that individual in order that they avoid substantial danger to themselves.
- (3) Paragraph (1) does not apply to an individual undergoing the treatment specified in paragraph (2) where the treatment—
- (a) is provided under the National Health Service (Scotland) Act 1978[^f00051], the National Health Service Act 2006[^f00052], the National Health Service (Wales) Act 2006[^f00053] or the Health and Personal Social Services (Northern Ireland) Order 1972[^f00054],
- (b) is in a hospital or similar institution,
- (c) is out-patient treatment, and
- (d) takes place with the assistance or supervision of staff of the hospital or similar institution.
- (4) In this regulation, a “hospital or similar institution” means—
- (a) a health service hospital (within the meaning of section 108(1) of the National Health Service (Scotland) Act 1978[^f00055]) in Scotland,
- (b) a health service hospital (within the meaning of section 275(1) of the National Health Service Act 2006[^f00056]) in England,
- (c) a hospital in Wales vested in—
- (i) an NHS trust,
- (ii) a Local Health Board, or
- (iii) the Welsh Ministers,
- (d) a hospital (within the meaning of the Health and Personal Social Services (Northern Ireland) Order 1972[^f00057] or the Health and Personal Social Services (Northern Ireland) Order 1991[^f00058]) in Northern Ireland.
- (5) For the purposes of determining whether an individual is to be treated as meeting one of the conditions specified in paragraph (1), any period of time where paragraph (3) applies to the individual can be included for the purposes of calculating the periods required by regulation 6(2) and (3).
PART 7 — Effect of time spent in care homes, hospital and legal detention
Effect of admission to a care home on ongoing entitlement to care component
22
- (1) This regulation applies where an individual who has an ongoing entitlement to the care component of Scottish Adult Disability Living Allowance becomes a resident of a care home.
- (2) Subject to paragraphs (3) and (4) and regulation 24 (exception: hospices), on the day after the day on which the individual has been resident in a care home for 28 days, and for so long as the individual continues to reside in such a home, the value of the care component of Scottish Adult Disability Living Allowance that is to be given to the individual is to be £0 instead of the values set out in regulation 29 (amount and form of Scottish Adult Disability Living Allowance).
- (3) The 28 days referred to in paragraph (2) may comprise two or more separate periods, provided that there is no more than 28 days between each period.
- (4) Paragraph (2) does not apply to a resident in a care home where the full costs of any qualifying services are met—
- (a) entirely out of the resources of the individual for whom the qualifying services are provided,
- (b) partly out of the resources of the individual for whom the qualifying services are provided and partly out of the resources of another person (other than a local authority) or assistance from a charity, or
- (c) entirely out of the resources of another person (other than a local authority) or assistance from a charity.
Effect of admission to hospital on ongoing entitlement to Scottish Adult Disability Living Allowance
23
- (1) This regulation applies where an individual who has an ongoing entitlement to either component of Scottish Adult Disability Living Allowance—
- (a) is undergoing medical or other treatment as an in-patient at a hospital or similar institution, and
- (b) any of the costs of the treatment, accommodation and any related services provided for them are borne out of public funds.
- (2) Subject to regulation 24 (exception: hospices), on the day after the day on which the individual has been an in-patient in a hospital or other similar institution for 28 days, and for so long as the individual continues to be an in-patient in such an institution, the value of each component of Scottish Adult Disability Living Allowance that is to be given to the individual is £0 instead of the values set out in regulation 29 (amount and form of Scottish Adult Disability Living Allowance).
- (3) The 28 days referred to in paragraph (2) may comprise two or more separate periods, provided that there is no more than 28 days between each period.
- (4) For the purposes of paragraph (1), the costs of treatment, accommodation or any related services are borne out of public funds if the individual is undergoing medical or other treatment as an in-patient in—
- (a) a hospital or similar institution under—
- (i) the National Health Service Act 2006[^f00059],
- (ii) the National Health Service (Wales) Act 2006[^f00060],
- (iii) the National Health Service (Scotland) Act 1978[^f00061], or
- (iv) the Health and Personal Social Services (Northern Ireland) Order 1972 or the Health and Personal Social Services (Northern Ireland) Order 1991, or
- (b) a hospital or similar institution maintained or administered by the Defence Council[^f00062].
- (5) This regulation does not apply to an individual who was under the age of 18 on the day on which they began their current period undergoing medical or other treatment as an in-patient at a hospital or similar institution.
Exception: Hospices
24
- (1) Regulations 22(2) and 23(2) do not apply where the individual is residing in a hospice and has a terminal illness.
- (2) In this regulation, “hospice” means a hospital or other institution whose primary function is to provide palliative care for persons resident there who are suffering from a progressive disease in its final stages, other than—
- (a) a health service hospital (within the meaning of section 108(1) of the National Health Service (Scotland) Act 1978) in Scotland,
- (b) a health service hospital (within the meaning of section 275(1) of the National Health Service Act 2006) in England,
- (c) a hospital in Wales vested in—
- (i) an NHS trust,
- (ii) a Local Health Board, or
- (iii) the Welsh Ministers,
for the purpose of functions under the National Health Service (Wales) Act 2006,
- (d) a hospital or similar institution within the meaning of Article 2(2) of the Health and Personal Social Services (Northern Ireland) Order 1972 or the Health and Personal Social Services (Northern Ireland) Order 1991,
- (e) a hospital maintained or administered by the Defence Council, or
- (f) an institution similar to a hospital mentioned in any of the preceding sub-paragraphs.
Effect of legal detention on ongoing entitlement to Scottish Adult Disability Living Allowance
25
- (1) This regulation applies where an individual who has an ongoing entitlement to Scottish Adult Disability Living Allowance begins a period of legal detention.
- (2) For the purposes of this regulation, an individual is to be treated as though they are not in legal detention on any day on which they are an in-patient in a hospital or in a hospice.
- (3) On the day after the day on which the individual has been in legal detention for 28 days, and for so long as the individual continues to be in legal detention, instead of the values set out in regulation 29 (amount and form of Scottish Adult Disability Living Allowance), the value of each component of Scottish Adult Disability Living Allowance that is to be given to the individual is to be £0.
- (4) The 28 days referred to in paragraph (3) may comprise two or more separate periods, provided there is no more than one year between each period.
- (5) Paragraph (3) of this regulation does not apply to an individual where—
- (a) the individual is undergoing legal detention outside the United Kingdom, and
- (b) in similar circumstances in Scotland, the individual would have been excepted from the application of that paragraph by virtue of the operation of any provision of this regulation.
Calculation of periods of time spent in a care home, hospital or legal detention
26
- (1) Subject to paragraphs (3) to (6), a period during which an individual is—
- (a) resident in a care home for the purpose of regulation 22,
- (b) an in-patient in a hospital or similar institution for the purpose of regulation 23,
- (c) in legal detention for the purpose of regulation 25, or
- (d) resident in a care home, an in-patient in a hospital or similar institution, or in legal detention for the purposes of regulation 27,
is to be determined in accordance with this regulation.
- (2) Such a period is to be taken to—
- (a) begin on the day after the day on which the individual enters the place, and
- (b) end on the day before the day on which the individual leaves the place.
- (3) Where an individual takes a period of leave from a place mentioned in paragraph (1), the days on which the individual begins and returns from leave are not be counted as days of residence in that place.
- (4) Days constituting a period of leave are not to be counted as days of residence in a place.
- (5) Where an individual enters a place (“the second place”) under paragraph (1) as a result of transfer from another place (“the first place”) under that paragraph—
- (a) the day of transfer is to be counted as a day of residence in the second place, and
- (b) for the purpose of calculating when the individual has been in the second place for 28 days for the purposes of regulations 22(2), 23(2), 25(3) and 27(2) to (4)—
- (i) the days that they were resident in the first place are to be treated as days of residence in the second place,
- (ii) if they were resident in the first place for more than 28 days, the individual is to be treated as though they have been resident in the second place for 28 days on the day before the day of transfer, and
- (c) the period of residence in the first place is deemed to end on the day on which the period of residence in the second place ends.
- (6) For the purposes of this regulation, “days of residence” means—
- (a) days resident in a care home in terms of regulation 22 or 27,
- (b) days as an in-patient in hospital or similar institution in terms of regulation 23 or 27, and
- (c) days in legal detention in terms of regulation 25 or 27.
Entitlement beginning while in alternative accommodation
27
- (1) Paragraphs (2) to (4) apply where an individual is resident in a care home, an in-patient in a hospital or similar institution, or in legal detention on the day on which their entitlement to Scottish Adult Disability Living Allowance begins as a result of a transfer determination.
- (2) Where an individual is in legal detention when their entitlement to Scottish Adult Disability Living Allowance begins as a result of a transfer determination, on the day after the day on which the individual has been entitled to Scottish Adult Disability Living Allowance for 28 days, and for so long as the individual continues to be in legal detention, instead of the values set out in regulation 29 (amount and form of Scottish Adult Disability Living Allowance), the individual is to be given the value of £0 in respect of each component of Scottish Adult Disability Living Allowance.
- (3) Except where paragraph (7) applies, where an individual has been resident in a care home, or an in-patient in a hospital or similar institution, for a period of 28 days or more when their entitlement to Scottish Adult Disability Living Allowance begins, for so long as the individual continues to reside in a care home or is an in-patient in a hospital or similar institution, instead of the values set out in regulation 29 (amount and form of Scottish Adult Disability Living Allowance), the individual is to be given the value of £0—
- (a) where the individual is resident in a care home, in respect of the care component of Scottish Adult Disability Living Allowance,
- (b) where the individual is—
- (i) undergoing medical or other treatment as an in-patient in a hospital or similar institution, and
- (ii) any of the costs of the treatment, accommodation and any related services provided for them are borne out of public funds within the meaning of regulation 23(4) (effect of admission to hospital on ongoing entitlement to Scottish Adult Disability Living Allowance),
in respect of each component of Scottish Adult Disability Living Allowance.
- (4) Where, on the day on which their entitlement to Scottish Adult Disability Allowance begins, an individual has been resident in a care home or an in-patient in a hospital or similar institution for a period of less than 28 days, on the day after the day on which the individual has been resident in a care home or is an in-patient in a hospital or similar institution for more than 28 days, and for so long as the individual continues to reside in a care home or is an in-patient in a hospital or similar institution instead of the values set out in regulation 29 (amount and form of Scottish Adult Disability Living Allowance), the individual is to be given the value of £0—
- (a) where the individual is resident in a care home, in respect of the care component of Scottish Adult Disability Living Allowance, and
- (b) where the individual is—
- (i) undergoing medical or other treatment as an in-patient in a hospital or similar institution, and
- (ii) any of the costs of the treatment, accommodation and any related services provided for them are borne out of public funds within the meaning of regulation 23(4),
in respect of each component of Scottish Adult Disability Living Allowance.
- (5) Paragraph (6) applies where an individual is resident in a care home, an in-patient in a hospital or similar institution, or in legal detention on the day on which their entitlement to Scottish Adult Disability Living Allowance begins as a result of a determination under paragraph 12 of schedule 1 (reinstatement of entitlement to Scottish Adult Disability Living Allowance within a year), paragraph 13 of schedule 1 (request for Scottish Adult Disability Living Allowance when an award of Disability Living Allowance has ended) or regulation 47 (individuals in respect of whom Disability Living Allowance is paid in another part of the United Kingdom before moving to Scotland).
- (6) On and after that day, and for so long as the individual continues to reside in a place mentioned in paragraph (5), instead of the values set out in regulation 29 (amount and form of Scottish Adult Disability Living Allowance), the individual is to be given the value of £0—
- (a) where the individual is resident in a care home, in respect of the care component of Scottish Adult Disability Living Allowance,
- (b) where the individual is—
- (i) undergoing medical or other treatment as an in-patient in a hospital or similar institution, and
- (ii) any of the costs of the treatment, accommodation and any related services provided for them are borne out of public funds within the meaning of regulation 23(4) (effect of admission to hospital on rate of entitlement),
in respect of each component of Scottish Adult Disability Living Allowance, and
- (c) where the individual is in legal detention, in respect of each component of Scottish Adult Disability Living Allowance.
- (7) Subject to paragraph (8), where an individual began their current period undergoing medical or other treatment as an in-patient at a hospital or similar institution on or before 31July 1995 and has since 31 July 1995 been in continuous receipt of the mobility component of Disability Living Allowance or Scottish Adult Disability Living Allowance, that individual may receive the mobility component of Scottish Adult Disability Living Allowance at the lower rate until such time as paragraph (1) first ceases to apply to them for more than 28 consecutive days.
- (8) Paragraph (7) does not apply where on or after 31 July 1996, an individual is detained under Part II or Part III of the Mental Health Act 1983[^f00063], Part 5, 6 or 7 or section 136 of the Mental Health (Care and Treatment) (Scotland) Act 2003[^f00064] or section 52D or 52M of the Criminal Procedure (Scotland) Act 1995[^f00065].
- (9) The 28 days referred to in paragraphs (2) to (4) may comprise two or more separate periods, provided that there is no more than 28 days between each period.
- (10) Paragraphs (3) to (5) do not apply where the individual is a resident in a care home, and the full costs of any qualifying services are met—
- (a) entirely out of the resources of the individual for whom the qualifying services are provided,
- (b) partly out of the resources of the individual for whom the qualifying services are provided and partly out of the resources of another person (other than a local authority) or assistance from a charity, or
- (c) entirely out of the resources of another person (other than a local authority) or assistance from a charity.
PART 8 — Making payments and duration of eligibility
Making Payments
28
- (1) Where Scottish Adult Disability Living Allowance is payable in respect of an individual, the Scottish Ministers may, where they consider it appropriate, make the payment to another person to be used for the benefit of the individual.
- (2) Where the Scottish Ministers consider, for any reason, that it is no longer appropriate for a particular person who falls within paragraph (1) to continue to receive the payment, they may cease making payment to that person.
Amount and form of Scottish Adult Disability Living Allowance
29
- (1) The weekly rate of payment of the care component is, where the individual is entitled to—
- (a) the lowest rate, £29.20,
- (b) the middle rate, £73.90, or
- (c) the highest rate, £110.40.
- (2) The weekly rate of the mobility component is, where the individual is entitled to—
- (a) the lower rate, £29.20, or
- (b) the higher rate, £77.05.
- (3) Where an individual is entitled to payment of the care component or the mobility component for a period shorter than one week, payment is to be made at one-seventh of the relevant weekly rate, for each day of entitlement.
- (4) For any week where an individual is entitled to—
- (a) the care component of Scottish Adult Disability Living Allowance, and
- (b) payment of an amount in respect of constant attendance under article 14 of the Personal Injuries (Civilians) Scheme 1983[^f00066], section 104 of the Social Security Contributions and Benefits Act 1992[^f00067], section 104 of the Social Security Contributions and Benefits (Northern Ireland) Act 1992[^f00068], or article 8 of the Naval, Military and Air Forces etc. (Disablement and Death) Service Pensions Order 2006[^f00069],
the amount of the care component of Scottish Adult Disability Living Allowance that is to be given to the individual is to be reduced by the amount paid under that section or article, as the case may be.
- (5) For the purpose of calculating the amount of the care component of Scottish Adult Disability Living Allowance that is to be given to the individual in accordance with paragraph (4), where the amount in respect of constant attendance is equal to or greater than the amount of the care component of Scottish Adult Disability Living Allowance, the value of the care component of Scottish Adult Disability Living Allowance that is to be given to the individual is to be £0.
- (6) For any week where an individual is entitled to—
- (a) the mobility component of Scottish Adult Disability Living Allowance, and
- (b) payment of War Pensioners’ Mobility Supplement within the meaning of—
- (i) the Naval, Military and Air Forces etc. (Disablement and Death) Service Pensions Order 1983 (“1983 Order”)[^f00070],
- (ii) the Personal Injuries (Civilians) Scheme 1983,
- (iii) the 1983 Order by virtue of the War Pensions (Naval Auxiliary Personnel) Scheme 1964[^f00071],
- (iv) the Pensions (Polish Forces) Scheme 1964[^f00072],
- (v) the War Pensions (Mercantile Marine) Scheme 1964[^f00073], or
- (vi) an Order of Her Majesty in relation to the Home Guard dated 21 December 1964[^f00074] or 22 December 1964[^f00075], or in relation to the Ulster Defence Regiment dated 4 January 1971[^f00076],
the amount of the mobility component of Scottish Adult Disability Living Allowance that is to be given to the individual is to be £0.
- (7) Scottish Adult Disability Living Allowance is only to be given in the form of money, except as provided for by regulation 39 (Form of payment – giving Scottish Adult Disability Living Allowance by way of deduction).
Adjustment of payment where medical expenses are paid from public funds under war pensions instrument
30
- (1) Except where paragraph (2) applies, where—
- (a) an individual is provided with relevant accommodation, and
- (b) there are payable in respect of that individual both—
- (i) a payment under article 21 (medical expenses) of the Naval, Military and Air Forces etc. (Disablement and Death) Service Pensions Order 2006, and
- (ii) the care component of Scottish Adult Disability Living Allowance,
the amount of the care component of Scottish Adult Disability Living Allowance is reduced by the amount of the payment mentioned in sub-paragraph (b)(i).
- (2) Paragraph (1) does not apply to an individual in respect of the first 28 days of any period during which the amount of the care component of Scottish Adult Disability Living Allowance would otherwise be adjusted by virtue of paragraph (1).
- (3) The 28 days referred to in paragraph (2)—
- (a) may comprise two or more separate periods, provided that there is no more than 28 days between each period, and
- (b) is reduced by the number of relevant days.
- (4) In this regulation—
- “relevant accommodation” means accommodation provided as a necessary ancillary to nursing care where the medical expenses involved are wholly borne by the Secretary of State pursuant to article 21 of the Naval, Military and Air Forces etc. (Disablement and Death) Service Pensions Order 2006, and
- “relevant day” means a day that falls not earlier than 28 days before the first day on which the individual was provided with relevant accommodation, and either— is a day when the individual was undergoing medical treatment in a hospital or similar institution in the circumstances mentioned in regulation 23(1)(b), or is a day when the individual was prevented from receiving the care component of Scottish Adult Disability Living Allowance by virtue of regulation 22(2).
Time of Payment
31
Where an award of Scottish Adult Disability Living Allowance is made, the Scottish Ministers are to make—
- (a) the first payment of assistance on a date specified in the notice of determination, and
- (b) any subsequent payment—
- (i) 4 weekly in arrears,
- (ii) where regulation 20 (entitlement under special rules for terminal illness) applies, weekly in advance,
- (iii) weekly in advance where an individual previously received Disability Living Allowance weekly in advance, or
- (iv) where the Scottish Ministers consider that it would be unjust not to do so, at such intervals as they specify in the notice of determination.
Continuing Eligibility
32
- (1) Subject to paragraphs (3) and (4), a determination that an individual is entitled to Scottish Adult Disability Living Allowance in respect of a period is to be made on the basis that the individual has an ongoing entitlement to Scottish Adult Disability Living Allowance after the end of that period, except where paragraph (2) applies.
- (2) This paragraph applies where, after the end of the period mentioned in paragraph (1), the individual no longer satisfies the eligibility rules.
- (3) A determination of ongoing entitlement is made on the basis that—
- (a) the individual will continue to be entitled to Scottish Adult Disability Living Allowance for a fixed or indefinite period as specified in the notice of determination, and
- (b) the decision that the individual is entitled to Scottish Adult Disability Living Allowance for each subsequent 4-week period is to be taken in accordance with these Regulations, on the strength of the assumptions set out in paragraph (4).
- (4) The assumptions are that—
- (a) the individual continues to satisfy the eligibility criteria which were satisfied to be entitled to Scottish Adult Disability Living Allowance under the determination mentioned in paragraph (1),
- (b) the information on which the determination mentioned in paragraph (1) was made still applies and is relevant in the individual’s case, and
- (c) there is no change in circumstances of the individual which would require to be notified under section 56 (duty to notify change of circumstances) of the 2018 Act.
Circumstances in which assistance may be suspended
33
- (1) The Scottish Ministers may decide that an individual who has an ongoing entitlement to Scottish Adult Disability Living Allowance in respect of a period by virtue of regulation 32 (continuing eligibility) is not to become entitled to be given some or all of either component or both components of that assistance at the time at which the individual otherwise would in accordance with that regulation, as read with regulation 31 (time of payment) (referred to in these Regulations as a decision to suspend the individual’s Scottish Adult Disability Living Allowance).
- (2) Where such a decision is made in respect of an individual, payments of Scottish Adult Disability Living Allowance to that individual are to be suspended until such time as the Scottish Ministers decide to end the suspension in accordance with regulation 37.
- (3) The Scottish Ministers may decide to suspend an individual’s Scottish Adult Disability Living Allowance only in the circumstances where—
- (a) section 54(1A) of the 2018 Act[^f00077] applies, or
- (b) the Scottish Ministers have made arrangements (whether under section 85B of the 2018 Act[^f00078] or otherwise) for a person to receive the Scottish Adult Disability Living Allowance on the individual’s behalf, and the Scottish Ministers consider that it is necessary to suspend the Scottish Adult Disability Living Allowance—
- (i) in order to protect the individual from the risk of financial abuse, or
- (ii) because the person with whom the Scottish Ministers have made arrangements is unable to continue to receive the Scottish Adult Disability Living Allowance.
- (4) In this regulation, “financial abuse” includes—
- (a) having money or other property stolen,
- (b) being defrauded,
- (c) being put under pressure in relation to money or other property,
- (d) having money or other property misused.
Having regard to financial circumstances
34
The Scottish Ministers must have regard to an individual’s financial circumstances prior to making a decision to suspend payment to the individual of some or all of either component or both components of Scottish Adult Disability Living Allowance.
Information to be given following suspension
35
- (1) Having made a decision to suspend an individual’s Scottish Adult Disability Living Allowance, the Scottish Ministers must inform the individual of—
- (a) their decision to suspend the individual’s Scottish Adult Disability Living Allowance,
- (b) the reasons for their decision,
- (c) any steps which might be taken by the individual in order for the Scottish Ministers to consider ending the suspension, and
- (d) the individual’s right under regulation 36 to require the Scottish Ministers to review their decision to suspend the individual’s Scottish Adult Disability Living Allowance.
- (2) The Scottish Ministers must fulfil their duty under paragraph (1) in a way that leaves the individual with a record of the information which the individual can show to, or otherwise share with, others.
Right to review suspension
36
- (1) An individual may require the Scottish Ministers to review their decision to suspend that individual’s Scottish Adult Disability Living Allowance.
- (2) The Scottish Ministers must—
- (a) complete a review mentioned in paragraph (1) within 31 days beginning with the day when they received notice from the individual requiring them to review their decision,
- (b) inform the individual of the outcome of the review including reasons for their decision.
- (3) The Scottish Ministers must fulfil their duty under paragraph (2)(b) in a way that leaves the individual with a record of the information which the individual can show to, or otherwise share with, others.
Ending a suspension
37
The Scottish Ministers are to make a decision to end a suspension where—
- (a) the individual provides the information requested under section 54(1) of the 2018 Act[^f00079] and the Scottish Ministers consider that they do not require to make a determination without application,
- (b) regulation 32(3)(a) (continuing eligibility) applies and the Scottish Ministers make a determination without application under regulation 42 (consideration of entitlement after specified period), 43 (determination following change of circumstance etc.), 44 (determination following official error – underpayments), 45 (determination following error – overpayments) or 46 (determination to effect a deduction decision),
- (c) the Scottish Ministers make a determination under section 54(2) of the 2018 Act[^f00080],
- (d) the circumstances mentioned in regulation 33(3)(b) (circumstances in which assistance may be suspended) no longer apply, or
- (e) the Scottish Ministers consider it appropriate in the circumstances, including having regard to the financial circumstances of the individual.
Effect of suspension ending
38
When—
- (a) the suspension of an individual’s Scottish Adult Disability Living Allowance ends, and
- (b) under the latest determination of the individual’s entitlement to Scottish Adult Disability Living Allowance relating to the period of the suspension the individual would have become entitled to be given Scottish Adult Disability Living Allowance during that period,
the individual is immediately to be given the Scottish Adult Disability Living Allowance that the individual would have become entitled to be given under the determination during the period of suspension.
Form of payment – giving Scottish Adult Disability Living Allowance by way of deduction
39
- (1) Where an individual has a liability to the Scottish Ministers under section 63 of the 2018 Act (liability for assistance given in error), the individual’s payment of Scottish Adult Disability Living Allowance may be given (in whole or in part) by way of deduction, at a reasonable level, from that liability either—
- (a) with the agreement of the individual, or
- (b) without the individual’s agreement, where the individual has unreasonably refused to agree to the assistance being given in that form.
- (2) For the purpose of paragraph (1), “reasonable level” means a level that is reasonable having regard to the financial circumstances of the individual.
When an increase in level of entitlement takes effect
40
- (1) Where, as a result of a determination without an application, the amount of Scottish Adult Disability Living Allowance payable in respect of an individual is increased or their entitlement to a component is awarded, the change takes effect—
- (a) in the case of an increase pursuant to a determination made under regulation 43(c) or 43(d) (determination following change of circumstance etc.) on the day after the day on which Disability Living Allowance ceased to be paid in respect of the individual,
- (b) in the case of an award of entitlement to a component or an increase pursuant to a determination made in accordance with regulation 43(a) that affects their eligibility under regulation 6 (care component criterion: lowest, middle or highest rate care component), 7 (mobility requirements: lower rate mobility component) or 8 (mobility requirements: higher rate mobility component), on the date when—
- (i) if as a result of the individual reporting the change—
- (aa) if the individual reports the change within one month of the change occurring, the individual first satisfies the requirements for a higher rate of the care component or mobility component,
- (bb) if the individual reports the change within more than one month but not more than 13 months of the change occurring, the individual first satisfies the requirements for a higher rate of the care component or the mobility component, but only if the Scottish Ministers consider that the individual had good reason for not notifying the change within one month, or
- (cc) in any other case the date the individual reports the change or the date the individual first satisfies the requirements for a higher rate of the care component or mobility component, whichever is later.
- (ii) if as a result of the Scottish Ministers becoming aware that a determination of an individual’s entitlement was made in ignorance of a material fact, on the date when the Scottish Ministers make the determination,
- (c) in the case of an earlier determination which was based on official error within the meaning of regulation 44 (determination following official error – underpayments) or on error within the meaning of regulation 45 (determination following error – overpayments), on the date when the earlier determination took effect,
- (d) in the case of a determination made in accordance with regulation 43(a), where the period that an individual has been—
- (i) resident in a care home for the purpose of regulation 22 (effect of admission to a care home on ongoing entitlement to care component),
- (ii) an in-patient in hospital or similar institution for the purpose of regulation 23 (effect of admission to hospital on ongoing entitlement to Scottish Adult Disability Living Allowance),
- (iii) in legal detention for the purpose of regulation 25 (effect of legal detention on ongoing entitlement to Scottish Adult Disability Living Allowance), or
- (iv) resident in a care home, an in-patient in a hospital or similar institution, or in legal detention for the purposes of regulation 27 (entitlement beginning while in alternative accommodation),
has come to an end, on the day on which the individual leaves the place, or
- (e) in any other case, on the date when the Scottish Ministers make the determination.
- (2) Where the Scottish Ministers consider that in all the circumstances it would be unjust not to do so, they may, when making their determination, set an earlier date for the purposes of paragraph (1)(b), (c), (d) or (e).
- (3) This regulation does not apply to an individual to whom regulation 20 (entitlement under special rules for terminal illness) applies.
- (4) Where an individual has previously received Scottish Adult Disability Living Allowance or Disability Living Allowance for a period and a determination without application has subsequently been made that the individual is entitled to Scottish Adult Disability Living Allowance at a higher rate for that period, the individual will be entitled to the difference between the value of entitlement to Scottish Adult Disability Living Allowance under the subsequent determination and the value of Scottish Adult Disability Living Allowance or Disability Living Allowance to which that individual was previously entitled for that period.
Reading this document does not replace reading the official text published on legislation.gov.uk. Contains public sector information licensed under the Open Government Licence v3.0. We assume no responsibility for any inaccuracies arising from the conversion of the original CLML XML to this format.
This text is published under legislation.gov.uk's own terms of reuse, not a Legalize or public-domain licence.
legislation.gov.uk
Open Government Licence v3.0 (attribution required)
© Crown and database right. Derived from content available under the Open Government Licence v3.0 from legislation.gov.uk.