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5 J. Soc. Welfare & Fam. L. 1 (1983)

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Paying the Sick-A Healthy State*


By  Charles Blake
Senior  Lecturer  in Law,  Ealing  College  of Higher  Education


Comprehensive  cover for loss of earnings through sickness has been a feature of the
national insurance scheme since 1946. Its origin was, of course, much older than this
and partial cover was introduced in 1911. It has often been pointed out that the
benefit has never been taxed and that today many employees  have some  form of
occupational sick-pay scheme. In consequence it is possible to be better off during
sickness than during work. It can be argued that the sick often have greater needs
than those in work. The  expense of heating, diet and prescription costs may be
considerable. But the familiar argument about work incentives and a desire to tax all
short-term benefits have been powerful factors in producing ideas for a new form of
benefit which would take account of the nature and scope of occupational schemes.
Any  new  system might also enable public expenditure to be reduced both  by a
diminution in civil service members and by savings in cash payments. All these
objectives are particularly attractive to the present Government. Having cut con-
tributory benefits and reformed means-tested benefits upon a nil cost basis the
Social Security and Housing Benefits Act 1982 takes the process further. Its main
objective is to transfer the administration of short-term sickness benefit from the
state to the employer. From April 1983 the employer will be responsible for the first
eight weeks of statutory sick pay (S.S.P.). There will be no right to state sickness
benefit during this period. The employer will be able to recover payment in full by
deduction from monthly  national insurance contributions.

The origins of S.S.P.
In April 1980 the Government published a Green Paper' outlining its proposals. The
scheme  then proposed was  similar to the legislative structure now adopted but its
financing was very different. Employers would not be compensated fully. A half-per
cent. reduction in national insurance liability was to be the limit of the state's
contribution. This suggestion was opposed by capital and labour alike. It would have


  This article is a revised version of a paper first given at the meeting in Leicester in
  September 1982 of the Society of Public Teachers of Law/Association of Law Teachers
  Welfare Law Group. I am grateful to all those who attended for robust and constructive
  comments  as well as to the Solicitors Department of the D.H.S.S. and to Gill Howard of
  the Industrial Society. At the time of writing three sets of regulations had been made
  relating to statutory sick pay (S.S.P.). These are: The S.S.P. (General) Regulations (S.I.
  1982 No. 894); The S.S.P. (Mariners. Airmen and Persons Abroad) Regulations (S.I.
  1982 No. 1349); The S.S.P. (Adjudication) Regulations (S.I. 1982 No. 1400).
    Further regulations are due, relating to reimbursement of employers and overpayment
  of S.S.P. In their absence these topics are not dealt with in detail. A broad idea of their
  contents can be obtained from Leaflet N1227: Employers Guide to S.S.P. It is extra-
  ordinary that legal advice should have to be given on the basis of such general guides
  which presuppose the publication of the regulations. For other general comment and
  guidance on the Act see: Privatising Sickness Benefit' I.L.J. Nov. 1980 (Richard Jones)
  and 'A Guide to S.S.P. (Gill Howard for the Industrial Society).
  ' Income during initial sickness: a new strategy Cmnd. 7864.


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